PMHNP Boards Exam Questions With Detailed Answers
2015 consenses model for PMHNP.... - Answer-Psychiatric NP from birth to geriatrics
/.23 year old hispanic mother comes in with her 4 year old son for "mal de ojo" with fitful sleep, diarrhea, vomiting and fever. - Answer-NP respects the und...
2015 consenses model for PMHNP.... - Answer-Psychiatric NP from birth to geriatrics
/.23 year old hispanic mother comes in with her 4 year old son for "mal de ojo" with fitful
sleep, diarrhea, vomiting and fever. - Answer-NP respects the understanding of the
mother of what is wrong with her child. The NP would then negotiate with mother for the
best outcome of the child.
/.6 year old female presents with mother for a new psychiatric evaluation, mother
reports Sam is not making friends, stays by herself, doesn't read aloud, requests adult
assurance before making a decision. What stage of Erickson's stages is Sam having
difficult with? - Answer-Industry vs inferiority stage
Children 5-13 working towards learning new skills and taking pride in those skill,
pleasure and boundaries.
/.67 year old Vietnamese immigrant, US resident for 3 years. Speaks some English,
problems with reading and writing, didn't finish school, no GED. What is your priority
disparity to address with patient? - Answer-Health Literacy
/.74 year old completes mini mental status exam. The patient is unable to draw the face
of the clock. Which are of the brain is likely to have compromised functioning? - Answer-
Right Hemisphere
/.8 year old male presents with foster mom who indicates stepfather sexually abused
him You know which of the following are evidence-based treatments. - Answer-Trauma-
focused cognitive behavioral therapy is the minimum standard of therapy for a chid with
history of trauma.
/.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 - Answer-interprets the findings as normally occurring during a rapid
adolescent growth spurt
/.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 - Answer-asks the family members to leave for the appointment.
/.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: - Answer-"Let's review the risks and
benefits of continuing or discontinuing Prozac for you and your baby."
/.A girls states this group has made me not feel so alone - Answer-Example of Yalom's
currative factor "universality"
/.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: - Answer-one medication is a CYP450 3A4 substrate and
one is a CYP450 3A4 inhibitor.
/.A normal anxiety response includes all of the following except... - Answer-Decreased
perceptual field with attention focused on a small area is indicated of severe anxiety.
/.A normal anxiety response to anxiety does not include - Answer-Perceptual field is
diminished with focus on a small area
/.A patient from India emphasizes a strong feeling that he or she is one with Brahma
and connected to life through this being. While developing a treatment plan, the
psychiatric-mental health nurse practitioner realizes that this patient's spirituality also
guides his or her: - Answer-interpretation of life events.
/.A patient is referred to an outpatient psychiatric clinic for evaluation of depressive
episodes after bouts of overeating. Assessment reveals a five-year history of episodes
of uncontrollable overeating precipitated by feelings of tension. This occurs about two to
three times per week and for the past year has been associated with laxative use, self-
induced vomiting, and periods of fasting to maintain body weight. The patient reports
becoming increasingly depressed and has considered suicide in the past. The treatment
plan includes medical evaluation with electrolyte studies and: - Answer-referral for
cognitive behavioral therapy.
/.A patient who has borderline personality disorder experiences intense anxiety when
the psychiatric-mental health nurse practitioner goes on vacation. The most appropriate
explanation for this reaction is that the patient: - Answer-has not developed object
constancy.
/.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: -
Answer-risperidone (Risperdal) 0.25 mg once a day.
/.A WBC count of 4,000 in patient taking clozapine would prompt the NP to? - Answer-
Do a twice weekly blood count and monitor.
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