©EVERLY 2024/2025 ALL RIGHTS RESERVED 1/29/2025. EY
LMR PMHNP Exam Questions With Correct
Answers 100% Verified.
When does behavior management and support begin? - Answer✔Admission- Behavior
management and support starts when the patient is admitted. It does not start couple days
after or when they discharge
Where should you interview patients? - Answer✔When interviewing patient you want to
interview them in the day room where you can have the door slightly open this allows us to
have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - Answer✔-You should
separate parents and child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual way with a toy.
what should you suspect? - Answer✔*sexual abuse
-You can immediately report to CPS suspecting alone is enough. You are not required to notify
parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
What should you do as the PMHNP if a patient comes in due to being a victim of abuse/rape? -
Answer✔the priority is to provide and environment of their safety or ensure them of safety,
even if it is an intervention
What would you do if a patient that came in for abuse/rape wants to discharge? - Answer✔If
inpatient and making a decision to discharge, make sure the patient is able to stay safe and
developed coping skills
Where would you interview a patient with a recent history of abuse/rape? - Answer✔-If
inpatient and interviewing patients, do not interview in their room or day room.
-Interview in a private office with the door open or partially open
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED 1/29/2025. EY
When is the only time you have to break confidentiality? - Answer✔*If the patient is suicidal
and have an intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? - Answer✔Due to the gap of
care, it is important to collaborate with OB Dr. to do risk assessment
As a PMHNP would it be in the patient's best interest to ask/delegate to another professional to
do a job? - Answer✔-It should not be delegated, should be collaborated team effort.
- Before picking the answer to refer the patient out, make sure there is nothing else in your
scope that you can do
Ex: You notice a lot of women have Post-partum depression and are discharged after delivery
without mental health evaluation and have noticed a gap in care - collaboration might be
working with OB to develop a screening process that is interprofessional collaboration
If the patient inhaled acetone and is feeling weird should you refer to primary care dr.? -
Answer✔-Assess them first before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
11a. Is a cultural response a mental illness? - Answer✔A cultural expected response to a
stressor in NOT a mental illness
What culture can have an imbalance between an individual relationship with the world? -
Answer✔Native Americans
A patient presents with a culture base. what should the interview be based on? - Answer✔-
When a question is very specific on cultural of patient it is most of the time a cultural question
- Then cultural assessment (cultural formulation interview) is important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental illnes
What is the process of Cultural formulation? - Answer✔* Interview (assessment) → Clarify the
meaning of the illness → Contextualize the situation in local world → Empower the patient
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED 1/29/2025. EY
13. If the patient is dealing with cultural syndrome, what should you do? - Answer✔- Offer
them brief supportive therapy
Respect
- Educate others regarding cultural sensitivity.
Ex. In the Native cultures, mental illness is viewed as an imbalance between an individual
relationship and the world.
What ethnic group/culture is the Healing stick associated with and what is its purpose? -
Answer✔They believe it helps them heal. Teach the staff about cultural competencies.
If the patient lost their job, or/and house, what should you offer? - Answer✔Offer them brief
supportive therapy
What if the patient is dealing with somatic complaints of pain but states the primary care could
not find anything what should you do? - Answer✔- Conduct a cultural assessment
- Validate the patient symptoms
- Clarify formulation interviews
- Clarify meaning of illness or predicament
- Contextualize their situation in their local world
- Empower the patient.
What is ethnocpecific assessment parameters? when should it be used? - Answer✔Should be
used during multicultural teaching based on individual culture.
What is the only medication that can decrease thought of self-harm in patients with
schizophrenia? - Answer✔Clozaril
What culture/ethnic group has the highest risk of suicide in the US? - Answer✔Native
Americans
What should you do if your patient does not understand the English language? - Answer✔Make
accommodations and get an interpreter that is called being culturally sensitive.
Patient wants you to provide information to their traditional healer. What should you do first? -
Answer✔You should obtain clearance first and get informed consent.
What are Cultural syndromes? - Answer✔It is the symptoms and attributions that are usually
seen in individuals in specific cultural group and communities.
What is Susto (Fright)? - Answer✔It is a common folk illness in the latino population that results
from a shocking, unpleasant, or frightening experience that is believed to cause the soul to
leave the body.
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED 1/29/2025. EY
What are some symptoms of susto (Fright)? - Answer✔Appetite disturbance, inadequate or
excessive sleep, trouble sleeping, or dreams, sadness, lack of motivation and feelings of low self
esteem worth or dirtiness.
What is ataque de nervios and who believes in it? - Answer✔Puerto Ricans syndrome its
uncontrolled shouting, crying, trembling, heat in the chest rising into the head and verbal or
physical aggression.
