PMHNP EXAMS TEST PAPER ANSWERS AND
QUESTIONS SET A+
✔✔Fragile X physical features - ✔✔- large, long head and ears
- short stature
- post pubertal macroorchidism
- hyperextended joints
- comorbid with ADHD
✔✔Recklinghausen's Disease - ✔✔cafe au lait spots
neurofibromas
✔✔Willie Prader - ✔✔obesity
small stature
small hands/feet
hypotonia
hypogonadism
✔✔Fetal Alchol Syndome - ✔✔small head
short palpebral fissure
inner epicanthal folds, thin upper lip
✔✔right hemisphere of the brain involved with - ✔✔recognition of facial expressions,
music, and visual images -- se disturbances in drawing a clock face
✔✔left hemisphere of brain involved with - ✔✔
✔✔contraindicated with MAO-I? - ✔✔meperdine
✔✔what causes bleeing with NSAIDs and SSRIs? - ✔✔pharmacodynamics
✔✔therapy for child with grief and loss - ✔✔psychoeducation
,✔✔most important exclusion to group therapy? - ✔✔person shouldn't be in group if
going because someone else told them to -- husband wants patient to go, etc.
✔✔Medical cause of dementia? - ✔✔rule out vitamin B12
✔✔Attachment theory and risk of disorganized attachement? - ✔✔- John Bowlby
- parents with high expressed anxiety and unresolved issues
✔✔Disorganized attachment characterized by? - ✔✔not feeling safe with their caregiver
and inability to be comforted
✔✔Lithium hematoligcal changes - ✔✔leukocytosis - lithium can also cause peripheral
edema
✔✔area of the brain that modulates pain - ✔✔prefrontal cortex - loss of grey matter
associated with chronic pain
✔✔therapeutic fram for affect regulation - ✔✔mindful, reflective, intentional
✔✔manic episodes are more common in men or women - ✔✔manic episodes more
common in men
depressive episodes more common in women
mixed episodes more common in women
women have higher rate of rapid cycling
✔✔most important component of therapeutic communication - ✔✔non-verbal
✔✔carbamezapine for mania - ✔✔- indicated for acute manic or mixed episode
- not indiated in maintenance phase
- associated with N/V, ataxia, dizziness, dyspepsia, dry mouth, speech disorder, blurred
vision
✔✔sublimation - ✔✔redirecting unacceptable feelings into something socially
acceptable -- kid in car accident then getting involved in charity
✔✔scale for adult ADHD - ✔✔Adult ADHD self report scale
✔✔projection - ✔✔projecting unwanted own unacceptable thoughts, feelings, or
emotions onto another person
✔✔displacement - ✔✔satisfying an impulse (aggression) with another object -- mad at
boss so cut someone off
✔✔age of onset for women with schizophrenia - ✔✔trimodal
,- peaks at 22, 36, and 61
- men have bimodal onset at 21 and 39
✔✔which gender schizophrenia has more deficits and negative symptoms? - ✔✔men,
women have better social skills
✔✔mirtazapine MOA - ✔✔alpha 2 adrengergic antagonist
✔✔social phobia most common in - ✔✔native americans
✔✔MRI of alzheimer's - ✔✔decrease size of temporal and parietal regions
✔✔Creutzfeldt-Jacobz disease findings - ✔✔- rapid dementia
- akinetic mutism
- myoclonic jerks
- cerebral atrophy late in course (on CT)
✔✔cyclothymia - ✔✔depressive symptoms with hypomanic episodes at least 4 times
per year
✔✔facts about lithium hypothyroid - ✔✔more common in women
usually happens in first 6 to 8 months
