Download PMHNP Reported EXAM 2025/2026 Accurate Real Exam Questions and Correct Answers and more Exams Nursing in PDF only on Docsity!
PMHNP Reported EXAM 2025 / 2026 Accurate Real
Exam Questions and Correct Answers
What is Tegretol in the CYP450 system? - answer>>>Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? - answer>>>Inducer - will lower dose of Lamictal What is dissemination? - answer>>>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? - answer>>>Moderate cognitive impairment What is a Type I research error? - answer>>>There IS a difference but you say there isn't a difference. What is a Type II research error? - answer>>>There is NO difference but you say there is a difference. What is pseudo-dementia? - answer>>>Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve. Is it normal for a 1 month old to have a palmar grasp? - answer>>>Yes. What is a drug 1/2 life? - answer>>>The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? - answer>>>Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - answer>>>Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? - answer>>>HLAB- 1502 When might you see toxic epidermal necrolysis? - answer>>>With worsening of SJS How many generations do you include for a genogram? - answer>>>1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? - answer>>>Amino Acids What is epigenetics? - answer>>>Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? - answer>>>Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? - answer>>>Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? - answer>>>10- 25 yo When do females typically present with schizophrenia? - answer>>>25- 35 yo What does Erythromycin to trileptal? - answer>>>You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? - answer>>>Heart Failure
14 - 19 - mild 20 - 28 - moderate 29 - 63 - severe What is sensitivity? - answer>>>Helps rule-out disease = True Positive = Snout What is specificity? - answer>>>Helps rule-in disease = True Negative = Spin What does a sed rate measure? - answer>>>Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. What is a normal sed rate or ESR? - answer>>>0- 22 males 0 - 29 females What is a retic count? - answer>>>Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow. What does a decreased retic count indicate? - answer>>>Anemia - acute or chronic bleeding What does an increased retic count indicate? - answer>>>Bone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? - answer>>>Doesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and macrolides? - answer>>>Increase tegretol levels. What happens if a pregnant women takes Accutane? - answer>>>Birth defects. What labs do you get with RA? - answer>>>Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis. Where does the NP Code of Ethics come from? - answer>>>ANA When do you assume informed consent? - answer>>>Unconscious Incompetent Life Threatening Situation What are the legal ramifications of treating w/o informed consent? - answer>>>Same as with informed consent Who can declare a patient incompetent and appoint a guardian? - answer>>>Only a court Does impaired judgment mean one is incompetent? - answer>>>No. Can an advanced directive ever be revoked? - answer>>>Yes, at any time. What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - answer>>>Nothing. They are all the same. Does the de facto rule of proxy apply in same sex marriages? - answer>>>No. How do Asians see HC providers? - answer>>>As in a position of authority. Expect to give instructions and help make decisions What does it mean when an Asian patient does not make eye contact with the NP? - answer>>>SIgn of respect
Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine Schedule V - Very low abuse potential - anti-tussives, lomotil What classes of CS's is the NP approved to prescribe? - answer>>>Schedules III-V ONLY. Where does 50% of healthcare funds come from? - answer>>>The government Who is eligible for Medicare? - answer>>>>65 or under 65 with diability, ANY age with renal disease. What is incident to billing? - answer>>>Means MD initiates treatment and NP is an extension of the care and directly under the supervision of the MD. Allows NP to get reimbursed at 100% rather than 85%. How are Medicaid benefits determined? - answer>>>State determines qualification - Partnership between State and Fed Govt. Must be impoverished Must be US resident and low or very low income. Can you have Medicare and Medicaid? - answer>>>Yes, impoverished elderly but Medicaid is always payor of last resort. Is dental care included in Medicaid? - answer>>>Yes, <21 gets basic dental as part of the Medicaid plan. What is the purpose of HIPAA? - answer>>>National standards for electronic HC transactions National ID for providers, health plans and employers.