What is mal de ojo (Evil eye)? - Answer✔Fatigue, headache, weight loss, exhaustion and
malaise
What is empacho (Blocked intestine)? - Answer✔Indigestion (feeling bloated, nausea, vomiting)
What is mollera caida? - Answer✔Its when the baby's soft spot on top of head is sunken in
(sunken fontanel)
What should you do if a patient is combative towards staff and other patients? -
Answer✔Seclude her and monitor till the patient can be evaluated in person.
What is apoptosis? - Answer✔Neuronal loss or cell death/ cell exictiontion/cell shrinkage cell
disintegration
What is the thyroid- stimulating hormone (TSH) normal lab value? - Answer✔0.5-5.0 Mu/L
Note: Normal level of TSH is 0.5 to 5.0 if the TSH is under this range it is considered
HYPERthyroidism if the level is higher than range it is considered HYPOthyroidism
What does hypothyroidism mimic? - Answer✔depression
What does hyperthyroid mimic? - Answer✔Mania
When T3 and T4 are high, what happens to the TSH and what happens and symptoms are
experienced ? - Answer✔The TSH secretion decreases hyperthyroidism and causes heat
intolerance, agitation, anxiety, irritability, tachycardia, mood swings, weight loss.
When T3 and T4 are low, what happens with TSH what happens and symptoms are experienced
? - Answer✔The TSH increases and causes hypothyroidism and they experience cold intolerance
lethargy, weight gain, decrease libido
What is happens if Patient takes depakote (Dipoprolax) while pregnant - Answer✔Spina bifida
neural tube defect
What are symptoms of Hepatotoxicity ? - Answer✔Red/ brown urine, RUQ pain
What should you do if a patient is showing signs of Hepatotoxicity? - Answer✔-Has the patient
immediately STOP the medication!
-Check LFT (AST/ALT)
LMR PMHNP Exam Questions With Correct
Answers 100% Verified.
When does behavior management and support begin? - Answer✔Admission- Behavior
management and support starts when the patient is admitted. It does not start couple days
after or when they discharge
Where should you interview patients? - Answer✔When interviewing patient you want to
interview them in the day room where you can have the door slightly open this allows us to
have confidentiality but also keep staff safe.
*Learn as much as you can about the patient BEFORE entering room.
What should you do if a child reports abuse while with parents? - Answer✔-You should
separate parents and child and interview you them separately
-Report them to CPS
A child comes without parents and notice that the child is playing in a sexual way with a toy.
what should you suspect? - Answer✔*sexual abuse
-You can immediately report to CPS suspecting alone is enough. You are not required to notify
parents/legal guardian that you are reporting them.
-Put in Sexual precaution when admitted to hospital.
-If the child is standing in a sexual way. (We need to worry about sexual abuse)
What should you do as the PMHNP if a patient comes in due to being a victim of abuse/rape? -
Answer✔the priority is to provide and environment of their safety or ensure them of safety,
even if it is an intervention
What would you do if a patient that came in for abuse/rape wants to discharge? - Answer✔If
inpatient and making a decision to discharge, make sure the patient is able to stay safe and
developed coping skills
Where would you interview a patient with a recent history of abuse/rape? - Answer✔-If
inpatient and interviewing patients, do not interview in their room or day room.
-Interview in a private office with the door open or partially open
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED 1/29/2025. EY
When is the only time you have to break confidentiality? - Answer✔*If the patient is suicidal
and have an intent *
*Homicidal *
* If one is older than the other then you need to report to parents.*
If they are attracted to the same gender we don't need to tell parents.
You don't need to report to the parents about a same age relationship
Consensual relationships.
They have the right to confidentiality not privacy
Why do a a lot of women attempt suicide during postpartum? - Answer✔Due to the gap of
care, it is important to collaborate with OB Dr. to do risk assessment
As a PMHNP would it be in the patient's best interest to ask/delegate to another professional to
do a job? - Answer✔-It should not be delegated, should be collaborated team effort.
