PMHNP certification
Exam 2024(Actual test
verified A+)
1. Which patient is at highest risk for SI
a a a a a a a
A. 30y/o married AA female with previous SI attempt *1 risk factor
a a a a a a a a a a
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
a a a a a a a a a a a
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
a a a a a a a a a a a a a a
D.68 y/o single white male with depression *5 risk factors (age, male,
a a a a a a a a a a a
white, depression): D. 68 y/o single white male with depression *5 risk
a a a a a a a a a a a a
factors (age, male, white, depression)
a a a a a
Count the risk factors
a a a
2. When interview teenagers (16 y/o) that arrive with their
a a a a a a a a
aparentswhat should you do?: interview them separately from
a a a a a a a a
aparents.
-This helps Build therapeutic rapport with teens by telling them the info is
a a a a a a a a a a a a
aconfiden- tial. Parents may be upset but remember you are advocating for
a a a a a a a a a a a
athe child.
a
3. Which Ethnic group has the highest rate of suicide?: Native American
a a a a a a a a a a
4. Example A patient is being treated for schizophrenia with
a a a a a a a a
aolanzapine. Which of the following is the most common side effect
a a a a a a a a a a
aofolanzapine?
a
A. Increased waist circumference a a
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
a a a a a a a a
receptoran- tagonism a a
1 a/ a 38
,C. Increased Lipids
a
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA ANSWER)
a a a a a a
5. Which antipsychotics have the least weight gain?: Latuda, Abilify, (also
a a a a a a a a a
least sedating), Geodon-if patient has metabolic syndrome consider
a a a a a a a a
switching to one of the medications above. Or if the patient is overly
a a a a a a a a a a a a a
sedated try switching to ABILIFY
a a a a a
6. Which mood stabilizer have the least weight gain?: Lamictal
a a a a a a a a
2 a/ a 38
,-But remember all mood stabilizers cause some weight gain
a a a a a a a a
7. When presented with a question about typical vs
a a a a a a a
atypicalantipsychotic the answer is usually to start of a:
a a a a a a a a a a
atypical
a
3 a/ a 38
, 2
8. A client presents with complains of changes in appetite, feeling
a a a a a a a a a
afatigued, problems with sleep-rest cycle, and changes in libido. What
a a a a a a a a a
ais
the neu- roanatomical area of the brain that is responsible for the
a a a a a a a a a a a
anormalregulation of these functions?
a a a a
A. Thalamus
B. Hypothalamus
C. Limbic System a
D. Hippocampus: Hypothalamus a
A, B, & D are all part of the limbic system so you can rule that out
a a a a a a a a a a a a a a a a
4 a/ a 38
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