Georgette's LMR PMHNP
Certification Exam Review
A child that does not establish eye contact is likely to have? - ----------correct
answer---------Autism Spectrum Disorder A child that has little or no eye
contact may have? - ----------correct answer---------Autism A child who does
not respond when called by name may have? - ----------correct answer---------
Autism A child who has been neglected, abused, or comes from a foster
home is most likely to have what diagnosis? - ----------correct answer---------
Reactive Attachment Disorder A child who likes to line up, stack, or organize
objects and toys in tidy rows may have? - ----------correct answer---------Autism
A child who shows no emotion or is withdrawn may have what disorder? - -----
-----correct answer---------Reactive Attachment Disorder A child with a history
of juvenile detention (e.g., fire setting, forced sex) is most likely to have what
diagnosis? - ----------correct answer---------Conduct Disorder A child with
intense temper outbursts is most likely to have what DSM-5 diagnosis? - -------
---correct answer---------Disruptive Mood Dysregulation Disorder (DMDD) A
child with persistent deficits in social communication and social interaction
across multiple settings is most likely to have what DSM-5 diagnosis? - --------
--correct answer---------Autism A culturally expected response to a stressor is
called: - ----------correct answer---------Cultural Syndrome A disorder that
presents like PTSD, but symptoms last less than a month is most likely to
have? - ----------correct answer---------Acute Stress Disorder A firm belief
despite contrary evidence is: - ----------correct answer---------Delusion A
hospitalized patient with a reaction to a stressful event is most likely to have
what diagnosis? - ----------correct answer---------Adjustment Disorder A patient
in alcohol withdrawal who develops delirium should be administered? - ---------
-correct answer---------Benzodiazepine A patient that presents with grandiosity
or exaggerated self-esteem is most likely to have? - ----------correct answer----
-----Mania or hypomania A patient who claims disability or worker's comp
when there is no injury is most likely? - ----------correct answer---------
Malingering (not a psychiatric diagnosis) A patient who complains of pain after
eating, bloating and fullness, what do you suspect? - ----------correct answer---
------Delayed gastric emptying from anorexia A patient who feigns illness to
get sympathy or attention is most likely to have? - ----------correct answer-------
--Factitious disorder A patient who is manic, irritable mood, and uncooperative
is most likely to have what disorder? - ----------correct answer---------Bipolar
disorder A patient who presents with a cognitive deficit, decreased
coordination, and behavioral symptoms should be assessed for what type of
dementia? - ----------correct answer---------HIV-related A patient with borderline
personality disorder with symptoms of depressed mood and lability should be
prescribed? - ----------correct answer---------Valproic acid A patient with
factitious disorder is most likely to have what type of demographic? - ----------
correct answer---------Unmarried healthcare worker A patient with what
medical condition is at risk for lithium toxicity? - ----------correct answer---------
Cardiac failure (hyponatremia) A person with pressure speech is most likely to
have what disorder? - ----------correct answer---------Bipolar disorder.
,According to Erikson, what period is important for the development of
meaningful relationships? - ----------correct answer---------Infancy (0 - 1 year).
According to Erikson, what period is self-control a key component? - ----------
correct answer---------Early childhood (1 - 3 years). Addiction is associated
with what 2 neurotransmitters? - ----------correct answer---------Dopamine,
GABA An older adult who has had cognitive impairment for less than 5
months and who answers your questions with 'I don't know,' most likely has a
diagnosis of? - ----------correct answer---------Depression (pseudodementia) An
older adult who has had cognitive impairment for over a year and who tries to
answer (may not be able to) or confabulates is most likely to have a diagnosis
of? - ----------correct answer---------Dementia An older female has delirium,
and you suspect a UTI, what 2 labs should you order? - ----------correct
answer---------UA, C/S An older patient who has had mental decline (>1 year)
with chronic irritability and personality changes should be assessed for? - -----
-----correct answer---------Dementia An older patient who has symptoms of
irritability, agitation, hallucinations, and delusions is most likely to have? - ------
----correct answer---------Depression (vs. dementia) Are motor tics permanent?
- ----------correct answer---------Not always Are oral contraceptives inducers or
inhibitors? - ----------correct answer---------Inducers. At what age should you
consider a patient with manic symptoms to be medically induced? - ----------
correct answer---------45 and older At what stage do children display magical
thinking and use language and symbols more according to Piaget? - ----------
correct answer---------Preoperational. Can patients receive Assertive
Community Treatment (ACT) while in the hospital? - ----------correct answer----
-----No Can tics be a normal behavior? - ----------correct answer---------Yes.
Children with inattentive ADHD are most likely to have an abnormality in
which part of the cortex? - ----------correct answer---------Prefrontal Cultural
syndrome is: - ----------correct answer---------A culturally expected response to
a stressor Do you need to tell parents if an adolescent reports she is dating
someone of the same age or gender? - ----------correct answer---------No.
