2026 PMHNP ACTUAL FINAL QUESTIONS AND
ANSWERS SURE A+
✔✔Tow amines related to depression - ✔✔Serotonin and norepinephrine
✔✔Want to start an consulting firm what tool would be needed to show economic
viability - ✔✔Revenue and expenses
✔✔Patient stopped smoking (Cessation) - ✔✔Decreased Zyprexia
✔✔Promote resilience in schizophrenia for a patient that lives alone and doing well -
✔✔Refer to peer support
✔✔Spirit stick - ✔✔Teach staff about culture competence
✔✔Problems in the parietal lobe can lead - ✔✔Sensory-perceptual disturbances and
agnosia(inability to perceive objects)
R-L confusion
Difficulty writing (agraphia)
Aphasia(difficulty of language)
✔✔PDSA cycle - ✔✔For Plan-Do-Study-Act.
Describes how to test a change: by trying it, observing the consequences, and then
learning from those consequences.
✔✔Appreciative Inquiry - ✔✔an organizational change strategy that directs the group's
attention away from its own problems and focuses participants on the group's potential
and positive elements
✔✔Appreciative Inquiry - ✔✔an organizational change philosophy and process building
organizations around what works, rather than focusing on and trying to fix what doesn't
work
,✔✔Appreciative Inquiry (AI) - ✔✔Identify the problem
Analyze the problem
Generate Solutions
Implement Best Solutions
Discovery (Best of what is )
Dream (Wishes or dreams of Org)
Design (Decide what you want to change)
Destiny (Make it happen, Implenting Change)
✔✔Appreciative Inquiry - ✔✔Discovery (Best of what is )
Dream (Wishes or dreams of Org)
Design (Decide what you want to change)
Destiny (Make it happen, Implenting Change)
✔✔CIWA-Ar - ✔✔Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised
9 item symptom rating scale, max score 67; <10 does not warrant intervention
✔✔Hispanic patient lost his parent complain stomach ache his pop couldn't fix what do
you do - ✔✔Validate his experience and provide care in a culturally specific way to that
patient
✔✔Native American wants his healer present - ✔✔Involve mother of the patient and
healer, mom was cleared for you to involve her
✔✔16 year old shows up with mother for first therapy is - ✔✔confidential mom sits in
lobby
✔✔Patient acts out due to missing session what do you do - ✔✔You relate to childhood
abandonment and talk about it with the patient
✔✔How do you assess the competency of a medical procedure - ✔✔Identify a pen and
recall 3 words
✔✔Patient thinks someone has infiltrated the church because he watched it on TV 2
years ago, what diagnosis - ✔✔Delusional disorder
✔✔Increase ICP (signs and symptoms) - ✔✔Baby Neuro cry
✔✔Menopausal woman - ✔✔Hormone therapy and replacement
✔✔Patient on antidepressants for 3 weeks and attempted Suicide - ✔✔Stop medication
immediately
, ✔✔You want to decrease seclusion on your unit who considered the primary change
agent - ✔✔Unit staff
✔✔You are a lead NP over other NPs in a rural setting how would you go about the
change - ✔✔Make online form and have them vote on it
✔✔16 year old refuse treatment - ✔✔Send to psych specialist for acting out kids
✔✔Positive Trendelenburg Sign - ✔✔Refer to Ortho/specialist
Pelvis drops to when patient raises one foot off the floor.
✔✔Drug affects Flonase - ✔✔Zantac (Histamine 2 Blocker) Antagonist
✔✔Little boy wet his sheets, What kind of therapy would you suggest - ✔✔Behavior
therapy
✔✔DDVAP acts in much the same manner as antidiuretic hormone. - ✔✔Makes less
urine
✔✔Lithium level 1.2u what are you concerned with - ✔✔4+ Ketones
✔✔What does depakote do to Lamictal - ✔✔Increase laminate 200%
✔✔Inducers of Cytochrome P450 (CYP450) - ✔✔Barbiturates, phenytoin,
carbamazepine, rifampin, St. John's Wort
A substance that speeds up a chemical reaction
✔✔Inhibitor - ✔✔A substance that slows down or stops a chemical reaction
✔✔cytochrome p450 inhibitors - ✔✔CRACK AMIGOS
Cimetidine
Ritonavir
Acute Alcohol
Ciprofloxacin
Ketoconazole
Amiodarone
Macrolides
Isoniazid
Grapefruit juice
Omeprazol
Sulfonamides
✔✔Carb and Barb - ✔✔decrease INR
ANSWERS SURE A+
✔✔Tow amines related to depression - ✔✔Serotonin and norepinephrine
✔✔Want to start an consulting firm what tool would be needed to show economic
viability - ✔✔Revenue and expenses
✔✔Patient stopped smoking (Cessation) - ✔✔Decreased Zyprexia
✔✔Promote resilience in schizophrenia for a patient that lives alone and doing well -
✔✔Refer to peer support
✔✔Spirit stick - ✔✔Teach staff about culture competence
✔✔Problems in the parietal lobe can lead - ✔✔Sensory-perceptual disturbances and
agnosia(inability to perceive objects)
R-L confusion
Difficulty writing (agraphia)
Aphasia(difficulty of language)
✔✔PDSA cycle - ✔✔For Plan-Do-Study-Act.
