PMHNP Boards Actual Questions and
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-m...
PMHNP Boards Actual Questions and
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 - CORRECT ANSWER- ✔✔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: - CORRECT ANSWER- ✔✔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 that: -
CORRECT ANSWER- ✔✔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 -
CORRECT ANSWER- ✔✔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: - CORRECT ANSWER- ✔✔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: - CORRECT
ANSWER- ✔✔e-mail drug information and resources
, Any court of law that evaluates the standards of care provided by a psychiatric-mental health
nurse practitioner - CORRECT ANSWER- ✔✔considers what a reasonably prudent health
care provider would do.
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: - CORRECT
ANSWER- ✔✔a child's developmental stage will influence his or her response to
catastrophic stress
Which community-based program is a tertiary level intervention? - CORRECT ANSWER-
✔✔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: - CORRECT ANSWER- ✔✔"Let's review the risks and benefits
of continuing or discontinuing Prozac for you and your baby."
Established clinical guidelines suggest that suicidality is decreased by treating patients who
have borderline personality disorder with: - CORRECT ANSWER- ✔✔dialectical behavioral
therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six months of
psychosocial interventions and continues to demonstrate aggressive tendencies toward a
younger sibling. The psychiatric-mental health nurse practitioner prescribes: - CORRECT
ANSWER- ✔✔risperidone (Risperdal) 0.25 mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization unit
evaluates a patient verbalizing suicidal thoughts after being sexually assaulted. Before
processing through the traumatic event, the nurse practitioner first attempts to - CORRECT
ANSWER- ✔✔provide an environment of safety.
The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to help
a patient address self-defeating behaviors. After identifying the stressor that causes the
inappropriate behavior, the initial strategy is to explore: - CORRECT ANSWER- ✔✔rational
and irrational beliefs about the stressor.
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