PMHNP BOARDS QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AS14-year-
oldSpatientShasSnonspecificScomplaintsSaboutSpainSinShisSorSherSlegs.STheSphysicalSexaminationSisSunremark
able.SLaboratorySresultsSareSwithinSnormalSlimitsSexceptSforSaSmarkedlySelevatedSalkalineSphosphataseSleve
l.STheSpsychiatric-mentalShealthSnurseSpractitionerS-
SANSWERSinterpretsStheSfindingsSasSnormallySoccurringSduringSaSrapidSadolescentSgrowthSspurt
LaboratorySfindingsSforSaSpatientSwithSanSalcoholSuseSdisorderSindicateSincreasedSliverSfunctionSvaluesSand:
S-SANSWERSincreasedSMCVSandSelevatedStriglycerideSlevels.
ASnewSpatientSarrivesSatStheSofficeSforStreatmentSforSdepression.STheSpatientSreportsStakingSsimvastatinS(Z
ocor)SandSlisinoprilS(Zestril).SWhenSselectingSanSantidepressant,StheSpsychiatric-
mentalShealthSnurseSpractitionerSeliminatesSfluoxetineS(Prozac),SbasedSonStheSknowledgeSthatStheScombin
ationScanSleadStoSincreasedSplasmaSlevelsSofStheSstatin,SresultingSinSanSincreasedSriskSofSmuscleSdamageSan
dSrhabdomyolysis.STheSnurseSpractitioner'sSreasonSisSthat:S-
SANSWERSoneSmedicationSisSaSCYP450S3A4SsubstrateSandSoneSisSaSCYP450S3A4Sinhibitor.
AS28-year-
oldSpatientSwhoSisSpsychoticSarrivesSatStheSclinicSwithSfamilySmembersSbutSrefusesStoSmeetSifStheSfamilySme
mbersSareSpresent.STheSpsychiatric-mentalShealthSnurseSpractitionerS-
SANSWERSasksStheSfamilySmembersStoSleaveSforStheSappointment.
TheSpsychiatric-
mentalShealthSnurseSpractitionerSisSresponsibleSforSinitiatingSqualitySimprovementSatSaScommunitySmentalS
healthSclinic.STheSeffectiveSstrategySforSevaluatingStheSclinic'sSservicesSisSto:S-
SANSWERSuseSaSsurveyStoSelicitSpatientSsatisfactionSresponses.
TheSpsychiatric-
mentalShealthSnurseSpractitionerSevaluatesSaSnewSadultSpatientSviaStelemedicine.STheSpatientShasSquestion
sSaboutSaSnewSmedicationSthatSheSorSsheSrecentlySstarted.STheSnurseSpractitionerSdecidesStoSprovideSpsych
oeducationSandSto:S-SANSWERSe-mailSdrugSinformationSandSresources
AnyScourtSofSlawSthatSevaluatesStheSstandardsSofScareSprovidedSbySaSpsychiatric-
mentalShealthSnurseSpractitionerS-
SANSWERSconsidersSwhatSaSreasonablySprudentShealthScareSproviderSwouldSdo.
, TheSpsychiatric-
mentalShealthSnurseSpractitionerSandSaSteamSofSlocalSmentalShealthSprofessionalsSareSaskedStoSprovideScris
isScounselingSservice,SafterSaSgunmanSrecentlyStookSaSclassShostageSatSaSlocalSelementarySschool,Swounded
SseveralSstudents,SandSthenSshotShimself.SInSpreparingSforSthisSassignment,StheSnurseSpractitionerSrecogniz
esSthat:S-SANSWERSaSchild'sSdevelopmentalSstageSwillSinfluenceShisSorSherSresponseStoScatastrophicSstress
WhichScommunity-basedSprogramSisSaStertiarySlevelSintervention?S-
SANSWERSPartialShospitalizationSprogramSthatSprovidesSintensiveSgroupStherapySforSrehabilitation.
