PMHNP CERTIFICATION EXAM
2024/25(ACTUAL TEST VERIFIED A+)
NEWEST UPDATE QUESTIONS WITH
CORRECT ANSWERS A+ GRADED
1. Which patient is at highest risk for SI
f f f f f f f
A. 30y/o married AA female with previous SI attempt *1 risk
f f f f f f f f f
factor
f
B. 35 y/o single Asian male with previous SI attempt *3 risk
f f f f f f f f f f
factors
f
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
f f f f f f f f f f f f f f
D. 68 y/o single white male with depression *5 risk factors (age,
f f f f f f f f f f
male, white, depression): D. 68 y/o single white male with depression
f f f f f f f f f f f
*5 risk factors (age, male, white, depression)
f f f f f f f
Count the risk factors f f f
2. When interview teenagers (16 y/o) that arrive with their
f f f f f f f f
parents what should you do?: interview them separately from
f f f f f f f f f
parents.
f
-This helps Build therapeutic rapport with teens by telling them the
f f f f f f f f f f
info is confiden- tial. Parents may be upset but remember you are
f f f f f f f f f f f f
advocating for the child.
f f f f
3. Which Ethnic group has the highest rate of suicide?: Native
f f f f f f f f f
Americans
f
4. Example A patient is being treated for schizophrenia withf f f f f f f f
olanzapine. Which of the following is the most common side
f f f f f f f f f f
effect of olanzapine?
f f f
1 f/
,A. Increased waist circumference f f
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-
f f f f f f f f
receptor an- tagonism f f
C. Increased Lipids f
D. Metabolic Syndrome: D. Metabolic Syndrome (UMBRELLA f f f f f
ANSWER)
f
5. Which antipsychotics have the least weight gain?: Latuda,
f f f f f f f
Abilify, (also least sedating), Geodon-if patient has metabolic
f f f f f f f f
syndrome consider switching to one of the medications above. Or if
f f f f f f f f f f f
the patient is overly sedated try switching to ABILIFY
f f f f f f f f f
6. Which mood stabilizer have the least weight gain?: Lamictal
f f f f f f f f
-But remember all mood stabilizers cause some weight gain
f f f f f f f f
7. When presented with a question about typical vs atypical
f f f f f f f f
antipsychotic the answer is usually to start of a: atypical
f f f f f f f f f f
2 f/
, 2
8. A client presents with complains of changes in appetite,
f f f f f f f f
feeling fatigued, problems with sleep-rest cycle, and changes in
f f f f f f f f f
libido. What is the neu- roanatomical area of the brain that is
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responsible for the normal regulation of these functions?
f f f f f f f f
A. Thalamus
B. Hypothalamus
C. Limbic System f
D. Hippocampus: Hypothalamus f
A, B, & D are all part of the limbic system so you can rule that out
f f f f f f f f f f f f f f f f
3 f/
, 3
9. When a patient is hesitant to participate in treatment you should encour-ag
f f f f f f f f f f f f f
10. Thyroid-Stimulating hormone normal level: 0.5-5.0 Mu/L f f f f f
11. When T4 and T3 are high and TSH is low what is the
f f f f f f f f f f f f
diagnosis: HY- PERTHYROIDISM, TSH secretion decreases: TSH
f f f f f f f
fLOW à key symptoms HEAT INTOLERANCE
f f f f f
12. Key symptoms of Heat Intolerance: Hyperthyroidism
f f f f f
13. When T4 and T3 are Low and TSH is high what is the
f f f f f f f f f f f f
diagnosis: (HY- POTHYROIDISM) TSH secretion increased: TSH
f f f f f f f
fHIGH à COLD INTERANCE
f f f
14. Key symptoms of Cold Intolerance: Hypothyroidism
f f f f f
15. Hyperthyroid can mimic: Mania f f f
16. Hypothyroid can mimic: Depression f f f
17. A patient on depakote complains of RUQ pain and has
f f f f f f f f f
reddish/brown urine: Hepatoxicity
f f f
-Check LFTs f
18. Signs of Depakote toxicity: Disorientation, confusion, lethargy
f f f f f f
19. You suspect depakote toxicity what do you do?: Check
f f f f f f f f
-LFT
-Ammonia
-Depakote Level f
20. What herbal supplement can cause hepatoxicity?: Kava Kava
f f f f f f f
21. When taking Kava Kava in combinations with other f f f f f f f
medications you should caution about: Risk of Hepatoxicity
f f f f f f f f
and Sedation
f f
22. TCAs carry a risk of: Hepatotoxicity f f f f f
23. Signs of Stevens-Johnson Syndrome: -fever, mouth pain,
f f f f f f
swelling, burning eyes, blisters, skin pain
f f f f f f
4 f/
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