QUESTION WITH COMPLETE SOLUTION
BANK FOR PMHNP BOARDS
hWhat is true of interprofessionality? - All health professionals have individual professional
competencies
What is the significance of an experimental p-value of 0.05 - There is a 5% chance of a similar result
occurring by chance alone
What percentage of children with oppositional defiance disorder will develop conduct disorder? - 30%
In the DSM-5, selective mutism is now considered what type of disorder? - anxiety disorder
Symptoms of selective mutism must persist for at least - 1 month
Common competencies - overlap more than one health care professional, although not necessarily all
health care professionals, and are competencies expected of all health care professionals
Complementary competencies - enhance the qualities of other professions in provision of care
Collaborative competencies - those that each individual profession must possess to work with others,
including those who practice within different specialties within a profession.
Interpersonal collaboration is _______ centered - patient
Cognitive therapy is recommended for patients that have - negative cognitive distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients with - self-actualization and self-directed growth
Behavioral Therapy focuses on - changing maladaptive behaviors through the use of behavioral
modification techniques
Existential therapy is for - reflection on life
confronting self
120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate lettuce.
160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing diarrhea? - 6
((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report that suggested -
implementation a national campaign to reduce the stigma of seeking care
Focusing on promoting recovery and building resilience
,The efficacy of mental health treatments was found to be well documented in - influential report issued
by US Surgeon General in 1999
State of high negative emotion and pessimism - neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like social interaction, respond
to external rewards, have more active dopamine networks, and are responsive to positive reinforcement.
- Extraversion (high levels protect from psychiatric illness)
Introverts are more likely to be _______ motivated and more likely to respond to _______ reinforcement
- internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships often at the
expense of self-assertion - Agreeableness
Associated with self-control and a focused, organized approach to life. Are achievement-oriented goal
setters who can delay immediate gratification to obtain their long term desired outcome. They are
considered responsible, reliable, and dependable. - conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a functional analysis of behavior (FAB).
What is true about FAB? - FAB is concerned only with observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors, and consequent
stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with _____, not _____ - perceptual psychology
behavior
Medication that can delay ejaculation in patients with premature ejaculation - Paroxetine (and other
SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
First line treatment for lithium induced diabetes insipidus - Amiloride (K potassium diuretic) in addition
to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicity - reduce lithium dose to minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided doses over the day)
Encourage adequate fluid intake
,What is true about ECT in Parkinson's disease - it's more likely to cause transient delirium (worsened
dyskinesias induced by l-dopa)
Lithium effects with Parkison's disease - may worsen tremor
nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________ - l-dopa
products
hypertensive crisis
Selegiline is selective for - MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds that increase
serotonin)
SSRI's can _______ Parkinsonism tremor - worsen (and decrease 'off time')
Process describes the mechanism by which the hippocampus stores memories - long-term potentiation
loss of memory relating to a particular category of information (inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary
forgetting) - systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately following a traumatic event -
localized amnesia
Person can recall some but not all of events from a particular time period - selective amnesia
Lack of memory of the patient's entire life - generalized amnesia
The drugs that are FDA approved for GAD - Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy if - the pregnancy threatens her health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the right to - determine whether
or not child will be aborted (this is up to the couple)
, Which medication is most effective for treating social phobia/social anxiety disorder, especially when
refractory? - Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally, but her
lungs are clear. Her ECG reveals 2nd degree heart block. Which of the following BP medications should
be avoided? - Calcium Channel Blockers
3 Contraindications to use a calcium channel blocker - 1st or second degree heart block
Bradycardia
CHF
4 hSide heffects hof hcalcium hchannel hblockers h- hHeadache
Lower hextremity hedema
Bradycardia
Heart hBlock
An hNP his hevaluating ha h78 hyear hold hfemale hwith hdepression. hShe hsuspects hthe hpatient hmay hhave
hParkinson's hdisease. hWhich hof hthe hfollowing his hconsistent hwith hthat hdiagnosis? h- hPostural hinstability
Pill-rolling htremor
Shuffling hGait
Difficulty hinitiating hmovement
Mask-like hfacies h(difficulty hinitiating hmovement)
Writhing hmovements hoccur hwith h- hHuntington's hchorea
10 hNon-motor hmanifestations hof hParkinsons h- hAutonomic hdysfunction
Gastrointestical hdysfunction
Rhinorrhea
Sleep hdisturbance
Fatigue
Mood hdisorder
Cognitive hdysfunction
Dementia
Psychosis
Hallucinations
BANK FOR PMHNP BOARDS
hWhat is true of interprofessionality? - All health professionals have individual professional
competencies
What is the significance of an experimental p-value of 0.05 - There is a 5% chance of a similar result
occurring by chance alone
What percentage of children with oppositional defiance disorder will develop conduct disorder? - 30%
In the DSM-5, selective mutism is now considered what type of disorder? - anxiety disorder
Symptoms of selective mutism must persist for at least - 1 month
Common competencies - overlap more than one health care professional, although not necessarily all
health care professionals, and are competencies expected of all health care professionals
Complementary competencies - enhance the qualities of other professions in provision of care
Collaborative competencies - those that each individual profession must possess to work with others,
including those who practice within different specialties within a profession.
