Question Bank for PMHNP Boards WITH 100% Verified Correct Answers

What is true of interprofessionality? -C0RRECT ANSWER-All health professionals have individual professional competencies What is the significance of an experimental p-value of 0.05 -C0RRECT ANSWERThere is a 5% chance of a similar result occurring by chance alone What percentage of children with oppositional defiance disorder will develop conduct disorder? -C0RRECT ANSWER-30% In the DSM-5, selective mutism is now considered what type of disorder? -C0RRECT ANSWER-anxiety disorder Symptoms of selective mutism must persist for at least -C0RRECT ANSWER-1 month Common competencies -C0RRECT ANSWER-overlap more than one health care professional, although not necessarily all health care professionals, and are competencies expected of all health care professionals Complementary competencies -C0RRECT ANSWER-enhance the qualities of other professions in provision of care Collaborative competencies -C0RRECT ANSWER-those that each individual profession must possess to work with others, including those who practice within different specialties within a profession. Interpersonal collaboration is _______ centered -C0RRECT ANSWER-patient Cognitive therapy is recommended for patients that have -C0RRECT ANSWERnegative cognitive distortions irrational beliefs faulty conceptions Humanistic Therapy focuses on assisting patients with -C0RRECT ANSWER-selfactualization and self-directed growth Behavioral Therapy focuses on -C0RRECT ANSWER-changing maladaptive behaviors through the use of behavioral modification techniques Existential therapy is for -C0RRECT ANSWER-reflection on life confronting self 120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing diarrhea? -C0RRECT ANSWER-6 ((120X160)/(80x40)) The New Freedom Commission on Mental Health (NFCMH) released a report that suggested -C0RRECT ANSWER-implementation a national campaign to reduce the stigma of seeking care Focusing on promoting recovery and building resilience The efficacy of mental health treatments was found to be well documented in - C0RRECT ANSWER-influential report issued by US Surgeon General in 1999 State of high negative emotion and pessimism -C0RRECT ANSWER-neuroticism Commonly known as an optimistic outlook on life They are are outgoing, like social interaction, respond to external rewards, have more active dopamine networks, and are responsive to positive reinforcement. -C0RRECT ANSWER-Extraversion (high levels protect from psychiatric illness) Introverts are more likely to be _______ motivated and more likely to respond to _______ reinforcement -C0RRECT ANSWER-internally negative (more likely to interact with internal motivation/self-image) Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships often at the expense of self-assertion -C0RRECT ANSWER-Agreeableness Associated with self-control and a focused, organized approach to life. Are achievement-oriented goal setters who can delay immediate gratification to obtain their long term desired outcome. They are considered responsible, reliable, and dependable. -C0RRECT ANSWER-conscientiousness In behavioral couples therapy, the initial sessions are spent doing a functional analysis of behavior (FAB). What is true about FAB? -C0RRECT ANSWER-FAB is concerned only with observable stimuli connected to operant behavior FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors, and consequent stimuli) The goal of FAB is modifying willful operant behavior Gestalt theory deals with _____, not _____ -C0RRECT ANSWER-perceptual psychology behavior Medication that can delay ejaculation in patients with premature ejaculation -C0RRECT ANSWER-Paroxetine (and other SSRIs) (others include: Topical anesthetic Tramadol Phosphodiesterase-5 inhibitors) First line treatment for lithium induced diabetes insipidus -C0RRECT ANSWERAmiloride (K potassium diuretic) in addition to dc lithium when possible. Ways to reduce polyuria associated with lithium toxicity -C0RRECT ANSWER-reduce lithium dose to minimum effective dose take once daily at night (may be 5-30% lower than when given in divided doses over the day) Encourage adequate fluid intake What is true about ECT in Parkinson's disease -C0RRECT ANSWER-it's more likely to cause transient delirium (worsened dyskinesias induced by l-dopa) Lithium