GEORGETTE'S PMHNP CERTIFICATION REVIEW
Exam Questions and Verified Answers with
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Question: 1
A PMHNP assesses a 40-year-old man with personality and behavioral changes. The presence of tau
protein tangles was noted in brain imagery. Based on the presenting symptoms and brain imaging, the
patient was diagnosed with which of the following diagnoses?
A. Creutzfeldt-Jakob disease
B. Huntington's disease
C. Dementia due to HIV disease
D. Frontotemporal dementia
Answer: D
Explanation:
Correct answer: Frontotemporal dementia
Frontotemporal dementia is also called Pick's disease due to the presence of tau protein tangles in the
brain. It affects males more often, and personality and behavior changes occur before cognitive decline.
Creutzfeldt-Jakob disease's early signs are flu-like with fatigue and cognitive impairment. HIV dementia
manifests as cognitive decline. Huntington's disease first causes motor abnormalities with cognitive
decline later in disease progression.
Reference:
Kaplan & Sadock’s Synopsis of Psychiatry, 12th Edition. Pg 243.
Question: 2
A 53-year-old menopausal woman presents to your clinic with complaints of anhedonia, depressed mood,
and vasomotor symptoms. What medication effectively treats both depression and vasomotor
symptoms?
A. Paroxetine
B. Bupropion
C. Geodon
D. Amitriptyline
Answer: A
Explanation:
Correct answer: Paroxetine
Paroxetine is a Selective Serotonin Reuptake Inhibitor (SSRI) and in studies has demonstrated efficacy in
treating depression and vasomotor symptoms in menopausal women.
Pmhnp review
, Bupropion, a Norepinephrine Dopamine Reuptake Inhibitor (NDRI), Amitriptyline a Tricyclic
antidepressant (TCA), and Geodon an antipsychotic have not been studied and found effective in the
treatment of vasomotor symptoms.
Reference:
Johnson, K., & Vanderhoef, D. Psychiatric-Mental Health Nurse Practitioner Review Manual, Fourth
Edition. Pg 159.
Question: 3
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the
21st Century. This report identified six goals for quality improvement in health care: safe, effective,
patient-centered, timely, efficient, and equitable. Which goal can be described as providing services
based on scientific knowledge to all who could benefit?
A. Effective
B. Timely
C. Efficient
D. Equitable
Answer: A
Explanation:
Correct answer: Effective
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the
21st Century. This report identified six goals for quality improvement in health care:
• Safe: Avoiding injuries to patients from the care intended to help them
• Effective: Providing services based on scientific knowledge to all who could benefit, and refraining
from providing services to those not likely to benefit
• Patient-centered: Providing care that is respectful of and responsive to individual patient preferences,
needs, and values, and ensuring that patient values guide all clinical decisions
• Timely: Reducing waits and sometimes harmful delays for both those who receive and those who
provide care
• Efficient: Avoiding the waste of equipment, supplies, ideas, and energy
• Equitable: Providing care that does not vary in quality because of personal characteristics such as
gender, ethnicity, geographic location, and socioeconomic status
Reference:
Zaccagnini, M. E., & White, K. W. (2017). The doctor of nursing practice essentials: A new model for
advanced practice nursing. Burlington: Jones & Bartlett Learning. Pg 119, 123, 237, 323, 378, 444.
Question: 4
What factor can hinder or constrain growth for the nurse practitioner?
A. Growing competition in the job market for nurse practitioners
Pmhnp review
Exam Questions and Verified Answers with
Rationale
Downloaded by Benson Gakumo ()
,Pmhnp reviews and Qbanks
, Latest Version: 6.0
Question: 1
A PMHNP assesses a 40-year-old man with personality and behavioral changes. The presence of tau
protein tangles was noted in brain imagery. Based on the presenting symptoms and brain imaging, the
patient was diagnosed with which of the following diagnoses?
A. Creutzfeldt-Jakob disease
B. Huntington's disease
C. Dementia due to HIV disease
D. Frontotemporal dementia
Answer: D
Explanation:
Correct answer: Frontotemporal dementia
Frontotemporal dementia is also called Pick's disease due to the presence of tau protein tangles in the
brain. It affects males more often, and personality and behavior changes occur before cognitive decline.
Creutzfeldt-Jakob disease's early signs are flu-like with fatigue and cognitive impairment. HIV dementia
manifests as cognitive decline. Huntington's disease first causes motor abnormalities with cognitive
decline later in disease progression.
Reference:
Kaplan & Sadock’s Synopsis of Psychiatry, 12th Edition. Pg 243.
Question: 2
A 53-year-old menopausal woman presents to your clinic with complaints of anhedonia, depressed mood,
and vasomotor symptoms. What medication effectively treats both depression and vasomotor
symptoms?
A. Paroxetine
B. Bupropion
C. Geodon
D. Amitriptyline
Answer: A
Explanation:
Correct answer: Paroxetine
Paroxetine is a Selective Serotonin Reuptake Inhibitor (SSRI) and in studies has demonstrated efficacy in
treating depression and vasomotor symptoms in menopausal women.
Pmhnp review
, Bupropion, a Norepinephrine Dopamine Reuptake Inhibitor (NDRI), Amitriptyline a Tricyclic
antidepressant (TCA), and Geodon an antipsychotic have not been studied and found effective in the
treatment of vasomotor symptoms.
Reference:
Johnson, K., & Vanderhoef, D. Psychiatric-Mental Health Nurse Practitioner Review Manual, Fourth
Edition. Pg 159.
Question: 3
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the
21st Century. This report identified six goals for quality improvement in health care: safe, effective,
patient-centered, timely, efficient, and equitable. Which goal can be described as providing services
based on scientific knowledge to all who could benefit?
A. Effective
B. Timely
C. Efficient
D. Equitable
Answer: A
Explanation:
Correct answer: Effective
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the
21st Century. This report identified six goals for quality improvement in health care:
• Safe: Avoiding injuries to patients from the care intended to help them
• Effective: Providing services based on scientific knowledge to all who could benefit, and refraining
from providing services to those not likely to benefit
• Patient-centered: Providing care that is respectful of and responsive to individual patient preferences,
needs, and values, and ensuring that patient values guide all clinical decisions
• Timely: Reducing waits and sometimes harmful delays for both those who receive and those who
provide care
• Efficient: Avoiding the waste of equipment, supplies, ideas, and energy
• Equitable: Providing care that does not vary in quality because of personal characteristics such as
gender, ethnicity, geographic location, and socioeconomic status
Reference:
Zaccagnini, M. E., & White, K. W. (2017). The doctor of nursing practice essentials: A new model for
advanced practice nursing. Burlington: Jones & Bartlett Learning. Pg 119, 123, 237, 323, 378, 444.
Question: 4
What factor can hinder or constrain growth for the nurse practitioner?
A. Growing competition in the job market for nurse practitioners
Pmhnp review
