PMHNP STANDARD EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Indentity v. Role Confusion - ✔✔- 12 to 20
- personal sense of identity
- identity confusion, poor self-identification in group settings
✔✔Intimacy v. Isolation - ✔✔- 20 to 35 years
- committed relationships and capacity to love
- problems are emotional isolation and egocentrism
✔✔Generavity v. self-absorption - ✔✔-35-65 years
- ability to give time and talents to others
-ability to care for others
- problems here are self-absorption, inability to grow and change as a person, inability
to care for others
✔✔Integrity v despair - ✔✔Late adulthood
- fulfillment and comfort with life
- willingness to face death
- insight on life's events
- problems here can be bitterness, sense of dissatisfaction with life, despair over
impending death
✔✔Who should and shouldn't get the shingles vaccine - ✔✔- anyone 60 and over who
had the chicken pox
- do not give to immunocompromised /HIV?AIDS or people on high dose steroids
✔✔10 year plan for nursing's plan toward computer literacy? - ✔✔TIGER
✔✔O'Connor v. Donaldson - ✔✔Established that mental illness alone is not enough for
involuntary hospitalization -- mentally ill cannot be confined against their will if they can
survive on their own
,✔✔Rennie V. Klein - ✔✔patients have the right to refuse any treatment
✔✔Roger v. Oken - ✔✔patient can refuse treatment but guardian may authorize their
treatment
✔✔Durham v. United States - ✔✔not responsible if crime was committed due to mental
illness
✔✔HITECH included under which bill? - ✔✔American Recovery and reinvestment act
✔✔Oral phase - ✔✔- birth to 1
✔✔Anal phase - ✔✔- 1 to 3
- basis for the development of self-confidence and personal autonomy
- failure results in excessive orderliness, stubbornness, willfulness
✔✔Phallic - ✔✔- 3 to 5/6
- identify with the same sex parent
- come to terms with the oedipal complex
- penis was interest of both of male and female kids
- unconscious fantasies of sex with opposite sex parent
✔✔Latency - ✔✔- 5/6 to adolescence
- not interested in sexual stuff
✔✔Genital - ✔✔- adolescence to adulthood
✔✔Caucus - ✔✔group of politicians or congress members created to support a defined
political ideology
✔✔Special interest group - ✔✔- group of individuals who coordinate lobbying efforts
around a common interest and seek to influence policy makers
✔✔% of americans with private insurance - ✔✔64 %
14.5% have medicare
15% medicaid
16% uninsured
✔✔Labs showing alcohol disorder - ✔✔- slightly elevated MCV
- AST elevated 40% and ALT 20% (AST is more elevated) normal AST is (40) normal
ALT is 56
- increased trigylcerides
- increased prothrombin time
,- elevated amylase
- elevated uric acid
- low WBC count
✔✔What distinguishes substance abuse from dependence? - ✔✔using alcohol even
though it interferes with a chronic disease like diabetes
✔✔Atypical features - ✔✔weight gain, excessive sleep, feeling of being sluggish or
paralyzed, sensitive to rejection
✔✔trazadone and nefazadone - ✔✔SARI
✔✔Burpropion - ✔✔NDRI
✔✔Vetzima - ✔✔SNRI
✔✔Duloxetine - ✔✔rare hepatotoxicity
✔✔melancholic features - ✔✔feel worse in the morning, decreased appetite , weight
loss, agitation, excessive guilt , trouble making decisions
✔✔peripartum onset - ✔✔during pregnancy or within 1 month of having baby
✔✔problems with temporal lobe - ✔✔aphasia and amnesia
✔✔problems with occipital lobe - ✔✔visual field deficits
✔✔problems with parietal lobe - ✔✔sensory perceptual disturbances and agnosia
✔✔aphasia - ✔✔loss of ability to express or understand speech
✔✔apraxia - ✔✔difficulty planning and performing motor tasks
✔✔sertraline may show up as what on drug test? - ✔✔benzodiazepine
✔✔sensorimotor stage - ✔✔birth to 2
- object permanence
✔✔preoperational - ✔✔2 to 5
- egocentrism
- transdutive reasoning (dog barks and train arrives -- this means train comes when dog
barks)
- concrete thinking
- language
, - symbolism
✔✔concrete operations - ✔✔6-11
- develop conservation
- develop reversibility ( if object is altered, it can be changed back)
- decentration (paying attention to multiple parts)
-inductive logic (using several instances to make a prediction)
✔✔formal operations - ✔✔adolescence
- deductive reasoning (using a general principle to predict an outcome)
- abstract thought
- metacognition
- problem solving
✔✔margaret - ✔✔cultural conditioning of sexual behavior
✔✔florence nightingale - ✔✔founder of modern nursing
✔✔Dorothea Dix - ✔✔nurse that fought for the rights of the mentally ill
✔✔Margaret Sanger - ✔✔founder of planned parenthood
✔✔Virginia Henderson - ✔✔Developed the nursing theory
✔✔Henry Sack Sullivan - ✔✔- developed Interpersonal theory
- relationships influence personality development , called self-system
- drive for satisfaction and drive for security
-
✔✔Maslow hierarchy of needs - ✔✔- water
- air
- food
- sleep
✔✔Sullivan stages of development
- infancy
- childhood
- juvenile
- preadolescence
- early adolescence
- late adolescence - ✔✔- infancy - oral gratification, anxiety occurs
- childhood - delayed gratification
- juvenile - forming of peer relationships
- preadolescence - same sex relationships
