Exam (elaborations)

PMHNP Exam Questions With Verified Answers

0 purchase

Course
PMHNP

Institution
PMHNP

PMHNP Exam Questions With Verified Answers What do you provide for a patient if they lost their job or house - answerBrief supportive therapy Cultural expected responses to a stressor = meaning/context - answerCultural syndrome 3 steps to cultural formulation of interviews - answerClarify mean...

[Show more]

Preview 4 out of 51 pages

View example

Uploaded on October 2, 2024
Number of pages 51
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

pmhnp exam questions with verified answers

Institution PMHNP
Course PMHNP

Brainbarter Member since 1 year 214 documents sold

$11.49

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

©BRAINBARTER 2024/2025

PMHNP Exam Questions With Verified
Answers

What do you provide for a patient if they lost their job or house - answer✔Brief supportive
therapy

Cultural expected responses to a stressor = meaning/context - answer✔Cultural syndrome

3 steps to cultural formulation of interviews - answer✔Clarify meaning of illness/predicament
Contextualize their situation in their local world
Empower the patient

Somatic complaints of pain interpret patient symptoms based on what - answer✔Cultural
Context
Serving multicultural population is called multicultural teaching what should you use -
answer✔Ethno specific assessment parameters
Seen in the Latino population. Result from a shocking, unpleasant or frightening experience that
is believed to cause the soul to leave the body - answer✔Susto (fright)
Attack of nerves, uncontrollable shouting, attacks of crying, trembling, heat in chest that raises to
the head, verbal/physical aggression - answer✔Ataque de nervios aka Puerto rican syndrome
What is considered the evil eye causing fatigue, HA, weight loss, exhaustion, and malaise -
answer✔Mal de ojo

Empacho means what - answer✔Blocked intestine, indigestion (bloating/nausea)

mollera caida - answer✔sunken fontanel
A patient develops symptoms with eye contact due to culture syndrome. How do you tx them? -
answer✔Brief supportive therapy
Education to multicultural population you must provide ________ teaching -
answer✔multicultural

, ©BRAINBARTER 2024/2025

What culture can have an imbalance between an individual relationship with the world -
answer✔Native Americans

What ethnicity has the highest risk of suicide - answer✔Native Americans

If a nurse tries to take away a healing stick what should you do - answer✔Teach the nurse
cultural competency

What must an NP do before releasing information to a traditional healer - answer✔Get informed
consent
It is culturally sensitive to provide a _____ if a patient does not speak english -
answer✔interpreter

S/S of hypothyroidism can mimic - answer✔depression

S/S of hyperthyroidism can mimic - answer✔mania

If the T3 and T4 ar high the TSH will be - answer✔Low

low TSH is indicative of - answer✔hyperthyroidism

S/S of hyperthyroidism - answer✔Heat intolerance, agitation, anxiety, irritability, tachycardia,
mood swings, weight loss

S/S of hypothyroidism - answer✔Cold intolerance, lethargy, weight gain, decreased libido

TSH levels - answer✔0.5 - 5 is normal

TSH is 0.4 - answer✔Hyperthyroidism

TSH of 7 - answer✔Hypothyroidism
A patient on Depakote presents with abdominal pain in the RUQ, reddish/brown urine, yellowing
of skin, fatigue - answer✔Signs of hepatotoxicity

Intervention for a pt on depakote and presenting with hepatotoxicity - answer✔D/C, check LFT
(AST, ALT)

AST and ALT levels - answer✔AST: 5-40
ALT: 5-35

Therapeutic range for depakote - answer✔50-125, toxicity starts at what level

S/S of depakote toxicity? - answer✔Disorientation, lethargy, decreased respiratory rate, and N/V

Intervention for depakote toxicity - answer✔DC, check depakote level, LFT, and ammonia

, ©BRAINBARTER 2024/2025

A patient on depakote presents with upper abd pain radiating to back, abd tenderness, fever,
rapid pulse, NV, oily stools - answer✔Pancreatitis

What can depakote cause if a pregnant patient is taking it - answer✔Spina Bifida NT defect

What can KAVA cause - answer✔liver damage

Why do people take KAVA - answer✔anxiety, stress, insomnia

What happens if you take xanax and kava - answer✔Drowsiness

What medications can you not take KAVA with - answer✔Sedatives like CNS depressants
Clonazepam, lorazepam, phenobarbital, zolipedm

What are s/s of steven johnson syndrome which can occur with lamotrigine - answer✔Fever,
boxy aces, red rash, peeling of skin, face/tongue swelling

What mood stabilizer causes the least amount of weight gain - answer✔Lamotrigine

What mood stabilizers cause the least amount of weight gain - answer✔Ziprasidone, aripiprazole
(least sedating) and lurasidone (ZAL)
What labs should be checked for pt's who are taking antipsychotics that can cause weight gain -
answer✔BMI, his waist ratio (checks abd obesity) glucose and lipids

Management of antipsychotic induced weight gain - answer✔Exercise, nutritional counseling, or
switch to a different one like ZAL

What black bow warning comes with carbamazepine (tegritol) - answer✔Agranulocytosis and
aplastic anemia

S/S of aplastic anemia - answer✔Pallpr, fatiuge, HA, fever, nosebleeds, bleeding gums, skin
rash, SOB
What medication should you screen the HLAB 1502 allel for and for what population -
answer✔Carbamazepine and asians

Antiepileptics such as tegretol, topamax, and dilantin are well known for - answer✔Decreasing
effectiveness of oral contraceptives

Monitor pt who take carbamazepine and clozapine together: - answer✔For infection, sudden
fever, chills, sore throat, weakness

When should you D/C carbamazepine or clozapine for ANC level - answer✔1000, weather a pt
has infection or not

, ©BRAINBARTER 2024/2025

Besides agranulocytosis and aplastic anemia, carbamazepine can also cause what blood issue -
answer✔Neutropenia

At what level can lithium toxicity occur - answer✔0.6-1.2
What medication is the neuroprotective treatment of choice for bipolar disorder -
answer✔Lithium

Gold standard for treating manic episodes - answer✔Lithium

What mood stabilizer has evidence of anti suicidal effects - answer✔Lithium
What medication has been scientifically shown to reduce the sick of suicide in pt's with
schizophrenia - answer✔Clozapine

What labs should you assess for lithium (5) - answer✔TSH- 0.5-5.0
CRT: 0.6-1.2
BUN:10-20
UA: assess for proteins (large = +4) can ID kidney disease
Pregnancy test: HCG 12-51 yr old

Side effects of lithium - answer✔Hypothyroidism, fine hand tremor, maculopapular rash, GI
upset (diarrhea, vomiting, cramps, anorexia) DI (polyurua, polydipsia, t wave inversion,
leukocytosis

What can lithium cause in pregnancy - answer✔Epstein anomaly (congenital heart defect)

S/S of lithium toxicity - answer✔Severe N/V/D, confusion, drowsiness, muscle weakness, heart
palpitations, coarse hand tremors, unsteadiness while standing/walking (ataxia)

Intervention for Li toxicity - answer✔D/C and check a level

What medication can reduce renal clearance - answer✔NSAIDs, thiazides, ACEs (prils)

Reduced renal clearance can cause what - answer✔Increased serum concentration levels, toxicity

If a pt is on lithium and going on a hike remind them to do what - answer✔Drink lots of water,
dehydration can increase Li levels

What would hyponatremia cause in a patient on lithium - answer✔Increase lithium level
Pt on medication presents with
- Mutism

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Brainbarter. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $11.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Exam (elaborations)

PMHNP Exam Questions With Verified Answers

Document information

Subjects

Written for

Seller

Reviews received

Content preview