PMHNP Board UPDATED Actual Questions and CORRECT Answers
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Course
PMHNP
Institution
PMHNP
PMHNP Board UPDATED Actual
Questions and CORRECT Answers
kindling - CORRECT ANSWER- Sensitization development of behavioral seizures in
response to repeated electrical or chemical stimuli. ETOH can cause seizures.
Potency - CORRECT ANSWER- Relative dose required to achieve certain effects
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PMHNP Board UPDATED Actual
Questions and CORRECT Answers
kindling - CORRECT ANSWER- ✔✔Sensitization development of behavioral seizures in
response to repeated electrical or chemical stimuli. ETOH can cause seizures.
Potency - CORRECT ANSWER- ✔✔Relative dose required to achieve certain effects
High potency - CORRECT ANSWER- ✔✔Haldol (need lower dose)
What 3 parts of the brain are affected by ADHD - CORRECT ANSWER- ✔✔1. Frontal
cortex
2. Basal ganglia (motor control/ learning)
3. Reticular activity (ability to focus/fight or flight)
What 3 neurotransmitters are associated with ADHD? - CORRECT ANSWER- ✔✔DNS
(dopamine, norepinephrine, serotonin)
How many settings do symptoms of ADHD have to be assessed in to diagnose? - CORRECT
ANSWER- ✔✔2
How many criteria does a child vs an adult have to meet to be diagnosed with ADHD? -
CORRECT ANSWER- ✔✔Child-6
Adult-5
What type of medications are lipophilic and highly protein bound? - CORRECT ANSWER-
✔✔Psychiatric medications
side effects of stimulants - CORRECT ANSWER- ✔✔-weight loss
-GI upset
,-Anorexia
-increased heart rate and blood pressure
What must you assess before starting a stimulant? - CORRECT ANSWER- ✔✔Cardiac
functions and family heart history
Average and mean age of onset for ADHD - CORRECT ANSWER- ✔✔Avg.: 3 years
Mean: 9 years
What type of drug class is intuniv (guanfacine) and what ages has the FDA approved it for? -
CORRECT ANSWER- ✔✔Alpha agonist and ages 6-17 yrs.
What alpha agonist is used to treat ADHD but not FDA approved? - CORRECT ANSWER-
✔✔clonidine
Agitation, anxiety, mood swings, increased mood, increased HR and BP, heart palpitations
and tremors are all symptoms of what substance abuse? - CORRECT ANSWER-
✔✔Stimulants
What type of therapy is used to treat ADHD? - CORRECT ANSWER- ✔✔Behavioral
therapy
What must you assess in school aged children with ADHD? - CORRECT ANSWER- ✔✔The
presence of learning disorders.
What scale for ADHD is available to the public? - CORRECT ANSWER- ✔✔Vanderbilt
ADHD DIAGNOSIS: Parent and teacher rating scale
What would you do for a patient that has tics and is taking a stimulant? - CORRECT
ANSWER- ✔✔Discontinue medication. Tics are contraindicated in stimulants.
What cluster is Borderline Personality Disorder? What is the mainstay treatment? -
CORRECT ANSWER- ✔✔Cluster B
,DBT
What medication can help with self harming behavior? - CORRECT ANSWER- ✔✔Lithium
What cluster is Antisocial Personality Disorder in? - CORRECT ANSWER- ✔✔Cluster B
antisocial personality disorder - CORRECT ANSWER- ✔✔A personality disorder in which
the person (usually a man) exhibits reckless disregard for the welfare of others, lack of
remorse, inflict pain.
What therapy is used for antisocial personality disorder and at what age can it be diagnosed? -
CORRECT ANSWER- ✔✔CBT
18 or >
First factors for Autism Spectrum Disordee - CORRECT ANSWER- ✔✔-Male gender
-Intellectual disability
-Genetic loading ( family history )
What behavior is hallmark for children. With autism? - CORRECT ANSWER- ✔✔Lining up,
stacking, or organizing toys in long, tidy rows
3 Autism screening scales - CORRECT ANSWER- ✔✔1. M-CHAT ( Modified Checklist for
Autism in Toddlers)
2. ADOS-G (Autism Diagnosis Observation Scale Generic)
3. ASQ (Ages and Stages Questionnaires)
Medications for ADHD - CORRECT ANSWER- ✔✔Risperdal -FDA approved
Antipsychotics (help with aggressive, self harm behavior and tantrums)
Naltrexone, clonidine, and stimulants
, Rhett Syndrome - CORRECT ANSWER- ✔✔X-linked dominant found in girls
-baby is Normal until 5-7 months then loss of purposeful hand skills
-deceleration of head growth
-loss of social engagement
-severely impaired expressive and receptive language development
-Seizure
What age range is DMDD diagnosed in? - CORRECT ANSWER- ✔✔6 years - 17 years
3 Main symptoms of DMDD - CORRECT ANSWER- ✔✔1.Disregulated mood (chronically)
2. Temper tantrums
3. Irritability
What 4 drug classes are indicated for DMDD? - CORRECT ANSWER- ✔✔1. Antipsychotics
2. SSRIs
3. Mood stabilizers
4. Ritalin
What is intermittent explosive disorder? - CORRECT ANSWER- ✔✔Involves repeated,
sudden episodes of impulsive aggressive, violent behavior, or angry verbal outbursts.
(Patient reacts grossly out of proportion to the situation).
Fragile X Syndrome - CORRECT ANSWER- ✔✔-overdeveloped large head
-elongated face
-hyper-extensible joints
-abnormally large testes
- short stature
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