- early adolescence - opposite sex relationships
QUESTIONS SET A+
✔✔Indentity v. Role Confusion - ✔✔- 12 to 20
- personal sense of identity
- identity confusion, poor self-identification in group settings
✔✔Intimacy v. Isolation - ✔✔- 20 to 35 years
- committed relationships and capacity to love
- problems are emotional isolation and egocentrism
✔✔Generavity v. self-absorption - ✔✔-35-65 years
- ability to give time and talents to others
-ability to care for others
- problems here are self-absorption, inability to grow and change as a person, inability
to care for others
✔✔Integrity v despair - ✔✔Late adulthood
- fulfillment and comfort with life
- willingness to face death
- insight on life's events
- problems here can be bitterness, sense of dissatisfaction with life, despair over
impending death
✔✔Who should and shouldn't get the shingles vaccine - ✔✔- anyone 60 and over who
had the chicken pox
- do not give to immunocompromised /HIV?AIDS or people on high dose steroids
✔✔10 year plan for nursing's plan toward computer literacy? - ✔✔TIGER
✔✔O'Connor v. Donaldson - ✔✔Established that mental illness alone is not enough for
involuntary hospitalization -- mentally ill cannot be confined against their will if they can
survive on their own
,✔✔Rennie V. Klein - ✔✔patients have the right to refuse any treatment
✔✔Roger v. Oken - ✔✔patient can refuse treatment but guardian may authorize their
treatment
✔✔Durham v. United States - ✔✔not responsible if crime was committed due to mental
illness
✔✔HITECH included under which bill? - ✔✔American Recovery and reinvestment act
✔✔Oral phase - ✔✔- birth to 1
✔✔Anal phase - ✔✔- 1 to 3
- basis for the development of self-confidence and personal autonomy
- failure results in excessive orderliness, stubbornness, willfulness
✔✔Phallic - ✔✔- 3 to 5/6
- identify with the same sex parent
- come to terms with the oedipal complex
- penis was interest of both of male and female kids
- unconscious fantasies of sex with opposite sex parent
✔✔Latency - ✔✔- 5/6 to adolescence
- not interested in sexual stuff
✔✔Genital - ✔✔- adolescence to adulthood
✔✔Caucus - ✔✔group of politicians or congress members created to support a defined
political ideology
✔✔Special interest group - ✔✔- group of individuals who coordinate lobbying efforts
around a common interest and seek to influence policy makers
✔✔% of americans with private insurance - ✔✔64 %
14.5% have medicare
15% medicaid
16% uninsured
✔✔Labs showing alcohol disorder - ✔✔- slightly elevated MCV
- AST elevated 40% and ALT 20% (AST is more elevated) normal AST is (40) normal
ALT is 56
- increased trigylcerides
- increased prothrombin time
,- elevated amylase
- elevated uric acid
- low WBC count
✔✔What distinguishes substance abuse from dependence? - ✔✔using alcohol even
though it interferes with a chronic disease like diabetes
✔✔Atypical features - ✔✔weight gain, excessive sleep, feeling of being sluggish or
paralyzed, sensitive to rejection
✔✔trazadone and nefazadone - ✔✔SARI
✔✔Burpropion - ✔✔NDRI
✔✔Vetzima - ✔✔SNRI
✔✔Duloxetine - ✔✔rare hepatotoxicity
✔✔melancholic features - ✔✔feel worse in the morning, decreased appetite , weight
loss, agitation, excessive guilt , trouble making decisions
✔✔peripartum onset - ✔✔during pregnancy or within 1 month of having baby
✔✔problems with temporal lobe - ✔✔aphasia and amnesia
✔✔problems with occipital lobe - ✔✔visual field deficits
✔✔problems with parietal lobe - ✔✔sensory perceptual disturbances and agnosia
✔✔aphasia - ✔✔loss of ability to express or understand speech
✔✔apraxia - ✔✔difficulty planning and performing motor tasks
✔✔sertraline may show up as what on drug test? - ✔✔benzodiazepine
✔✔sensorimotor stage - ✔✔birth to 2
- object permanence
✔✔preoperational - ✔✔2 to 5
- egocentrism
- transdutive reasoning (dog barks and train arrives -- this means train comes when dog
barks)
- concrete thinking
- language
, - symbolism
✔✔concrete operations - ✔✔6-11
- develop conservation
- develop reversibility ( if object is altered, it can be changed back)
- decentration (paying attention to multiple parts)
-inductive logic (using several instances to make a prediction)
✔✔formal operations - ✔✔adolescence
- deductive reasoning (using a general principle to predict an outcome)
- abstract thought
- metacognition
- problem solving
✔✔margaret - ✔✔cultural conditioning of sexual behavior
✔✔florence nightingale - ✔✔founder of modern nursing
✔✔Dorothea Dix - ✔✔nurse that fought for the rights of the mentally ill
✔✔Margaret Sanger - ✔✔founder of planned parenthood
✔✔Virginia Henderson - ✔✔Developed the nursing theory
✔✔Henry Sack Sullivan - ✔✔- developed Interpersonal theory
- relationships influence personality development , called self-system
- drive for satisfaction and drive for security
-
✔✔Maslow hierarchy of needs - ✔✔- water
- air
- food
- sleep
✔✔Sullivan stages of development
- infancy
- childhood
- juvenile
- preadolescence
- early adolescence
- late adolescence - ✔✔- infancy - oral gratification, anxiety occurs
- childhood - delayed gratification
- juvenile - forming of peer relationships
- preadolescence - same sex relationships
- early adolescence - opposite sex relationships
