2024 LMR PMHNP EXAM WITH
CORRECT ANSWERS
What would be consider panic disorder? - CORRECT-ANSWERSRecurrent
panic attacks unexpected panic attacks that is, the attack seems to appear
from nowhere. The term recurrent refers to the face that the pt has had
more than one unexpected panic attack.
SSRI/SNRI approved by FDA for the treatment of panic disorder: - CORRECT-
ANSWERS**Fluoxetine, paroxetine, sertraline. - The SNRI venlafaxine is FDA
approved for tx as well.
What is Disruptive mood dysregulation disorder (DMDD)? - CORRECT-
ANSWERS-Chronic dysregulation mood "moody"
-Frequent intense temper outbursts/temper tantrums
-Severe irritability
-Anger
Disruptive Mood Dysregulation Disorder (DMDD) Children depressive
disorder that is diagnosed in children older than ____ but younger than ____. -
CORRECT-ANSWERSOlder than 6 but younger than 18
What neurotransmitters are associated with autism? - CORRECT-
ANSWERSGlutamate, Gaba, Serotonin
Parallel play older than _____ years old can be a sign of autism - CORRECT-
ANSWERS3 years old
What are antipsychotics effective for? - CORRECT-ANSWERSThey are
effective for symptoms such as tantrums, aggressive behavior, self-injurious
behavior, hyperactivity, repetitive stereotype behavior.
What is dementia? - CORRECT-ANSWERSProgressive mental decline,
irritability and personality change
Key for dementia vs pseudodemntia? - CORRECT-ANSWERSslow decline of
cognition and lack of answers/confabulate
What dementia presents with, behavioral, and language changes (slurred) in
early stages? - CORRECT-ANSWERSPick's disease /frontotemporal
dementia/frontal lobe dementia
,What is the sense of fullness? - CORRECT-ANSWERSSatiety
Failure at what stage of freud's causes sexual perversion disorders? -
CORRECT-ANSWERSGenital puberty and onward
Failure at what stage of frauds causes inability to form social relationships -
CORRECT-ANSWERSLatency 6 yre to puberty
Failure at what stage of freud's cause sexual identity disorder - CORRECT-
ANSWERSPhallic 3-6 years
Failure at what stage of freud's cause depression - CORRECT-ANSWERSanal
18 mo to 3 years?
Failure at what stage of freud's causes failure schizophrenia, Substance use
disorder, paranoia? - CORRECT-ANSWERSOral 0-18 months
What stage of freuds does the superego develop Ego? - CORRECT-
ANSWERSPhallic stage
Freud's psychosexual stages of development - CORRECT-ANSWERSOral-
sucking swallowing
Anal- anus withholding or expelling feces
Phallic- penis/ ciltoris masturbation
Latent- little or no sexual motivation
Genital- interscourse
What is the superego? - CORRECT-ANSWERSEgo- ideal, right vs wrong
aspirations/ideals/ moral values, regulated by guilt and shame, develops
around age 6 "I should, I ought"
The ego is? - CORRECT-ANSWERSContains external rational mind (logical/
abstract thinking) " I think. I evaluate"
What is Piget object permanence? - CORRECT-ANSWERSSensorimotor birth
to 2 years
Piaget symbolic thought? - CORRECT-ANSWERSPreoperational 2 o 7 years old
Piaget Logical thought conservation - CORRECT-ANSWERSConcrete
operational 7 to 11 years
Piaget Scientific reasoning? - CORRECT-ANSWERSFormal operational
Adolescence to adulthood
,Nemonic for erikson's stages? - CORRECT-ANSWERSTrust autonomy, initiate
industry, identify intimacy, generate integrity
Stages of erickson - CORRECT-ANSWERSTrust vs mistrust (Infancy from birth
to 18 months
Autonomy vs. shame and Doubt (Toddler years from 18 months to 3 years
Initiative vs. Guilt (Preschool years from 3 to 5
Industry vs Inferiority (Middle school years from 6 to 11
Identity vs. confusion (Teen years from 12 to 18 )
Intimacy vs. Isolation (young adult 18-40
Genrative vs. Stagnation (Middle age from 40-65
Integrity vs Despair 65 to death
What is the MAX dose with citalopram (lexapro) - CORRECT-ANSWERS40 mg
What is the QT interval? - CORRECT-ANSWERS350-450
What Second generation and SSRI cause QT prolongation? - CORRECT-
ANSWERSGeodon and Citalopram
If patient develops TD Benztropine will - CORRECT-ANSWERSMake it worse
How can Geodon, Invega, abilify be given? - CORRECT-ANSWERSIM
What is a psychosis risk? - CORRECT-ANSWERSRisk to self and others
Atypical antipsychotics affect what receptor and how? - CORRECT-
ANSWERS5HT2a add in some of the dopamine
