PMHNP Exam Questions And Answers
Already Passed!!!
What do you provide for a patient if they lost their job or house - correct
answer...✔✔Brief supportive therapy
Cultural expected responses to a stressor = meaning/context - correct answer...✔✔
Cultural syndrome
3 steps to cultural formulation of interviews - correct answer...✔✔Clarify meaning of
illness/predicament
Contextualize their situation in their local world
Empower the patient
Somatic complaints of pain interpret patient symptoms based on what - correct
answer...✔✔Cultural Context
Serving multicultural population is called multicultural teaching what should you use -
correct answer...✔✔Ethno specific assessment parameters
Seen in the Latino population. Result from a shocking, unpleasant or frightening
experience that is believed to cause the soul to leave the body - correct answer...✔✔
Susto (fright)
Attack of nerves, uncontrollable shouting, attacks of crying, trembling, heat in chest that
raises to the head, verbal/physical aggression - correct answer...✔✔Ataque de nervios
aka Puerto rican syndrome
What is considered the evil eye causing fatigue, HA, weight loss, exhaustion, and
malaise - correct answer...✔✔Mal de ojo
Empacho means what - correct answer...✔✔Blocked intestine, indigestion
(bloating/nausea)
mollera caida - correct answer...✔✔sunken fontanel
A patient develops symptoms with eye contact due to culture syndrome. How do you tx
them? - correct answer...✔✔Brief supportive therapy
Education to multicultural population you must provide ________ teaching - correct
answer...✔✔multicultural
AGRADESOLUTIONS
,What culture can have an imbalance between an individual relationship with the world -
correct answer...✔✔Native Americans
What ethnicity has the highest risk of suicide - correct answer...✔✔Native Americans
If a nurse tries to take away a healing stick what should you do - correct answer...✔✔
Teach the nurse cultural competency
What must an NP do before releasing information to a traditional healer - correct
answer...✔✔Get informed consent
It is culturally sensitive to provide a _____ if a patient does not speak english - correct
answer...✔✔interpreter
S/S of hypothyroidism can mimic - correct answer...✔✔depression
S/S of hyperthyroidism can mimic - correct answer...✔✔mania
If the T3 and T4 ar high the TSH will be - correct answer...✔✔Low
low TSH is indicative of - correct answer...✔✔hyperthyroidism
S/S of hyperthyroidism - correct answer...✔✔Heat intolerance, agitation, anxiety,
irritability, tachycardia, mood swings, weight loss
S/S of hypothyroidism - correct answer...✔✔Cold intolerance, lethargy, weight gain,
decreased libido
TSH levels - correct answer...✔✔0.5 - 5 is normal
TSH is 0.4 - correct answer...✔✔Hyperthyroidism
TSH of 7 - correct answer...✔✔Hypothyroidism
A patient on Depakote presents with abdominal pain in the RUQ, reddish/brown urine,
yellowing of skin, fatigue - correct answer...✔✔Signs of hepatotoxicity
Intervention for a pt on depakote and presenting with hepatotoxicity - correct answer...
✔✔D/C, check LFT (AST, ALT)
AST and ALT levels - correct answer...✔✔AST: 5-40
ALT: 5-35
AGRADESOLUTIONS
,Therapeutic range for depakote - correct answer...✔✔50-125, toxicity starts at what
level
S/S of depakote toxicity? - correct answer...✔✔Disorientation, lethargy, decreased
respiratory rate, and N/V
Intervention for depakote toxicity - correct answer...✔✔DC, check depakote level, LFT,
and ammonia
A patient on depakote presents with upper abd pain radiating to back, abd tenderness,
fever, rapid pulse, NV, oily stools - correct answer...✔✔Pancreatitis
What can depakote cause if a pregnant patient is taking it - correct answer...✔✔Spina
Bifida NT defect
What can KAVA cause - correct answer...✔✔liver damage
Why do people take KAVA - correct answer...✔✔anxiety, stress, insomnia
What happens if you take xanax and kava - correct answer...✔✔Drowsiness
What medications can you not take KAVA with - correct answer...✔✔Sedatives like
CNS depressants
Clonazepam, lorazepam, phenobarbital, zolipedm
What are s/s of steven johnson syndrome which can occur with lamotrigine - correct
answer...✔✔Fever, boxy aces, red rash, peeling of skin, face/tongue swelling
What mood stabilizer causes the least amount of weight gain - correct answer...✔✔
Lamotrigine
What mood stabilizers cause the least amount of weight gain - correct answer...✔✔
Ziprasidone, aripiprazole (least sedating) and lurasidone (ZAL)
What labs should be checked for pt's who are taking antipsychotics that can cause
weight gain - correct answer...✔✔BMI, his waist ratio (checks abd obesity) glucose and
lipids
Management of antipsychotic induced weight gain - correct answer...✔✔Exercise,
nutritional counseling, or switch to a different one like ZAL
What black bow warning comes with carbamazepine (tegritol) - correct answer...✔✔
Agranulocytosis and aplastic anemia
AGRADESOLUTIONS
, S/S of aplastic anemia - correct answer...✔✔Pallpr, fatiuge, HA, fever, nosebleeds,
bleeding gums, skin rash, SOB
What medication should you screen the HLAB 1502 allel for and for what population -
correct answer...✔✔Carbamazepine and asians
Antiepileptics such as tegretol, topamax, and dilantin are well known for - correct
answer...✔✔Decreasing effectiveness of oral contraceptives
Monitor pt who take carbamazepine and clozapine together: - correct answer...✔✔For
infection, sudden fever, chills, sore throat, weakness
When should you D/C carbamazepine or clozapine for ANC level - correct answer...✔✔
1000, weather a pt has infection or not
Besides agranulocytosis and aplastic anemia, carbamazepine can also cause what
blood issue - correct answer...✔✔Neutropenia
At what level can lithium toxicity occur - correct answer...✔✔0.6-1.2
What medication is the neuroprotective treatment of choice for bipolar disorder - correct
answer...✔✔Lithium
Gold standard for treating manic episodes - correct answer...✔✔Lithium
What mood stabilizer has evidence of anti suicidal effects - correct answer...✔✔Lithium
What medication has been scientifically shown to reduce the sick of suicide in pt's with
schizophrenia - correct answer...✔✔Clozapine
What labs should you assess for lithium (5) - correct answer...✔✔TSH- 0.5-5.0
CRT: 0.6-1.2
BUN:10-20
UA: assess for proteins (large = +4) can ID kidney disease
Pregnancy test: HCG 12-51 yr old
Side effects of lithium - correct answer...✔✔Hypothyroidism, fine hand tremor,
maculopapular rash, GI upset (diarrhea, vomiting, cramps, anorexia) DI (polyurua,
polydipsia, t wave inversion, leukocytosis
What can lithium cause in pregnancy - correct answer...✔✔Epstein anomaly
(congenital heart defect)
AGRADESOLUTIONS
