PMHNP Certification Exam with complete solution 2023 A+ latest updated
9 keer bekeken 0 keer verkocht
Vak
PMHNP
Instelling
PMHNP
PMHNP Certification
Exam with complete
solution 2023
PMHNP Certification Exam with complete solution
1 / 57
1. What are assessed in the Thought Content of the MSE: SI/HI, Plan, Hallucinations
2. • PNEUMOIC - Old Age Parents Love Grandchildren: • Oral (0-18 months),
Anal (18 months - 3 ye...
pmhnp certification exam with complete solution 20
Geschreven voor
PMHNP
Alle documenten voor dit vak (3243)
Verkoper
Volgen
a_plus_work
Ontvangen beoordelingen
Voorbeeld van de inhoud
PMHNP Certification
Exam with complete
solution 2023
, PMHNP Certification Exam with complete solution
1. What are assessed in the Thought Content of the MSE: SI/HI, Plan, Halluci-
nations
2. • PNEUMOIC - Old Age Parents Love Grandchildren: • Oral (0-18 months),
Anal (18 months - 3 years), Phallic (3 years to 6 years), Latent (6 to 12), Genital
(12 +)
3. • FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC
STAGE - 3-6 years old: • 3-year-old masturbates, play with self, says naughty
things
• This is NORMAL for children this age.
4. What do you do when a patient has an increased prolactin level?: • Stop
prolactin (stop the agent that cause increase prolactin)
5. • ACUTE STRESS DISORDER: • A d/o resulting from exposure to a major
stressor, with SX of ANX, depression, dissociation, recurring nightmares, sleep
disturbances, problems in concentrations, reliving the event, dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
• If LONGER than 1 month = PTSD
- Symptoms that occur immediately after the event but resolve in less than 3 days
would not meet criteria for acute stress disorder
6. What would you do if a 5-year-old tells you his brother sodomized him?: •
Tell mom don't leave him alone with patient and call CPS implement crisis
7. If a child is playing with doll in a sexual way, what do you do first?: •
You SUSPECT sexual abuse - Perform FURTHER ASSESSMENT and GATHER
ENOUGH INFO BEFORE Calling CPS to report suspected Sexual Abuse - You
HAVE to report but you have to have something (assessment data) to report -
Assess = FIRST
8. If a 13-year-old tells you he want to smoke, what would be an appropriate
response?: • Ask him of his plan to stop smoking
9. If a 14-year-old girl clenching her teeth, what cranial nerve would you
suspect?: • Cranial nerve V-Trigeminal nerve (FIVE)
10. What cranial nerve is responsible for Bells Palsy?: 7 = Facial Paralysis
11. What cranial nerves do you assess for corneal sensation: Nerves 5 & 7
12. What cranial nerves do you assess for papillary reaction to light and
accommodation?: Nerves 3,4,& 6
13. What cranial nerves do you assess for 6 cardinal fields of gaze & extra-oc
ular movements?: Nerves 3, 4, & 6
,14. What cranial nerves do you assess for corneal light reflex?: 3, 4, & 6
15. Cranial Nerve 1: Olfactory (smell)
16. Cranial Nerve 2: Optic - vision
17. Cranial Nerve 3: Oculomotor (eye movement): The occulomotor nerve is re-
sponsible for motor enervation of upper eyelid muscle, extraocular muscle and
pupillary muscle.
18. Cranial Nerve 4: Trochlear (eye movement): The trochlear nerve controls an
extraocular muscle.
19. Cranial Nerve 5: Trigeminal: The trigeminal nerve is responsible for sensory
enervation of the face and motor enervation to muscles of mastication (chewing).
20. Cranial Nerve 6: Abducens (motor): The abducent nerve enervates a muscle,
which moves the eyeball.
21. Cranial Nerve 7: Facial nerve: The facial nerve enervates the muscles of the
face (facial expression).
22. Cranial Nerve 8: Vestibulocochlear (hearing and balance): The vestibulo-
cochlear nerve is responsible for the sense of hearing and balance (body position
sense).
23. Cranial Nerve 9: Glossopharyngeal: The glossopharyngeal nerve enervates
muscles involved in swallowing and taste. Lesions of the ninth nerve result in
difficulty swallowing and disturbance of taste.
24. Cranial Nerve 10: vagus nerve: The vagus nerve enervates the gut (gastroin-
testinal tract), heart and larynx.
25. Cranial Nerve 11: accessory: The accessory nerve enervates the sternoclei-
domastoid muscles and the trapezius muscles.
26. Cranial Nerve 12: Hypoglossal (tongue movement): The hypoglossal nerve
enervates the muscles of the tongue.
27. What is the best action for a 16 y/o with conduct disorder that refuses
tx?: • Send to psych specialist for acting out kids - Referrals - Have to see if you a
going to refer the same patient to the same provider - Cannot refer the patient to
another provider that is the same as you (ie psych) - you must refer to a neurologi
or another specialist or PCP
28. What is a priority consideration for a 16-year-old that shows up with
mother for first therapy?: • Confidentiality (ex. mom sits in lobby)
, 29. What is important to know about ACE inhibitors (Meds for Heart fail-
ure/HTN): • This medication can cause increased lithium levels to toxic levels -
must collaborate with PCP to determine whether to change ACE or change Lithium
- Can't use both
30. What medication INCREASES Lithium serum level up to double: Ibuprofen
31. Why is Lithium used?: • First-line neuro-protective for bipolar
32. • Lab Values concerning for patient on Lithium:: • Leukocytosis
• Creatinine
• BUN
• NA+
• 4 + PORTEIN in Urine
• + Pregnancy Test
33. • Lithium (Eskalith/Lithobid) Toxicity: • Normal Range of LITHIUM LEVEL -
0.5 - 1.2 mEq/L
• MONITOR for TOXICITY: Toxicity = > 1.2 mEq/l
• Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic
taste and SEVERE tremor.
34. Common side effects of Lithium (Eskalith/Lithobid): Nausea, fine-hand
tremors (start monitoring for toxicity), increased urination and thirst
35. What pregnancy category is Lithium (Eskalith/Lithobid): CATEGORY D:
AVOID in pregnancy, especially 1st trimester - Ebstein anomaly, cardiac defect
36. What increases risk of lithium (Eskalith/Lithobid) toxicity?: NSAID, dehy-
dration and Thiazides
37. What co-morbid risk in increased with Lithium (Eskalith/Lithobid)?: • Risk
of Hypothyroidism
38. What do symptoms of hypothyroidism (decreased T4 & increased TSH)
mimic?: Unipolar mood disorders:
- confusion
- decreased libido
- impotence
- decreased apetite
- memory loss
- lethargy
- constipation
- headaches
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper a_plus_work. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €9,97. Je zit daarna nergens aan vast.
