PMHNP certification Actual Questions and CORRECT Answers
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Course
PMHNP
Institution
PMHNP
PMHNP certification Actual Questions and
CORRECT Answers
What are assessed in the Thought Content of the MSE - CORRECT ANSWER- SI/HI,
Plan, Hallucinations
• PNEUMOIC - Old Age Parents Love Grandchildren - CORRECT ANSWER- • Oral (0-
18 months), Anal (18 months - 3 years), Phallic (3 years...
PMHNP certification Actual Questions and
CORRECT Answers
What are assessed in the Thought Content of the MSE - CORRECT ANSWER- ✔✔SI/HI,
Plan, Hallucinations
• PNEUMOIC - Old Age Parents Love Grandchildren - CORRECT ANSWER- ✔✔• Oral (0-
18 months), Anal (18 months - 3 years), Phallic (3 years to 6 years), Latent (6 to 12), Genital
(12 +)
• FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6
years old - CORRECT ANSWER- ✔✔• 3-year-old masturbates, play with self, says naughty
things
• This is NORMAL for children this age.
What do you do when a patient has an increased prolactin level? - CORRECT ANSWER-
✔✔• Stop prolactin (stop the agent that cause increase prolactin)
• ACUTE STRESS DISORDER - CORRECT ANSWER- ✔✔• A d/o resulting from exposure
to a major stressor, with SX of ANX, depression, dissociation, recurring nightmares, sleep
disturbances, problems in concentrations, reliving the event, dreams, flashbacks - UP to ONE
MONTH - Less than 1 month.
• If LONGER than 1 month = PTSD
- Symptoms that occur immediately after the event but resolve in less than 3 days would not
meet criteria for acute stress disorder
What would you do if a 5-year-old tells you his brother sodomized him? - CORRECT
ANSWER- ✔✔• Tell mom don't leave him alone with patient and call CPS implement crisis
If a child is playing with doll in a sexual way, what do you do first? - CORRECT ANSWER-
✔✔• You SUSPECT sexual abuse - Perform FURTHER ASSESSMENT and GATHER
ENOUGH INFO BEFORE Calling CPS to report suspected Sexual Abuse - You HAVE to
report but you have to have something (assessment data) to report - Assess = FIRST
,If a 13-year-old tells you he want to smoke, what would be an appropriate response? -
CORRECT ANSWER- ✔✔• Ask him of his plan to stop smoking
If a 14-year-old girl clenching her teeth, what cranial nerve would you suspect? - CORRECT
ANSWER- ✔✔• Cranial nerve V-Trigeminal nerve (FIVE)
What cranial nerve is responsible for Bells Palsy? - CORRECT ANSWER- ✔✔7 = Facial
Paralysis
What cranial nerves do you assess for corneal sensation - CORRECT ANSWER- ✔✔Nerves
5&7
What cranial nerves do you assess for papillary reaction to light and accommodation? -
CORRECT ANSWER- ✔✔Nerves 3,4,& 6
What cranial nerves do you assess for 6 cardinal fields of gaze & extra-ocular movements? -
CORRECT ANSWER- ✔✔Nerves 3, 4, & 6
What cranial nerves do you assess for corneal light reflex? - CORRECT ANSWER- ✔✔3, 4,
&6
Cranial Nerve 3 - CORRECT ANSWER- ✔✔Oculomotor (eye movement): The occulomotor
nerve is responsible for motor enervation of upper eyelid muscle, extraocular muscle and
pupillary muscle.
Cranial Nerve 4 - CORRECT ANSWER- ✔✔Trochlear (eye movement): The trochlear nerve
controls an extraocular muscle.
,Cranial Nerve 5 - CORRECT ANSWER- ✔✔Trigeminal: The trigeminal nerve is responsible
for sensory enervation of the face and motor enervation to muscles of mastication (chewing).
Cranial Nerve 6 - CORRECT ANSWER- ✔✔Abducens (motor): The abducent nerve
enervates a muscle, which moves the eyeball.
Cranial Nerve 7 - CORRECT ANSWER- ✔✔Facial nerve: The facial nerve enervates the
muscles of the face (facial expression).
Cranial Nerve 8 - CORRECT ANSWER- ✔✔Vestibulocochlear (hearing and balance): The
vestibulocochlear nerve is responsible for the sense of hearing and balance (body position
sense).
Cranial Nerve 9 - CORRECT ANSWER- ✔✔Glossopharyngeal: The glossopharyngeal nerve
enervates muscles involved in swallowing and taste. Lesions of the ninth nerve result in
difficulty swallowing and disturbance of taste.
Cranial Nerve 10 - CORRECT ANSWER- ✔✔vagus nerve: The vagus nerve enervates the
gut (gastrointestinal tract), heart and larynx.
Cranial Nerve 11 - CORRECT ANSWER- ✔✔accessory: The accessory nerve enervates the
sternocleidomastoid muscles and the trapezius muscles.
Cranial Nerve 12 - CORRECT ANSWER- ✔✔Hypoglossal (tongue movement): The
hypoglossal nerve enervates the muscles of the tongue.
What is the best action for a 16 y/o with conduct disorder that refuses tx? - CORRECT
ANSWER- ✔✔• Send to psych specialist for acting out kids - Referrals - Have to see if you
are going to refer the same patient to the same provider - Cannot refer the patient to another
provider that is the same as you (ie psych) - you must refer to a neurologist or another
specialist or PCP
What is a priority consideration for a 16-year-old that shows up with mother for first therapy?
- CORRECT ANSWER- ✔✔• Confidentiality (ex. mom sits in lobby)
, What is important to know about ACE inhibitors (Meds for Heart failure/HTN) - CORRECT
ANSWER- ✔✔• This medication can cause increased lithium levels to toxic levels - must
collaborate with PCP to determine whether to change ACE or change Lithium - Can't use
both
What medication INCREASES Lithium serum level up to double - CORRECT ANSWER-
✔✔Ibuprofen
Why is Lithium used? - CORRECT ANSWER- ✔✔• First-line neuro-protective for bipolar
• Lab Values concerning for patient on Lithium: - CORRECT ANSWER- ✔✔• Leukocytosis
• Creatinine
• BUN
• NA+
• 4 + PORTEIN in Urine
• + Pregnancy Test
• Lithium (Eskalith/Lithobid) Toxicity - CORRECT ANSWER- ✔✔• Normal Range of
LITHIUM LEVEL - 0.5 - 1.2 mEq/L
• MONITOR for TOXICITY: Toxicity = > 1.2 mEq/l
• Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic taste and
SEVERE tremor.
Common side effects of Lithium (Eskalith/Lithobid) - CORRECT ANSWER- ✔✔Nausea,
fine-hand tremors (start monitoring for toxicity), increased urination and thirst
What pregnancy category is Lithium (Eskalith/Lithobid) - CORRECT ANSWER-
✔✔CATEGORY D: AVOID in pregnancy, especially 1st trimester - Ebstein anomaly, cardiac
defect
What increases risk of lithium (Eskalith/Lithobid) toxicity? - CORRECT ANSWER-
✔✔NSAID, dehydration and Thiazides
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