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Test Bank for PMHNP Boards 2024 Questions and Answers
Test Bank for PMHNP Boards 2024 Questions and Answers
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Test Bank for PMHNP Boards 2022 Questions and AnswersWhat is true of interprofessionality? Answer- All health professionals have individual professional competencies
What is the significance of an experimental p-value of 0.05 Answer- 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? Answer- 30%
In the DSM-5, selective mutism is now considered what type of disorder? Answer- anxiety disorder
Symptoms of selective mutism must persist for at least Answer- 1 month
Common competencies Answer- 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 Answer- enhance the qualities of other professions in provision of care
Collaborative competencies Answer- 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 Answer- patient
Cognitive therapy is recommended for patients that have Answer- negative cognitive distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients with Answer- self-actualization and self-directed growth
Behavioral Therapy focuses on Answer- changing maladaptive behaviors through the use of behavioral modification techniques Existential therapy is for Answer- 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? Answer- 6 ((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report that suggested Answer- 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 Answer- influential report issued by US Surgeon General in 1999
State of high negative emotion and pessimism Answer- 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. Answer- Extraversion (high levels protect from psychiatric illness)
Introverts are more likely to be _______ motivated and more likely to respond to _______ reinforcement Answer- 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 Answer- 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. Answer- conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a functional analysis of behavior (FAB). What is true about FAB? Answer- 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 _____ Answer- perceptual psychology
behavior
Medication that can delay ejaculation in patients with premature ejaculation Answer- Paroxetine (and other SSRIs) (others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
First line treatment for lithium induced diabetes insipidus Answer- Amiloride (K potassium diuretic) in addition to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicity Answer- 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 Answer- it's more likely to cause transient delirium (worsened dyskinesias induced by l-dopa)
Lithium effects with Parkison's disease Answer- may worsen tremor
nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________ Answer- l-dopa products
hypertensive crisis
Selegiline is selective for Answer- 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 Answer- worsen (and decrease 'off time')
Process describes the mechanism by which the hippocampus stores memories Answer-
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) Answer- systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately following a traumatic event Answer- localized amnesia
Person can recall some but not all of events from a particular time period Answer- selective amnesia
Lack of memory of the patient's entire life Answer- generalized amnesia
The drugs that are FDA approved for GAD Answer- Paroxetine
Citalopram Escitalopram
Venlafaxine
Duloxetine
Buspar
A surrogate has the right to terminate pregnancy if Answer- 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 Answer- 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? Answer- 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? Answer- Calcium Channel Blockers
3 Contraindications to use a calcium channel blocker Answer- 1st or second degree heart block
Bradycardia
CHF
4 Side effects of calcium channel blockers Answer- Headache
Lower extremity edema
Bradycardia
Heart Block
An NP is evaluating a 78 year old female with depression. She suspects the patient may
have Parkinson's disease. Which of the following is consistent with that diagnosis? Answer- Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
Writhing movements occur with Answer- Huntington's chorea
10 Non-motor manifestations of Parkinsons Answer- Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
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