PMHNP CERTIFICATION EXAM
denial - ✔refusal to admit or recognize problem or event- primitive defense mechanism
projection - ✔taking one's own unacceptable qualities and attributing them to another-
primitive defense mechanism
regression - ✔reverting to patterns of behavior from earlier stage of developement-
immature defense mechanism
passive-aggression - ✔indirectly expressing anger- immature defense mechanism
reaction formation - ✔taking up the opposite feeling to reduce anxiety- neurotic defense
mechanism
intelluctualization - ✔focusing on intellectual component to AVOID anxiety or thinking
about the matter- neurotic defense mechanism
repression - ✔keeping info out of consciousness- neurotic defense mechanism
displacement - ✔taking out frustrations, etc on people or objects less threatening-
neurotic defense mechanism
rationalization - ✔explaining unacceptable in a rational or logical manner- neurotic
defense mechanism
splitting - ✔seeing things about self or others in extremes, unable to integrate negative
and positive- neurotic defense mechanism
sublimation - ✔converts unacceptable into acceptable (going to gym when angry)-
mature, healthy defense mechanism
humor, sublimation, suppression - ✔mature, healthy defense mechanisms
suppression - ✔removal of unwanted information (thinking about matter later)-mature,
healthy defense mechanism
cohort study - ✔level 3 evidence heirarchy- specific variable and a specific outcome
tested
Meta-analysis (systematic review) - ✔level 1 highest level of evidence- review of high
quality published research
RCTs - ✔level 2 evidence heirarchy
, PMHNP CERTIFICATION EXAM
case control study - ✔level 4 evidence heirarchy- retrospective study of cases and
controls compared
case series/ reports - ✔level 5 evidence heirarchyone study or narrative of one
study/patient
editorial/expert opinion - ✔lowest level (6) of evidence heirarchy- essays
herd community - ✔resistance of group to infectious agent
active immunity - ✔resistance developed in response to an antigen (agent or vaccine)
;presence of antibody produced by host, years or lifelong
passive immunity - ✔immunity from mother or IG administered; 6-9 months
sensitivity - ✔positive in disease; SnNout- sensitive test when negative rules OUT
disease
specificity - ✔negative in health; SpPin- specific test when positive rules IN disease
prevalence - ✔porportion of individuals possessing the condition at any given time
incidence - ✔NEW cases only
AST elevation >40 - ✔alcohol, statin, tylenol, depakote
ALT elevation >40 - ✔liver stress, depakote
GGT elevation > 45 - ✔possible ETOH
CK elevation >240 - ✔possible NMS
GFR <60 - ✔requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level - ✔ACE inhibitors, ARBs, NSAIDs,
tetracyclines, metronidazole, K sparing diuretics, thiazide diuretics, dehydration
HYPOnatremia
drugs or conditions that decrease Li+ level - ✔HYPERnatremia, theophylline
therapeutic lithium level - ✔0.6-1.0 (acute mania 0.8-1.2)
symptoms of lithium toxicity - ✔lethargy, fatigue, clumsiness, weakness, muscle
cramping, nausea, vomiting, SEVERE tremor, blurred vision, confusion
denial - ✔refusal to admit or recognize problem or event- primitive defense mechanism
projection - ✔taking one's own unacceptable qualities and attributing them to another-
primitive defense mechanism
regression - ✔reverting to patterns of behavior from earlier stage of developement-
immature defense mechanism
passive-aggression - ✔indirectly expressing anger- immature defense mechanism
reaction formation - ✔taking up the opposite feeling to reduce anxiety- neurotic defense
mechanism
intelluctualization - ✔focusing on intellectual component to AVOID anxiety or thinking
about the matter- neurotic defense mechanism
repression - ✔keeping info out of consciousness- neurotic defense mechanism
displacement - ✔taking out frustrations, etc on people or objects less threatening-
neurotic defense mechanism
rationalization - ✔explaining unacceptable in a rational or logical manner- neurotic
defense mechanism
splitting - ✔seeing things about self or others in extremes, unable to integrate negative
and positive- neurotic defense mechanism
sublimation - ✔converts unacceptable into acceptable (going to gym when angry)-
mature, healthy defense mechanism
humor, sublimation, suppression - ✔mature, healthy defense mechanisms
suppression - ✔removal of unwanted information (thinking about matter later)-mature,
healthy defense mechanism
cohort study - ✔level 3 evidence heirarchy- specific variable and a specific outcome
tested
Meta-analysis (systematic review) - ✔level 1 highest level of evidence- review of high
quality published research
RCTs - ✔level 2 evidence heirarchy
, PMHNP CERTIFICATION EXAM
case control study - ✔level 4 evidence heirarchy- retrospective study of cases and
controls compared
case series/ reports - ✔level 5 evidence heirarchyone study or narrative of one
study/patient
editorial/expert opinion - ✔lowest level (6) of evidence heirarchy- essays
herd community - ✔resistance of group to infectious agent
active immunity - ✔resistance developed in response to an antigen (agent or vaccine)
;presence of antibody produced by host, years or lifelong
passive immunity - ✔immunity from mother or IG administered; 6-9 months
sensitivity - ✔positive in disease; SnNout- sensitive test when negative rules OUT
disease
specificity - ✔negative in health; SpPin- specific test when positive rules IN disease
prevalence - ✔porportion of individuals possessing the condition at any given time
incidence - ✔NEW cases only
AST elevation >40 - ✔alcohol, statin, tylenol, depakote
ALT elevation >40 - ✔liver stress, depakote
GGT elevation > 45 - ✔possible ETOH
CK elevation >240 - ✔possible NMS
GFR <60 - ✔requires dose adjustment (normal >90)
drugs/conditions that increase Li+ level - ✔ACE inhibitors, ARBs, NSAIDs,
tetracyclines, metronidazole, K sparing diuretics, thiazide diuretics, dehydration
HYPOnatremia
drugs or conditions that decrease Li+ level - ✔HYPERnatremia, theophylline
therapeutic lithium level - ✔0.6-1.0 (acute mania 0.8-1.2)
symptoms of lithium toxicity - ✔lethargy, fatigue, clumsiness, weakness, muscle
cramping, nausea, vomiting, SEVERE tremor, blurred vision, confusion
