PMHNP CERTIFICATION EXAM
2024/25(ACTUAL TEST VERIFIED A+)
NEWEST UPDATE QUESTIONS WITH
CORRECT ANSWERS A+ GRADED
1. Which patient is at highest risk for SI
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A. 30y/o married AA female with previous SI attempt *1 risk
f f f f f f f f f
factor
f
B. 35 y/o single Asian male with previous SI attempt *3 risk
f f f f f f f f f f
factors
f
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
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D. 68 y/o single white male with depression *5 risk factors (age,
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male, white, depression): D. 68 y/o single white male with depression
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*5 risk factors (age, male, white, depression)
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Count the risk factors f f f
2. When interview teenagers (16 y/o) that arrive with their
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parents what should you do?: interview them separately from
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parents.
f
-This helps Build therapeutic rapport with teens by telling them the
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info is confiden- tial. Parents may be upset but remember you are
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advocating for the child.
f f f f
3. Which Ethnic group has the highest rate of suicide?: Native
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Americans
f
4. Example A patient is being treated for schizophrenia withf f f f f f f f
olanzapine. Which of the following is the most common side
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effect of olanzapine?
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1 f/
,A. Increased waist circumference f f
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
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receptor an- tagonism f f
C. Increased Lipids f
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA f f f f f
ANSWER)
f
5. Which antipsychotics have the least weight gain?: Latuda,
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Abilify, (also least sedating), Geodon-if patient has metabolic
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syndrome consider switching to one of the medications above. Or if
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the patient is overly sedated try switching to ABILIFY
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6. Which mood stabilizer have the least weight gain?: Lamictal
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-But remember all mood stabilizers cause some weight gain
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7. When presented with a question about typical vs atypical
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antipsychotic the answer is usually to start of a: atypical
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2 f/
, 2
8. A client presents with complains of changes in appetite,
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feeling fatigued, problems with sleep-rest cycle, and changes in
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libido. What is the neu- roanatomical area of the brain that is
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responsible for the normal regulation of these functions?
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A. Thalamus
B. Hypothalamus
C. Limbic System f
D. Hippocampus: Hypothalamus f
A, B, & D are all part of the limbic system so you can rule that out
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3 f/
, 3
9. When a patient is hesitant to participate in treatment you should encour-ag
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10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L f f f f f
11. When T4 and T3 are high and TSH is low what is the
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diagnosis: HY- PERTHYROIDISM, TSH secretion decreases: TSH
f f f f f f f
fLOW à key symptoms HEAT INTOLERANCE
f f f f f
12. Key symptoms of Heat Intolerance: Hyperthyroidism
f f f f f
13. When T4 and T3 are Low and TSH is high what is the
f f f f f f f f f f f f
diagnosis: (HY- POTHYROIDISM) TSH secretion increased: TSH
f f f f f f f
fHIGH à COLD INTERANCE
f f f
14. Key symptoms of Cold Intolerance: Hypothyroidism
f f f f f
15. Hyperthyroid can mimic: Mania f f f
16. Hypothyroid can mimic: Depression f f f
17. A patient on depakote complains of RUQ pain and has
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reddish/brown urine: Hepatoxicity
f f f
-Check LFTs f
18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
f f f f f f
19. You suspect depakote toxicity what do you do?: Check
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-LFT
-Ammonia
-Depakote Level f
20. What herbal supplement can cause hepatoxicity?: Kava Kava
f f f f f f f
21. When taking Kava Kava in combinations with other f f f f f f f
medications you should caution about: Risk of Hepatoxicity
f f f f f f f f
and Sedation
f f
22. TCAs carry a risk of: Hepatotoxicity f f f f f
23. Signs of Stevens-Johnson Syndrome: -fever, mouth pain,
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swelling, burning eyes, blisters, skin pain
f f f f f f
4 f/
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