AS32-year-oldSfemaleSpatientSinformsStheSpsychiatric-
mentalShealthSnurseSpractitionerSthatSsheSisSthreeSmonthsSpregnant.SSheShasSbeenSstableSonSfluoxetineS(Pr
ozac)SforStheSlastStwoSyears.STheSpatientSasksSwhetherSsheSmaySsafelyScontinueSthisSmedicationSduringSherS
pregnancy.STheSnurseSpractitionerSresponds:S-
SANSWERS"Let'sSreviewStheSrisksSandSbenefitsSofScontinuingSorSdiscontinuingSProzacSforSyouSandSyourSbaby.
"
EstablishedSclinicalSguidelinesSsuggestSthatSsuicidalitySisSdecreasedSbyStreatingSpatientsSwhoShaveSborderli
neSpersonalitySdisorderSwith:S-SANSWERSdialecticalSbehavioralStherapy.
ASsix-year-
oldSpatientSwithSautisticSspectrumSdisorderShasSnotSrespondedStoSsixSmonthsSofSpsychosocialSinterventions
SandScontinuesStoSdemonstrateSaggressiveStendenciesStowardSaSyoungerSsibling.STheSpsychiatric-
mentalShealthSnurseSpractitionerSprescribes:S-SANSWERSrisperidoneS(Risperdal)S0.25SmgSonceSaSday.
TheSpsychiatric-
mentalShealthSnurseSpractitionerSworkingSinSaScrisisSstabilizationSunitSevaluatesSaSpatientSverbalizingSsuicid
alSthoughtsSafterSbeingSsexuallySassaulted.SBeforeSprocessingSthroughStheStraumaticSevent,StheSnurseSpract
itionerSfirstSattemptsStoS-SANSWERSprovideSanSenvironmentSofSsafety.
TheSpsychiatric-mentalShealthSnurseSpractitionerSusesSaScognitive-
behavioralSapproachStoShelpSaSpatientSaddressSself-
defeatingSbehaviors.SAfterSidentifyingStheSstressorSthatScausesStheSinappropriateSbehavior,StheSinitialSstrat
egySisStoSexplore:S-SANSWERSrationalSandSirrationalSbeliefsSaboutStheSstressor.
ANSWERS WITH SOLUTIONS 2024
AS14-year-
oldSpatientShasSnonspecificScomplaintsSaboutSpainSinShisSorSherSlegs.STheSphysicalSexaminationSisSunremark
able.SLaboratorySresultsSareSwithinSnormalSlimitsSexceptSforSaSmarkedlySelevatedSalkalineSphosphataseSleve
l.STheSpsychiatric-mentalShealthSnurseSpractitionerS-
SANSWERSinterpretsStheSfindingsSasSnormallySoccurringSduringSaSrapidSadolescentSgrowthSspurt
LaboratorySfindingsSforSaSpatientSwithSanSalcoholSuseSdisorderSindicateSincreasedSliverSfunctionSvaluesSand:
S-SANSWERSincreasedSMCVSandSelevatedStriglycerideSlevels.
ASnewSpatientSarrivesSatStheSofficeSforStreatmentSforSdepression.STheSpatientSreportsStakingSsimvastatinS(Z
ocor)SandSlisinoprilS(Zestril).SWhenSselectingSanSantidepressant,StheSpsychiatric-
mentalShealthSnurseSpractitionerSeliminatesSfluoxetineS(Prozac),SbasedSonStheSknowledgeSthatStheScombin
ationScanSleadStoSincreasedSplasmaSlevelsSofStheSstatin,SresultingSinSanSincreasedSriskSofSmuscleSdamageSan
dSrhabdomyolysis.STheSnurseSpractitioner'sSreasonSisSthat:S-
SANSWERSoneSmedicationSisSaSCYP450S3A4SsubstrateSandSoneSisSaSCYP450S3A4Sinhibitor.
AS28-year-
oldSpatientSwhoSisSpsychoticSarrivesSatStheSclinicSwithSfamilySmembersSbutSrefusesStoSmeetSifStheSfamilySme
mbersSareSpresent.STheSpsychiatric-mentalShealthSnurseSpractitionerS-
SANSWERSasksStheSfamilySmembersStoSleaveSforStheSappointment.
