©SIRJOEL EXAM SOLUTIONS
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Psychiatric NP Exam Questions And Correct
Answers
Under HIPPA, what is the insurance policy that allows you to hold the company's insurance for
18 months after leaving job? - answer✔COBRA
T/F a patient has a right to make changes to their chart as well as see it - answer✔True
Summarize general goals for healthy people 2020 - answer✔Increase the quality and years of life
while eliminating health disparities
What are the 5 conditions NPs are required to report? - answer✔STDs like Gonorhea,
Chlamydia, and Syphillis, as well as TB and HIV (as well as animal bites)
Nurse practitioners are legally required to report what kind of abuse, and what kind is allowed to
be left alone? - answer✔Child and elder abuse, but domestic violence is not required to be
legally reported
What percentage of mental illnesses appear by the age of 18? - answer✔75%
Genetic inheritance that will be present in more than one generation? - answer✔Autosomal
dominant (rare) like huntington's disease
What is the difference between a normal grief response and a protracted grief response? -
answer✔protractive grief response is a risk for pathology characterized by a loss of self esteem
which does not happen with normal grief
What is the rate of schizophrenia admissions to the hospital when both parents are infected by
the illness? one parent? both bipolar? one bipolar? - answer✔almost 40%, 7%, almost 25% and
almost 5% respectively.
How would you treat someone who is psychotropic naive? - answer✔use lower doses due to no
tolerance and no down regulation.
When asking a patient about medical history during a psychiatric interview, what diseases should
we pay particular attention to? Why? - answer✔Autoimmune conditions (possible use of
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10/14/2024 11:14 PM
steroids), metabolic syndrome like heart disease, hyperlipidemia, and diabetes. These can be
made worse in the presence of psychiatric illness or vice versa.
Describe normal patterns of sleep - answer✔Begin in Non-Rem (Stage 1), move into deeper non-
rem or slow wave sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes later and repeats
with each REM stage lasting longer.
What kind of sleep declines markedly with organic brain dysfunction and is sensitive to
temperature extremes? - answer✔REM
Describe REM Sleep - answer✔Great EEG activation, muscle atonia, rapid eye movements,
muscle twitches, and breathing irregularities.
Describe Non Rem Sleep - answer✔minimal mental activity, inactive yet actively regulated brain
in a movable body.
Describe the pneumonic SLAP for assessing suicide - answer✔Social support, lethality, Access,
Plan
DSM 5 criteria for Depression requires: - answer✔at least 5 out of 8 symptoms in the last 2
weeks- 1 being diminished interests/depressed mood, Sleep problems, guilt
(worthlessness/hopelessness), energy deficit, concentration problems, appetite problems,
psychomotor agitation or retardation, suicidality.
DIGFAST Pneumonic for assessing Bipolar disorder - answer✔Distractability, Indiscretion,
grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness.
Pneumonic for OCD- CCR - answer✔continuously, constantly, reptitious
Mental Status Exam Pneumonic- All Bad Subjects Are Tough Troubled Characters -
answer✔Appearance, behavior, speech, affect, thought content/process, Cognitive exam.
Why do we ask people to interpret proverbs in the mini mental status exam? - answer✔to assess
abstract versus concrete interpretations
What does a score of 30 mean on the MMSE? - answer✔100% recall
MMSE 18-24 - answer✔Moderate impairment
MMSE 17 or lower - answer✔severe impairment
what is it called when you point to a pen, ask a patient to name it, and they cannot? -
answer✔agnosia
What are the scores of the SLUMS mental status exam? - answer✔high= 30, 0-20= dementia
