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Georgette Review. PMHNP- 388 2024 QUESTIONS- WITH COMPLETE SOLUTIONS

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Georgette Review. PMHNP- 388 2024 QUESTIONS- WITH COMPLETE SOLUTIONS Question: A patient with a history of alcohol use disorder presents with tremors, hallucinations, and anxiety. Which medication is indicated for the management of alcohol withdrawal? A) Naltrexone B) Disulfiram C) Lorazep...

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  • March 10, 2024
  • 18
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  • Exam (elaborations)
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Georgette Review. PMHNP- 388 2024 QUESTIONS-
WITH COMPLETE SOLUTIONS




Question: A patient with a history of alcohol use disorder presents with tremors, hallucinations, and
anxiety. Which medication is indicated for the management of alcohol withdrawal?



A) Naltrexone

B) Disulfiram

C) Lorazepam

D) Bupropion

Answer: C) Lorazepam

Explanation: Lorazepam, a benzodiazepine, is commonly used to manage symptoms of alcohol
withdrawal, including tremors, hallucinations, and anxiety.

Question: Which of the following is a common side effect of second-generation antipsychotics
(SGAs)?



A) Extrapyramidal symptoms (EPS)

B) Weight gain

C) Sedation

D) Tardive dyskinesia

Answer: B) Weight gain

Explanation: Weight gain is a common side effect of SGAs, which can contribute to metabolic
syndrome and other health issues.

Question: Which assessment finding is concerning for Neuroleptic Malignant Syndrome (NMS) in a
patient taking antipsychotic medication?



A) Hypertension

B) Hyperthermia

,C) Diaphoresis

D) Dry mouth

Answer: B) Hyperthermia

Explanation: Neuroleptic Malignant Syndrome (NMS) is characterized by hyperthermia, muscle
rigidity, altered mental status, and autonomic dysfunction. Hyperthermia is a hallmark sign.

Question: A patient is prescribed sertraline for depression. Which statement indicates a need for
further education?



A) "I should take this medication in the morning."

B) "It may take a few weeks before I notice an improvement in my mood."

C) "I can drink alcohol while taking sertraline."

D) "I should not abruptly stop taking this medication."

Answer: C) "I can drink alcohol while taking sertraline."

Explanation: Alcohol should be avoided while taking sertraline due to the increased risk of side
effects and reduced effectiveness of the medication.

Question: Which of the following is a characteristic feature of Anorexia Nervosa?



A) Binge eating followed by purging behaviors

B) Excessive eating without compensatory behaviors

C) Intense fear of gaining weight and distorted body image

D) Lack of control over eating during binge episodes

Answer: C) Intense fear of gaining weight and distorted body image

Explanation: Anorexia Nervosa is characterized by an intense fear of gaining weight or becoming fat,
despite being underweight, along with a distorted body image.

Question: What is a potential adverse effect of stimulant medications used in the treatment of
Attention-Deficit/Hyperactivity Disorder (ADHD)?



A) Sedation

B) Weight gain

C) Insomnia

D) Bradycardia

Answer: C) Insomnia

, Explanation: Stimulant medications used for ADHD, such as methylphenidate and amphetamines,
can cause insomnia as a common side effect.

Question: Which medication is commonly used as a mood stabilizer in the treatment of Bipolar
Disorder?



A) Lamotrigine

B) Venlafaxine

C) Clonazepam

D) Lithium

Answer: D) Lithium

Explanation: Lithium is a classic mood stabilizer used in the treatment of Bipolar Disorder to prevent
manic and depressive episodes.

Question: A patient with Schizophrenia is prescribed risperidone. What should the PMHNP monitor
for during treatment?



A) Hypoglycemia

B) Suicidal ideation

C) Weight loss

D) Extrapyramidal symptoms (EPS)

Answer: D) Extrapyramidal symptoms (EPS)

Explanation: Risperidone is an antipsychotic that can cause extrapyramidal symptoms (EPS), including
dystonia, akathisia, parkinsonism, and tardive dyskinesia.

Question: Which of the following statements about PTSD (Post-Traumatic Stress Disorder) is correct?



A) It is more common in females than males.

B) Symptoms typically start within a month of the traumatic event.

C) Flashbacks and nightmares are uncommon in PTSD.

D) PTSD is only diagnosed in combat veterans.

Answer: B) Symptoms typically start within a month of the traumatic event.

Explanation: Symptoms of PTSD usually begin within three months of a traumatic event, though they
can sometimes appear years later.

Question: What is a common side effect of Selective Serotonin Reuptake Inhibitors (SSRIs)?

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