PMHNP Certification Exam Prep
autosomal dominant - ANSgenetic inheritance. will present in more than one generation. 50/50
chance of passing on trait (Huningtons)
autosomal recessive - ANStwo copies must be present (cystic fibrosis
SLUMS - ANS11 items. Max 30, 27-30 normal for high school education, 21-60 mild
neurocognitive disorder, 0-20 dementia
MMSE - ANS11 components. Max 30, no impairment 24-30
Delirium/dementia 18-23 mild, 0-7 severe
SLAP - ANSsuicide assessment. Social support, Lethality, Access to means, Plan/Previous
attempt
Hamilton Anxiety Rating scale - ANSmost popular anxiety scale
Vanderbilt Assessment Scale - ANSfree ADHD assessment tool
Abnormal Involuntary Movement Scale (AIMS) - ANStotal score is less important than
monitoring areas of the body. 2 or more is positive. Question 7 examines trunk movements
PET scan - ANSlocalizes mental activities, primarily as experimental basis and is very
expensive
tender lymph node - ANSclassic sign of infection
rubbery lymph node - ANSclassic sign of lymphoma
soft lymph node - ANSinsignificant
nontender lymph node - ANSclassic sign of potential malignancy
lymph node size - ANSinsignificant if less than 2cm, 3cm in axilla and inguinal. but if
supraclavicular fossa, >1cm is significant
lasts longest in the urine - ANScannabis. 3 days to 4 weeks
Medicare B screening coverage - ANSfor cervical, breast, prostate, colorectal cancer
top 4 killers of adults in US - ANSheart disease, cancer, lower resp disease, CVA
,lung cancer - ANShighest cancer mortality in women and men,
primary prevention - ANSPROMOTES health PRIOR. healthy diet, exercise, avoiding things
secondary prevention - ANSfocuses on early identification and treatment of existing problems.
includes REGULAR exams and screening like pap
tertiary prevention - ANSrehab and restoration of health
hepatitis A vaccine - ANSfor military, travelers to endemic areas, men who have sex with men
low T4 - ANSindicates disease state is due to thyroid gland
hyperthyroid - ANSlow TSH, high or normal T4
mimics mania
hypothyroid - ANShigh TSH, low T4
mimics depression
Chlamydia treatment - ANSzithromax OR doxy. report to health department
Gonorrhea - ANSrocephin 250mg IM one dose + ziethromax 1gm one dose
Syphilis - ANSbenzathine penicillin G 2.4 million units IM. how often depends on the stage. doxy
if allergic
Structure of the mind - ANSId: unconscious instinctual drives, pleasure principle
Ego: rational, maintains harmony between id and superego
Superego: perfection principles, forms the conscious
relief behaviors - ANSactions, healthy and not healthy, to reduce stress
Goals of therapy - ANSmake the unconscious conscious and strengthen the ego so that
behavior is based more on reality and less on instinctual drives
Interpersonal Therapy - ANSHarry Stack Sullivan
good me, bad me, not me
Transactional Analysis - ANSEric Berne
Ego states include the Parent (shoulds), the Adult (gather information) and the Child (feelings,
impulses
Goal is to assist client to make new decisions about present behavior and life
, Gestalt Therapy - ANSFrederick Perls
Focuses on the now
psychoanalytic psychotherapy - ANSis best matched with the client with MATURE defenses,
some object constancy
Person centered therapy - ANSCarl Rogers
qualities of therapist are accurate empathy, warmth, unconditional positive regard. Does NOT
include history taking
Motivational Interviewing - ANSbased on collaboration between therapist and client, evoking or
drawing out the clients ideas about the change, emphasizing autonomy of the client
Stages of change - ANSpre contemplation
contemplation
preparation
action
maintenance
relapse
Behavioral Therapy - ANSPavolov, Skinner, Bandura, Wolpe
Differs fundamentally from psychodynamic approach
"why" is not useful
how behavior impacts functioning and affect currently
Rational Emotive Therapy - ANSAlbert Ellis
personal relationship is not essential
goal to eliminate clinents self defeating outlook on life
psychopathology has similiar set of underlying irrational beliefs
Cognitive Behavioral Therapy - ANSAaron Beck
each disorder has its own typical cognitive content requiring differing treatment approaches
socratic dialogue - ANS7 types of questions: memory, translation, interpretation, application,
analysis, synthesis, evaluation
psychologically minded - ANSpersons capacity for self examination, self reflection, introspection
and personal insight
Supportive psychotherapy - ANSreinforces patients healthy and adaptive thought pattresn and
functional behaviors, aiming to reduce intrapsychic conflicts, minimizing symptoms of mental