Describes how to test a change: by trying it, observing the consequences, and then
learning from those consequences.
✔✔Appreciative Inquiry - ✔✔an organizational change strategy that directs the group's
attention away from its own problems and focuses participants on the group's potential
and positive elements
✔✔Appreciative Inquiry - ✔✔an organizational change philosophy and process building
organizations around what works, rather than focusing on and trying to fix what doesn't
work
,✔✔Appreciative Inquiry (AI) - ✔✔Identify the problem
Analyze the problem
Generate Solutions
Implement Best Solutions
Discovery (Best of what is )
Dream (Wishes or dreams of Org)
Design (Decide what you want to change)
Destiny (Make it happen, Implenting Change)
✔✔Appreciative Inquiry - ✔✔Discovery (Best of what is )
Dream (Wishes or dreams of Org)
Design (Decide what you want to change)
Destiny (Make it happen, Implenting Change)
✔✔CIWA-Ar - ✔✔Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised
9 item symptom rating scale, max score 67; <10 does not warrant intervention
✔✔Hispanic patient lost his parent complain stomach ache his pop couldn't fix what do
you do - ✔✔Validate his experience and provide care in a culturally specific way to that
patient
✔✔Native American wants his healer present - ✔✔Involve mother of the patient and
healer, mom was cleared for you to involve her
✔✔16 year old shows up with mother for first therapy is - ✔✔confidential mom sits in
lobby
✔✔Patient acts out due to missing session what do you do - ✔✔You relate to childhood
abandonment and talk about it with the patient
✔✔How do you assess the competency of a medical procedure - ✔✔Identify a pen and
recall 3 words
✔✔Patient thinks someone has infiltrated the church because he watched it on TV 2
years ago, what diagnosis - ✔✔Delusional disorder
✔✔Increase ICP (signs and symptoms) - ✔✔Baby Neuro cry
✔✔Menopausal woman - ✔✔Hormone therapy and replacement
✔✔Patient on antidepressants for 3 weeks and attempted Suicide - ✔✔Stop medication
immediately
, ✔✔You want to decrease seclusion on your unit who considered the primary change
agent - ✔✔Unit staff
✔✔You are a lead NP over other NPs in a rural setting how would you go about the
change - ✔✔Make online form and have them vote on it
✔✔16 year old refuse treatment - ✔✔Send to psych specialist for acting out kids
✔✔Positive Trendelenburg Sign - ✔✔Refer to Ortho/specialist
Pelvis drops to when patient raises one foot off the floor.
✔✔Drug affects Flonase - ✔✔Zantac (Histamine 2 Blocker) Antagonist
✔✔Little boy wet his sheets, What kind of therapy would you suggest - ✔✔Behavior
therapy
✔✔DDVAP acts in much the same manner as antidiuretic hormone. - ✔✔Makes less
urine
✔✔Lithium level 1.2u what are you concerned with - ✔✔4+ Ketones
✔✔What does depakote do to Lamictal - ✔✔Increase laminate 200%
✔✔Inducers of Cytochrome P450 (CYP450) - ✔✔Barbiturates, phenytoin,
carbamazepine, rifampin, St. John's Wort
A substance that speeds up a chemical reaction
✔✔Inhibitor - ✔✔A substance that slows down or stops a chemical reaction
✔✔cytochrome p450 inhibitors - ✔✔CRACK AMIGOS
Cimetidine
Ritonavir
Acute Alcohol
Ciprofloxacin
Ketoconazole
Amiodarone
Macrolides
Isoniazid
Grapefruit juice
Omeprazol
Sulfonamides
✔✔Carb and Barb - ✔✔decrease INR
