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A collection of practice questions for the pmhnp-bc exam, covering various topics related to mental health, including bulimia nervosa, panic attacks, gambling disorder, personality disorders, competency in mental health care, alzheimer's disease, tanner stages, intimate partner violence, delirium, cognitive distortions, adhd, primary prevention strategies, family mediation, homelessness prevention, gray matter, tay-sachs disease, borderline personality disorder, psychosis, adolescent smoking, manic episodes, disciplinary action, histrionic personality disorder, anova, risk assessment, schizophrenia, fetal alcohol syndrome, alogia, and rett syndrome. Each question includes the correct answer, providing valuable practice for aspiring pmhnps.
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A patient with bulimia nervosa is being treated by a PMHNP. Which of the following is the first-line pharmacotherapy for bulimia nervosa? - Correct Answer A) antidepressants Which of the following conditions is least likely to produce similar symptoms to a panic attack? - Correct Answer A) MDD Statistically, gambling disorder is most prevalent among which of the following ethnic/racial groups? - Correct Answer D) African AMericans Cluster B personality disorders are characterized as having: - Correct Answer A) Dramatic and affective instability Cluster A personality disorders are characterized as having: - Correct Answer B) odd, unusual, eccentric. and asocial A PMHNP works in a community mental health clinic and evaluates a patient's competency to make decisions about their own treatment. Which of the following best describes the concept of competency in mental health care? - Correct Answer D) the ability to make informed decision about tx options You are a new nurse practitioner treating a victim of intimate partner violence. Your client states that she had been in the abusive relationship for over 10 years prior to the perpetrator being arrested and jailed. To better establish a diagnosis, you need more information and decide to perform a mental status exam on the client. Mental status exam findings indicative of abuse include all of the following except: - Correct Answer D) having an extroverted personality A young woman brings her 77 - year-old father to a clinic. She believes her father has Alzheimer's disease because he has been depressed and forgetful lately. What are the earliest symptoms of Alzheimer's disease? - Correct Answer C) Mood changes Tanner Stages define physical measurement in the development of primary and secondary sex characteristics in both females and males. What is stage 2 of a female's breast development? - Correct Answer B) breast bud stage with elevation of breast and papilla stage of tanner's development: breast bud stage with elevation of breast and papilla - Correct Answer A) stage 5
You are a new nurse practitioner treating a recently paroled convict. This patient has a history of violent abuse of their partners. All of the following diagnoses are characteristic of this population except: - Correct Answer D) ODD A PMH-BC evaluates a 77 - year-old man with the rapid onset of cognition with inattentiveness and disturbances in consciousness. On assessment, the patient presents with episodes of psychomotor agitation and retardation. Based on the patient's presentation and symptoms, the PMH-BC should assess them for which of the following diagnoses? - Correct Answer C) mixed delirium Which of the following would be an appropriate early intervention strategy for a community mental health clinic to target personality disorders? - Correct Answer A) provide education and guidance to new and expectant parents through groups, community education and social outreach When evaluating a patient for anxiety symptoms, a PMHNP assesses for the presence of cognitive distortions. Which of the following is an example of a cognitive distortion? - Correct Answer C) fortune telling fortune telling is also known as: - Correct Answer C) A&B Which of the following is a valid screening tool used for the early detection of attention- deficit/hyperactivity disorder (ADHD)? - Correct Answer B) Conner's 3rd edition (Conners 3) behavioral assessment system for children (BASC) is used for? - Correct Answer A) comprehensive tool used to access a wide range of emotional and behavioral problems in children/adolescents the Child Behavior Checklist (CBCL) is used for: - Correct Answer D) to identify a broad range of emotional and behavioral problems in children/adolescents A PMHNP who is working at a community mental health clinic is assigned to collaborate with school leaders on developing primary prevention strategies to promote mental health for teenagers with histories of truancy. Which of the following is an example of a primary prevention strategy? - Correct Answer D) an emotional intelligence skills class for at risk adolescents A PMHNP is working with a family experiencing conflict related to a child's mental health diagnosis. Which of the following mediation strategies would be most effective for the PMHNP to use in this situation? - Correct Answer B) encouraging each family member to voice their concerns without interrruption A PMHNP is working with a community organization to develop prevention strategies to reduce homelessness. Which of the following interventions is most effective for
F-statistic in an ANOVA? - Correct Answer C) the F-statistic represents the ratio of the between-group variance to the within-group variance Delirium etiologies that should be ruled out include all but which of the following? - Correct Answer A) Parkinson's disease Which classification of psychiatric medications requires routine lab work for metabolic monitoring? - Correct Answer B) SGA What disorder is characterized by a persistent regurgitation and chewing of food already eaten? - Correct Answer D) Rumination disorder What term is used to describe patients who injure themselves by self-mutilation but who do not wish to die? - Correct Answer A) Parasuicide A PMHNP is assessing a patient who reports symptoms of post-traumatic stress disorder (PTSD). Which of the following assessment tools would be most appropriate for the PMHNP to use to evaluate the severity of the patient's PTSD symptoms? - Correct Answer A) CAPS CAPS stands for and is used for: - Correct Answer D) all of the above A 26 - month-old female is being evaluated for impairments in social interactions, development, communication, and behavior. A review of the patient's history reveals normal prenatal and perinatal development. Her parents describe normal psychomotor development until about 5 months of age. At that time, the parents noticed their daughter appeared to lose previously obtained hand motor skills and became clumsy. Her speech and language development were impaired, along with social engagement. Based on the presenting symptoms, the PMH-NP suspects which of the following diagnoses? - Correct Answer C) Rett Syndrome Which of the following statements is not accurate concerning the diagnosis of panic disorder? - Correct Answer B) it occurs equally in males and females What type of risk assessment is intended to protect the public from persons with known mental disorders who have dangerous, violent, and criminal histories? - Correct Answer B) forensic risk assessment A patient who has been hospitalized for acute symptoms of schizophrenia has been stabilized. He is being discharged on Zyprexa 5 mg twice daily. Which of the following behaviors, if resumed, can impact the efficacy of the psychotropic medication and increase symptoms? - Correct Answer A) Smoking While working in an outreach clinic for underserved and impoverished communities, the PMH-NP initiated a maternal alcohol use reduction wellness initiative. Which of the
following statements accurately reflects the necessity of this psychoeducational project?