During what stage do children see things from other's perspectives according
to Piaget? - ----------correct answer---------Concrete operations. During which
period is personal sense of identity a key factor according to Erikson? - --------
--correct answer---------Adolescence (12 - 20 years). Dysfunction of the
prefrontal cortex is most likely in what type of ADHD? - ----------correct
answer---------Inattentive Extreme muscle rigidity and increased CPK is the
key indicator of: - ----------correct answer---------NMS For a DSM-5 diagnosis
of Acute Stress Disorder, what is the onset of symptoms? - ----------correct
answer---------Within 4 weeks of traumatic event Genograms are used in
which 2 family therapies? - ----------correct answer---------Family Systems
Therapy, Structural Therapy Hierarchies, Boundaries, and Genograms are
characteristics of what therapy? - ----------correct answer---------Structural
Family Therapy How are agitation and psychotic symptoms treated in delirium?
- ----------correct answer---------Low dose Haldol How can you implement
policy affecting NPs nationwide? - ----------correct answer---------Host online
forum/give survey to obtain information. How do erythromycin and
clarithromycin affect CYP240? - ----------correct answer---------Inhibitors How
do Mexican Americans view mental illness? - ----------correct answer---------An
imbalance between an individual's relationship with the world How do you
apply your knowledge of the relationship between ADHD and substance
, abuse to practice? - ----------correct answer---------Screen ADHD patients for
substance use and SUD patients for ADHD. How do you assess an iatrogenic
symptom? - ----------correct answer---------Assess medical history. How do you
conduct a MSE in a preschooler (3-5 yo)? - ----------correct answer---------
Clinical observation (listen/observe) How do you convert oral Haldol to IM
(depot form)? - ----------correct answer---------20 x daily dose How do you
establish a diagnosis for a patient unable to remember events? - ----------
correct answer---------Provide anchor (memorable events) to establish
diagnosis. How do you treat a child who is grieving? - ----------correct answer--
-------Normalize grief and loss (don't tell them what to do/how to grieve). How
do you treat a patient with mild anxiety (<18 on HAM-A)? - ----------correct
answer---------Therapy or nothing How do you treat a patient with mild
depression (<14 on HAM-D)? - ----------correct answer---------Therapy or
nothing How do you treat a patient with moderate anxiety (18-24 on HAM-A)?
- ----------correct answer---------Medication and/or therapy How do you treat a
patient with moderate depression (14 - 18 on HAM-D)? - ----------correct
answer---------Medication and/or therapy How do you treat a patient with panic
disorder who is taking albuterol for asthma? - ----------correct answer---------
SSRI or benzodiazepine (don't give beta blocker) How do you treat a patient
with severe anxiety (>24 on HAM-A)? - ----------correct answer---------
Medication and/or therapy How do you treat a patient with severe depression
(over 18 on HAM-D)? - ----------correct answer---------Medication and/or
therapy; assess for suicidal ideation How do you treat decreased sexual drive
in an older female patient? - ----------correct answer---------Testosterone
(improves blood flow to pelvic region) How do you treat NMS? - ----------
correct answer---------D/C antipsychotic; bromocriptine or dantrolene How do
you treat Serotonin Syndrome? - ----------correct answer---------D/C
antidepressant; cyproheptadine How do you treat test anxiety acutely? - -------
---correct answer---------Beta blocker How do you treat test anxiety for
maintenance therapy? - ----------correct answer---------SSRI How does a panic
attack differ from panic disorder? - ----------correct answer---------Acute,
impending doom How does panic disorder differ from a panic attack? - ---------
-correct answer---------Chronic, recurrent, unexpected How long does
interpersonal therapy typically last? - ----------correct answer---------12-16
weeks How many symptoms must a child with ODD display to meet DSM-5
criteria? - ----------correct answer---------4 How often is Haldol Decanoate
typically administered? - ----------correct answer---------Monthly How should an
adolescent be interviewed? - ----------correct answer---------Separately from
parents. How should multicultural teaching be conducted? - ----------correct
answer---------Ethnospecific How should you address coworkers' opposition to
a policy? - ----------correct answer---------Explain how the policy will increase
quality of patient care. How should you conduct an interview if you are
concerned a 5-year-old child may be sexually abused? - ----------correct
answer---------Interview the child and parents separately if the child can
communicate. Hyperthyroidism mimics symptoms of what psychiatric disorder?