A firm belief maintained despite contrary evidence. Should you challenge
this? - CORRECT-ANSWERSIts called a delusion and do not challenge provide
reality orientation
Long term treatment may require for ___home health nurse administer
medications? - CORRECT-ANSWERSACT - Assertive Community Treatment
What should a patient with schizophrenia be refer to? To improve brain
function and long term health - CORRECT-ANSWERSExercise program
What is social skill training in patient diagnosed with schizophrenia in level of
prevention? - CORRECT-ANSWERSTertiary
When does behavior management and support begin? - CORRECT-
ANSWERSAdmission- Behavior management and support starts when the
, patient is admitted. It does not start couple days after or when they
discharge
Where should you interview patients? - CORRECT-ANSWERSWhen
interviewing patient you want to interview them in the day room where you
can have the door slightly open this allows us to have confidentiality but also
keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - CORRECT-
ANSWERS-You should separate parents and child and interview you them
separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual
way with a toy. what should you suspect? - CORRECT-ANSWERS*sexual
abuse
-You can immediately report to CPS suspecting alone is enough. You are not
required to notify parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual
abuse)
What should you do as the PMHNP if a patient comes in due to being a victim
of abuse/rape? - CORRECT-ANSWERSthe priority is to provide and
environment of their safety or ensure them of safety, even if it is an
intervention
What would you do if a patient that came in for abuse/rape wants to
discharge? - CORRECT-ANSWERSIf inpatient and making a decision to
discharge, make sure the patient is able to stay safe and developed coping
skills
Where would you interview a patient with a recent history of abuse/rape? -
CORRECT-ANSWERS-If inpatient and interviewing patients, do not interview
in their room or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? - CORRECT-
ANSWERS*If the patient is suicidal and have an intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
CORRECT ANSWERS
What would be consider panic disorder? - CORRECT-ANSWERSRecurrent
panic attacks unexpected panic attacks that is, the attack seems to appear
from nowhere. The term recurrent refers to the face that the pt has had
more than one unexpected panic attack.
SSRI/SNRI approved by FDA for the treatment of panic disorder: - CORRECT-
ANSWERS**Fluoxetine, paroxetine, sertraline. - The SNRI venlafaxine is FDA
approved for tx as well.
What is Disruptive mood dysregulation disorder (DMDD)? - CORRECT-
ANSWERS-Chronic dysregulation mood "moody"
-Frequent intense temper outbursts/temper tantrums
-Severe irritability
-Anger
Disruptive Mood Dysregulation Disorder (DMDD) Children depressive
disorder that is diagnosed in children older than ____ but younger than ____. -
CORRECT-ANSWERSOlder than 6 but younger than 18
What neurotransmitters are associated with autism? - CORRECT-
ANSWERSGlutamate, Gaba, Serotonin
Parallel play older than _____ years old can be a sign of autism - CORRECT-
ANSWERS3 years old
What are antipsychotics effective for? - CORRECT-ANSWERSThey are
effective for symptoms such as tantrums, aggressive behavior, self-injurious
behavior, hyperactivity, repetitive stereotype behavior.
What is dementia? - CORRECT-ANSWERSProgressive mental decline,
irritability and personality change
Key for dementia vs pseudodemntia? - CORRECT-ANSWERSslow decline of
cognition and lack of answers/confabulate
What dementia presents with, behavioral, and language changes (slurred) in
early stages? - CORRECT-ANSWERSPick's disease /frontotemporal
dementia/frontal lobe dementia
,What is the sense of fullness? - CORRECT-ANSWERSSatiety
Failure at what stage of freud's causes sexual perversion disorders? -
CORRECT-ANSWERSGenital puberty and onward
Failure at what stage of frauds causes inability to form social relationships -
CORRECT-ANSWERSLatency 6 yre to puberty
Failure at what stage of freud's cause sexual identity disorder - CORRECT-
ANSWERSPhallic 3-6 years
Failure at what stage of freud's cause depression - CORRECT-ANSWERSanal
18 mo to 3 years?
