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PMHNP Board Review (2020)
Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes 
ETOH withdrawal delirium may result in? - Seizures or death 
DSM Severity for ETOH - Mild = 2-3 sx 
Moderate = 4-5 sx 
Severe = >= 6 sx 
DSM ETOH Remission Criteria - Early = >3 mos & <12 mos 
Substantial Remission = >12 mos 
Screening & Early Intervention scale for SUD - SBIRT Screening, Brief Intervention & Refereal to 
Treatment 
CAGE - Cut down 
Annoyed 
Guilty 
Eye-Opener 
>=2 is clinically ...
- Exam (elaborations)
- • 20 pages •
Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes 
ETOH withdrawal delirium may result in? - Seizures or death 
DSM Severity for ETOH - Mild = 2-3 sx 
Moderate = 4-5 sx 
Severe = >= 6 sx 
DSM ETOH Remission Criteria - Early = >3 mos & <12 mos 
Substantial Remission = >12 mos 
Screening & Early Intervention scale for SUD - SBIRT Screening, Brief Intervention & Refereal to 
Treatment 
CAGE - Cut down 
Annoyed 
Guilty 
Eye-Opener 
>=2 is clinically ...
PMHNP board set QUESTIONS AND ANSWER
increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 
3-year-old masturbates, play with self, says naughty things - Normal for Piaget 
5-year-old tells you his brother sodomized him - - Tell mom don't leave him alone with patient 
and call CPS implement crisis 
13-year-old want to smoke - - Ask him of his plan to stop smoking 
14-year-old girl clenching her teeth - - Cranial nerve V-Trigeminal nerve 
16-year-old falls with the wrong crowd - - Conduct disorder 
16...
- Exam (elaborations)
- • 33 pages •
increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 
3-year-old masturbates, play with self, says naughty things - Normal for Piaget 
5-year-old tells you his brother sodomized him - - Tell mom don't leave him alone with patient 
and call CPS implement crisis 
13-year-old want to smoke - - Ask him of his plan to stop smoking 
14-year-old girl clenching her teeth - - Cranial nerve V-Trigeminal nerve 
16-year-old falls with the wrong crowd - - Conduct disorder 
16...
PMHNP Boards ALREADY PASSED
Medicare Part A Coverage - Hospital insurance that covers inpatient and most skilled care. 
Mandatory copays for hospital days 21-150, getting higher with each period of time. 
Medicare Part A Eligibility - >65 in social security automatic enrollment 
Medicare Part A Cost - No cost if automatically qualified. 30-39 work quarters: ~$250/mo <30 
work quarters: ~$450/mo 
Medicare Part B Coverage - Supplemental medical insurance. Outpatient services, care, 
physical/speech therapy, some home h...
- Exam (elaborations)
- • 29 pages •
Medicare Part A Coverage - Hospital insurance that covers inpatient and most skilled care. 
Mandatory copays for hospital days 21-150, getting higher with each period of time. 
Medicare Part A Eligibility - >65 in social security automatic enrollment 
Medicare Part A Cost - No cost if automatically qualified. 30-39 work quarters: ~$250/mo <30 
work quarters: ~$450/mo 
Medicare Part B Coverage - Supplemental medical insurance. Outpatient services, care, 
physical/speech therapy, some home h...
PMHNP Boards ALREADY PASSED
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 - 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: - increased MCV and eleva...
- Exam (elaborations)
- • 10 pages •
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 - 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: - increased MCV and eleva...
PMHNP Boards - Scientific Foundation and Advance Practice Skills
Which of the following is a contraindication to benzodiazepines? 
a. Acute alcohol intoxication 
b. Acute narrow angle glaucoma 
c. Psychosis 
d. All the above - a. Acute alcohol intoxication 
In the pharmacological treatment of psychosis, when antipsychotics are administered, which block 
dopamine, a secondary effect is blocking in another tract, which causes potential prolactin problems, 
such as gynecomastia in males. This tract is the: 
a. mesolimbic 
b. tuberoinfundibular 
c. nigrostrial do...
