PMHNP certification
Exam 2022(Actual test
verified A+)
1. Which patient is at highest risk for SI
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A. 30y/o married AA female with previous SI attempt *1 risk factor
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B. 35 y/o single Asian male with previous SI attempt *3 risk factors
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C. 38 y/o single AA male who is a manager of a bank *2 risk factors
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D. 68 y/o single white male with depression *5 risk factors (age, male, white,
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b depression): D. 68 y/o single white male with depression *5 risk factors (age, male,
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b white, depression)
b
1 b/
,Count the risk factors
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2. When interview teenagers (16 y/o) that arrive with their parents
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b what should you do?: interview them separately from parents.
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-This helps Build therapeutic rapport with teens by telling them the info is confiden-
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b tial. Parents may be upset but remember you are advocating for the child.
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3. Which Ethnic group has the highest rate of suicide?: Native Americans
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4. Example A patient is being treated for schizophrenia with olanzapine.
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b Which of the following is the most common side effect of olanzapine?
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A. Increased waist circumference b b
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor an-
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b tagonism
C. Increased Lipids b
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER)
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5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also least
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b sedating), Geodon-if patient has metabolic syndrome consider switching to one of
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b the medications above. Or if the patient is overly sedated try switching to
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b ABILIFY
6. Which mood stabilizer have the least weight gain?: Lamictal
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2 b/
,-But remember all mood stabilizers cause some weight gain
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7. When presented with a question about typical vs atypical antipsychotic
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b the answer is usually to start of a: atypical
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3 b/
, 8. A client presents with complains of changes in appetite, feeling fatigued,
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b problems with sleep-rest cycle, and changes in libido. What is the neu-
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b roanatomical area of the brain that is responsible for the normal regulation
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b of these functions?
b b
A. Thalamus
B. Hypothalamus
C. Limbic System b
D. Hippocampus: Hypothalamus b
A, B, & D are all part of the limbic system so you can rule that out
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4 b/
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