- ----------correct answer---------Mania Hypothyroidism mimics symptoms of
what psychiatric disorder? - ----------correct answer---------Depression If a child
develops tics after beginning a stimulant, should he be diagnosed with
Tourette's? - ----------correct answer---------No (tics caused by a substance is
an exclusionary diagnosis) If a child has both intrusive thoughts and tics, what
Certification Exam Review
A child that does not establish eye contact is likely to have? - ----------correct
answer---------Autism Spectrum Disorder A child that has little or no eye
contact may have? - ----------correct answer---------Autism A child who does
not respond when called by name may have? - ----------correct answer---------
Autism A child who has been neglected, abused, or comes from a foster
home is most likely to have what diagnosis? - ----------correct answer---------
Reactive Attachment Disorder A child who likes to line up, stack, or organize
objects and toys in tidy rows may have? - ----------correct answer---------Autism
A child who shows no emotion or is withdrawn may have what disorder? - -----
-----correct answer---------Reactive Attachment Disorder A child with a history
of juvenile detention (e.g., fire setting, forced sex) is most likely to have what
diagnosis? - ----------correct answer---------Conduct Disorder A child with
intense temper outbursts is most likely to have what DSM-5 diagnosis? - -------
---correct answer---------Disruptive Mood Dysregulation Disorder (DMDD) A
child with persistent deficits in social communication and social interaction
across multiple settings is most likely to have what DSM-5 diagnosis? - --------
--correct answer---------Autism A culturally expected response to a stressor is
called: - ----------correct answer---------Cultural Syndrome A disorder that
presents like PTSD, but symptoms last less than a month is most likely to
have? - ----------correct answer---------Acute Stress Disorder A firm belief
despite contrary evidence is: - ----------correct answer---------Delusion A
hospitalized patient with a reaction to a stressful event is most likely to have
what diagnosis? - ----------correct answer---------Adjustment Disorder A patient
in alcohol withdrawal who develops delirium should be administered? - ---------
-correct answer---------Benzodiazepine A patient that presents with grandiosity
or exaggerated self-esteem is most likely to have? - ----------correct answer----
-----Mania or hypomania A patient who claims disability or worker's comp
when there is no injury is most likely? - ----------correct answer---------
Malingering (not a psychiatric diagnosis) A patient who complains of pain after
eating, bloating and fullness, what do you suspect? - ----------correct answer---
------Delayed gastric emptying from anorexia A patient who feigns illness to
get sympathy or attention is most likely to have? - ----------correct answer-------
--Factitious disorder A patient who is manic, irritable mood, and uncooperative
is most likely to have what disorder? - ----------correct answer---------Bipolar
disorder A patient who presents with a cognitive deficit, decreased
coordination, and behavioral symptoms should be assessed for what type of
dementia? - ----------correct answer---------HIV-related A patient with borderline
personality disorder with symptoms of depressed mood and lability should be
prescribed? - ----------correct answer---------Valproic acid A patient with
factitious disorder is most likely to have what type of demographic? - ----------
correct answer---------Unmarried healthcare worker A patient with what
medical condition is at risk for lithium toxicity? - ----------correct answer---------
Cardiac failure (hyponatremia) A person with pressure speech is most likely to
have what disorder? - ----------correct answer---------Bipolar disorder.
,According to Erikson, what period is important for the development of
meaningful relationships? - ----------correct answer---------Infancy (0 - 1 year).
According to Erikson, what period is self-control a key component? - ----------
correct answer---------Early childhood (1 - 3 years). Addiction is associated
with what 2 neurotransmitters? - ----------correct answer---------Dopamine,
GABA An older adult who has had cognitive impairment for less than 5
months and who answers your questions with 'I don't know,' most likely has a
diagnosis of? - ----------correct answer---------Depression (pseudodementia) An
older adult who has had cognitive impairment for over a year and who tries to
answer (may not be able to) or confabulates is most likely to have a diagnosis
of? - ----------correct answer---------Dementia An older female has delirium,
and you suspect a UTI, what 2 labs should you order? - ----------correct
answer---------UA, C/S An older patient who has had mental decline (>1 year)
with chronic irritability and personality changes should be assessed for? - -----
-----correct answer---------Dementia An older patient who has symptoms of
irritability, agitation, hallucinations, and delusions is most likely to have? - ------
----correct answer---------Depression (vs. dementia) Are motor tics permanent?
- ----------correct answer---------Not always Are oral contraceptives inducers or
inhibitors? - ----------correct answer---------Inducers. At what age should you
consider a patient with manic symptoms to be medically induced? - ----------
correct answer---------45 and older At what stage do children display magical
thinking and use language and symbols more according to Piaget? - ----------
correct answer---------Preoperational. Can patients receive Assertive
Community Treatment (ACT) while in the hospital? - ----------correct answer----
-----No Can tics be a normal behavior? - ----------correct answer---------Yes.
Children with inattentive ADHD are most likely to have an abnormality in
which part of the cortex? - ----------correct answer---------Prefrontal Cultural
syndrome is: - ----------correct answer---------A culturally expected response to
a stressor Do you need to tell parents if an adolescent reports she is dating
someone of the same age or gender? - ----------correct answer---------No.
