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Pocket PMHNP Exam (2024) || Questions & Answers (Graded A+)

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Pocket PMHNP Exam (2024) || Questions & Answers (Graded A+) Pocket PMHNP Exam (2024) || Questions & Answers (Graded A+) A 29-year-old African American female was diagnosed with schizophrenia approximately three years ago. After many trials of antipsychotics, she was finally stabilized on halope...

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  • October 7, 2024
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PMHNP Exam Prep
(2024) || With
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Correct Solutions
CONCEPTIAL RESEARCH

,Pocket PMHNP Exam (2024) || Questions
& Answers (Graded A+)
1. Scientific Foundation

A 29-year-old African American female was diagnosed with schizophrenia

approximately three years ago. After many trials of antipsychotics, she was finally

stabilized on haloperidol during the past six months. Three weeks ago she began

exhibiting mild pseudo-Parkinson's symptoms.

Which class of medications would be most appropriate for treating these side effects?

Muscarinic 1 antagonist

Histamine 1 antagonist

Alpha 1 adrenergic agonist

Cholinesterase inhibitor - ANSWER - Correct answer: Muscarinic 1 antagonist

Extrapyramidal symptoms are drug-induced side effects that affect motor functioning

and muscle movement. Extrapyramidal symptoms are associated with a deficiency of

dopamine and an excess of acetylcholine in the nigrostriatal pathway. A common type

of extrapyramidal symptom is called pseudo-Parkinson's, which presents with a

shuffling gait, motor slowing, mask-like facial expression, tremors, and muscle rigidity.

Muscarinic 1 antagonist medications reduce the effects of excess acetylcholine and

relieve extrapyramidal symptoms.

Reference:

,Johnson, K., & Vanderhoef, D. Psychiatric-Mental Health Nurse Practitioner Review

Manual, Fourth Edition. Pg 251-252.




1. Scientific Foundation

As a nurse practitioner, you are responsible for assessing cranial nerves as a part of the

neurological exam. What cranial nerve assessment tests hearing?

Oculomotor nerve (CN III)

Trochlear nerve (CN IV)

Vestibulocochlear nerve (CN VIII)

Trigeminal nerve (CN V) - ANSWER - Correct answer: Vestibulocochlear nerve (CN

VIII)

Olfactory nerve (CN I)

The olfactory nerve transmits information to the brain regarding a person's sense of

smell. This cranial nerve assessment is performed by having the client close their eyes

to identify familiar odors.

Optic nerve (CN II)

The optic nerve transmits information to the brain regarding a person's vision.

Oculomotor nerve (CN III)

The oculomotor nerve helps control muscle movements of the eyes. The oculomotor

nerve provides movement to most of the muscles that move the eyeball and upper

, eyelid, known as extraocular muscles. The oculomotor nerve also helps with involuntary

functions of the eye.

Trochlear nerve (CN IV)

The trochlear nerve is also involved in eye movement. The trochlear nerve, like the

oculomotor nerve, originates in the midbrain. It powers the contralateral superior oblique

muscle that allows the eye to point downward and inward.

Trigeminal nerve (CN V)

The trigeminal nerve is the largest cranial nerve and has both motor and sensory

functions. Its motor functions help a person to chew and clench the teeth and gives

sensation to muscles in the tympanic membrane of the ear. This test is performed by

touching the face and corneal reflex of the eye with a wisp of cotton and pin-pricking the

skin and mucosa to test touch.

Abducens nerve (CN VI)

The abducens nerve also helps control eye movements. It helps the lateral rectus

muscle, which is one of the extraocular muscles, to turn the gaze outward.

Facial nerve (CN VII)

The facial nerve functions to produce facial expressions and has both motor and

sensory functions.

Vestibulocochlear nerve (CN VIII)

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