Not SIMPLY Confidentiality. What must be signed prior to any healthcare in the state - answer>>>Notice of Privacy Practices Statement What happens if a patient refuses to sign an ROI? - answer>>>Can decline to treat Health plan may condition enrollment on provision of consent When is HIPAA not required? - answer>>>Emergency treatment Substantial communication barriers and consent is inferred Involuntary committment Is it ok to announce a patient's name in a waiting room? - answer>>>Yes, no other way to give care. Is it ok to leave a message on a patient's vm? - answer>>>Yes, but should be limited. What is the impact of steroid inhalers on children? - answer>>>Slows bone growth and may decrease ultimate height. What is the long-term impact of using steroid inhalers? - answer>>>Cataracts, glaucoma, thinning of bones and skin What is included in the treatment of fibromyalgia? - answer>>>Sleeping meds Antidepressants Pain meds What psychoactives are first line treatment for fibro? - answer>>>Cymbalta, Effexor Elavil, Pamelor Lyrica, Gabapentin Ultram, Benzo's
What is included in the mini-cognitive exam? - answer>>>Clock, memory questions from MSE. What is HIV related dementia often mistaken for, especially at the beginning? - answer>>>Depression What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil count) <1000? - answer>>>Stop and repeat lab. Normal is 1500 - 8000 mm Can you take Buspar during pregnancy? - answer>>>Category B - ok if really needed. Can you take Klonopin during pregnancy? - answer>>>Category C - avoid if possible; does excrete into breast-milk and infant could get withdrawal symptoms. What is the concern when prescribing Lamictal with Depakote? - answer>>>Both are CYP450 inducers of the other and therefore together will lower the level of both drugs. Can asthma medications cause depression? - answer>>>Yes. If a patient has muscle pain and red urine with an elevated leukocyte esterase. What lab do you order? - answer>>>Microalbumin? What is often common to patients with fibro? - answer>>>Sexual abuse How is telepsychiatry evaluated? - answer>>>Outcome based - measure at intervals. What happens with a patient taking Lithium and who gets dehydrated? - answer>>>Levels increase What happens with a patient taking Lithium who decreases sodium intake? - answer>>>Levels increase
What happens with a patient taking Lithium and drinks a lot of water? - answer>>>Levels decrease If a patient takes Risperdal and develops NMS, which other atypical should you avoid in the future? - answer>>>Zyprexa What happens when taking Lithium and NSAIDS? - answer>>>NSAIDS can cause Lithium levels to increase and for the patient to become toxic! What medications are at risk to cause SJS in the Asian population? - answer>>>HLAB- 1502 Allele increase risks of SJS. Trileptal, Tegretol and other AED's. Amgdyla - answer>>>Fear, Anxiety, and Aggression Neurotransmitter for Addiction - answer>>>Dopamine and GABA Neurotransmitter for Mood Disorder - answer>>>Serotonin and norepinephrine Which drug affects Carbamazepine/tegretol - answer>>>Erythromycin will cause toxic levels. Decrease Carbamazepine/tegretol Signs and Symptoms of stimulant abuse - answer>>>insomnia and tremor Depakote check - answer>>>HCG levels Depakote causes - answer>>>Spinal bifida Grasp reflex. - answer>>>an infantile reflex in which an infant closes her hand into a fist when her palm is touched
Infant dying - answer>>>Give child to parents and comfort parents borderline personality disorder Treatment - answer>>>dialectical behavior therapy Aggressive patient give - answer>>>IM geodon SIGECAPS of Depression - answer>>>Sleep Interest Guilt Energy Concentration Appetite psychomotor retardation Suicide DIGFAST for mania - answer>>>Distractibility Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talking increase 5 year old tells u his brother sodomized him - answer>>>Tell mom don't leave him alone with patient and call CPS implement crisis Just culture - answer>>>"Just culture" model: proposed to reconcile the twin needs for no-blame and appropriate accountability