effects with Parkison's disease -C0RRECT ANSWER-may worsen tremor nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________ -C0RRECT ANSWER-l-dopa products hypertensive crisis Selegiline is selective for -C0RRECT ANSWER-MAO-B (after 10mg there is an increase in risk of serotonin syndrome if given with other meds that increase serotonin) SSRI's can _______ Parkinsonism tremor -C0RRECT ANSWER-worsen (and decrease 'off time') Process describes the mechanism by which the hippocampus stores memories - C0RRECT ANSWER-long-term potentiation loss of memory relating to a particular category of information (inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting) -C0RRECT ANSWER-systematized amnesia Lack of memories from a circumscribed period of time, usually immediately following a traumatic event -C0RRECT ANSWER-localized amnesia Person can recall some but not all of events from a particular time period -C0RRECT ANSWER-selective amnesia Lack of memory of the patient's entire life -C0RRECT ANSWER-generalized amnesia The drugs that are FDA approved for GAD -C0RRECT ANSWER-Paroxetine Citalopram Escitalopram Venlafaxine Duloxetine Buspar A surrogate has the right to terminate pregnancy if -C0RRECT ANSWER-the pregnancy threatens her health or life or she is a genetic parent If the surrogate receives both ovum and sperm from couple, she loses the right to - C0RRECT ANSWER-determine whether or not child will be aborted (this is up to the couple) Which medication is most effective for treating social phobia/social anxiety disorder, especially when refractory? -C0RRECT ANSWER-Phenelzine A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart block. Which of the following BP medications should be avoided? -C0RRECT ANSWER-Calcium Channel Blockers 3 Contraindications to use a calcium channel blocker -C0RRECT ANSWER-1st or second degree heart block Bradycardia CHF 4 Side effects of calcium channel blockers -C0RRECT ANSWER-Headache Lower extremity edema Bradycardia Heart Block An NP is evaluating a 78 year old female with depression. She suspects the patient may have Parkinson's disease. Which of the following is consistent with that diagnosis? - C0RRECT ANSWER-Postural instability Pill-rolling tremor Shuffling Gait Difficulty initiating movement Mask-like facies (difficulty initiating movement) Writhing movements occur with -C0RRECT ANSWER-Huntington's chorea 10 Non-motor manifestations of Parkinsons -C0RRECT ANSWER-Autonomic dysfunction Gastrointestical dysfunction Rhinorrhea Sleep disturbance Fatigue Mood disorder Cognitive dysfunction Dementia Psychosis Hallucinations What type of therapy is most useful in depressed HIV positive outpatients? -C0RRECT ANSWER-Interpersonal psychotherapy What type of therapy is most useful in patients with borderline personality disorder? - C0RRECT ANSWER-Dialectical behavioral therapy The NP is caring for a patient dying of lymphoma. The pt's wife states that the pt has been mismanaged and that another practitioner must be assigned to the patient for him to improve. This NP suspects that this individual is in which stage of grief according to Elizabeth Kugler-Ross? -C0RRECT ANSWER-Bargaining Involves resisting or refusing to remember information that has been supplied - C0RRECT ANSWER-Denial Pica and spoon shaped nails are associated with -C0RRECT ANSWER-Iron-deficiency anemia (microcytic) 2 common causes of microcytic anemia -C0RRECT ANSWER-iron deficiency anemia of inflammation/chronic disease (TB, HIV, endocarditis, RA, Chrohn's DM, kidney disease, CA) (Other causes: lead toxicity, alcohol/drug use, zinc excess (copper deficiency)) Initial symptoms of B12 deficiency -C0RRECT ANSWER-Generalized weakness Paresthesias Possible ataxia Late symptoms of B12 deficiency -C0RRECT ANSWER-Memory impairment Depressed mood 5 P's of Vitamin B12 deficiency -C0RRECT ANSWER-Pancytopenia (Peripheral and Posterior spinal cord) neuropathy Pyramidal tract signs Papillary atrophy of tongue (atrophic glossitis) 2 causes of megaloblastic macrocytic anemias -C0RRECT ANSWER-Vitamin B12 deficiency Folate deficiency What neurotransmitter is thought to play the most significant role in social phobia? - C0RRECT ANSWER-dopamine What neurotransmitter is thought to mediate social interest, gregariousness, confidence and sensitivity to rejection? -C0RRECT