LMR GEORGETTE’S PMHNP CERTIFICATION EXAM LATEST QUESTIONS AND CORRECT ANSWERS(VERIFIED ANSWERS)

What are assessed in the Thought Content of the MSE - ANSWER>>SI/HI, Plan,
Hallucinations


• PNEUMOIC - Old Age Parents Love Grandchildren - ANSWER>>• Oral (0-18 months),
Anal (18 months - 3 years), Phallic (3 years to 6 years), Latent (6 to 12), Genital (12 +)


• FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6
years old - ANSWER>>• 3-year-old masturbates, play with self, says naughty things
• This is NORMAL for children this age.


What do you do when a patient has an increased prolactin level? - ANSWER>>• Stop
prolactin (stop the agent that cause increase prolactin)


• ACUTE STRESS DISORDER - ANSWER>>• A d/o resulting from exposure to a major
stressor, with SX of ANX, depression, dissociation, recurring nightmares, sleep
disturbances, problems in concentrations, reliving the event, dreams, flashbacks - UP to
ONE MONTH - Less than 1 month.
• If LONGER than 1 month = PTSD
- Symptoms that occur immediately after the event but resolve in less than 3 days would
not meet criteria for acute stress disorder


What would you do if a 5-year-old tells you his brother sodomized him? - ANSWER>>•
Tell mom don't leave him alone with patient and call CPS implement crisis


If a child is playing with doll in a sexual way, what do you do first? - ANSWER>>• You
SUSPECT sexual abuse - Perform FURTHER ASSESSMENT and GATHER ENOUGH

,INFO BEFORE Calling CPS to report suspected Sexual Abuse - You HAVE to report
but you have to have something (assessment data) to report - Assess = FIRST


If a 13-year-old tells you he want to smoke, what would be an appropriate response? -
ANSWER>>• Ask him of his plan to stop smoking


If a 14-year-old girl clenching her teeth, what cranial nerve would you suspect? -
ANSWER>>• Cranial nerve V-Trigeminal nerve (FIVE)


What cranial nerve is responsible for Bells Palsy? - ANSWER>>7 = Facial Paralysis


What cranial nerves do you assess for corneal sensation - ANSWER>>Nerves 5 & 7


What cranial nerves do you assess for papillary reaction to light and accommodation? -
ANSWER>>Nerves 3,4,& 6


What cranial nerves do you assess for 6 cardinal fields of gaze & extra-ocular
movements? - ANSWER>>Nerves 3, 4, & 6


What cranial nerves do you assess for corneal light reflex? - ANSWER>>3, 4, & 6


Cranial Nerve 1 - ANSWER>>Olfactory (smell)


Cranial Nerve 2 - ANSWER>>Optic - vision


Cranial Nerve 3 - ANSWER>>Oculomotor (eye movement): The occulomotor nerve is
responsible for motor enervation of upper eyelid muscle, extraocular muscle and
pupillary muscle.


Cranial Nerve 4 - ANSWER>>Trochlear (eye movement): The trochlear nerve controls
an extraocular muscle.

,Cranial NNerve N5 N- NANSWER>>Trigeminal: NThe Ntrigeminal Nnerve Nis Nresponsible Nfor
sensory Nenervation Nof Nthe Nface Nand Nmotor Nenervation Nto Nmuscles Nof Nmastication
N



(chewing).
N




Cranial NNerve N6 N- NANSWER>>Abducens N(motor): NThe Nabducent Nnerve Nenervates Na
muscle, Nwhich Nmoves Nthe Neyeball.
N




Cranial NNerve N7 N- NANSWER>>Facial Nnerve: NThe Nfacial Nnerve Nenervates Nthe Nmuscles
of Nthe Nface N(facial Nexpression).
N




Cranial NNerve N8 N- NANSWER>>Vestibulocochlear N(hearing Nand Nbalance): NThe
vestibulocochlear Nnerve Nis Nresponsible Nfor Nthe Nsense Nof Nhearing Nand Nbalance N(body
N



position Nsense).
N




Cranial NNerve N9 N- NANSWER>>Glossopharyngeal: NThe Nglossopharyngeal Nnerve
enervates Nmuscles Ninvolved Nin Nswallowing Nand Ntaste. NLesions Nof Nthe Nninth Nnerve
N



result Nin Ndifficulty Nswallowing Nand Ndisturbance Nof Ntaste.
N




Cranial NNerve N10 N- NANSWER>>vagus Nnerve: NThe Nvagus Nnerve Nenervates Nthe Ngut
(gastrointestinal Ntract), Nheart Nand Nlarynx.
N




Cranial NNerve N11 N- NANSWER>>accessory: NThe Naccessory Nnerve Nenervates Nthe
sternocleidomastoid Nmuscles Nand Nthe Ntrapezius Nmuscles.
N




Cranial NNerve N12 N- NANSWER>>Hypoglossal N(tongue Nmovement): NThe Nhypoglossal Nnerve
enervates Nthe Nmuscles Nof Nthe Ntongue.
N




What Nis Nthe Nbest Naction Nfor Na N16 Ny/o Nwith Nconduct Ndisorder Nthat Nrefuses Ntx? N -
ANSWER>>• NSend Nto Npsych Nspecialist Nfor Nacting Nout Nkids N- NReferrals N- NHave Nto Nsee
N



if Nyou Nare Ngoing Nto Nrefer Nthe Nsame Npatient Nto Nthe Nsame Nprovider N- NCannot Nrefer Nthe
N



patient Nto
N

, another Nprovider Nthat Nis Nthe Nsame Nas Nyou N(ie Npsych) N- Nyou Nmust Nrefer Nto Na Nneurologist Nor
another Nspecialist Nor NPCP
N




What Nis Na Npriority Nconsideration Nfor Na N16-year-old Nthat Nshows Nup Nwith Nmother Nfor Nfirst
therapy? N- NANSWER>>• NConfidentiality N(ex. Nmom Nsits Nin Nlobby)
N




What Nis Nimportant Nto Nknow Nabout NACE Ninhibitors N(Meds Nfor NHeart Nfailure/HTN) N-
ANSWER>>• NThis Nmedication Ncan Ncause Nincreased Nlithium Nlevels Nto Ntoxic Nlevels N-
N



must Ncollaborate Nwith NPCP Nto Ndetermine Nwhether Nto Nchange NACE Nor Nchange
N



Lithium N- NCan't Nuse Nboth
N




What Nmedication NINCREASES NLithium Nserum Nlevel Nup Nto Ndouble N- NANSWER>>Ibuprofen


Why Nis NLithium Nused? N- NANSWER>>• NFirst-line Nneuro-protective Nfor Nbipolar


• Lab NValues Nconcerning Nfor Npatient Non NLithium: N- NANSWER>>• NLeukocytosis
• Creatinine
• BUN
• NA+
• 4 N+ NPORTEIN Nin NUrine
• N+ NPregnancy NTest


• Lithium N(Eskalith/Lithobid) NToxicity N- NANSWER>>• NNormal NRange Nof NLITHIUM NLEVEL N-
0.5 N- N1.2 NmEq/L
• MONITOR Nfor NTOXICITY: NToxicity N= N> N1.2 NmEq/l


• Slurred Nspeech, Nconfusion, Nsevere NGI Neffect N- Ndiarrhea/nausea/vomiting, Nmetallic
taste Nand NSEVERE Ntremor.
N




Common Nside Neffects Nof NLithium N(Eskalith/Lithobid) N- NANSWER>>Nausea, Nfine-hand
tremors N(start Nmonitoring Nfor Ntoxicity), Nincreased Nurination Nand Nthirst
N