PMHNP Exam Reported Questions and Answers
2024 Solved 100% New Update.
DBT (dialectical behavior therapy) - ANSWER relaxation muscle prior to DBT
Greatest patient at risk for Violence - ANSWER Substance abuse
EMDR (eye movement desensitization and reprocessing) - ANSWER eye movement
desensitization and reprocessing
What is dissemination? - ANSWER Getting the research information out to those who
need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER There IS a difference but you say there
isn't a difference.
What is a Type II research error? - ANSWER There is NO difference but you say there
is a difference.
What is pseudo-dementia? - ANSWER Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - ANSWER Yes.
What is a drug 1/2 life? - ANSWER The time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypicals can be used with teens? - ANSWER Zyprexa, Abilify, Seroquel - low
doses
,What is a risk of using Tramadol? - ANSWER Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWER HLAB-1502
When might you see toxic epidermal necrolysis? - ANSWER With worsening of SJS
How many generations do you include for a genogram? - ANSWER 1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWER Amino Acids
What is epigenetics? - ANSWER Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - ANSWER Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWER Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - ANSWER You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANSWER
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWER Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSWER
CKMB
,What is the risk of a seriously elevated CKMB? - ANSWER Polymyositis
Rhabdo
What is a normal CKMB? - ANSWER 0.3 mcg/L
What psychoactives does Detrol interact with? - ANSWER Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWER CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER 0-22 males
0-29 females
What is a retic count? - ANSWER Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - ANSWER Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - ANSWER Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWER Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSWER Increase tegretol
levels.
, What happens if a pregnant women takes Accutane? - ANSWER Birth defects.
What labs do you get with RA? - ANSWER Sed rate, RF, ANA, C reactive protein, CBC,
CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ANSWER ANA
When do you assume informed consent? - ANSWER Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSWER Same as
with informed consent
Who can declare a patient incompetent and appoint a guardian? - ANSWER Only a
court
Does impaired judgment mean one is incompetent? - ANSWER No.
Can an advanced directive ever be revoked? - ANSWER Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in
Fact? - ANSWER Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - ANSWER No.
How do Asians see HC providers? - ANSWER As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? -
ANSWER SIgn of respect
What is the evil eye? - ANSWER When a stronger or more powerful person looks at a
weaker person - often infant/child resulting in a hex which presents in illness such as
HA, fever, diarrhea, disturbed sleep, increased fussiness.
How do you protect from the evil eye? - ANSWER Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? - ANSWER Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? - ANSWER Relationship
What is a proximate cause? - ANSWER Connection between A + B.
2024 Solved 100% New Update.
DBT (dialectical behavior therapy) - ANSWER relaxation muscle prior to DBT
Greatest patient at risk for Violence - ANSWER Substance abuse
EMDR (eye movement desensitization and reprocessing) - ANSWER eye movement
desensitization and reprocessing
What is dissemination? - ANSWER Getting the research information out to those who
need to know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of
Lamictal and BCP's
What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER There IS a difference but you say there
isn't a difference.
What is a Type II research error? - ANSWER There is NO difference but you say there
is a difference.
What is pseudo-dementia? - ANSWER Cognitive impairment secondary to depression
that clears when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - ANSWER Yes.
What is a drug 1/2 life? - ANSWER The time it takes for 50% of a drug to be eliminated
from the body.
What 3 atypicals can be used with teens? - ANSWER Zyprexa, Abilify, Seroquel - low
doses
,What is a risk of using Tramadol? - ANSWER Serotonin Syndrome as it is very
serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWER HLAB-1502
When might you see toxic epidermal necrolysis? - ANSWER With worsening of SJS
How many generations do you include for a genogram? - ANSWER 1st degree -
mother, father, siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWER Amino Acids
What is epigenetics? - ANSWER Factors that affect genes - environmental, smoking,
stress, etc...
What part of the brain is involved with OCD? - ANSWER Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWER Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - ANSWER You will need to decreases the level
because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANSWER
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression,
anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWER Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSWER
CKMB
,What is the risk of a seriously elevated CKMB? - ANSWER Polymyositis
Rhabdo
What is a normal CKMB? - ANSWER 0.3 mcg/L
What psychoactives does Detrol interact with? - ANSWER Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? -
ANSWER CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER 0-22 males
0-29 females
What is a retic count? - ANSWER Measures % of reticulocytes in blood (immature
RBC's) Indicates whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - ANSWER Anemia - acute or chronic
bleeding
What does an increased retic count indicate? - ANSWER Bone marrow disorder or
Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWER Doesn't diagnose
anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSWER Increase tegretol
levels.
, What happens if a pregnant women takes Accutane? - ANSWER Birth defects.
What labs do you get with RA? - ANSWER Sed rate, RF, ANA, C reactive protein, CBC,
CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ANSWER ANA
When do you assume informed consent? - ANSWER Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSWER Same as
with informed consent
Who can declare a patient incompetent and appoint a guardian? - ANSWER Only a
court
Does impaired judgment mean one is incompetent? - ANSWER No.
Can an advanced directive ever be revoked? - ANSWER Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in
Fact? - ANSWER Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - ANSWER No.
How do Asians see HC providers? - ANSWER As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? -
ANSWER SIgn of respect
What is the evil eye? - ANSWER When a stronger or more powerful person looks at a
weaker person - often infant/child resulting in a hex which presents in illness such as
HA, fever, diarrhea, disturbed sleep, increased fussiness.
How do you protect from the evil eye? - ANSWER Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? - ANSWER Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? - ANSWER Relationship
What is a proximate cause? - ANSWER Connection between A + B.
