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Exam (elaborations)

PMHNP Boards Exam Questions with 100% Correct Answers

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PMHNP Boards Exam Questions with 100% Correct Answers A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The psychiatric...

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  • October 22, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PMHNP
  • PMHNP
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JOSHCLAY
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

PMHNP Boards Exam Questions with

100% Correct Answers


A 14-year-old patient has nonspecific complaints about pain in his or her

legs. The physical examination is unremarkable. Laboratory results are

within normal limits except for a markedly elevated alkaline phosphatase

level. The psychiatric-mental health nurse practitioner - ✔✔interprets the

findings as normally occurring during a rapid adolescent growth spurt

Laboratory findings for a patient with an alcohol use disorder indicate

increased liver function values and: - ✔✔increased MCV and elevated

triglyceride levels.

A new patient arrives at the office for treatment for depression. The patient

reports taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an

antidepressant, the psychiatric-mental health nurse practitioner eliminates

fluoxetine (Prozac), based on the knowledge that the combination can lead

to increased plasma levels of the statin, resulting in an increased risk of

muscle damage and rhabdomyolysis. The nurse practitioner's reason is

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

that: - ✔✔one medication is a CYP450 3A4 substrate and one is a CYP450

3A4 inhibitor.

A 28-year-old patient who is psychotic arrives at the clinic with family

members but refuses to meet if the family members are present. The

psychiatric-mental health nurse practitioner - ✔✔asks the family members

to leave for the appointment.

The psychiatric-mental health nurse practitioner is responsible for initiating

quality improvement at a community mental health clinic. The effective

strategy for evaluating the clinic's services is to: - ✔✔use a survey to elicit

patient satisfaction responses.

The psychiatric-mental health nurse practitioner evaluates a new adult

patient via telemedicine. The patient has questions about a new medication

that he or she recently started. The nurse practitioner decides to provide

psychoeducation and to: - ✔✔e-mail drug information and resources

Any court of law that evaluates the standards of care provided by a

psychiatric-mental health nurse practitioner - ✔✔considers what a

reasonably prudent health care provider would do.

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

The psychiatric-mental health nurse practitioner and a team of local mental

health professionals are asked to provide crisis counseling service, after a

gunman recently took a class hostage at a local elementary school,

wounded several students, and then shot himself. In preparing for this

assignment, the nurse practitioner recognizes that: - ✔✔a child's

developmental stage will influence his or her response to catastrophic

stress

Which community-based program is a tertiary level intervention? -

✔✔Partial hospitalization program that provides intensive group therapy for

rehabilitation.

A 32-year-old female patient informs the psychiatric-mental health nurse

practitioner that she is three months pregnant. She has been stable on

fluoxetine (Prozac) for the last two years. The patient asks whether she

may safely continue this medication during her pregnancy. The nurse

practitioner responds: - ✔✔"Let's review the risks and benefits of continuing

or discontinuing Prozac for you and your baby."

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