- Exam (elaborations)
- • 32 pages •
Which of the following is a contraindication to benzodiazepines? 
a. Acute alcohol intoxication 
b. Acute narrow angle glaucoma 
c. Psychosis 
d. All the above - a. Acute alcohol intoxication 
In the pharmacological treatment of psychosis, when antipsychotics are administered, which block 
dopamine, a secondary effect is blocking in another tract, which causes potential prolactin problems, 
such as gynecomastia in males. This tract is the: 
a. mesolimbic 
b. tuberoinfundibular 
c. nigrostrial do...
PMHNP certification ALREADY PASSED
CAGE - items responses are scored either 1 or 0. A score 2 or higher is considered clinically 
significant 
OCD - obsessive thoughts interfere with your daily life 
-are you concern about things being contaminated, keeping things in perfect order 
-do you feel driven to perform certain acts over and over again? 
-have unwanted images or thought that you cant seem to get out of your head 
layman's explanation of mental illness - Abnormal functioning of neurotransmitters. 
Neuroanatomical differe...
- Exam (elaborations)
- • 19 pages •
CAGE - items responses are scored either 1 or 0. A score 2 or higher is considered clinically 
significant 
OCD - obsessive thoughts interfere with your daily life 
-are you concern about things being contaminated, keeping things in perfect order 
-do you feel driven to perform certain acts over and over again? 
-have unwanted images or thought that you cant seem to get out of your head 
layman's explanation of mental illness - Abnormal functioning of neurotransmitters. 
Neuroanatomical differe...
PMHNP Certification Exam RATED A+
Tarasoff Principle - 1976 - duty to warn victims of potential harm from client 
Deontological Theory - Ethical theory that states an action is judged as good or bad based on the 
act itself regardless of the consequences 
Teleological Theory - Ethical theory that states an action is judged as good or bad based on the 
consequence or outcome 
Virtue ethics - ethical theory that states actions are chosen based on the moral virtues (eg. 
honesty, courage, compassion, wisdom, gratitude, self-respect...
- Exam (elaborations)
- • 140 pages •
Tarasoff Principle - 1976 - duty to warn victims of potential harm from client 
Deontological Theory - Ethical theory that states an action is judged as good or bad based on the 
act itself regardless of the consequences 
Teleological Theory - Ethical theory that states an action is judged as good or bad based on the 
consequence or outcome 
Virtue ethics - ethical theory that states actions are chosen based on the moral virtues (eg. 
honesty, courage, compassion, wisdom, gratitude, self-respect...
PMHNP exam prep ALREADT PASSED
Conrad, a 26-year-old male, is being treated for cuts after being arrested for breaking the 
windows in the home of his girlfriend, who has just told him that they are through. He has a 
history of having been physically abused by his father, setting fires as a child, treatment for 
substance abuse, and arrest for stealing a car. Which of the following personality disorders 
might the clinician consider? 
Question 1 options:a) 
Narcissistic 
b) 
Paranoid 
c) 
Antisocial 
d) 
Histrionic - Antisoc...
- Exam (elaborations)
- • 115 pages •
Conrad, a 26-year-old male, is being treated for cuts after being arrested for breaking the 
windows in the home of his girlfriend, who has just told him that they are through. He has a 
history of having been physically abused by his father, setting fires as a child, treatment for 
substance abuse, and arrest for stealing a car. Which of the following personality disorders 
might the clinician consider? 
Question 1 options:a) 
Narcissistic 
b) 
Paranoid 
c) 
Antisocial 
d) 
Histrionic - Antisoc...
PMHNP Exam Reported Questions images, pmhnp
DBT (dialectical behavior therapy) - relaxation muscle prior to DBT 
Greatest patient at risk for Violence - Substance abuse 
EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and 
reprocessing 
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - M...
- Exam (elaborations)
- • 49 pages •
DBT (dialectical behavior therapy) - relaxation muscle prior to DBT 
Greatest patient at risk for Violence - Substance abuse 
EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and 
reprocessing 
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - M...
PMHNP Exam Reported Questions images, pmhnp
DBT (dialectical behavior therapy) - relaxation muscle prior to DBT 
Greatest patient at risk for Violence - Substance abuse 
EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and 
reprocessing 
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - M...
- Exam (elaborations)
- • 49 pages •
DBT (dialectical behavior therapy) - relaxation muscle prior to DBT 
Greatest patient at risk for Violence - Substance abuse 
EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and 
reprocessing 
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - M...