Which of the following is true regarding culture-bound syndromes? - Correct Answer A) specific behaviors that seem aberrant may be related to an individual's culture and not linked to a psych disorder All of the following are traits of oppositional defiant disorder (ODD) except: - Correct Answer B) Blames self for outbursts after calming down A 21 - year-old female presents to her primary care provider because she has stopped menstruating. She is a thin, athletic woman with poor dental hygiene and erosion of her tooth enamel. Her weight is slightly below average but within normal limits. She describes herself as "a little weird" about her weight, and she sometimes exercises heavily after eating a big meal. What laboratory findings would you expect with this patient? - Correct Answer D) normal thyroid function A 73 - year-old female presents at the emergency room with acute onset of mental and behavioral changes. The patient's daughter accompanies her and said that "this is just the way that her sister went," explaining that her aunt had severe Alzheimer's disease. A review of the patient's history reveals a disturbance in cognition that has developed over a short time with impaired memory, psychomotor agitation, and a reversal of sleep- wake cycles. The nurse practitioner orders electrolytes, urine C/S, pulse ox, and an EEG to rule out which condition? - Correct Answer B) Delirium A PMHNP is analyzing data from a study of depression symptoms in a sample of 100 patients. Which of the following descriptive statistics would be most useful for summarizing the data and identifying any potential outliers? - Correct Answer D) Mean A PMHNP is caring for a patient with a terminal illness who has expressed a desire to create a living will. Which of the following statements by the patient would indicate a clear understanding of the purpose of a living will? - Correct Answer C) "I want to specify by wishes for end of life care in case i am unable to communicate them later" In common psychiatric disorders, which neurotransmitter is implicated in the complex pathophysiology of certain disease processes involving normal functions such as decision-making and integrated cognition? - Correct Answer A) Dopamine ____ 's function involves normal functioning of thinking, decision makming, reward seeking behavior, fine muscle action, and integrated cognition: - Correct Answer A) Dopamine ____ 's function involves alertness orientation, fight or flight, learning, memory, focus and attention: - Correct Answer B) Norepi _____'s general function involves the regulation of sleep, pain perception, mood states, temperature, aggression and libido: - Correct Answer C) Serotonin
_____'s general function involves memory and sustained autonomic function: - Correct Answer D) Gutamate Dopamine irregularities are closely linked to what disease process? - Correct Answer D) schizophrenia Norepinephrine's irregularities are closely linked to what disease process? - Correct Answer B) panic disorders and anxiety Serotonin's irregularities are closely linked to what disease process? - Correct Answer A) depressive disorders Glutamate's irregularities are closely linked to what disease process? - Correct Answer C) bipolar disorders The federal government offered financial awards to encourage hospitals to implement meaningful use. The incentive program required hospitals to demonstrate all of the following except: - Correct Answer C) adoption of a government-designed EHR The forensic PMHNP should possess theoretical and practical knowledge of the criminal justice and mental health systems, with a good knowledge base of which of the following? - Correct Answer B) relevant case law and health litigation Target symptoms of antidepressant treatment include which of the following? - Correct Answer D) impaired memory A PMHNP is providing care to a family with a 16 - year-old daughter experiencing behavioral issues. The nurse suspects structural family therapy may be beneficial in addressing the family's problems. Which of the following is a key concept of structural family therapy? - Correct Answer D) emphasizing the importance of identifying and changing the negative communication patterns within the family Which of the following is considered a risk factor for the development of anxiety disorder? - Correct Answer A) high level of parent distress A PMHNP is assessing a patient who reports symptoms of an eating disorder. Which of the following assessment tools would be most appropriate for the PMHNP to use to evaluate the patient's level of body dissatisfaction and preoccupation with food? - Correct Answer A) Body Uneasiness Test (BULIT-R) the Body Uneasiness Test is comprised of what: - Correct Answer C) A &B the Eating Attitudes Test (EAT) is comprised of what: - Correct Answer A) a screening tool to evaluate an individual's attitude and behaviors related to food, weight and eating- but does NOT specifically assess body dissastifaction
What is an example of an associated symptom of schizophrenia that is neither positive nor negative? - Correct Answer C) inappropriate affect The principles of public health are comprised of primary, secondary, and tertiary prevention strategies. A nurse practitioner who volunteers in a disaster response effort is participating in which public health prevention strategy? - Correct Answer B) Secondary prevention