Test Bank for PMHNP Boards 2023
Questions and Answers.
What is true of interprofessionality?ANS== All health professionals have individual
professional competencies
What is the significance of an experimental p-value of 0.05ANS== There is a 5%
chance of a similar result occurring by chance alone
What percentage of children with oppositional defiance disorder will develop conduct
disorder?ANS== 30%
In the DSM-5, selective mutism is now considered what type of disorder?ANS==
anxiety disorder
Symptoms of selective mutism must persist for at leastANS== 1 month
Common competenciesANS== overlap more than one health care professional,
although not necessarily all health care professionals, and are competencies expected
of all health care professionals
Complementary competenciesANS== enhance the qualities of other professions in
provision of care
Collaborative competenciesANS== those that each individual profession must possess
to work with others, including those who practice within different specialties within a
profession.
Interpersonal collaboration is centeredANS== patient
Cognitive therapy is recommended for patients that haveANS== negative cognitive
distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients withANS== self-actualization and
self-directed growth
Behavioral Therapy focuses onANS== changing maladaptive behaviors through the
use of behavioral modification techniques
Existential therapy is forANS== reflection on life
confronting self
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without
diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating
lettuce and developing diarrhea?ANS== 6 ((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report that
suggestedANS== implementation a national campaign to reduce the stigma of seeking
care
Focusing on promoting recovery and building resilience
The efficacy of mental health treatments was found to be well documented inANS==
influential report issued by US Surgeon General in 1999
State of high negative emotion and pessimismANS== neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like social
interaction, respond to external rewards, have more active dopamine networks, and are
responsive to positive reinforcement.ANS== Extraversion (high levels protect from
psychiatric illness)
Introverts are more likely to be motivated and more likely to respond to
reinforcementANS== internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships
often at the expense of self-assertionANS== Agreeableness
Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to obtain their
long term desired outcome. They are considered responsible, reliable, and
dependable.ANS== conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a functional analysis
of behavior (FAB). What is true about FAB?ANS== FAB is concerned only with
observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors,
and consequent stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with , not ANS== perceptual psychology
behavior
Medication that can delay ejaculation in patients with premature ejaculationANS==
Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
,Tramadol
Phosphodiesterase-5 inhibitors)
First line treatment for lithium induced diabetes insipidusANS== Amiloride (K
potassium diuretic) in addition to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicityANS== reduce lithium dose to
minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided doses over the
day)
Encourage adequate fluid intake
What is true about ECT in Parkinson's diseaseANS== it's more likely to cause
transient delirium (worsened dyskinesias induced by l-dopa)
Lithium effects with Parkison's diseaseANS== may worsen tremor
nonselective MAOIs decrease the efficacy of and increase the risk of a
ANS== l-dopa products
hypertensive crisis
Selegiline is selective forANS== MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds
that increase serotonin)
SSRI's can Parkinsonism tremorANS== worsen (and decrease 'off time')
Process describes the mechanism by which the hippocampus stores memoriesANS==
long-term potentiation
loss of memory relating to a particular category of information (inability to recall
important autobiographical information, usually of a traumatic or stressful nature, that is
inconsistent with ordinary forgetting)ANS== systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately following a
traumatic eventANS== localized amnesia
Person can recall some but not all of events from a particular time periodANS==
selective amnesia
Lack of memory of the patient's entire lifeANS== generalized amnesia
The drugs that are FDA approved for GADANS== Paroxetine
Citalopram
Escitalopram
, Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy ifANS== the pregnancy threatens her
health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the right
toANS== determine whether or not child will be aborted (this is up to the couple)
Which medication is most effective for treating social phobia/social anxiety disorder,
especially when refractory?ANS== Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema
bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart block. Which of
the following BP medications should be avoided?ANS== Calcium Channel Blockers
3 Contraindications to use a calcium channel blockerANS== 1st or second degree
heart block
Bradycardia
CHF
4 Side effects of calcium channel blockersANS== Headache
Lower extremity edema
Bradycardia
Heart Block
An NP is evaluating a 78 year old female with depression. She suspects the patient may
have Parkinson's disease. Which of the following is consistent with that
diagnosis?ANS== Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
Writhing movements occur withANS== Huntington's chorea
10 Non-motor manifestations of ParkinsonsANS== Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
Questions and Answers.
