PMHNP Certification Exam with complete solution

PMHNP Certification Exam with complete solution 1. What are assessed in the Thought Content of the MSE: SI/HI, Plan, Halluci- nations 2. • PNEUMOIC - Old Age Parents Love Grandchildren: • Oral (0-18 months), Anal (18 months - 3 years), Phallic (3 years to 6 years), Latent (6 to 12), Genital (12 +) 3. • FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6 years old: • 3-year-old masturbates, play with self, says naughty things • This is NORMAL for children this age. 4. What do you do when a patient has an increased prolactin level?: • Stop prolactin (stop the agent that cause increase prolactin) 5. • ACUTE STRESS DISORDER: • A d/o resulting from exposure to a major stressor, with SX of ANX, depression, dissociation, recurring nightmares, sleep disturbances, problems in concentrations, reliving the event, dreams, flashbacks - UP to ONE MONTH - Less than 1 month. • If LONGER than 1 month = PTSD - Symptoms that occur immediately after the event but resolve in less than 3 days would not meet criteria for acute stress disorder 6. What would you do if a 5-year-old tells you his brother sodomized him?: • Tell mom don't leave him alone with patient and call CPS implement crisis 7. If a child is playing with doll in a sexual way, what do you do first?: • You SUSPECT sexual abuse - Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE Calling CPS to report suspected Sexual Abuse - You HAVE to report but you have to have something (assessment data) to report - Assess = FIRST 8. If a 13-year-old tells you he want to smoke, what would be an appropriate response?: • Ask him of his plan to stop smoking 9. If a 14-year-old girl clenching her teeth, what cranial nerve would you suspect?: • Cranial nerve V-Trigeminal nerve (FIVE) 10. What cranial nerve is responsible for Bells Palsy?: 7 = Facial Paralysis 11. What cranial nerves do you assess for corneal sensation: Nerves 5 & 7 12. What cranial nerves do you assess for papillary reaction to light and accommodation?: Nerves 3,4,& 6 13. What cranial nerves do you assess for 6 cardinal fields of gaze & extra-oc- ular movements?: Nerves 3, 4, & 6 14. What cranial nerves do you assess for corneal light reflex?: 3, 4, & 6 15. Cranial Nerve 1: Olfactory (smell) 16. Cranial Nerve 2: Optic - vision 17. Cranial Nerve 3: Oculomotor (eye movement): The occulomotor nerve is re- sponsible for motor enervation of upper eyelid muscle, extraocular muscle and pupillary muscle. 18. Cranial Nerve 4: Trochlear (eye movement): The trochlear nerve controls an extraocular muscle. 19. Cranial Nerve 5: Trigeminal: The trigeminal nerve is responsible for sensory enervation of the face and motor enervation to muscles of mastication (chewing). 20. Cranial Nerve 6: Abducens (motor): The abducent nerve enervates a muscle, which moves the eyeball. 21. Cranial Nerve 7: Facial nerve: The facial nerve enervates the muscles of the face (facial expression). 22. Cranial Nerve 8: Vestibulocochlear (hearing and balance): The vestibulo- cochlear nerve is responsible for the sense of hearing and balance (body position sense). 23. Cranial Nerve 9: Glossopharyngeal: The glossopharyngeal nerve enervates muscles involved in swallowing and taste. Lesions of the ninth nerve result in difficulty swallo