PMHNP Exam Questions and
Answers (100% Pass)
What do you provide for a patient if they lost their job or house
→ Brief supportive therapy
Cultural expected responses to a stressor = meaning/context
→ Cultural syndrome
3 steps to cultural formulation of interviews
→ Clarify meaning of illness/predicament
→ Contextualize their situation in their local world
→ Empower the patient
Somatic complaints of pain interpret patient symptoms based on what
→ Cultural Context
Serving multicultural population is called multicultural teaching what should
you use
→ Ethno specific assessment parameters
Seen in the Latino population. Result from a shocking, unpleasant or
frightening experience that is believed to cause the soul to leave the body
→ Susto (fright)
Attack of nerves, uncontrollable shouting, attacks of crying, trembling, heat in
chest that raises to the head, verbal/physical aggression
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→ Ataque de nervios aka Puerto rican syndrome
What is considered the evil eye causing fatigue, HA, weight loss, exhaustion,
and malaise
→ Mal de ojo
Empacho means what
→ Blocked intestine, indigestion (bloating/nausea)
mollera caida
→ sunken fontanel
A patient develops symptoms with eye contact due to culture syndrome.
How do you tx them?
→ Brief supportive therapy
Education to multicultural population you must provide ________ teaching
→ multicultural
What culture can have an imbalance between an individual relationship with
the world
→ Native Americans
What ethnicity has the highest risk of suicide
→ Native Americans
If a nurse tries to take away a healing stick what should you do
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→ Teach the nurse cultural competency
What must an NP do before releasing information to a traditional healer
→ Get informed consent
It is culturally sensitive to provide a _____ if a patient does not speak english
→ interpreter
S/S of hypothyroidism can mimic
→ depression
S/S of hyperthyroidism can mimic
→ mania
If the T3 and T4 ar high the TSH will be
→ Low
low TSH is indicative of
→ hyperthyroidism
S/S of hyperthyroidism
→ Heat intolerance, agitation, anxiety, irritability, tachycardia, mood
swings, weight loss
S/S of hypothyroidism
→ Cold intolerance, lethargy, weight gain, decreased libido
TSH levels
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→ 0.5 - 5 is normal
TSH is 0.4
→ Hyperthyroidism
TSH of 7
→ Hypothyroidism
A patient on Depakote presents with abdominal pain in the RUQ,
reddish/brown urine, yellowing of skin, fatigue
→ Signs of hepatotoxicity
Intervention for a pt on depakote and presenting with hepatotoxicity
→ D/C, check LFT (AST, ALT)
AST and ALT levels
→ AST: 5-40
ALT: 5-35
Therapeutic range for depakote
→ 50-125, toxicity starts at what level
S/S of depakote toxicity?
→ Disorientation, lethargy, decreased respiratory rate, and N/V
Intervention for depakote toxicity
Master01 | September, 2024/2025 | Latest update