Psychiatric Mental Health Board Certification Questions with Complete solutions

How many total questions are there on the PMH-BC exam? - 150 (125 scored, 25 unscored) What are the PMH-BC exam requirements? - RN license (min 2 years experience) 2,000 hours clinical practice in past 3 years 30 hours CE in past 3 years 10 Test Taking Techniques - 1. One min per question 2. Answer every question 3. Have a "guess" answer 4. Identify key words (e.g. age, diagnosis) 5. Identify priority words (e.g. first, best) 6. Identify word clues (e.g. physiologic needs) 7. Identify opposites 8. Identify absolutes (e.g. just, always, never) 9. Identify duplicate facts 10. Avoid changing answers What are the patient barriers to the therapeutic relationship? - The psychiatric illness Being resistant to care (paranoia, cultural) Defense mechanisms What are the nurse barriers to the therapeutic relationship? - Distracted/ preoccupied/ not fully focused on pts. Verbal and nonverbal cues Countertransference Asking patients "why" questions Asking patients more than 1 question at a time What are the 8 methods to enhance the therapeutic relationship? - 1. Maintaining professional boundaries 2. Comfortable eye contact/ empathetic facial expressions 3. Engaging with a patient with gentle, supportive tone of voice 4. Keeping relaxed, open body posture 5. Providing pt with physical comforts 6. Actively listening to what patient is saying 7. Being fully self-aware 8. Using Therapeutic silence to allow pt reflect/regroup What practitioners are qualified to make a psychiatric diagnosis? - MD DO NP PA What handbook is used to make a psychiatric diagnosis? - DSM-5 In what year was the first DSM published? - 1952 What are the 5 characteristics of stable mental health? - 1. Accurately appraise and interpret reality 2. Love, experience joy, play and laugh 3. Think clearly, make appropriate decisions and problem solve 4. Control one's behavior and cope with one's thoughts 5. Relate to other's, form relationships, experience empathy, and manage conflict constructively What are the 5 characteristics of a mental health disorder? - 1. Impairment of brain functioning caused by neurotransmitter dysfunction, abnormal brain structure, genetic factors or injury 2. There is evidence showing that severe psychological trauma causes physical brain injury 3. Dysfunction in cognition, emotion regulation or behavior 4. It is usually associated with distress or disability in important activities, relationships or occupations 5. The inability to cope with life stressors, including job changes, loss of a loved one, birth of a child, medical challenges, etc. What does the AIMS assessment stand for? - Abnormal Involuntary Movement Scale What does the AIMS assessment tool evaluate? - Assesses the presence and severity of abnormal extremity, facial and body movement. Higher score = worse impairment What does the BDI assessment stand for? - Beck Depression Inventory What does the BDI assessment tool evaluate? - Measures the presence and severity of depression What BDI score is associated with moderate depression? - 19-29 What does the BVC assessment tool stand for? - Broset Violence Checklist What does the BVC assessment tool evaluate? - The degree or risk a patient has of becoming violent. Higher score = more likely they will become violent What does the CAGE assessment tool assess for? - Assess for drug and/or alcohol substance use disorder Score of 2 or greater indicates substance use disorder What does CAGE stand for? - Cut, Annoyed, Guilty, Eye Opener Need to cut back, annoyed by criticism, guilty about use, eye opener in the mornin