PMHNP BOARD REVIEW (2020) WITH 151 QUESTIONS AND
ANSWERS
#1 Cause of Preventable Blindness - -Chlamydia
-3 Main Approaches to Behavioral Therapy - -ABA - all behavior is r/t consequences
Stimulus Response Model - Classical conditioning
Social Cognitive Theory - Pavlov's dog
(***Focus is Here & Now, Tx is individually tailored***)
-A TSH of (?) indicates Hypothyroid - -> 4.2
-Acetylcholine receptors - -Nicotinic & Muscarinic
-Acetylcholine role - -Learning, thought, & memory, involved in physical muscle action
-Adrenaline - -"Fight or Flight"
-Agraphesthesia - -Inability to recognize symbols, letters or numbers traced on the skin (SOFT SIGN)
-Akathisia - -Excessive motor activity (ex: pacing, wringing hands, inability to sit still)
-Alogia - -Poverty of speech (Negative Sx of Schizophrenia)
-Amino Acid NT - -GABA (universal inhibitory NT)
Glutamate (universal excitatory NT)
-Apraxia - -inability to carry out motor activities (deficits may exist in motor, sensory, comprehension, or
cooperation)
-Assessment Methods of Behavioral Therapy - -Self-monitoring
Behavioral observation
Psychometric evaluations
-Astereognosis - -Inability to discriminate between objects based on touch (result of parietal lesion)
(SOFT SIGN)
-Ataxia - -Impaired balance or coordination
-Avolition - -Lack of motivation to begin or complete a task (Negative Sx of Schizophrenia)
-Body Areas Assessed by AIMS (for TD & EPS) - -Oral/Facial
Extremities
, Trunk
Global Judgement
-CAGE - -Cut down
Annoyed
Guilty
Eye-Opener
>=2 is clinically significant
-Cannabis Treatment - -Motivational Enhancement Therapy (MET)
Best Tx is MET + CBT + Contingency Management
-Cannabis W/D Symptoms Timeline - -Sx begin w/in 24 - 48 hours
Peak 4 - 6 hours
Duration 1 - 3 weeks
-Catecholamine NTs - -Adrenaline
Norepinephrine
Dopamine
-Cholinergic NT - -Acetylcholine
-Choriform Movements - -Jerking or writhing movements (SOFT SIGN)
-Circumferential Thought - -The client goes through multiple related thoughts before arriving at the
answer to the question
-CIWA - -Clinical Institute Withdrawal Assessment
0-8 Support &Monitoring w/o meds! (NO meds unless >=8)
8-14 = Pharm Intervention
15 = IMMEDIATE Pharm Int!
-CIWA Measurement Guideline - -N/V
Tremors
Paroxysmal Sweats
Anxiety
Agitation
Tactile, Auditory, Visual Disturbances
H/As or "fullness in head"
Orientation/Sensorium
-Clinical Symptoms of Hypothroidism - -Fatigue (usually 1st sx)
Depression & Anxiety
Cold intolerance
Sleep problems
Constipation
Memory impairment
Decreased libido
ANSWERS
#1 Cause of Preventable Blindness - -Chlamydia
-3 Main Approaches to Behavioral Therapy - -ABA - all behavior is r/t consequences
Stimulus Response Model - Classical conditioning
Social Cognitive Theory - Pavlov's dog
(***Focus is Here & Now, Tx is individually tailored***)
-A TSH of (?) indicates Hypothyroid - -> 4.2
-Acetylcholine receptors - -Nicotinic & Muscarinic
-Acetylcholine role - -Learning, thought, & memory, involved in physical muscle action
-Adrenaline - -"Fight or Flight"
-Agraphesthesia - -Inability to recognize symbols, letters or numbers traced on the skin (SOFT SIGN)
-Akathisia - -Excessive motor activity (ex: pacing, wringing hands, inability to sit still)
-Alogia - -Poverty of speech (Negative Sx of Schizophrenia)
-Amino Acid NT - -GABA (universal inhibitory NT)
Glutamate (universal excitatory NT)
-Apraxia - -inability to carry out motor activities (deficits may exist in motor, sensory, comprehension, or
cooperation)
-Assessment Methods of Behavioral Therapy - -Self-monitoring
Behavioral observation
Psychometric evaluations
-Astereognosis - -Inability to discriminate between objects based on touch (result of parietal lesion)
(SOFT SIGN)
-Ataxia - -Impaired balance or coordination
-Avolition - -Lack of motivation to begin or complete a task (Negative Sx of Schizophrenia)
-Body Areas Assessed by AIMS (for TD & EPS) - -Oral/Facial
Extremities
, Trunk
Global Judgement
-CAGE - -Cut down
Annoyed
Guilty
Eye-Opener
>=2 is clinically significant
-Cannabis Treatment - -Motivational Enhancement Therapy (MET)
Best Tx is MET + CBT + Contingency Management
-Cannabis W/D Symptoms Timeline - -Sx begin w/in 24 - 48 hours
Peak 4 - 6 hours
Duration 1 - 3 weeks
-Catecholamine NTs - -Adrenaline
Norepinephrine
Dopamine
-Cholinergic NT - -Acetylcholine
-Choriform Movements - -Jerking or writhing movements (SOFT SIGN)
-Circumferential Thought - -The client goes through multiple related thoughts before arriving at the
answer to the question
-CIWA - -Clinical Institute Withdrawal Assessment
0-8 Support &Monitoring w/o meds! (NO meds unless >=8)
8-14 = Pharm Intervention
15 = IMMEDIATE Pharm Int!
-CIWA Measurement Guideline - -N/V
Tremors
Paroxysmal Sweats
Anxiety
Agitation
Tactile, Auditory, Visual Disturbances
H/As or "fullness in head"
Orientation/Sensorium
-Clinical Symptoms of Hypothroidism - -Fatigue (usually 1st sx)
Depression & Anxiety
Cold intolerance
Sleep problems
Constipation
Memory impairment
Decreased libido
