Exam (elaborations)

PMHNP Certification Exam Questions With Verified Answers

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PMHNP Certification Exam Questions With Verified Answers Tarasoff Principle - answer1976 - duty to warn victims of potential harm from client Deontological Theory - answerEthical theory that states an action is judged as good or bad based on the act itself regardless of the consequences Teleol...

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pmhnp certification exam questions with verified a

Institution PMHNP
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PMHNP Certification Exam Questions With
Verified Answers

CAGE - answer✔items responses are scored either 1 or 0. A score 2 or higher is considered
clinically significant

OCD - answer✔obsessive thoughts interfere with your daily life
-are you concern about things being contaminated, keeping things in perfect order
-do you feel driven to perform certain acts over and over again?
-have unwanted images or thought that you cant seem to get out of your head

layman's explanation of mental illness - answer✔Abnormal functioning of neurotransmitters.
Neuroanatomical differences have been found in some cases.
-can arise from multiple sources, not a single or consistent cause has been established

biomedical psychiatry - answer✔mental illness is conceptualized as a disorder of the brain circuit
caused by a complex interplay of genetic and environmental factor

state-dependent learning - answer✔when a memory is formed a new neural pathway is created. If
the memory was formed under specific chemical conditions (on a drug, manic), then the pathway
will be primed to work most effectively under these circumstances.
-state-dependent learning in bipolar. Bipolar individuals in a depressed episode may not be able
to recall details of manic episodes. Corroboration is needed.

Assessment tools to screen for cognitive impairment - answer✔-folstein mini-mental: perfect
score is 30. <24 impairment. If only 9th grade education <17

Abnormal sodium levels - answer✔-increased: dehydration, methyldopa,
-decreased: SIADH, heart failure, nephrotic syndrome, hepatic disease.

Abnormal Potassium levels - answer✔Increased: amiloride, spirolactone, lithium, propranolol.
Decreased

alpha 1 antagonists - answer✔-vasodilator and used for hypertension

, ©BRAINBARTER 2024/2025

-raynauds
-PTSD and GAD
-benign prostatic hyperplasia (tamsulosin)
-agonism: vasoconstrictor
-trazadone and many antipsychotics

ESR-erythrocyte sedimentation rate - answer✔high values indicate autoimmune, malignancies,
infections

absolute neurophil count calculations - answer✔total WBC x percentage of neurophil in
differential=ANC

Calcium - answer✔-increased: >10.8 caused by hyperparathyroidism from tumor of renal
disease, lithium

PET vs. fMRI - answer✔measures brain activity by associated changes in blood flow. Relies on
fact that cerebral blood flow and neuronal activity are coupled.
-In addition, PET has the advantage of being able to identify specific receptors associated with
neurotransmitter through its ability to image radioactive ligands

ELISA testing - answer✔-first screen with ELISA. ELISA tests for HIV antibodies. Vast
majority of HIV positive people have detectable antibodies by 3 months after exposure.

Splitting - answer✔the individual segregates experiences in to all-good or all-bad, with no room
for ambiguity or ambivalence.

displacement - answer✔separation of emotion from it object of discontent and redirected to a
less threatening and intimidating
--example: displaced aggression- If expressing or dismay to the source of the anger could lead to
negative consequences, we may rather than express our angry to a person or object that pose no
threat.

introjecion - answer✔a process whereby an individual unconsciously incorporates the qualities
of another person into his or her ego structure

Gestalt Therapy - answer✔emphasizes personal responsibility. Cultivate a greater self-awareness
and mindfulness.
-greater self-awareness of mind and body
-chair technique: a role-playing exercise. The client is asked to adopt one role in one chair, and
another in the other chair (e.g. plays parent and then plays child)

, ©BRAINBARTER 2024/2025

Hyperprolactinemia and Risperidone - answer✔-prolactin levels peak the first 6 to 8 weeks
-returns to normal range in 3 t0 5 months
-hyperprolactinemia is dose-dependent
-osteopenia, amenorrhea, galactorrhea, gynecomastia
-get baseline, repeat in two months. ask about nipple discharge, menstruation, sexual
dysfunction. If the patient has elevated prolactin after 2 months but no symptoms, repeat test in
two months.

Antipsychotics that cause the most hypotension - answer✔olanzapine, risperidone, quetiapine

Rett Syndrome - answer✔-more common in females--the mutation arises from the X
chromosome.
-onset before first birthday
-loss of skills already acquired: speech and purposeful hand movement
-delayed head growth, scoliosis, ataxia

Tourettes - answer✔-tics must be present for at least a year before diagnosis
-must have motor and vocal tic
-abnormalities in the basal ganglia andd dopamine system are implicated
-First use guanfascine or clonidine. if doesnt work then use risperidone

autism - answer✔appears before the age of 3. Difficulty with communication
-pervasive failure to form social relationships
-problems with communication
-ritualistic behaviors
-stereotyped behavior
-circumscribed range of interests

paranoid personality disorder - answer✔-guarded with others. interprets actions of others as
threatening and deceptive.
-Suspicious that others are out to attack his character or reputation
-uses projection as predominant defense mechanism
-more common in families of schizophrenics

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