Examination
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PMNHP Psychiatric-Mental Health Nurse Practitioner
2024-2025
Last Minute Review LMR PMHNP Exam Review
Questions with Correct Answers | 100% Pass
Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
When does behavior management and support begin? -
Answer>> Admission- Behavior management and
support starts when the patient is admitted. It does not
start couple days after or when they discharge
Where should you interview patients? - Answer>>
When interviewing patient you want to interview them
in the day room where you can have the door slightly
open this allows us to have confidentiality but also keep
staff safe.
*Learn as much as you can about the patient BEFORE
entering room.
What does the mesolimbic consist of? - Answer>>
Nucleus accumbens (NA) + Ventral tegmental are (VTA)
What does the Mesocorticol pathway consist of? -
Answer>> Ventral tegmental area (VTA) connects to
the cortex of the brain.
What does the Nigrostriatal pathway consist of -
Answer>> Substantia nigra + striatum
. What happens when meds are used to decrease
dopamine in mesolimbic and mesocortical pathways? -
Answer>> We decrease dopamine in the Nigrostriatal
causing PARKINSONISM
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What happens in the mesocortical system if there is
decreased dopamine? - Answer>> -It causes negative
symptoms in schizophrenic symptoms.
-Decreased pleasure, facial expressions, they are not
happy!
What happens in the mesolimbic pathway if there is too
much dopamine? - Answer>> This causes positive
schizophrenia symptoms like DELUSIONS +
HALLUCINATIONS
What does the tuberoinfundibular pathway consist of? -
Answer>> It consists of the pituitary gland
What happens in the tuberoinfundibular pathway when
dopamin increases and decreases? - Answer>> -When
dopamine increases it will decrease prolactin.
-When dopamine decreases it will increase prolactin
resulting in galactorrhea
What does NMS do to the muscles and what is this
called? - Answer>> Rhabdomyolysis ( Muscle break
down)
What electrolyte is elevated in NMS? - Answer>>
Potassium
How is psychosis treated? - Answer>> By reducing
dopamine in the mesolimbic pathway
What happens when antipsychotics block Histamine-1
receptors? - Answer>> Weight gain and sedation
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What happens when the muscarinic -1 receptor is
blocked by antipsychotic? - Answer>> Dry mouth
+visual changes
What is the biggest risk for 1st gen antipsychotics? -
Answer>> EPS (extrapyramidal symptoms +NMS
neuroleptic malignant syndrome
What are 2nd generation antipsychotics? - Answer>>
Risperdal
Olanzapine
Ziprasidone
Lurasidone
Clozapine
Quetiapine
Aripiprazole (least sedating)
124. What receptors do 2nd gen antipsychotic meds
block ? - Answer>> D2 + 5HT2A inhibition
What lab to test when starting a 2nd gen antipsychotic?
- Answer>> CBC
What are the highest risks while on 2nd gen
antipsychotics? - Answer>> -Weight gain (way more
than 1st gen)
-Hyperprolactinemia
-Agranulocytosis
What medication is agranulocytosis most common in? -
Answer>> Clozapine (Monitor cloz-ly)
What medications cause MANIA? - Answer>> -
**Steroids*
-Disulfiram (antabuse)
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