Pmhnp Certification Exam Questions With Correct Verified Answers | 100% Pass (A+ Certified)

PMHNP CERTIFICATION EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. CAGE Answer items responses are scored either 1 or 0. A score 2 or higher is considered clinically significant 2. OCD Answer obsessive thoughts interfere with your daily life -are you concern about things being contaminated, keeping things in perfect order -do you feel driven to perform certain acts over and over again? -have unwanted images or thought that you cant seem to get out of your head 3. layman's Answer explanation of mental illness Abnormal functioning of neurotransmitters. Neuroanatomical differences have been found in some cases. -can arise from multiple sources, not a single or consistent cause has been established 4. biomedical psychiatry Answer mental illness is conceptualized as a disorder of the brain circuit 1 / 34 caused by a complex interplay of genetic and environmental factor 5. state-dependent learning Answer when a memory is formed a new neural pathway is created. If the memory was formed under specific chemical conditions (on a drug, manic), then the pathway will be primed to work most effectively under these circumstances. -state-dependent learning in bipolar. Bipolar individuals in a depressed episode may not be able to recall details of manic episodes. Corroboration is needed. 6. Assessment tools to screen for cognitive impairment Answer folstein mini-mental: perfect score is 30. 24 impairment. If only 9th grade education 17 7. Abnormal sodium levels Answer increased: dehydration, methyldopa, -decreased: SIADH, heart failure, nephrotic syndrome, hepatic disease. 8. Abnormal Potassium levels Answer Increased: amiloride, spirolactone, lithium, propranolol. Decreased 2 / 34 9. alpha 1 antagonists Answer vasodilator and used for hypertension -raynauds -PTSD and GAD -benign prostatic hyperplasia (tamsulosin) -agonism: vasoconstrictor -trazadone and many antipsychotics 10. ESR-erythrocyte sedimentation rate Answer high values indicate autoimmune, malignancies, infections 11. absolute neurophil count calculations: total WBC x percentage of neurophil in differential=ANC 12. Calcium Answer increased: 10.8 caused by hyperparathyroidism from tumor of renal disease, lithium 13. PET vs. fMRI Answer measures brain activity by associated changes in blood flow. Relies on fact that cerebral blood flow and neuronal activity are coupled. -In addition, PET has the advantage of being able to identify specific receptors associated with neurotransmitter through its ability to image radioactive ligands 14. ELISA testing 3 / 34 Answer first screen with ELISA. ELISA tests for HIV antibodies. Vast majority of HIV positive people have detectable antibodies by 3 months after exposure. 15. Splitting Answer the individual segregates experiences in to all-good or all bad, with no room for ambiguity or ambivalence. 16. displacement Answer separation of emotion from it object of discontent and redirected to a less threatening and intimidating --example: displaced aggression- If expressing or dismay to the source of the anger could lead to negative consequences, we may rather than express our angry to a person or object that pose no threat. 17. introjecion Answer a process whereby an individual unconsciously incorporates the qualities of another person into his or her ego structure 18. Gestalt Therapy: emphasizes personal responsibility. Cultivate a greater self-awareness and mindfulness. -greater self-awareness of mind and body -chair technique 4 / 34 Answer a role-playing exercise. The client is asked to adopt one role in one chair, and another in the other chair (e.g. plays parent and then plays child) 19. Hyperprolactinemia and Risperidone Answer prolactin levels peak the first 6 to 8 weeks -returns to normal range in 3 t0 5 months -hyperprolactinemia is dose-dependent -osteopenia, amenorrhea, galactorrhea, gynecomastia -get baseline, repeat in two months. ask about nipple discharge, menstruation, sexual dysfunction. If the patient has elevated prolactin after 2 months but no symptoms, repeat test in two months. 20. Antipsychotics that cause the most hypotension Answer olanzapine, risperidone, quetiapine 21. Rett Syndrome Answer more common in females--the mutation arises from the X chromosome. -onset before first birthday -loss of skills already acquired: speech and purposeful hand movement 5 / 34 -delayed head growth, scoliosis, ataxia 22. Tourettes Answer tics must be present for at least a year before diagnosis -must have motor and vocal tic -abnormalities in the basal ganglia andd dopamine system are implicated -First use guanfascine or clonidine. if doesnt work then use risperidone 23. autism Answer appears before the age of 3. Difficulty with communication pervasive failure to form social relationships -problems with communication -ritualistic behaviors -stereotyped behavior -circumscribed range of interests 24. paranoid personality disorder Answer guarded with others. interprets actions of others as threatening and deceptive. -Suspicious that others are out to attack his character or reputation -uses projection as predominant defense mechanism -more common in families of schizophrenics 6 / 34 25. schizoid personality Answer disinterested in close relationships -appears indifferent to the praise or criticism of others 26. schizotypical personality Answer More likely to have a positive family history of schizophrenia -magical thinking, ideas of reference. -10% commit suicide 27. Identity diffusion Answer Poorly integrated concept of self. Individuals experience chronic emptiness and contradictory self-perceptions -common in borderline personality 28. projective identification Answer individual possesses a quality he considers intolerable and grapples with this by attributing it to someone else; then the individual dominates and molds the person to acquiring the projected quality. -common in borderline personality 29. Kubler-Ross stages of grief