Failure at what stage of freud's causes failure schizophrenia, Substance use
disorder, paranoia? - CORRECT-ANSWERSOral 0-18 months
What stage of freuds does the superego develop Ego? - CORRECT-
ANSWERSPhallic stage
Freud's psychosexual stages of development - CORRECT-ANSWERSOral-
sucking swallowing
Anal- anus withholding or expelling feces
Phallic- penis/ ciltoris masturbation
Latent- little or no sexual motivation
Genital- interscourse
What is the superego? - CORRECT-ANSWERSEgo- ideal, right vs wrong
aspirations/ideals/ moral values, regulated by guilt and shame, develops
around age 6 "I should, I ought"
The ego is? - CORRECT-ANSWERSContains external rational mind (logical/
abstract thinking) " I think. I evaluate"
What is Piget object permanence? - CORRECT-ANSWERSSensorimotor birth
to 2 years
Piaget symbolic thought? - CORRECT-ANSWERSPreoperational 2 o 7 years old
Piaget Logical thought conservation - CORRECT-ANSWERSConcrete
operational 7 to 11 years
Piaget Scientific reasoning? - CORRECT-ANSWERSFormal operational
Adolescence to adulthood
,Nemonic for erikson's stages? - CORRECT-ANSWERSTrust autonomy, initiate
industry, identify intimacy, generate integrity
Stages of erickson - CORRECT-ANSWERSTrust vs mistrust (Infancy from birth
to 18 months
Autonomy vs. shame and Doubt (Toddler years from 18 months to 3 years
Initiative vs. Guilt (Preschool years from 3 to 5
Industry vs Inferiority (Middle school years from 6 to 11
Identity vs. confusion (Teen years from 12 to 18 )
Intimacy vs. Isolation (young adult 18-40
Genrative vs. Stagnation (Middle age from 40-65
Integrity vs Despair 65 to death
What is the MAX dose with citalopram (lexapro) - CORRECT-ANSWERS40 mg
What is the QT interval? - CORRECT-ANSWERS350-450
What Second generation and SSRI cause QT prolongation? - CORRECT-
ANSWERSGeodon and Citalopram
If patient develops TD Benztropine will - CORRECT-ANSWERSMake it worse
How can Geodon, Invega, abilify be given? - CORRECT-ANSWERSIM
What is a psychosis risk? - CORRECT-ANSWERSRisk to self and others
Atypical antipsychotics affect what receptor and how? - CORRECT-
ANSWERS5HT2a add in some of the dopamine
A firm belief maintained despite contrary evidence. Should you challenge
this? - CORRECT-ANSWERSIts called a delusion and do not challenge provide
reality orientation
Long term treatment may require for ___home health nurse administer
medications? - CORRECT-ANSWERSACT - Assertive Community Treatment
What should a patient with schizophrenia be refer to? To improve brain
function and long term health - CORRECT-ANSWERSExercise program
What is social skill training in patient diagnosed with schizophrenia in level of
prevention? - CORRECT-ANSWERSTertiary
When does behavior management and support begin? - CORRECT-
ANSWERSAdmission- Behavior management and support starts when the
, patient is admitted. It does not start couple days after or when they
discharge
Where should you interview patients? - CORRECT-ANSWERSWhen
interviewing patient you want to interview them in the day room where you
can have the door slightly open this allows us to have confidentiality but also
keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - CORRECT-
ANSWERS-You should separate parents and child and interview you them
separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual
way with a toy. what should you suspect? - CORRECT-ANSWERS*sexual
abuse
-You can immediately report to CPS suspecting alone is enough. You are not
required to notify parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual
abuse)
What should you do as the PMHNP if a patient comes in due to being a victim
of abuse/rape? - CORRECT-ANSWERSthe priority is to provide and
environment of their safety or ensure them of safety, even if it is an
intervention
What would you do if a patient that came in for abuse/rape wants to
discharge? - CORRECT-ANSWERSIf inpatient and making a decision to
discharge, make sure the patient is able to stay safe and developed coping
skills
Where would you interview a patient with a recent history of abuse/rape? -
CORRECT-ANSWERS-If inpatient and interviewing patients, do not interview
in their room or day room.
-Interview in a private office with the door open or partially open
When is the only time you have to break confidentiality? - CORRECT-
ANSWERS*If the patient is suicidal and have an intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