During what stage do children see things from other's perspectives according
to Piaget? - ----------correct answer---------Concrete operations. During which
period is personal sense of identity a key factor according to Erikson? - --------
--correct answer---------Adolescence (12 - 20 years). Dysfunction of the
prefrontal cortex is most likely in what type of ADHD? - ----------correct
answer---------Inattentive Extreme muscle rigidity and increased CPK is the
key indicator of: - ----------correct answer---------NMS For a DSM-5 diagnosis
of Acute Stress Disorder, what is the onset of symptoms? - ----------correct
answer---------Within 4 weeks of traumatic event Genograms are used in
which 2 family therapies? - ----------correct answer---------Family Systems
Therapy, Structural Therapy Hierarchies, Boundaries, and Genograms are
characteristics of what therapy? - ----------correct answer---------Structural
Family Therapy How are agitation and psychotic symptoms treated in delirium?
- ----------correct answer---------Low dose Haldol How can you implement
policy affecting NPs nationwide? - ----------correct answer---------Host online
forum/give survey to obtain information. How do erythromycin and
clarithromycin affect CYP240? - ----------correct answer---------Inhibitors How
do Mexican Americans view mental illness? - ----------correct answer---------An
imbalance between an individual's relationship with the world How do you
apply your knowledge of the relationship between ADHD and substance
, abuse to practice? - ----------correct answer---------Screen ADHD patients for
substance use and SUD patients for ADHD. How do you assess an iatrogenic
symptom? - ----------correct answer---------Assess medical history. How do you
conduct a MSE in a preschooler (3-5 yo)? - ----------correct answer---------
Clinical observation (listen/observe) How do you convert oral Haldol to IM
(depot form)? - ----------correct answer---------20 x daily dose How do you
establish a diagnosis for a patient unable to remember events? - ----------
correct answer---------Provide anchor (memorable events) to establish
diagnosis. How do you treat a child who is grieving? - ----------correct answer--
-------Normalize grief and loss (don't tell them what to do/how to grieve). How
do you treat a patient with mild anxiety (<18 on HAM-A)? - ----------correct
answer---------Therapy or nothing How do you treat a patient with mild
depression (<14 on HAM-D)? - ----------correct answer---------Therapy or
nothing How do you treat a patient with moderate anxiety (18-24 on HAM-A)?
- ----------correct answer---------Medication and/or therapy How do you treat a
patient with moderate depression (14 - 18 on HAM-D)? - ----------correct
answer---------Medication and/or therapy How do you treat a patient with panic
disorder who is taking albuterol for asthma? - ----------correct answer---------
SSRI or benzodiazepine (don't give beta blocker) How do you treat a patient
with severe anxiety (>24 on HAM-A)? - ----------correct answer---------
Medication and/or therapy How do you treat a patient with severe depression
(over 18 on HAM-D)? - ----------correct answer---------Medication and/or
therapy; assess for suicidal ideation How do you treat decreased sexual drive
in an older female patient? - ----------correct answer---------Testosterone
(improves blood flow to pelvic region) How do you treat NMS? - ----------
correct answer---------D/C antipsychotic; bromocriptine or dantrolene How do
you treat Serotonin Syndrome? - ----------correct answer---------D/C
antidepressant; cyproheptadine How do you treat test anxiety acutely? - -------
---correct answer---------Beta blocker How do you treat test anxiety for
maintenance therapy? - ----------correct answer---------SSRI How does a panic
attack differ from panic disorder? - ----------correct answer---------Acute,
impending doom How does panic disorder differ from a panic attack? - ---------
-correct answer---------Chronic, recurrent, unexpected How long does
interpersonal therapy typically last? - ----------correct answer---------12-16
weeks How many symptoms must a child with ODD display to meet DSM-5
criteria? - ----------correct answer---------4 How often is Haldol Decanoate
typically administered? - ----------correct answer---------Monthly How should an
adolescent be interviewed? - ----------correct answer---------Separately from
parents. How should multicultural teaching be conducted? - ----------correct
answer---------Ethnospecific How should you address coworkers' opposition to
a policy? - ----------correct answer---------Explain how the policy will increase
quality of patient care. How should you conduct an interview if you are
concerned a 5-year-old child may be sexually abused? - ----------correct
answer---------Interview the child and parents separately if the child can
communicate. Hyperthyroidism mimics symptoms of what psychiatric disorder?
- ----------correct answer---------Mania Hypothyroidism mimics symptoms of
what psychiatric disorder? - ----------correct answer---------Depression If a child
develops tics after beginning a stimulant, should he be diagnosed with
Tourette's? - ----------correct answer---------No (tics caused by a substance is
an exclusionary diagnosis) If a child has both intrusive thoughts and tics, what
