Psychiatric NP Exam Questions And Correct Answers
Under HIPPA, what is the insurance policy that allows you to hold the company's
insurance for 18 months after leaving job? - ANSWER COBRA
T/F a patient has a right to make changes to their chart as well as see it - ANSWER True
Summarize general goals for healthy people 2020 - ANSWER Increase the quality and
years of life while eliminating health disparities
What are the 5 conditions NPs are required to report? -ANSWER STDs such as
Gonorhea, Chlamydia and Syphillis, as well as TB and HIV-as well as animal bites
Nurse practitioners are legally required to report what kind of abuse, and what kind is
allowed to be left alone? -ANSWER Child and elder abuse, but domestic violence is not
required to be legally reported
What percentage of mental illnesses appear by the age of 18? - ANSWER 75%
Genetic inheritance that will be present in more than one generation? - ANSWER
Autosomal dominant (rare) like huntington's disease
What is the difference between a normal grief response and a protracted grief
response? - ANSWER protractive grief response is a risk for pathology characterized by
a loss of self esteem which does not happen with normal grie
What is the schizophrenia hospital admission rate if both parents are infected with the
illness? one parent? both bipolar? one bipolar? - ANSWER almost 40%, 7%, almost 25%
and almost 5% respectively.
, How would you treat someone who is psychotropic naive? - ANSWER use lower doses
due to no tolerance and no down regulation.
In psychiatry interview, when exploring the history of medical conditions, which disease
shall we pay particular attention to? Why? -ANSWER Autoimmune conditions, possible
use of steroids, metabolic syndrome like heart diseases, hyperlipidemia, and diabetes
may worsen in the presence of psychiatric illness or vice versa.
Describe normal patterns of sleep - ANSWER Begin in Non-Rem (Stage 1), move into
deeper non-rem or slow wave sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes
later and repeats with each REM stage lasting longer.
What type of sleep declines markedly with organic brain dysfunction and is sensitive to
temperature extremes? - ANSWER REM
REM Sleep - ANSWER Characterized by Great EEG activation, muscle atonia, rapid eye
movements, muscle twitches and breathing irregularities.
Non Rem Sleep - ANSWER Characterized by minimal mental activity, inactive yet
actively regulated brain in a movable body.
The pneumonic SLAP for assessing suicide - ANSWER Social support, lethality, Access,
Plan
The DSM 5 criteria for Depression requires- ANSWER at least 5 out of 8 symptoms in the
last 2 weeks- 1 being diminished interests/depressed mood, Sleep problems, guilt
(worthlessness/ hopelessness), energy deficit, concentration problems, appetite
problems, psychomotor agitation or retardation, suicidality.
DIGFAST Pneumonic to assess Bipolar disorder - ANSWER Distractability, Indiscretion,
grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness.
Pneumonic for OCD- CCR - ANSWER continuously, constantly, reptitious
Under HIPPA, what is the insurance policy that allows you to hold the company's
insurance for 18 months after leaving job? - ANSWER COBRA
T/F a patient has a right to make changes to their chart as well as see it - ANSWER True
Summarize general goals for healthy people 2020 - ANSWER Increase the quality and
years of life while eliminating health disparities
What are the 5 conditions NPs are required to report? -ANSWER STDs such as
Gonorhea, Chlamydia and Syphillis, as well as TB and HIV-as well as animal bites
Nurse practitioners are legally required to report what kind of abuse, and what kind is
allowed to be left alone? -ANSWER Child and elder abuse, but domestic violence is not
required to be legally reported
What percentage of mental illnesses appear by the age of 18? - ANSWER 75%
Genetic inheritance that will be present in more than one generation? - ANSWER
Autosomal dominant (rare) like huntington's disease
What is the difference between a normal grief response and a protracted grief
response? - ANSWER protractive grief response is a risk for pathology characterized by
a loss of self esteem which does not happen with normal grie
What is the schizophrenia hospital admission rate if both parents are infected with the
illness? one parent? both bipolar? one bipolar? - ANSWER almost 40%, 7%, almost 25%
and almost 5% respectively.
, How would you treat someone who is psychotropic naive? - ANSWER use lower doses
due to no tolerance and no down regulation.
In psychiatry interview, when exploring the history of medical conditions, which disease
shall we pay particular attention to? Why? -ANSWER Autoimmune conditions, possible
use of steroids, metabolic syndrome like heart diseases, hyperlipidemia, and diabetes
may worsen in the presence of psychiatric illness or vice versa.
Describe normal patterns of sleep - ANSWER Begin in Non-Rem (Stage 1), move into
deeper non-rem or slow wave sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes
later and repeats with each REM stage lasting longer.
What type of sleep declines markedly with organic brain dysfunction and is sensitive to
temperature extremes? - ANSWER REM
REM Sleep - ANSWER Characterized by Great EEG activation, muscle atonia, rapid eye
movements, muscle twitches and breathing irregularities.
Non Rem Sleep - ANSWER Characterized by minimal mental activity, inactive yet
actively regulated brain in a movable body.
The pneumonic SLAP for assessing suicide - ANSWER Social support, lethality, Access,
Plan
The DSM 5 criteria for Depression requires- ANSWER at least 5 out of 8 symptoms in the
last 2 weeks- 1 being diminished interests/depressed mood, Sleep problems, guilt
(worthlessness/ hopelessness), energy deficit, concentration problems, appetite
problems, psychomotor agitation or retardation, suicidality.
DIGFAST Pneumonic to assess Bipolar disorder - ANSWER Distractability, Indiscretion,
grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness.
Pneumonic for OCD- CCR - ANSWER continuously, constantly, reptitious