disorders
autosomal dominant - ANSgenetic inheritance. will present in more than one generation. 50/50
chance of passing on trait (Huningtons)
autosomal recessive - ANStwo copies must be present (cystic fibrosis
SLUMS - ANS11 items. Max 30, 27-30 normal for high school education, 21-60 mild
neurocognitive disorder, 0-20 dementia
MMSE - ANS11 components. Max 30, no impairment 24-30
Delirium/dementia 18-23 mild, 0-7 severe
SLAP - ANSsuicide assessment. Social support, Lethality, Access to means, Plan/Previous
attempt
Hamilton Anxiety Rating scale - ANSmost popular anxiety scale
Vanderbilt Assessment Scale - ANSfree ADHD assessment tool
Abnormal Involuntary Movement Scale (AIMS) - ANStotal score is less important than
monitoring areas of the body. 2 or more is positive. Question 7 examines trunk movements
PET scan - ANSlocalizes mental activities, primarily as experimental basis and is very
expensive
tender lymph node - ANSclassic sign of infection
rubbery lymph node - ANSclassic sign of lymphoma
soft lymph node - ANSinsignificant
nontender lymph node - ANSclassic sign of potential malignancy
lymph node size - ANSinsignificant if less than 2cm, 3cm in axilla and inguinal. but if
supraclavicular fossa, >1cm is significant
lasts longest in the urine - ANScannabis. 3 days to 4 weeks
Medicare B screening coverage - ANSfor cervical, breast, prostate, colorectal cancer
top 4 killers of adults in US - ANSheart disease, cancer, lower resp disease, CVA
,lung cancer - ANShighest cancer mortality in women and men,
primary prevention - ANSPROMOTES health PRIOR. healthy diet, exercise, avoiding things
secondary prevention - ANSfocuses on early identification and treatment of existing problems.
includes REGULAR exams and screening like pap
tertiary prevention - ANSrehab and restoration of health
hepatitis A vaccine - ANSfor military, travelers to endemic areas, men who have sex with men
low T4 - ANSindicates disease state is due to thyroid gland
hyperthyroid - ANSlow TSH, high or normal T4
mimics mania
hypothyroid - ANShigh TSH, low T4
mimics depression
Chlamydia treatment - ANSzithromax OR doxy. report to health department
Gonorrhea - ANSrocephin 250mg IM one dose + ziethromax 1gm one dose
Syphilis - ANSbenzathine penicillin G 2.4 million units IM. how often depends on the stage. doxy
if allergic
Structure of the mind - ANSId: unconscious instinctual drives, pleasure principle
Ego: rational, maintains harmony between id and superego
Superego: perfection principles, forms the conscious
relief behaviors - ANSactions, healthy and not healthy, to reduce stress
Goals of therapy - ANSmake the unconscious conscious and strengthen the ego so that
behavior is based more on reality and less on instinctual drives
Interpersonal Therapy - ANSHarry Stack Sullivan
good me, bad me, not me
Transactional Analysis - ANSEric Berne
Ego states include the Parent (shoulds), the Adult (gather information) and the Child (feelings,
impulses
Goal is to assist client to make new decisions about present behavior and life
, Gestalt Therapy - ANSFrederick Perls
Focuses on the now
psychoanalytic psychotherapy - ANSis best matched with the client with MATURE defenses,
some object constancy
Person centered therapy - ANSCarl Rogers
qualities of therapist are accurate empathy, warmth, unconditional positive regard. Does NOT
include history taking
Motivational Interviewing - ANSbased on collaboration between therapist and client, evoking or
drawing out the clients ideas about the change, emphasizing autonomy of the client
Stages of change - ANSpre contemplation
contemplation
preparation
action
maintenance
relapse
Behavioral Therapy - ANSPavolov, Skinner, Bandura, Wolpe
Differs fundamentally from psychodynamic approach
"why" is not useful
how behavior impacts functioning and affect currently
Rational Emotive Therapy - ANSAlbert Ellis
personal relationship is not essential
goal to eliminate clinents self defeating outlook on life
psychopathology has similiar set of underlying irrational beliefs
Cognitive Behavioral Therapy - ANSAaron Beck
each disorder has its own typical cognitive content requiring differing treatment approaches
socratic dialogue - ANS7 types of questions: memory, translation, interpretation, application,
analysis, synthesis, evaluation
psychologically minded - ANSpersons capacity for self examination, self reflection, introspection
and personal insight
Supportive psychotherapy - ANSreinforces patients healthy and adaptive thought pattresn and
functional behaviors, aiming to reduce intrapsychic conflicts, minimizing symptoms of mental
disorders
