PMHNP BOARDS WITH 83 QUESTIONS AND ANSWERS
2015 consenses model for PMHNP.... - -Psychiatric NP from birth to geriatrics
-23 year old hispanic mother comes in with her 4 year old son for "mal de ojo" with fitful sleep, diarrhea,
vomiting and fever. - -NP respects the understanding of the mother of what is wrong with her child. The
NP would then negotiate with mother for the best outcome of the child.
-6 year old female presents with mother for a new psychiatric evaluation, mother reports Sam is not
making friends, stays by herself, doesn't read aloud, requests adult assurance before making a decision.
What stage of Erickson's stages is Sam having difficult with? - -Industry vs inferiority stage
Children 5-13 working towards learning new skills and taking pride in those skill, pleasure and
boundaries.
-67 year old Vietnamese immigrant, US resident for 3 years. Speaks some English, problems with reading
and writing, didn't finish school, no GED. What is your priority disparity to address with patient? - -
Health Literacy
-74 year old completes mini mental status exam. The patient is unable to draw the face of the clock.
Which are of the brain is likely to have compromised functioning? - -Right Hemisphere
-8 year old male presents with foster mom who indicates stepfather sexually abused him You know
which of the following are evidence-based treatments. - -Trauma-focused cognitive behavioral therapy
is the minimum standard of therapy for a chid with history of trauma.
-A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination
is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline
phosphatase level. The psychiatric-mental health nurse practitioner - -interprets the findings as normally
occurring during a rapid adolescent growth spurt
-A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses to meet if
the family members are present. The psychiatric-mental health nurse practitioner - -asks the family
members to leave for the appointment.
-A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is three
months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The patient asks
whether she may safely continue this medication during her pregnancy. The nurse practitioner
responds: - -"Let's review the risks and benefits of continuing or discontinuing Prozac for you and your
baby."
-A girls states this group has made me not feel so alone - -Example of Yalom's currative factor
"universality"
-A new patient arrives at the office for treatment for depression. The patient reports taking simvastatin
(Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental health nurse
practitioner eliminates fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle damage and
, rhabdomyolysis. The nurse practitioner's reason is that: - -one medication is a CYP450 3A4 substrate and
one is a CYP450 3A4 inhibitor.
-A normal anxiety response includes all of the following except... - -Decreased perceptual field with
attention focused on a small area is indicated of severe anxiety.
-A normal anxiety response to anxiety does not include - -Perceptual field is diminished with focus on a
small area
-A patient from India emphasizes a strong feeling that he or she is one with Brahma and connected to
life through this being. While developing a treatment plan, the psychiatric-mental health nurse
practitioner realizes that this patient's spirituality also guides his or her: - -interpretation of life events.
-A patient is referred to an outpatient psychiatric clinic for evaluation of depressive episodes after bouts
of overeating. Assessment reveals a five-year history of episodes of uncontrollable overeating
precipitated by feelings of tension. This occurs about two to three times per week and for the past year
has been associated with laxative use, self-induced vomiting, and periods of fasting to maintain body
weight. The patient reports becoming increasingly depressed and has considered suicide in the past. The
treatment plan includes medical evaluation with electrolyte studies and: - -referral for cognitive
behavioral therapy.
-A patient who has borderline personality disorder experiences intense anxiety when the psychiatric-
mental health nurse practitioner goes on vacation. The most appropriate explanation for this reaction is
that the patient: - -has not developed object constancy.
-A six-year-old patient with autistic spectrum disorder has not responded to six months of psychosocial
interventions and continues to demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes: - -risperidone (Risperdal) 0.25 mg once a day.
-A WBC count of 4,000 in patient taking clozapine would prompt the NP to? - -Do a twice weekly blood
count and monitor.
Cut off points for clozapine are WBC of 2,000-3,000 or granulocytes of 1,000-1,500,
-An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate behavior,
despite a parent's reports of "disobedience, poor grades, and laziness." To further assess the patient's
functioning, the psychiatric-mental health nurse practitioner: - -meets with the parent and patient
together to explore the discrepant report.
-Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse
practitioner - -considers what a reasonably prudent health care provider would do.
-Arcus senilis that presents before the age of 40 is associated with? - -Hyperlipidemia
-Child seen by PMHNP has difficulty feeling safe with caregiver and is unable to feel comfort. which
theorist's theory would explain behavior to NP? - -Bowlby
According to Bowlby and attachment theory, children who come from parent's with increased expressed
emotion and unresolved losses tend to develop disorganization attachment. Characterized by not feeling
safe or comfort.