The focus is on identifying and addressing systems issues that lead individuals to engage in unsafe behaviors while maintaining individual accountability by establishing zero tolerance for reckless behavior. Distinguishes between Human error (e.g. slips), At-risk behavior (e.g. taking shortcuts), Reckless behavior (e.g. ignoring required safety steps). In a just culture, the response to an error or near-miss is predicated on the type of behavior associated with the error, not the severity of the event. Child reports Sexual Abuse - answer>>>Interview the young child and infants child with parent First sign of temprofrontal Dementia - answer>>>Behavior and personalty changes Tow amines related to depression - answer>>>Serotonin and norepinephrine Want to start an consulting firm what tool would be needed to show economic viability - answer>>>Revenue and expenses Patient stopped smoking (Cessation) - answer>>>Decreased Zyprexia Promote resilience in schizophrenia for a patient that lives alone and doing well - answer>>>Refer to peer support Spirit stick - answer>>>Teach staff about culture competence Problems in the parietal lobe can lead - answer>>>Sensory-perceptual disturbances and agnosia(inability to perceive objects) R-L confusion Difficulty writing (agraphia)
Hispanic patient lost his parent complain stomach ache his pop couldn't fix what do you do - answer>>>Validate his experience and provide care in a culturally specific way to that patient Native American wants his healer present - answer>>>Involve mother of the patient and healer, mom was cleared for you to involve her 16 year old shows up with mother for first therapy is - answer>>>confidential mom sits in lobby Patient acts out due to missing session what do you do - answer>>>You relate to childhood abandonment and talk about it with the patient How do you assess the competency of a medical procedure - answer>>>Identify a pen and recall 3 words Patient thinks someone has infiltrated the church because he watched it on TV 2 years ago, what diagnosis - answer>>>Delusional disorder Increase ICP (signs and symptoms) - answer>>>Baby Neuro cry Menopausal woman - answer>>>Hormone therapy and replacement Patient on antidepressants for 3 weeks and attempted Suicide - answer>>>Stop medication immediately You want to decrease seclusion on your unit who considered the primary change agent - answer>>>Unit staff You are a lead NP over other NPs in a rural setting how would you go about the change - answer>>>Make online form and have them vote on it 16 year old refuse treatment - answer>>>Send to psych specialist for acting out kids Positive Trendelenburg Sign - answer>>>Refer to Ortho/specialist
Pelvis drops to when patient raises one foot off the floor. Drug affects Flonase - answer>>>Zantac (Histamine 2 Blocker) Antagonist Little boy wet his sheets, What kind of therapy would you suggest - answer>>>Behavior therapy DDVAP acts in much the same manner as antidiuretic hormone. - answer>>>Makes less urine Lithium level 1.2u what are you concerned with - answer>>>4+ Ketones What does depakote do to Lamictal - answer>>>Increase laminate 200% Inducers of Cytochrome P450 (CYP450) - answer>>>Barbiturates, phenytoin, carbamazepine, rifampin, St. John's Wort A substance that speeds up a chemical reaction Inhibitor - answer>>>A substance that slows down or stops a chemical reaction cytochrome p450 inhibitors - answer>>>CRACK AMIGOS Cimetidine Ritonavir Acute Alcohol Ciprofloxacin Ketoconazole Amiodarone Macrolides Isoniazid Grapefruit juice Omeprazol
PANDAS - answer>>>Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections OCD Mental Health Parity Act 1996 - answer>>>ensure equal coverage for mental and physical illness equal life time and annual limits charge of DEA - answer>>>state and federal Stereogenesis - answer>>>identify an object without sight a sense that allows a person to recognize the size, shape, and texture of an object Sterogenesis abnormality in - answer>>>parietal lobe Clozaril (Clozapine) - answer>>>WBC- 2500 ANC LESS than 1000 (950) dc medication how treat child with depression - answer>>>Zoloft and therapy 3 year old masturbates, plays with self, says naught things - answer>>>normal for Piaget NMS treatment - answer>>>Dantrolene: MUSCLE RELAXTION D2 agonists (e.g., bromocriptine). For NMS, think FEVER: Fever Encephalopathy Vitals unstable Elevated enzymes
Rigidity of muscles mesolimbic system - answer>>>POSITIVE symptoms of schizophrenia due to high dopamine negative symptoms of schizophrenia - answer>>>the absence of appropriate behaviors (expressionless faces, rigid bodies) negative symptoms of schizophrenia - answer>>>mesocorticol pathway mesocortical pathway - answer>>>VTA to prefrontal cortex negative symptoms Nigrostriatal pathway - answer>>>EPS DUE TO LOW DOPAMINE IN THIS AREA Communication from SnPC of the basal ganglia to the striatum (caudate + putamen) of the BG via DA; used to initiate movement PDSA model - answer>>>PLAN- Do-carry out Study - examine results Act-decide what action Tanner's stages - answer>>> Tanner stages - answer>>> MMSE (Mini Mental State Examination)- - answer>>>Stage May be Normal 25- 30 Mild/Early 21 - 24
