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Exam (elaborations)

PMHNP Exam Questions With New Update Answers

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PMHNP Exam Questions With New Update Answers *cerebrum includes the? - Answer-cerebral cortex thalamus hypothalamus basal ganglia limbic system /.*factors that increase risk for sexual abuse? - Answer-- divorce - history of sexual abuse in family - stress like unwanted pregnancy...

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  • September 23, 2024
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*cerebrum includes the? - Answer-cerebral cortex
thalamus
hypothalamus
basal ganglia
limbic system

/.*factors that increase risk for sexual abuse? - Answer-- divorce
- history of sexual abuse in family
- stress like unwanted pregnancy or IPV
- lack of social support
- psychotic disorder
- substance abuse disorder

/.*First significant psychiatric nursing theory? - Answer-Interpersonal theory by
Hildegard Peplau - promoting adaptive responses is the goal of nursing

/.*gross motor movement controlled by? - Answer-the cerebellum in the brainstem

/.*Heath belief model - Answer-people do not take advantage of screening programs
because: perception of susceptibility, seriousness of illness, perceived benefits of
treatment, perceived barriers to change, expectations of efficacy

/.*Interpersonal theory drives - 2 - Answer-drive for satisfaction and drive for security
(conforming to social norms and group)

/.*Maslow Hierarchy of Needs in order - Answer-WAFS
Water
Air
Food
Sleep

love and belonging -> self-esteem-> self-actualization

/.*Medications to use for bipolar in pregnancy? - Answer-most evidence for haloperidol -
first generation antipscyhotics

Mood stabalizers in 2nd trimester

ECT

,/.*mid brain contains the ? - Answer-ventral tegmental and substantia nigra

/.*parietal lobe - Answer-sensory area
- taste
- agnosia
- sensory-perceptual

/.*part of the brain responsible for complex motor functions. Plays a role in automatic
functions like driving a car. Contains the caudate and putanem. Regulated involuntary
muscle motor activities like muscle tone. Problems in this area lead to badykinesia,
dystoia - Answer-basal ganglia!

/.*Risk of lithium use during gestation? - Answer-arryhtmias, floppy baby, premature
delivery, diabetes insipidus

/.*temporal lobe - Answer-- Wernicke's area (fluent but no comprehension)
- hearing
- memory

/.% of americans with private insurance - Answer-64 %

14.5% have medicare
15% medicaid
16% uninsured

/.10 year plan for nursing's plan toward computer literacy? - Answer-TIGER

/.4 elements of negligence - Answer-1. Duty - NP had a duty to exercise reasonable
care
2. Breach of Duty - The NP violated the applicable standard of care
3. Proximate cause- Causal relationship between breach in care and client's injury
4. Damages - client suffers permanent and substantial damages

/.4 major dimensions of recovery approach? - Answer-health, home, purpose,
community

/.5 A's - Answer-Assess, advise, agree, assist, arrange

/.5 As of behavior change - Answer-Assess, Advise, Agree, Assist, Arrange

/.Abilify MOA - Answer-partial D2 agonist , high risk of akisthesia

/.According to Erikson, when does somatization disorder occur? - Answer-initiative v
guilt

/.activities that present executive functioning - Answer-judgement and planning

,- manage money and appointments, calendar, prioritize

/.acute change of baseline behavior in intellectual dissability ? - Answer-trauma

/.ADHD scales also assess? - Answer-mood, self-esteem, temperment, sleep, peer
relationships -- do not assess obsessive worry or psychosis - some inlcude eating
patterns

/.ADHD sx must be present before age? - Answer-7

/.adjustment disorder timing - Answer-- develops within 3 months of stressor
- persists no longer than 6 months ( can be chronic if longer than 6 months
- different than MDD by sx profile

/.adolescent mania? - Answer-more psychotic features
more substance use
usually prodrome
often seen with antisocial behavior

/.adult ADHD recommended by WHO - Answer-Adult self report screener

/.age of onset for women with schizophrenia - Answer-trimodal
- peaks at 22, 36, and 61
- men have bimodal onset at 21 and 39

/.altruism - Answer-- defense mechanism
- meeting the needs of others to discharge drives

/.Anal phase - Answer-- 1 to 3
- basis for the development of self-confidence and personal autonomy
- failure results in excessive orderliness, stubbornness, willfulness

/.ANOVA - Answer-- inferential statistic
- test the differences among 3 or more groups

/.answers common in pseudodemia - Answer-" i dont know" as oppose to in dementia
when responses dont make sense

/.antisocial personality - Answer-no diagnosis until 18 and must have hx of conduct
disorder before age 15

/.APA reccomendations for hospital admission due to suicidality -- - Answer-patient
should be admitted if patient has a medical reason contributing to the suicide risk level
- no admission for patient with chronic SI without hx of lethal attempts, si in relation to
break up, or SI with a low lethality plan

, /.aphasia - Answer-loss of ability to express or understand speech

/.apraxia - Answer-difficulty planning and performing motor tasks

/.Apraxia - Answer-unable to plan or do motor movement

/.arbitrary inferences - Answer-coming to an incorrect conclusion based on previous
experience

/.area of the brain that modulates pain - Answer-prefrontal cortex - loss of grey matter
associated with chronic pain

/.Arnold Lazarua - Answer-- behavioral therapy
- exposures, relaxation, problem solving, role playing

/.At what age should child say "mama', hold two blocks and give attention with name
called? - Answer-9 months

/.ataque de nervos - Answer-trembling, uncontrollable scream. aggressive/suicidal
behavior, depersonalization/derelization -- look like panic attack - also meets criteria for
uspecified dissociative disorder

/.Attachment theory and risk of disorganized attachement? - Answer-- John Bowlby
- parents with high expressed anxiety and unresolved issues

/.attack of the wind - Answer-dizziness, tinnitus, neck sorness - Cambodia - due to types
of exertion

/.Atypical features - Answer-weight gain, excessive sleep, feeling of being sluggish or
paralyzed, sensitive to rejection

/.Autism areas of impairment - Answer-cognitive, language, social , age appropriate
self-help skills

/.Autism onset of sx? - Answer-before age 3 - no cooing before age 1 , no single word
by 16 months, no two word phrase by 24 months

/.Autonomy v. Shame and Doubt - Answer-- 1 to 3 years
- Self- control, self-esteem and will power
- lack of fulfillment leads to poor self-control, low self-esteem, lack of independence
- paranoia, OCD, impulsivity

/.avoidant personality is marked by - Answer-extreme sensitivity to criticism, feelings of
inadequacy and social inhibition

/.bacterial vaginosis - Answer-grey discharge , clue cells? + whif

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