- Before picking the answer to refer the patient out, make sure there is nothing else in your
scope that you can do
Ex: You notice a lot of women have Post-partum depression and are discharged after delivery
without mental health evaluation and have noticed a gap in care - collaboration might be
working with OB to develop a screening process that is interprofessional collaboration
If the patient inhaled acetone and is feeling weird should you refer to primary care dr.? -
Answer✔-Assess them first before sending them out
-Urine draw screen- acetone has alcohol
-Screen for other substance use
11a. Is a cultural response a mental illness? - Answer✔A cultural expected response to a
stressor in NOT a mental illness
What culture can have an imbalance between an individual relationship with the world? -
Answer✔Native Americans
A patient presents with a culture base. what should the interview be based on? - Answer✔-
When a question is very specific on cultural of patient it is most of the time a cultural question
- Then cultural assessment (cultural formulation interview) is important
What do their symptoms mean in their culture
- A cultural expected response to a stressor is NOT a mental illnes
What is the process of Cultural formulation? - Answer✔* Interview (assessment) → Clarify the
meaning of the illness → Contextualize the situation in local world → Empower the patient
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED 1/29/2025. EY
13. If the patient is dealing with cultural syndrome, what should you do? - Answer✔- Offer
them brief supportive therapy
Respect
- Educate others regarding cultural sensitivity.
Ex. In the Native cultures, mental illness is viewed as an imbalance between an individual
relationship and the world.
What ethnic group/culture is the Healing stick associated with and what is its purpose? -
Answer✔They believe it helps them heal. Teach the staff about cultural competencies.
If the patient lost their job, or/and house, what should you offer? - Answer✔Offer them brief
supportive therapy
What if the patient is dealing with somatic complaints of pain but states the primary care could
not find anything what should you do? - Answer✔- Conduct a cultural assessment
- Validate the patient symptoms
- Clarify formulation interviews
- Clarify meaning of illness or predicament
- Contextualize their situation in their local world
- Empower the patient.
What is ethnocpecific assessment parameters? when should it be used? - Answer✔Should be
used during multicultural teaching based on individual culture.
What is the only medication that can decrease thought of self-harm in patients with
schizophrenia? - Answer✔Clozaril
What culture/ethnic group has the highest risk of suicide in the US? - Answer✔Native
Americans
What should you do if your patient does not understand the English language? - Answer✔Make
accommodations and get an interpreter that is called being culturally sensitive.
Patient wants you to provide information to their traditional healer. What should you do first? -
Answer✔You should obtain clearance first and get informed consent.
What are Cultural syndromes? - Answer✔It is the symptoms and attributions that are usually
seen in individuals in specific cultural group and communities.
What is Susto (Fright)? - Answer✔It is a common folk illness in the latino population that results
from a shocking, unpleasant, or frightening experience that is believed to cause the soul to
leave the body.
, ©EVERLY 2024/2025 ALL RIGHTS RESERVED 1/29/2025. EY
What are some symptoms of susto (Fright)? - Answer✔Appetite disturbance, inadequate or
excessive sleep, trouble sleeping, or dreams, sadness, lack of motivation and feelings of low self
esteem worth or dirtiness.
What is ataque de nervios and who believes in it? - Answer✔Puerto Ricans syndrome its
uncontrolled shouting, crying, trembling, heat in the chest rising into the head and verbal or
physical aggression.
What is mal de ojo (Evil eye)? - Answer✔Fatigue, headache, weight loss, exhaustion and
malaise
What is empacho (Blocked intestine)? - Answer✔Indigestion (feeling bloated, nausea, vomiting)
What is mollera caida? - Answer✔Its when the baby's soft spot on top of head is sunken in
(sunken fontanel)
What should you do if a patient is combative towards staff and other patients? -
Answer✔Seclude her and monitor till the patient can be evaluated in person.
What is apoptosis? - Answer✔Neuronal loss or cell death/ cell exictiontion/cell shrinkage cell
disintegration
What is the thyroid- stimulating hormone (TSH) normal lab value? - Answer✔0.5-5.0 Mu/L
Note: Normal level of TSH is 0.5 to 5.0 if the TSH is under this range it is considered
HYPERthyroidism if the level is higher than range it is considered HYPOthyroidism
What does hypothyroidism mimic? - Answer✔depression
What does hyperthyroid mimic? - Answer✔Mania
When T3 and T4 are high, what happens to the TSH and what happens and symptoms are
experienced ? - Answer✔The TSH secretion decreases hyperthyroidism and causes heat
intolerance, agitation, anxiety, irritability, tachycardia, mood swings, weight loss.
When T3 and T4 are low, what happens with TSH what happens and symptoms are experienced
? - Answer✔The TSH increases and causes hypothyroidism and they experience cold intolerance
lethargy, weight gain, decrease libido
What is happens if Patient takes depakote (Dipoprolax) while pregnant - Answer✔Spina bifida
neural tube defect
What are symptoms of Hepatotoxicity ? - Answer✔Red/ brown urine, RUQ pain
What should you do if a patient is showing signs of Hepatotoxicity? - Answer✔-Has the patient
immediately STOP the medication!
-Check LFT (AST/ALT)
