PMHNP Certification Exam Prep Newest 2024
Test Bank Complete 400 Actual Exam Questions
with Correct Verified Answers/ Graded A+
A male patient informs an adult psychiatric and mental health nurse practitioner
that he has not slept in three days, has poor concentration, and denies fatigue.
The patient's diagnosis is:
A. attention-deficit hyperactivity disorder.
B. bipolar disorder.
C. panic disorder.
D. primary insomnia. - Correct Answer - B. bipolar disorder.
During patient education about sertraline (Zoloft), an adult psychiatric and mental
health nurse practitioner focuses upon the potential side effect of:
A. agranulocytosis.
B. hypernatremia.
C. sexual dysfunction.
D. weight loss. - Correct Answer - C. sexual dysfunction
The neurochemical pathophysiology of Tourette disorder involves:
A. decreased levels of gamma-aminobutyric acid and increased levels of glutamate in
the brain.
B. deficits in the prefrontal cortex-mediated executive functions of the brain.
C. imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple
regions of the brain.
D. overstimulation of noradrenergic activity located in the locus coeruleus of the brain. -
Correct Answer - C. imbalances in dopaminergic, serotonergic, and noradrenergic
systems in multiple regions of the brain.
pg. 1
,Before implementing evidence-based practice changes, an adult psychiatric and
mental health nurse practitioner's initial action is to:
A. brainstorm with stakeholders and draft a detailed problem list.
B. compare data with internal and external benchmarks, and coordinate ongoing
education.
C. facilitate a collaborative multidisciplinary group to synthesize evidence and compare
key themes.
D. identify potential barriers and facilitators that reflect patients' values and
expectations. - Correct Answer - D. identify potential barriers and facilitators that reflect
patients' values and expectations.
Symptoms of anxiety and panic are associated with a low level of which
neurotransmitter?
A. Cortisol
B. Dopamine
C. Gamma-aminobutyric acid
D. Glutamate - Correct Answer - C. Gamma-aminobutyric acid
According to 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. alprazolam (Xanax).
B. citalopram (Celexa).
C. lamotrigine (Lamictal).
D. quetiapine (Seroquel). - Correct Answer - D. quetiapine (Seroquel).
A hospital-based adult psychiatric and mental health nurse practitioner
collaborates with a multidisciplinary team that is charged with establishing a
psychiatric outpatient clinic. Advocating for the role of advanced practice nurses,
the nurse practitioner initially educates the team that advanced practice nurses:
A. are readily available to meet patient needs.
B. can autonomously provide a full range of comprehensive services.
pg. 2
,C. can perform case management functions.
D. provide cost-effective care delivery. - Correct Answer - B. can autonomously provide
a full range of comprehensive services.
Which nonpharmacologic treatment modality is recommended for depression?
A. Biofeedback
B. Dialectical behavioral therapy
C. Eye movement desensitization and reprocessing therapy
D. Supportive group therapy - Correct Answer - D. Supportive group therapy
Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety
for patients who have severe depression?
A. Greater efficacy than tricyclic antidepressants
B. Less potential for drug interaction
C. Less potential for injury with intentional overdose
D. Less potential for suicidal thinking - Correct Answer - C. Less potential for injury with
intentional overdose
An adult psychiatric and mental health nurse practitioner is using rational
emotive therapy to treat a patient with depression and anxiety. An effective
strategy for helping the patient recognize the connections between affect,
cognition, and behavior is to:
A. focus on mindfulness techniques.
B. provide an injunction to address assumptions.
C. reinforce behaviors that have a sense of self-efficacy.
D. substitute reality-oriented interpretations for the distorted thoughts. - Correct Answer
- D. substitute reality-oriented interpretations for the distorted thoughts.
Before an older adult patient initiates pharmacotherapy with a medication that is
cleared by the kidneys, an adult psychiatric and mental health nurse practitioner
assesses the patient's:
pg. 3
, A. blood urea nitrogen level.
B. creatinine clearance.
C. specific gravity.
D. urinary sediment. - Correct Answer - B. creatinine clearance.
An adult psychiatric and mental health nurse practitioner uses a cognitive-
behavioral approach to help an adolescent patient change self-defeating
behaviors. After identifying the initial stressor that is causing the inappropriate
behavior, the therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B. negative consequences of the behavioral response to the stressor.
C. possible outcomes of alternative responses.
D. rational and irrational beliefs about the stressor. - Correct Answer - D. rational and
irrational beliefs about the stressor.
When lobbying a local congressional representative to include nurse
practitioners in reimbursement for services in all areas of the country, an adult
psychiatric and mental health nurse practitioner emphasizes the:
A. ability of nurse practitioners to provide health care that patients need.
B. fact that nurse practitioners are caring in their patient care delivery.
C. importance of broadening the scope of nursing practice.
D. necessity of offering equivalent services both to urban and rural patients. - Correct
Answer - A. ability of nurse practitioners to provide health care that patients need.
For 12 years, a 65-year-old patient with bipolar affective disorder has been treated
with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5
mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia,
and muscle weakness and the patient's serum lithium level is 2.0 mEq/L. The
interaction of the lithium and the thiazide diuretic has induced:
A. hypokalemia.
B. hyponatremia.
C. increased renal clearance of lithium.
pg. 4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ASSIGNMENT7. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