What is true of interprofessionality?ANS== All health professionals have individual
professional competencies
What is the significance of an experimental p-value of 0.05ANS== There is a 5%
chance of a similar result occurring by chance alone
What percentage of children with oppositional defiance disorder will develop conduct
disorder?ANS== 30%
In the DSM-5, selective mutism is now considered what type of disorder?ANS==
anxiety disorder
Symptoms of selective mutism must persist for at leastANS== 1 month
Common competenciesANS== overlap more than one health care professional,
although not necessarily all health care professionals, and are competencies expected
of all health care professionals
Complementary competenciesANS== enhance the qualities of other professions in
provision of care
Collaborative competenciesANS== those that each individual profession must possess
to work with others, including those who practice within different specialties within a
profession.
Interpersonal collaboration is centeredANS== patient
Cognitive therapy is recommended for patients that haveANS== negative cognitive
distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients withANS== self-actualization and
self-directed growth
Behavioral Therapy focuses onANS== changing maladaptive behaviors through the
use of behavioral modification techniques
Existential therapy is forANS== reflection on life
confronting self
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without
diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating
lettuce and developing diarrhea?ANS== 6 ((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report that
suggestedANS== implementation a national campaign to reduce the stigma of seeking
care
Focusing on promoting recovery and building resilience
The efficacy of mental health treatments was found to be well documented inANS==
influential report issued by US Surgeon General in 1999
State of high negative emotion and pessimismANS== neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like social
interaction, respond to external rewards, have more active dopamine networks, and are
responsive to positive reinforcement.ANS== Extraversion (high levels protect from
psychiatric illness)
Introverts are more likely to be motivated and more likely to respond to
reinforcementANS== internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships
often at the expense of self-assertionANS== Agreeableness
Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to obtain their
long term desired outcome. They are considered responsible, reliable, and
dependable.ANS== conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a functional analysis
of behavior (FAB). What is true about FAB?ANS== FAB is concerned only with
observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors,
and consequent stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with , not ANS== perceptual psychology
behavior
Medication that can delay ejaculation in patients with premature ejaculationANS==
Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
,Tramadol
Phosphodiesterase-5 inhibitors)
First line treatment for lithium induced diabetes insipidusANS== Amiloride (K
potassium diuretic) in addition to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicityANS== reduce lithium dose to
minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided doses over the
day)
Encourage adequate fluid intake
What is true about ECT in Parkinson's diseaseANS== it's more likely to cause
transient delirium (worsened dyskinesias induced by l-dopa)
Lithium effects with Parkison's diseaseANS== may worsen tremor
nonselective MAOIs decrease the efficacy of and increase the risk of a
ANS== l-dopa products
hypertensive crisis
Selegiline is selective forANS== MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds
that increase serotonin)
SSRI's can Parkinsonism tremorANS== worsen (and decrease 'off time')
Process describes the mechanism by which the hippocampus stores memoriesANS==
long-term potentiation
loss of memory relating to a particular category of information (inability to recall
important autobiographical information, usually of a traumatic or stressful nature, that is
inconsistent with ordinary forgetting)ANS== systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately following a
traumatic eventANS== localized amnesia
Person can recall some but not all of events from a particular time periodANS==
selective amnesia
Lack of memory of the patient's entire lifeANS== generalized amnesia
The drugs that are FDA approved for GADANS== Paroxetine
Citalopram
Escitalopram
, Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy ifANS== the pregnancy threatens her
health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the right
toANS== determine whether or not child will be aborted (this is up to the couple)
Which medication is most effective for treating social phobia/social anxiety disorder,
especially when refractory?ANS== Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema
bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart block. Which of
the following BP medications should be avoided?ANS== Calcium Channel Blockers
3 Contraindications to use a calcium channel blockerANS== 1st or second degree
heart block
Bradycardia
CHF
4 Side effects of calcium channel blockersANS== Headache
Lower extremity edema
Bradycardia
Heart Block
An NP is evaluating a 78 year old female with depression. She suspects the patient may
have Parkinson's disease. Which of the following is consistent with that
diagnosis?ANS== Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
Writhing movements occur withANS== Huntington's chorea
10 Non-motor manifestations of ParkinsonsANS== Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
