PMHNP Exam Prep Questions
Conrad, a 26-year-old male, is being treated for cuts after being arrested for
breaking the
windows in the home of his girlfriend, who has just told him that they are through.
He has a
history of having been physically abused by his father, setting fires as a child,
treatment for
substance abuse, and arrest for stealing a car. Which of the following personality
disorders
might the clinician consider?
Question 1 options:
a)
Narcissistic
b)
Paranoid
c)
Antisocial
d)
Histrionic
(Ans- Antisocial
In a biopsychosocial case formulation, social contributions would be considered to
be:
a)
Genetic influences and adverse circumstances of birth
b)
Substance use and medical disorders
,c)
Cognitive deficits and dysregulation of emotions
d)
Religious/cultural factors and living situations
(Ans- Religious/cultural factors and living situations
Which of the following criteria would preclude the use of brief dynamic therapy?
a)
Adequate ego strengths
b)
Psychological problems in multiple domains
c)
Use of mature defense mechanisms
d)
Adequate ability to process information
(Ans- Use of mature defense mechanisms
In treatment of the acute phase of mania, the focus is on:a)
Protecting the patient's biopsychosocial safety
b)
Educating the patient about social rhythms theory
c)
Interventions that address impairment of vocational functioning
d)
,Interventions for self-management of finance
(Ans- Protecting the patient's biopsychosocial safety
During an initial assessment, the relevant features of communication are its ability
to:
a)
Promote a therapeutic alliance and increase understanding.
b)
Prompt a disclosure of past successes and failures.
c)
Bring about changes in behavior.
d)
Educate the patient about what is important to disclose.
Symptoms of anxiety and panic are associated with a low level of which
neurotransmitter?
a)
Cortisol
b)
Dopamine
c)
Gamma-aminobutyric acid
d)
Glutamate
(Ans- Gamma-aminobutyric acid
, Which class of antidepressants has the most anticholinergic side effects?
a)
Monoamine oxidase inhibitors (MAOIs)
b)
Selective serotonin reuptake inhibitors (SSRIs)
c)
Tricyclic antidepressants (TCAs)
d)
Serotonin norepinephrine reuptake inhibitors (SNRIs)
(Ans- Tricyclic antidepressants (TCAs)
A 16-year-old male patient is hospitalized for depression after attempting suicide
by overdose. Several days later, the patient reports feeling less depressed and
having fewer suicidal thoughts, but begins to threaten suicide "if things do not
work out." Nursing staff members report feeling resentful and manipulated, but
fear for the patient's safety. The adult psychiatric and mental health nurse
practitioner's intervention is to
a)
:assist the staff in developing a treatment plan that limits contact with the patient to
one person
per shift.
b)
develop a "no suicide" pact with the patient to decrease his helplessness and
increase his
feelings of control.
c)
Conrad, a 26-year-old male, is being treated for cuts after being arrested for
breaking the
windows in the home of his girlfriend, who has just told him that they are through.
He has a
history of having been physically abused by his father, setting fires as a child,
treatment for
substance abuse, and arrest for stealing a car. Which of the following personality
disorders
might the clinician consider?
Question 1 options:
a)
Narcissistic
b)
Paranoid
c)
Antisocial
d)
Histrionic
(Ans- Antisocial
In a biopsychosocial case formulation, social contributions would be considered to
be:
a)
Genetic influences and adverse circumstances of birth
b)
Substance use and medical disorders
,c)
Cognitive deficits and dysregulation of emotions
d)
Religious/cultural factors and living situations
(Ans- Religious/cultural factors and living situations
Which of the following criteria would preclude the use of brief dynamic therapy?
a)
Adequate ego strengths
b)
Psychological problems in multiple domains
c)
Use of mature defense mechanisms
d)
Adequate ability to process information
(Ans- Use of mature defense mechanisms
In treatment of the acute phase of mania, the focus is on:a)
Protecting the patient's biopsychosocial safety
b)
Educating the patient about social rhythms theory
c)
Interventions that address impairment of vocational functioning
d)
,Interventions for self-management of finance
(Ans- Protecting the patient's biopsychosocial safety
During an initial assessment, the relevant features of communication are its ability
to:
a)
Promote a therapeutic alliance and increase understanding.
b)
Prompt a disclosure of past successes and failures.
c)
Bring about changes in behavior.
d)
Educate the patient about what is important to disclose.
Symptoms of anxiety and panic are associated with a low level of which
neurotransmitter?
a)
Cortisol
b)
Dopamine
c)
Gamma-aminobutyric acid
d)
Glutamate
(Ans- Gamma-aminobutyric acid
, Which class of antidepressants has the most anticholinergic side effects?
a)
Monoamine oxidase inhibitors (MAOIs)
b)
Selective serotonin reuptake inhibitors (SSRIs)
c)
Tricyclic antidepressants (TCAs)
d)
Serotonin norepinephrine reuptake inhibitors (SNRIs)
(Ans- Tricyclic antidepressants (TCAs)
A 16-year-old male patient is hospitalized for depression after attempting suicide
by overdose. Several days later, the patient reports feeling less depressed and
having fewer suicidal thoughts, but begins to threaten suicide "if things do not
work out." Nursing staff members report feeling resentful and manipulated, but
fear for the patient's safety. The adult psychiatric and mental health nurse
practitioner's intervention is to
a)
:assist the staff in developing a treatment plan that limits contact with the patient to
one person
per shift.
b)
develop a "no suicide" pact with the patient to decrease his helplessness and
increase his
feelings of control.
c)