ANSWER-dopamine According to Gonzalez-Jaimes and Turnbull-Plaza (2003, which type of therapy with psychocorporal, cognitive, and neurolinguistic components and a holistic focus is significantly more effective in patients diagnosed with adjustment disorder? -C0RRECT ANSWER-mirror psychotherapy The ________ is part of the treatment to encourage a patient to accept his physical condition -C0RRECT ANSWER-mirror Discussing medical diagnoses and the reaction to it, as well as treatment modalities - C0RRECT ANSWER-medical conversation Therapy that emphasizes personal responsibility, focusing on the individual's experience at the present moment, the therapist-patient relationship, the context of the person's life, and adjustments people make as a result of their overall situation - C0RRECT ANSWER-Gestalt Therapy PANDAs is associated with _________ infections and results in _______ symptoms - C0RRECT ANSWER-Group A beta-hemolytic strep OCD After camping trip, pt began to have a petechial rash on her legs/trunk, parts of which are turning dark red and purple, temp 102.8, HR 1115, BP 88/50, mm pain, neck stiffness, severe HA. What is the dx? -C0RRECT ANSWER-meningococcemia 1 mg of Xanax = _____ mg of Ativan -C0RRECT ANSWER-2 1mg of Xanax = ____mg of phenobarbital -C0RRECT ANSWER-30 1mg Xanax = ____ mg of Clonazepam (Klonopin) -C0RRECT ANSWER-1 1mg Xanax = ____ mg of chlordiazepoxide (Librium) -C0RRECT ANSWER-25 1mg of Xanax = ____ mg of diazepam (Valium) -C0RRECT ANSWER-10 Pt wanting something immediate and non-addictive for breakthrough anxiety - C0RRECT ANSWER-Hydroxyzine How long do GAD symptoms need to occur to make the diagnosis? -C0RRECT ANSWER-6 months First lab test to check for Sjogren's -C0RRECT ANSWER-Anti-nuclear antibody tests To diagnose Cyclothymic disorder, it must be present for _______ in adults -C0RRECT ANSWER-2 years To diagnose Cyclothymic disorder, it must be present for _______ in pediatrics - C0RRECT ANSWER-1 year 4 physiological disturbances that may explain some of the symptoms of panic - C0RRECT ANSWER-impaired lactate metabolism abnormality of locus coeruleus (Ser, NE, GABA, Dop, cholecystokinin) carbon dioxide hypersensitivity (hyperventilation) A 45-year-old man presents to the ER for "panic attack". He appears agitated, confused, and dizzy. He became more agitated and combative with staff upon further questioning. He states he was prescribed Xanax 0.5mg 3x daily by outpatient psychiatrist. His vitals are WNL. What is most likely his dx -C0RRECT ANSWERBenzodiazepine intoxication Anxiety, tremors, nightmares, insomnia, anorexia, nausea, vomiting, hypotension, seizures, delirium and hyperprexia are sx of. ______ which can result in _______ - C0RRECT ANSWER-Benzodiazepine withdrawal (serious medical complications including death) Confusion, AH, VH following a period of insomnia can be a sx of -C0RRECT ANSWERwithdrawal delirium Female patients with PTSD commonly have this comorbid diagnoses -C0RRECT ANSWER-Major depressive disorder (50%) Percentage of people with PTSD who have alcohol use disorder -C0RRECT ANSWERmale 50% female 27% Percentage of people with PTSD who have simple or social phobias -C0RRECT ANSWER-30% both male and female Percentage of people with PTSD who have persistent depressive disorder ( previously dysthymia) -C0RRECT ANSWER-20% for both male and female Treatment plan for OCD -C0RRECT ANSWER-SSRI or Clomipramine Psychotherapy Normal Rinne test is for this nerve -C0RRECT ANSWER-CN VIII What ethnic groups are at higher risk for social phobia -C0RRECT ANSWER-Native American What ethnic groups are at lower risk for social phobia -C0RRECT ANSWER-Asian Black Latino Onset of social phobia is -C0RRECT ANSWER-Usually begins in late adolescence or early adulthood (13-20 years) 3 CBT techniques for social phobias -C0RRECT ANSWER-exposure cognitive restructuring social skills training Medication used to help with social phobia for public speaking -C0RRECT ANSWERpropranolol FDA approved SSRI for social phobia -C0RRECT ANSWER-paroxetine What type of fracture is a red flag for child abuse? -C0RRECT ANSWER-Spiral of long bone (caused by twisting of extremity) Bruises on the torso in different stages of healing often indicate -C0RRECT ANSWERabuse Tanner Stage: Breast buds undeveloped with papilla elevation only. Villus h