PMHNP (PMHNP)
Liberty University
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Psychiatric-Mental Health Nurse (PMH-BCTM) Certification Review
Raymond Zakhari, DNP, EdM, ANP-BC, FNP-BC, PMHNP-BC
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PMHNP EXAM ELABORATIONS
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Started on a medication then comes back in 2 weeks?Increase the dose after 1-2 weeks, 
therapeutic effects 4-6 weeks 
Zantac is for what?H2 inhibitor 
Best therapy for negative thinkingCBT, all or nothing thinking catastrophic thinking 
Humanistic therapy-self 
Existential- reflection/self control/personal responsibility 
Patient is borderlin
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ANCC PMHNP Exam Prep Questions with Correct Answers
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TSH0.4-0.5 - decreases when T3 & T4 are high, increases when T3 & T4 are low. Elevated in 
primary hypothyroidism. Values may decrease with aspirin, steroids, and heparin. Values may 
increase with lithium. 
calcium8.8-10.5. 99% found in bone. major cation for bones and teeth. higher in kids 
because of bone growth. 
sodium135-148 
magnesium1.3-2.1. 
chloride98-106 
potassium3.5-5.1. value decrease with lithium, diuretics. marijuana use can elevate K 
ALT5-35. 
AST5-40 
GGTgamma gluta...
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PMHNP Exam Questions with Correct Answers
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Also known as level of significance; describes the probability of a particular result occurring by 
chance alone (if P = .01, there is a 1% probability of obtaining a result by chance alone) 
Institutional Review Boards (IRBs) ensure that-Risks to participants are minimized -Participant selection is equitable -Adverse events are reported and risks and benefits are reevaluated -Informed consent is obtained and documented -Data and safety monitoring plans are implemented when indicated -The rig...
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PMHNP ANCC Exam Questions with Correct Answers
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PharmacodynamicsWhat the drug does to the body (target sites for drug actions). 
Examples: receptors, ion channels, enzymes, carrier proteins. 
Transtheoretical Model Stages of ChangesPrecontemplation 
contemplation 
preparation 
action 
maintenance 
termination 
Excitatory ResponseDepolarization. Involves opening of sodium & calcium channels so these 
ion channels can enter the cell. 
Inhibitory ResponseRepolarization. Involved the opening of chloride channels so chloride 
can enter ...
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PMHNP exam prep Questions with Verifiable Solutions
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An atypical antipsychotic would be expected to work better than a typical antipsychotic for 
which of the following symptoms? 
Question 58 options: 
a) 
Hallucinations 
b) 
Delusions 
c) 
Paranoia 
d) 
Cognitive dysfunction 
Leonard avoids going out to eat with his family at restaurants. He is concerned that others 
may watch him and criticize his table manners. Which is the most likely diagnosis? 
Question 59 options:
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Pmhnp exam Questions with Correct Answers
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Started on a medication then comes back in 2 weeks?Increase the dose after 1-2 weeks, 
therapeutic effects 4-6 weeks 
Zantac is for what?H2 inhibitor 
Best therapy for negative thinkingCBT, all or nothing thinking catastrophic thinking 
Humanistic therapy-self 
Existential- reflection/self control/personal responsibility 
Patient is borderline and suicidal what therapy?DBT, goal to decrease emotional 
reactivity/crisis bxs and self validation. 
Tics what advise?fairly common in children ...
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PMHNP Exam Reported Questions images, pmhnp Questions with Verified Solutions
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Existential- reflection/self control/personal responsibilityBest therapy for negative thinking 
DBT, goal to decrease emotional reactivity/crisis bxs and self validation.Patient is borderline 
and suicidal what therapy? 
fairly common in children and will often remit on its own, ADHD concomittantTics what 
advise? 
help the parents with positive reinforcement and parenting skills, limit setting, logical 
consequences, consistency, power stuggle/control issues problematic, parenting/family ...
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PMHNP Exam Review Questions with Correct Answers
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impotence, sedation, hypotension, akathisia, dermatological SEs, extrapyramidal 
What are the mood stabilizers?ox & lam are lit for Val because they have no carbs and good 
t 
 imes. 
oxcarbmazapine, lamotrigine, lithium, valproic acid, carbamazepine, gabapentin, topiramate 
What do typical antipsychotics treat?Negative symptoms of schizophrenia 
What are the SNRIs?DVD 
desvenlafaxine, venlafaxine, & duloxetine 
What do SNRIs treat?depression, panic, OCD 
What are the non-benzodiazipine...
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PMHNP Exam Reported Questions With Verifiable Solutions
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Assertive Question (2)Use "I want", "I need" or "I feel" to convey basic assertions and get 
your point across firmly. For example, "I feel strongly that we need to bring in a third party to 
mediate this disagreement." 
For example, you might say "Dave, your request has caught me off guard. I'll get back to you 
within the half hour." 
Testing for fungal infectionsshavings of toes 
Pt on Lithium with temp, right flank pain, brown colored urine, What do you...
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PMHNP exam Questions and Answers
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Thioridazine (Mellaril)typical antipsychotic 
Trifluoperazine (Stelazine)typical antipsychotic 
Aripiprazole (Abilify)atypical antipsychotic 
Clozapine (Clozaril)atypical antipsychotic 
Olanzapine (Zyprexa)atypical antipsychotic 
Paliperidone (Invega)atypical antipsychotic 
Quetiapine (Seroquel)atypical antipsychotic 
Risperidone (Risperdal)atypical antipsychotic
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