TheSpsychiatric-
mentalShealthSnurseSpractitionerSisSresponsibleSforSinitiatingSqualitySimprovementSatSaScommunitySmentalS
healthSclinic.STheSeffectiveSstrategySforSevaluatingStheSclinic'sSservicesSisSto:S-
SANSWERSuseSaSsurveyStoSelicitSpatientSsatisfactionSresponses.
TheSpsychiatric-
mentalShealthSnurseSpractitionerSevaluatesSaSnewSadultSpatientSviaStelemedicine.STheSpatientShasSquestion
sSaboutSaSnewSmedicationSthatSheSorSsheSrecentlySstarted.STheSnurseSpractitionerSdecidesStoSprovideSpsych
oeducationSandSto:S-SANSWERSe-mailSdrugSinformationSandSresources
AnyScourtSofSlawSthatSevaluatesStheSstandardsSofScareSprovidedSbySaSpsychiatric-
mentalShealthSnurseSpractitionerS-
SANSWERSconsidersSwhatSaSreasonablySprudentShealthScareSproviderSwouldSdo.
, TheSpsychiatric-
mentalShealthSnurseSpractitionerSandSaSteamSofSlocalSmentalShealthSprofessionalsSareSaskedStoSprovideScris
isScounselingSservice,SafterSaSgunmanSrecentlyStookSaSclassShostageSatSaSlocalSelementarySschool,Swounded
SseveralSstudents,SandSthenSshotShimself.SInSpreparingSforSthisSassignment,StheSnurseSpractitionerSrecogniz
esSthat:S-SANSWERSaSchild'sSdevelopmentalSstageSwillSinfluenceShisSorSherSresponseStoScatastrophicSstress
WhichScommunity-basedSprogramSisSaStertiarySlevelSintervention?S-
SANSWERSPartialShospitalizationSprogramSthatSprovidesSintensiveSgroupStherapySforSrehabilitation.
AS32-year-oldSfemaleSpatientSinformsStheSpsychiatric-
mentalShealthSnurseSpractitionerSthatSsheSisSthreeSmonthsSpregnant.SSheShasSbeenSstableSonSfluoxetineS(Pr
ozac)SforStheSlastStwoSyears.STheSpatientSasksSwhetherSsheSmaySsafelyScontinueSthisSmedicationSduringSherS
pregnancy.STheSnurseSpractitionerSresponds:S-
SANSWERS"Let'sSreviewStheSrisksSandSbenefitsSofScontinuingSorSdiscontinuingSProzacSforSyouSandSyourSbaby.
"
EstablishedSclinicalSguidelinesSsuggestSthatSsuicidalitySisSdecreasedSbyStreatingSpatientsSwhoShaveSborderli
neSpersonalitySdisorderSwith:S-SANSWERSdialecticalSbehavioralStherapy.
ASsix-year-
oldSpatientSwithSautisticSspectrumSdisorderShasSnotSrespondedStoSsixSmonthsSofSpsychosocialSinterventions
SandScontinuesStoSdemonstrateSaggressiveStendenciesStowardSaSyoungerSsibling.STheSpsychiatric-
mentalShealthSnurseSpractitionerSprescribes:S-SANSWERSrisperidoneS(Risperdal)S0.25SmgSonceSaSday.
TheSpsychiatric-
mentalShealthSnurseSpractitionerSworkingSinSaScrisisSstabilizationSunitSevaluatesSaSpatientSverbalizingSsuicid
alSthoughtsSafterSbeingSsexuallySassaulted.SBeforeSprocessingSthroughStheStraumaticSevent,StheSnurseSpract
itionerSfirstSattemptsStoS-SANSWERSprovideSanSenvironmentSofSsafety.
TheSpsychiatric-mentalShealthSnurseSpractitionerSusesSaScognitive-
behavioralSapproachStoShelpSaSpatientSaddressSself-
defeatingSbehaviors.SAfterSidentifyingStheSstressorSthatScausesStheSinappropriateSbehavior,StheSinitialSstrat
egySisStoSexplore:S-SANSWERSrationalSandSirrationalSbeliefsSaboutStheSstressor.
