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PMHNP certification Exam 22 (Latest 2024/2025) Download to Score A+
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PMHNP certification Exam 22 (Latest 2024/2025) Download to Score A+
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PMHNP certification Exam 221. Which patient is at highest risk for SI D. 68 y/o single white male with de-
A. 30y/o married AA female with previ- pression *5 risk factors (age, male,
ous SI attempt *1 risk factor white, depression)
B. 35 y/o single Asian male with previ-
ous SI attempt *3 risk factors Count the risk factors
C. 38 y/o single AA male who is a man-
ager of a bank *2 risk factors
D. 68 y/o single white male with de-
pression *5 risk factors (age, male,
white, depression)
2. COWS scale components · Opioid W/D
Pulse, sweating, restlessness,
pupil size- dilation (if pinpoint= opi-
oid intoxication, not w/d), body
aches, Rhinorrhea (running nose),
Lacrimation (eye tearing), GI up-
set (N/V/D), yawning, tremors, anx-
iety/irritability, Piloerection (goose-
flesh skin), insomnia
3. What does COWS stand for? Clinical Opiate Withdrawal Scale
4. What does CIWA stand for? Clinical Institute Withdrawal As-
sessment
5. What does CIWA assess for? --used to determine likelihood of
ETOH withdrawal or DTs
--usually occur within the first
24-72 hours after cessation
o used to determine when to
administer medications for ETOH
withdrawal
6. What does CIWA NOT test for? Alcohol Use Disorder
7. What are the CIWA scale compo- · N/V, tremor, paroxysmal sweats,
nents? anxiety, agitation, tactile distur-
bances, auditory disturbances, vi-
, PMHNP certification Exam 22
sual disturbances, H/A, orientation
Each component is scored from
0(none)-7(severe) except orienta-
tion wh/ is (0 (AA0x4)-4 (disorient-
ed)
Score:
<10: Very mild Start PRN meds at
score of 8
>10 to 15: Mild scheduled + PRN
meds
>16 to 20: Moderate
>21: Severe Diazepam, Librium,
Ativan
8. When interview teenagers (16 y/o) that interview them separately from
arrive with their parents what should parents.
you do? -This helps Build therapeutic rap-
port with teens by telling them the
info is confidential. Parents may be
upset but remember you are advo-
cating for the child.
9. Which Ethnic group has the highest Native Americans
rate of suicide?
10. Example A patient is being treated for D. Metabolic Syndrome (UMBREL-
schizophrenia with olanzapine. Which LA ANSWER)
of the following is the most common
side effect of olanzapine?
A. Increased waist circumference
B. EPS (not as common in atypical an-
tipsychotics d/t 5HT2A)-receptor an-
tagonism
C. Increased Lipids
D. Metabolic Syndrome
11. Which antipsychotics have the least Latuda, Abilify, (also least sedat-
weight gain? ing), Geodon-if patient has meta-
bolic syndrome consider switching
, PMHNP certification Exam 22
to one of the medications above. Or
if the patient is overly sedated try
switching to ABILIFY
12. Which mood stabilizer have the least Lamictal
weight gain? -But remember all mood stabilizers
cause some weight gain
13. When presented with a question atypical
about typical vs atypical antipsychot-
ic the answer is usually to start of a
14. A client presents with complains of Hypothalamus
changes in appetite, feeling fatigued, A, B, & D are all part of the limbic
problems with sleep-rest cycle, and system so you can rule that out
changes in libido. What is the neu-
roanatomical area of the brain that is
responsible for the normal regulation
of these functions?
A. Thalamus
B. Hypothalamus
C. Limbic System
D. Hippocampus
15. When a patient is hesitant to partici- Bring a support person like a hus-
pate in treatment you should encour- band
age?
16. Thyroid-Stimulating hormone normal 0.5-5.0 Mu/L
level
17. When T4 and T3 are high and TSH is HYPERTHYROIDISM, TSH secre-
low what is the diagnosis tion decreases: TSH LOW à key
symptoms HEAT INTOLERANCE
18. Key symptoms of Heat Intolerance Hyperthyroidism
19. When T4 and T3 are Low and TSH is (HYPOTHYROIDISM) TSH secre-
high what is the diagnosis tion increased: TSH HIGH à COLD
INTERANCE
, PMHNP certification Exam 22
20. Key symptoms of Cold Intolerance Hypothyroidism
21. Hyperthyroid can mimic Mania
22. Hypothyroid can mimic Depression
23. A patient on depakote complains of Hepatoxicity
RUQ pain and has reddish/brown -Check LFTs
urine
24. Signs of Depakote toxicity Disorientation, confusion, lethargy
25. You suspect depakote toxicity what do Check
you do? -LFT
-Ammonia
-Depakote Level
26. What herbal supplement can cause Kava Kava
hepatoxicity?
27. When taking Kava Kava in combi- Risk of Hepatoxicity and Sedation
nations with other medications you
should caution about
28. TCAs carry a risk of Hepatotoxicity
29. Signs of Stevens-Johnson Syndrome -fever, mouth pain, swelling, burn-
ing eyes, blisters, skin pain
30. two psychotropics known to cause lamictal and tegretol
steven johnson syndrome
31. What nationality is most suseptible of Asians
getting steven johnson?
32. When treating asians with tegretol HLAB-1502 Allele
screen for?
33. Clozaril & Tegretol
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