Interpersonal collaboration is _______ centered - patient
Cognitive therapy is recommended for patients that have - negative cognitive distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients with - self-actualization and self-directed growth
Behavioral Therapy focuses on - changing maladaptive behaviors through the use of behavioral
modification techniques
Existential therapy is for - reflection on life
confronting self
120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate lettuce.
160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing diarrhea? - 6
((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report that suggested -
implementation a national campaign to reduce the stigma of seeking care
Focusing on promoting recovery and building resilience
,The efficacy of mental health treatments was found to be well documented in - influential report issued
by US Surgeon General in 1999
State of high negative emotion and pessimism - neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like social interaction, respond
to external rewards, have more active dopamine networks, and are responsive to positive reinforcement.
- Extraversion (high levels protect from psychiatric illness)
Introverts are more likely to be _______ motivated and more likely to respond to _______ reinforcement
- internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships often at the
expense of self-assertion - Agreeableness
Associated with self-control and a focused, organized approach to life. Are achievement-oriented goal
setters who can delay immediate gratification to obtain their long term desired outcome. They are
considered responsible, reliable, and dependable. - conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a functional analysis of behavior (FAB).
What is true about FAB? - FAB is concerned only with observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors, and consequent
stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with _____, not _____ - perceptual psychology
behavior
Medication that can delay ejaculation in patients with premature ejaculation - Paroxetine (and other
SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
First line treatment for lithium induced diabetes insipidus - Amiloride (K potassium diuretic) in addition
to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicity - reduce lithium dose to minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided doses over the day)
Encourage adequate fluid intake
,What is true about ECT in Parkinson's disease - it's more likely to cause transient delirium (worsened
dyskinesias induced by l-dopa)
Lithium effects with Parkison's disease - may worsen tremor
nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________ - l-dopa
products
hypertensive crisis
Selegiline is selective for - MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds that increase
serotonin)
SSRI's can _______ Parkinsonism tremor - worsen (and decrease 'off time')
Process describes the mechanism by which the hippocampus stores memories - long-term potentiation
loss of memory relating to a particular category of information (inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary
forgetting) - systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately following a traumatic event -
localized amnesia
Person can recall some but not all of events from a particular time period - selective amnesia
Lack of memory of the patient's entire life - generalized amnesia
The drugs that are FDA approved for GAD - Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy if - the pregnancy threatens her health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the right to - determine whether
or not child will be aborted (this is up to the couple)
, Which medication is most effective for treating social phobia/social anxiety disorder, especially when
refractory? - Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally, but her
lungs are clear. Her ECG reveals 2nd degree heart block. Which of the following BP medications should
be avoided? - Calcium Channel Blockers
3 Contraindications to use a calcium channel blocker - 1st or second degree heart block
Bradycardia
CHF
4 hSide heffects hof hcalcium hchannel hblockers h- hHeadache
Lower hextremity hedema
Bradycardia
Heart hBlock
An hNP his hevaluating ha h78 hyear hold hfemale hwith hdepression. hShe hsuspects hthe hpatient hmay hhave
hParkinson's hdisease. hWhich hof hthe hfollowing his hconsistent hwith hthat hdiagnosis? h- hPostural hinstability
Pill-rolling htremor
Shuffling hGait
Difficulty hinitiating hmovement
Mask-like hfacies h(difficulty hinitiating hmovement)
Writhing hmovements hoccur hwith h- hHuntington's hchorea
10 hNon-motor hmanifestations hof hParkinsons h- hAutonomic hdysfunction
Gastrointestical hdysfunction
Rhinorrhea
Sleep hdisturbance
Fatigue
Mood hdisorder
Cognitive hdysfunction
Dementia
Psychosis
Hallucinations
