PMHNP Boards Questions with Correct
(100% ) Solutions
Denning [Date] [Course title]
, 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 - Correct Answers: interprets the
findings as normally occurring during a rapid adolescent growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values
and: - Correct Answers: increased MCV and elevated triglyceride levels.
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: - Correct Answers: one medication is a CYP450
3A4 substrate and one is a CYP450 3A4 inhibitor.
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 - Correct Answers:
asks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement at a
community mental health clinic. The effective strategy for evaluating the clinic's services is to: - Correct
Answers: use a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via telemedicine. The
patient has questions about a new medication that he or she recently started. The nurse practitioner
decides to provide psychoeducation and to: - Correct Answers: e-mail drug information and resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse
practitioner - Correct Answers: considers what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health professionals are
asked to provide crisis counseling service, after a gunman recently took a class hostage at a local
elementary school, wounded several students, and then shot himself. In preparing for this assignment,
the nurse practitioner recognizes that: - Correct Answers: a child's developmental stage will influence his
or her response to catastrophic stress
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