associated with more depression and rapid cycling
it occurs in 5-35% of patients
not a contraindication
✔✔ADHD sx must be present before age? - ✔✔7
✔✔chi square used for? - ✔✔looking at the relationship between nominal/categorical
variables (non-measurable)
✔✔brain findings of auditory hallucinations - ✔✔- activate primary auditory regions
- overactivation in temporal and parital cortex
✔✔what is important to understand in interprofessional collaborative care? - ✔✔it is
important for all team members to know each other's expertise and capabilities
✔✔most common intellecutal disabilites - ✔✔fragile x
downs syndrome (trisomy 21)
Fetal alcohol syndrome
- most common genetic cause is downs syndrome
✔✔NT most associated with social phobia> - ✔✔dopamine - low dopamine
, ✔✔5 As of behavior change - ✔✔Assess, Advise, Agree, Assist, Arrange
✔✔The super ego says - ✔✔I ought or I should
✔✔rare side effect of eyes with atypical antipsychotics - ✔✔oliguric crisis
✔✔example of advocating - ✔✔correcting misinformation that calls NPs
paraprofessional
✔✔making an evidence based decision includes research and? - ✔✔- patient
status/preference
- clinician's expertise
- availability of healthcare resources
✔✔patient asks you to refill med from GP - ✔✔say you can't do that cause it's out of
your scope and refer back to gP
✔✔DNP and APRN have what difference in standard of practice? - ✔✔no difference
✔✔What does HIPPA provide in terms of health insurance - ✔✔increases employees
ability to have health insurance between jobs
✔✔Why add folic acid? - ✔✔Folic acid for women who are capable of becoming
pregnant - 04 -0.6
✔✔Muslim preferance - ✔✔male patient needs male provider
female patient needs female provider (male must be present)
- no products with shellfish, gelatin, hooved animals like horse, and fanged animals like
bats
no blood products
koran bands alcohol
✔✔preceptor - ✔✔teach
1:1 relationships over a short period of time
showing students around is a preceptor
✔✔Federal Law 42 CFR - ✔✔separate release of information for chemical dependcy
✔✔biggest risk factor for anti-social personality - ✔✔first degree family member
✔✔can patient stay on long term benzos if not abusing? - ✔✔yes
✔✔wider confidene interval means? - ✔✔the estimate of the effect is less precise
QUESTIONS SET A+
✔✔Fragile X physical features - ✔✔- large, long head and ears
- short stature
- post pubertal macroorchidism
- hyperextended joints
- comorbid with ADHD
✔✔Recklinghausen's Disease - ✔✔cafe au lait spots
neurofibromas
✔✔Willie Prader - ✔✔obesity
small stature
small hands/feet
hypotonia
hypogonadism
✔✔Fetal Alchol Syndome - ✔✔small head
short palpebral fissure
inner epicanthal folds, thin upper lip
✔✔right hemisphere of the brain involved with - ✔✔recognition of facial expressions,
music, and visual images -- se disturbances in drawing a clock face
✔✔left hemisphere of brain involved with - ✔✔
✔✔contraindicated with MAO-I? - ✔✔meperdine
✔✔what causes bleeing with NSAIDs and SSRIs? - ✔✔pharmacodynamics
✔✔therapy for child with grief and loss - ✔✔psychoeducation
,✔✔most important exclusion to group therapy? - ✔✔person shouldn't be in group if
going because someone else told them to -- husband wants patient to go, etc.
