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PMHNP QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 100% CORRECT
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PMHNP QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 100% CORRECT
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PMHNP QUESTIONS AND ANSWERS WITHVERIFIED SOLUTIONS 100% CORRECT
A psychiatric mental health nurse practitioner working in an outpatient clinic is
evaluating Tom, a 45-year-old man, who has been prescribed oxycodone
(OxyContin, 10 mg q12h) for chronic lower back pain for the past five years. Tom
reports that he used to feel relief with one pill, but now he requires three pills to
achieve the same level of pain relief. This is possibly an example of which process?
1. Kindling
2. Addiction
3. Tolerance
4. Potency - ANSWER 3
A psychiatric mental health nurse practitioner (PMHNP) is conducting an
evaluation on a 7-year-old child, Emma, who has been referred to an outpatient
clinic due to concerns about her behavior and attention span. Her parents report
that she frequently loses her belongings, has difficulty staying seated in class,
struggles to complete schoolwork, and often interrupts others during
conversations. They have also noticed that these symptoms have been present for
at least six months. What is the next action of the PMHNP?
1. Initiate ADHD diagnosis based on parent reports and school observations.
2. Conduct a thorough psychiatric evaluation to rule out other possible causes of
her symptoms.
3. Prescribe a low-dose stimulant medication to see if there is a positive response.
4. Refer Emma for psychotherapy without further assessment. - ANSWER 2
A PMHNP is working in an outpatient pediatric clinic. Sarah's parents have brought
her for an evaluation due to concerns about her behavior. She is an 8-year-old girl
who frequently exhibits symptoms such as difficulty paying attention,
,forgetfulness, impulsivity, and frequent restlessness. What is her most likely
diagnosis?
1. Attention-Deficit/Hyperactivity Disorder (ADHD)
2. Conduct Disorder
3. Generalized Anxiety Disorder (GAD)
4. Autism Spectrum Disorder (ASD) - ANSWER 1
A psychiatric mental health nurse practitioner (PMHNP) working in a pediatric
clinic is assessing a 9-year-old boy, Liam, who has recently been diagnosed with
Attention-Deficit/Hyperactivity Disorder (ADHD). Liam's parents are concerned
about his frequent motor and vocal tics. Which medication is the most
appropriate to prescribe?
1. Methylphenidate (Ritalin)
2. Atomoxetine (Strattera)
3. Guanfacine (Intuniv)
4. Bupropion (Wellbutrin) - ANSWER 3
A PMHNP working in an outpatient mental health clinic is conducting an
assessment of a 40-year-old patient, Sarah, who presents with a long history of
emotional detachment, a preference for solitary activities, and limited interest in
close relationships, including with her own family. Sarah rarely experiences
pleasure from activities and appears indifferent to both criticism and praise.
Which of the following is the most likely diagnosis?
1. Major Depressive Disorder (MDD).
2. Schizotypal Personality Disorder (STPD).
3. Generalized Anxiety Disorder (GAD).
4. Schizoid Personality Disorder (SPD). - ANSWER 4
,A 5-year-old boy shows no interest in playing with other children and ignores
adults other than his parents. He spends hours lining up his toy cars or spinning
their wheels. He rarely uses speech to communicate, and his parents state that he
has never done so. Physical examination indicates that his head is of normal
circumference and his gait is normal. Which of the following is the most likely
diagnosis for this boy?
1. Obsessive-compulsive disorder
2. Fragile X syndrome
3. Fetal alcohol syndrome (FAS)
4. Autism Spectrum Disorder - ANSWER 4
Which of the following medications has a unique mechanism that is both a
serotonin and norepinephrine reuptake inhibitor?
1. Bupropion (Wellbutrin).
2. Sertraline (Zoloft)
3. Clomipramine (Anafranil)
4. Duloxetine (Cymbalta) - ANSWER 4
A PMHNP is evaluating a 10-year-old child, Sarah, referred for assessment due to
frequent severe temper outbursts, irritability, anger, and mood dysregulation.
Sarah's parents report that these episodes occur in various settings and are often
disproportionate to the situation. Which of the following is the most likely
diagnosis?
1. Post-Traumatic Stress Disorder (PTSD)
2. Major Depressive Disorder (MDD)
3. Conduct Disorder (CD)
, 4. Disruptive Mood Dysregulation Disorder (DMDD) - ANSWER 4
Which characteristic of Fluoxetine (Prozac) provides the greatest degree of safety
for patients who have severe depression?
1. Greater efficacy than tricyclic antidepressants
2. Less potential for drug interaction
3. Less potential for injury with intentional overdose
4. Less potential for suicidal thinking - ANSWER 3
During patient education about sertraline (Zoloft), an adult psychiatric and mental
health nurse practitioner focuses upon the potential side effect of:
1. Agranulocytosis.
2. Hypernatremia.
3. Sexual dysfunction.
4. Weight loss. - ANSWER 3
A 72-year-old female is brought in by her husband with increasing forgetfulness,
insomnia, decreased activity, and decreased appetite for 2 months. She has a
history of hypertension and is being treated with lisinopril. The exam is normal,
and the mini-mental status exam provides a score of 24 but she declines to
answer some questions and needs to be urged to participate in the assessment.
What is the most likely diagnosis?
1. Alzheimer disease
2. Vascular dementia
3. Depression
4. Delirium - ANSWER 3
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