2015 consenses model for PMHNP.... - -Psychiatric NP from birth to geriatrics
-23 year old hispanic mother comes in with her 4 year old son for "mal de ojo" with fitful sleep, diarrhea,
vomiting and fever. - -NP respects the understanding of the mother of what is wrong with her child. The
NP would then negotiate with mother for the best outcome of the child.
-6 year old female presents with mother for a new psychiatric evaluation, mother reports Sam is not
making friends, stays by herself, doesn't read aloud, requests adult assurance before making a decision.
What stage of Erickson's stages is Sam having difficult with? - -Industry vs inferiority stage
Children 5-13 working towards learning new skills and taking pride in those skill, pleasure and
boundaries.
-67 year old Vietnamese immigrant, US resident for 3 years. Speaks some English, problems with reading
and writing, didn't finish school, no GED. What is your priority disparity to address with patient? - -
Health Literacy
-74 year old completes mini mental status exam. The patient is unable to draw the face of the clock.
Which are of the brain is likely to have compromised functioning? - -Right Hemisphere
-8 year old male presents with foster mom who indicates stepfather sexually abused him You know
which of the following are evidence-based treatments. - -Trauma-focused cognitive behavioral therapy
is the minimum standard of therapy for a chid with history of trauma.
-A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination
is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline
phosphatase level. The psychiatric-mental health nurse practitioner - -interprets the findings as normally
occurring during a rapid adolescent growth spurt
-A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses to meet if
the family members are present. The psychiatric-mental health nurse practitioner - -asks the family
members to leave for the appointment.
-A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is three
months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The patient asks
whether she may safely continue this medication during her pregnancy. The nurse practitioner
responds: - -"Let's review the risks and benefits of continuing or discontinuing Prozac for you and your
baby."
-A girls states this group has made me not feel so alone - -Example of Yalom's currative factor
"universality"
-A new patient arrives at the office for treatment for depression. The patient reports taking simvastatin
(Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental health nurse
practitioner eliminates fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle damage and
, rhabdomyolysis. The nurse practitioner's reason is that: - -one medication is a CYP450 3A4 substrate and
one is a CYP450 3A4 inhibitor.
-A normal anxiety response includes all of the following except... - -Decreased perceptual field with
attention focused on a small area is indicated of severe anxiety.
-A normal anxiety response to anxiety does not include - -Perceptual field is diminished with focus on a
small area
-A patient from India emphasizes a strong feeling that he or she is one with Brahma and connected to
life through this being. While developing a treatment plan, the psychiatric-mental health nurse
practitioner realizes that this patient's spirituality also guides his or her: - -interpretation of life events.
-A patient is referred to an outpatient psychiatric clinic for evaluation of depressive episodes after bouts
of overeating. Assessment reveals a five-year history of episodes of uncontrollable overeating
precipitated by feelings of tension. This occurs about two to three times per week and for the past year
has been associated with laxative use, self-induced vomiting, and periods of fasting to maintain body
weight. The patient reports becoming increasingly depressed and has considered suicide in the past. The
treatment plan includes medical evaluation with electrolyte studies and: - -referral for cognitive
behavioral therapy.
-A patient who has borderline personality disorder experiences intense anxiety when the psychiatric-
mental health nurse practitioner goes on vacation. The most appropriate explanation for this reaction is
that the patient: - -has not developed object constancy.
-A six-year-old patient with autistic spectrum disorder has not responded to six months of psychosocial
interventions and continues to demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes: - -risperidone (Risperdal) 0.25 mg once a day.
-A WBC count of 4,000 in patient taking clozapine would prompt the NP to? - -Do a twice weekly blood
count and monitor.
Cut off points for clozapine are WBC of 2,000-3,000 or granulocytes of 1,000-1,500,
-An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate behavior,
despite a parent's reports of "disobedience, poor grades, and laziness." To further assess the patient's
functioning, the psychiatric-mental health nurse practitioner: - -meets with the parent and patient
together to explore the discrepant report.
-Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse
practitioner - -considers what a reasonably prudent health care provider would do.
-Arcus senilis that presents before the age of 40 is associated with? - -Hyperlipidemia
-Child seen by PMHNP has difficulty feeling safe with caregiver and is unable to feel comfort. which
theorist's theory would explain behavior to NP? - -Bowlby
According to Bowlby and attachment theory, children who come from parent's with increased expressed
emotion and unresolved losses tend to develop disorganization attachment. Characterized by not feeling
safe or comfort.
