PMHNP certification
Exam 2022(Actual test
verified A+)
1. Which patient is at highest risk for SI
b b b b b b b
A. 30y/o married AA female with previous SI attempt *1 risk factor
b b b b b b b b b b
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
b b b b b b b b b b b
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
b b b b b b b b b b b b b b
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
b b b b b b b b b b b b
b depression): D. 68 y/o single white male with depression *5 risk factors (age, male,
b b b b b b b b b b b b b
b white, depression)
b
1 b/
,Count the risk factors
b b b
2. When interview teenagers (16 y/o) that arrive with their parents
b b b b b b b b b
b what should you do?: interview them separately from parents.
b b b b b b b b
-This helps Build therapeutic rapport with teens by telling them the info is confiden-
b b b b b b b b b b b b b
b tial. Parents may be upset but remember you are advocating for the child.
b b b b b b b b b b b b
3. Which Ethnic group has the highest rate of suicide?: Native Americans
b b b b b b b b b b
4. Example A patient is being treated for schizophrenia with olanzapine.
b b b b b b b b b
b Which of the following is the most common side effect of olanzapine?
b b b b b b b b b b b
A. Increased waist circumference b b
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor an-
b b b b b b b b b
b tagonism
C. Increased Lipids b
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER)
b b b b b b
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also least
b b b b b b b b b b
b sedating), Geodon-if patient has metabolic syndrome consider switching to one of
b b b b b b b b b b
b the medications above. Or if the patient is overly sedated try switching to
b b b b b b b b b b b b
b ABILIFY
6. Which mood stabilizer have the least weight gain?: Lamictal
b b b b b b b b
2 b/
,-But remember all mood stabilizers cause some weight gain
b b b b b b b b
7. When presented with a question about typical vs atypical antipsychotic
b b b b b b b b b
b the answer is usually to start of a: atypical
b b b b b b b b
3 b/
, 8. A client presents with complains of changes in appetite, feeling fatigued,
b b b b b b b b b b
b problems with sleep-rest cycle, and changes in libido. What is the neu-
b b b b b b b b b b b
b roanatomical area of the brain that is responsible for the normal regulation
b b b b b b b b b b b
b of these functions?
b b
A. Thalamus
B. Hypothalamus
C. Limbic System b
D. Hippocampus: Hypothalamus b
A, B, & D are all part of the limbic system so you can rule that out
b b b b b b b b b b b b b b b b
4 b/
Exam 2022(Actual test
verified A+)
1. Which patient is at highest risk for SI
b b b b b b b
A. 30y/o married AA female with previous SI attempt *1 risk factor
b b b b b b b b b b
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
b b b b b b b b b b b
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
b b b b b b b b b b b b b b
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
b b b b b b b b b b b b
b depression): D. 68 y/o single white male with depression *5 risk factors (age, male,
b b b b b b b b b b b b b
b white, depression)
b
1 b/
,Count the risk factors
b b b
2. When interview teenagers (16 y/o) that arrive with their parents
b b b b b b b b b
b what should you do?: interview them separately from parents.
b b b b b b b b
-This helps Build therapeutic rapport with teens by telling them the info is confiden-
b b b b b b b b b b b b b
b tial. Parents may be upset but remember you are advocating for the child.
b b b b b b b b b b b b
3. Which Ethnic group has the highest rate of suicide?: Native Americans
b b b b b b b b b b
4. Example A patient is being treated for schizophrenia with olanzapine.
b b b b b b b b b
b Which of the following is the most common side effect of olanzapine?
b b b b b b b b b b b
A. Increased waist circumference b b
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor an-
b b b b b b b b b
b tagonism
C. Increased Lipids b
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER)
b b b b b b
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also least
b b b b b b b b b b
b sedating), Geodon-if patient has metabolic syndrome consider switching to one of
b b b b b b b b b b
b the medications above. Or if the patient is overly sedated try switching to
b b b b b b b b b b b b
b ABILIFY
6. Which mood stabilizer have the least weight gain?: Lamictal
b b b b b b b b
2 b/
,-But remember all mood stabilizers cause some weight gain
b b b b b b b b
7. When presented with a question about typical vs atypical antipsychotic
b b b b b b b b b
b the answer is usually to start of a: atypical
b b b b b b b b
3 b/
, 8. A client presents with complains of changes in appetite, feeling fatigued,
b b b b b b b b b b
b problems with sleep-rest cycle, and changes in libido. What is the neu-
b b b b b b b b b b b
b roanatomical area of the brain that is responsible for the normal regulation
b b b b b b b b b b b
b of these functions?
b b
A. Thalamus
B. Hypothalamus
C. Limbic System b
D. Hippocampus: Hypothalamus b
A, B, & D are all part of the limbic system so you can rule that out
b b b b b b b b b b b b b b b b
4 b/