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Georgette Review PMHNP Exam Questions and Answers 100% Pass Solution.
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Georgette Review PMHNP Exam Questions and Answers100 % Pass Solution.
A male patient informs as adult PMHNP that he has not slept in three days, has poor
concentration, and denies fatigue. The patient's diagnosis is:
A. ADHD
B. Bipolar disorder
C. Panic disorder
D. Primary insomnia - answer>>bipolar disorder
The neuroprotective treatment of choice for bipolar disorder is - answer>>lithium
According to the current clinical guidelines for treating a patient with bipolar I disorder mania
with psychotic features, an adult psychiatric and mental health nurse practitioner prescribes:
A.) Lithium
B. Citalopram
C. Lamotrigine
D. Quetiapine - answer>>quetiapine
Which characteristic of fluoxetine provides the greatest degree of safety for patients who have
severe depression
A. Greater efficacy than an TCA
B. Less potential drug interaction
C. Less potential for injury with intentional overdose.
D. Less potential for suicidal thinking. - answer>>less potential for injury with intentional
overdose.
Do no harm contracts reduce the risk of suicide - answer>>NO
A 72 year old is brought in by her husband with increasing forgetfulness, decreased activity, and
decreased appetite for 2 months. She has a history of hypertension and is being treated with
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,lisinopril. The exam is normal and the mini mental status exam provides a score of 24 but she
declines to answer some questions and needs to be urged to participate in the assessment.
What is the most likely diagnosis?
A. Alzheimers disease
B. Vascular dementia
C. Depression
D. Delirium - answer>>depression
During patient education on sertraline, the PMHNP focuses upon the potential side effect of
A. agranulocytosis
B. hypernatremia
C sexual dysfunction
D weight loss - answer>>sexual dysfunction
A 23 year old woman is Brought in to to the ER after attempting to commit suicide by cutting her
wrists. Which action by the PMHNP would be of highest priority initially?
A. Assess her coping behaviors
B. Assess her current level of suicidality
C. Take her vital signs
D. Asess her health history - answer>>take her vital signs
A 69 year old man with diagnosis of delirium has symptoms of psychosis which include
frightening auditory and visual hallucinations and paranoid delusions. Which of the following
medications should be chosen first for this man's symptoms?
A. Haloperidol
B. Quetiapine
C. Valium
D. Olanzapine - answer>>haloperidol.
An 81 year old female with a history of vascular dementia is brought to the hospital for
increased agitation and UTI. Which of the following features most distinguishes the effects of
delirium from dementia?
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,A. Altered level of consciousness
B. Behavioral disturbances
C. Cognitive deficits
D. Language difficulties - answer>>altered level of consciousness
What is the best treatment for AIDS dementia complex
A. Acetylcholinesterase inhibitors
B. Symptom targeted pharmacologic treatments
C. Nonpharmacologic supportive care
D. Antiretroviral therapy - answer>>Antiretroviral therapy.
John is a 58 year old male patient with Bipolar 1 disorder and has been stable for 5 years on
valproate and Seroquel. He was recently started on Flonase by his primary care. As the PMHNP,
you are concerned that the addition of the Flonase may cause
A. A hypertensive crisis
B. SJS
C. NMS
D. a manic episode - answer>>a manic episode
A 16-year off boy presents with a long head, large ears, and hyper extensible joints, is very shy,
and starts rocking and flapping his hands when he is upset. Which of the following is your most
likely diagnosis?
A. Tourette disorder
B. Autism
C. Fragile X
D. Rett disorder - answer>>Fragile X
What muscle relaxant is recommended to be used in treatment of NMS?
A. Bromocriptine
B. Trihexyphenidyl
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, C. Dantrolene
D. Benztropine - answer>>Dantrolene
A week after raising the dose of clomipramine, a patient treated for depression presents to the
clinic with reports of change in mental status, fever, and hyperreflexxia. As the treating PMHNP,
you know these symptoms are consistent with which of the following?
A. NMS
B. EPS
C. Hypertensive crisis
D. Serotonin syndrome - answer>>serotonin syndrome
A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She is stabilized in
the hospital. Ten days later she is started on venlafaxine and becomes tachycardia and
diaphoretic, and develops myoclonic jerks. What condition is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - answer>>serotonin syndrome
a 17 year old arrives at the emergency department with nonspecific complaints The patient's
temperature is 100.8, pulse rate and blood pressure are elevated, and pupils are dilated with
decreased reaction to light. Two days ago, the patient began taking sertraline for the treatment
of depression. the patient has a history of substance use and smoked marijuana one week ago.
The diagnosis is - answer>>serotonin syndrome
Patient being treated for psychosis for 2 weeks develops symptoms of NMS. The following
factors help the pMHNP to differentiate NMS from serotonin syndrome.
A. autonomic instability, diaphoresis, tremors
B. Hyperthermia, leukopenia, tachycardia
C. Rigidity, hyperrefelexia, orthostatic hypotension
D. Mutism, leukocytosis, myoglobinuria - answer>>mutism, leukocytosis, myoglobinuria
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