✔✔Medical cause of dementia? - ✔✔rule out vitamin B12
✔✔Attachment theory and risk of disorganized attachement? - ✔✔- John Bowlby
- parents with high expressed anxiety and unresolved issues
✔✔Disorganized attachment characterized by? - ✔✔not feeling safe with their caregiver
and inability to be comforted
✔✔Lithium hematoligcal changes - ✔✔leukocytosis - lithium can also cause peripheral
edema
✔✔area of the brain that modulates pain - ✔✔prefrontal cortex - loss of grey matter
associated with chronic pain
✔✔therapeutic fram for affect regulation - ✔✔mindful, reflective, intentional
✔✔manic episodes are more common in men or women - ✔✔manic episodes more
common in men
depressive episodes more common in women
mixed episodes more common in women
women have higher rate of rapid cycling
✔✔most important component of therapeutic communication - ✔✔non-verbal
✔✔carbamezapine for mania - ✔✔- indicated for acute manic or mixed episode
- not indiated in maintenance phase
- associated with N/V, ataxia, dizziness, dyspepsia, dry mouth, speech disorder, blurred
vision
✔✔sublimation - ✔✔redirecting unacceptable feelings into something socially
acceptable -- kid in car accident then getting involved in charity
✔✔scale for adult ADHD - ✔✔Adult ADHD self report scale
✔✔projection - ✔✔projecting unwanted own unacceptable thoughts, feelings, or
emotions onto another person
✔✔displacement - ✔✔satisfying an impulse (aggression) with another object -- mad at
boss so cut someone off
✔✔age of onset for women with schizophrenia - ✔✔trimodal
,- peaks at 22, 36, and 61
- men have bimodal onset at 21 and 39
✔✔which gender schizophrenia has more deficits and negative symptoms? - ✔✔men,
women have better social skills
✔✔mirtazapine MOA - ✔✔alpha 2 adrengergic antagonist
✔✔social phobia most common in - ✔✔native americans
✔✔MRI of alzheimer's - ✔✔decrease size of temporal and parietal regions
✔✔Creutzfeldt-Jacobz disease findings - ✔✔- rapid dementia
- akinetic mutism
- myoclonic jerks
- cerebral atrophy late in course (on CT)
✔✔cyclothymia - ✔✔depressive symptoms with hypomanic episodes at least 4 times
per year
✔✔facts about lithium hypothyroid - ✔✔more common in women
usually happens in first 6 to 8 months
associated with more depression and rapid cycling
it occurs in 5-35% of patients
not a contraindication
✔✔ADHD sx must be present before age? - ✔✔7
✔✔chi square used for? - ✔✔looking at the relationship between nominal/categorical
variables (non-measurable)
✔✔brain findings of auditory hallucinations - ✔✔- activate primary auditory regions
- overactivation in temporal and parital cortex
✔✔what is important to understand in interprofessional collaborative care? - ✔✔it is
important for all team members to know each other's expertise and capabilities
✔✔most common intellecutal disabilites - ✔✔fragile x
downs syndrome (trisomy 21)
Fetal alcohol syndrome
- most common genetic cause is downs syndrome
✔✔NT most associated with social phobia> - ✔✔dopamine - low dopamine
, ✔✔5 As of behavior change - ✔✔Assess, Advise, Agree, Assist, Arrange
✔✔The super ego says - ✔✔I ought or I should
✔✔rare side effect of eyes with atypical antipsychotics - ✔✔oliguric crisis
✔✔example of advocating - ✔✔correcting misinformation that calls NPs
paraprofessional
✔✔making an evidence based decision includes research and? - ✔✔- patient
status/preference
- clinician's expertise
- availability of healthcare resources
✔✔patient asks you to refill med from GP - ✔✔say you can't do that cause it's out of
your scope and refer back to gP
✔✔DNP and APRN have what difference in standard of practice? - ✔✔no difference
✔✔What does HIPPA provide in terms of health insurance - ✔✔increases employees
ability to have health insurance between jobs
✔✔Why add folic acid? - ✔✔Folic acid for women who are capable of becoming
pregnant - 04 -0.6
✔✔Muslim preferance - ✔✔male patient needs male provider
female patient needs female provider (male must be present)
- no products with shellfish, gelatin, hooved animals like horse, and fanged animals like
bats
no blood products
koran bands alcohol
✔✔preceptor - ✔✔teach
1:1 relationships over a short period of time
showing students around is a preceptor
✔✔Federal Law 42 CFR - ✔✔separate release of information for chemical dependcy
✔✔biggest risk factor for anti-social personality - ✔✔first degree family member
✔✔can patient stay on long term benzos if not abusing? - ✔✔yes
✔✔wider confidene interval means? - ✔✔the estimate of the effect is less precise
