Partial preview of the text
Download Exam Edge PMHNP Review Questions.pdf and more Exams Nursing in PDF only on Docsity!
Which of the following mood stabilizing agents would be considered an antimanic? - - # CORRECT ANSWER D) Lithium valproic acid is considered to be a:- - # CORRECT ANSWER 8) Anticonvulsant The psychiatric mental health nurse practitioner is reviewing symptoms and patient history for an adolescent male. She sees that he is fair-skinned with blue eyes, has a wide smiling mouth with a thin upper lip, a small head circumference, and a pointed chin. He has a profound intellectual disability, a happy disposition, sleep disturbances, and a love of water and music. This patient has: - - #7 CORRECT ANSWER¥ A) Angelman syndrome an individual with angelman syndrome will have what life expectancy? - - # CORRECT ANSWER C)A&B A 13-year-old female tells the psychiatric mental health nurse practitioner that she knows she has a serious disease. The young girl checks her temperature every day and reads about possible diseases online. She has had a thorough physical exam with no disease identified. When treating this patient the nurse practitioner would not: - - # CORRECT ANSWER® C) Assure the pt that it is "all in the mind' You will be doing a physical assessment of a 30-year-old female who was just admitted to the hospital for psychiatric reasons. She asks you why you have to do a physical assessment when she is here for mental health reasons. You might tell her all of the following are reasons for conducting a physical assessment in psychiatry EXCEPT: - - #” CORRECT ANSWERY C) to promote trust As part of an evaluation of an elderly male patient you want to examine his cerebellar system more deeply. Which of the follawing tests would you use in testing the cerebellum system when making a diagnosis? - - #” CORRECT ANSWER® D) tandem gait another test, outside of the tandem gait, to assess the cerebellum system is: - - # CORRECT ANSWER® A) the romberg test vibration sensation and stereognosis are used to test: - - # CORRECT ANSWER 8B) the sensory system the cranial nerve exam is used to assess: - - #7 CORRECT ANSWERS C) A&B A 9-year-old male, whose parents recently died in a plane crash, presents with symptoms of generalized convulsions including shaking and falling. The psychiatric mental health nurse practitioner believes that given the traumatic events leading up to the convulsions, psychogenic non-epileptic seizures (PNES) is likely. The best diagnosis method for this condition and to eliminate epilepsy is: - - # CORRECT ANSWER 8) video EEG seizures that are a physical reaction to underlying psychological distress? - - #” CORRECT ANSWER A) psychogenic nonepileptic seizures (PNES) The psychiatric mental health nurse practitioner-patient relationship must have boundaries. When the nurse practitioner respects the cultural practices of a patient, he is establishing: - - CORRECT ANSWER D) social boundaries The psychiatric mental health nurse practitioner-patient relationship must have boundaries. When the nurse practitioner respects the cultural practices of a patient, he is establishing: - - CORRECT ANSWER® A) Clinical nurse specialist children ages 5-6 do/do not understand the finality of death - - # CORRECT ANSWER C) A&B children ages 6-9 do/do not understand the finality of death - - # CORRECT ANSWER¥Y A) do not fully understand--beginning to accept death as a final wish What term is used to describe the study of therapeutic uses and their effects fram drugs? - - CORRECT ANSWER C) Pharmacotherapeutics it is a science that studies the nature, make up, effects, uses and origin of drugs: - - #7 CORRECT ANSWER A) Pharmacotherapeutics Before a patient withdraws informed consent, what must happen? - - ## CORRECT ANSWER A) the MD must explain the outcomes of refusing tx a patient has a right to withdraw informed consent at any time: T/F - - ~# CORRECT ANSWER 8B) true You are making rounds at a nursing home. You are checking to see if the patients are oriented to person, place, and time. One of the people you check shows the first sign of disorientation. Which orientation will the patient lose first? - - # CORRECT ANSWERY 8B) time when a client is disoriented, he or she loses track of time, then and then lastly --- CORRECT ANSWER® C) place, than finally person Which of the following statements about attention deficit hyperactivity disorder (ADHD) is least accurate? - - # CORRECT ANSWER 8B) ADHD is composed of s/s that will not change throughout the pt's life span You are examining the results of an EEG which was done for one of your patients. You note that alpha waves are in the normal range. You recognize that the normal range for alpha waves is which of the following? - - ## CORRECT ANSWERW C) 8-13 Hz alpha waves of 8-13 Hz occur when: - - # CORRECT ANSWER¥ C) A&B Medications or diseases that inhibit acetylcholine interfere with which of the following? - - # CORRECT ANSWER B) memory early in the course of Alzheimers disease, neuronal loss causes - - # CORRECT ANSWER¥ D) a decrease in acetylcholine available for normal neurotransmission acetylcholine is naturally degraded in the brain by: - - ## CORRECT ANSWER A) An enzyme called, acetylcholinesterase medications or diseases that inhibit acetylcholine interfere with what function: - - #7 CORRECT ANSWER A) memory second line meds for depression: - - # CORRECT ANSWERW A) TCAs The interactive process that occurs between two or more individuals whosend and receive messages to one another would be which of the following? - - #” CORRECT ANSWER¥W 8B) Communication According to Freud, what is dominant in a patient who is having a manic episode and pursuing pleasure? - - #& CORRECT ANSWER A) ID the ID is the mind: - - # CORRECT ANSWER 8) unconscious mind What example of a conversion disorder is exhibited by a healthy person when lying down and asked to flex their right hip, they will automatically extend their left hip? - - # CORRECT ANSWER A) Hoover's sign a conversion disorder causes neurological s/s in pts without an illnesss; in patients with hoover's sign: - - #&# CORRECT ANSWER 8B) the weakness of the hip flexor will return to normal without resistance What is lacking in a 40 year old patient with Parkinson's Disease? - - # CORRECT ANSWERW C) DA an abundance to dopamine is linked to: - - # CORRECT ANSWER®. A) Psychosis What is NOT an accurate diagnostic criteria for body dysmorphic disorder? - - # CORRECT ANSWER*® B) preoccupation accounted for by another mental disorder The psychiatric mental health nurse practitioner has a patient with schizophrenia who is responding well to treatment and is in the maintenance phase of the disorder. In this phase, the nurse practitioner will monitor the patient closely for relapse. The reason for this is that:- - 7 CORRECT ANSWER* 8B) dysfunction and deterioration may increase In the course of educating a group of nurses about substance abuse and its effects, the psychiatric mental health nurse practitioner tells them that the abused substances with the most pronounced withdrawal symptoms are: - - # CORRECT ANSWER® B) sedatives If the psychiatric mental health nurse practitioner wishes to be able to prescribe controlled substances to her patients she will be required to get a Drug Enforcement Administration (DEA) number. Once the PMHNP is assigned a number, she may prescribe controlled substances. If she is prescribing methadone for one of her patients, she would know that this drug is listed in: - - CORRECT ANSWER B) Schedule II high abuse potential are schedule __? - - # CORRECT ANSWERW D) Schedule | drugs least potential for abuse classification: - - # CORRECT ANSWER A) Schedule V The characteristics of quantitative research would include all of the following except? - - # CORRECT ANSWER C) Flexible design What is NOT a criteria for assessing the adequacy of informed consent? - - # CORRECT ANSWER ® B) Physical health criteria for informed consent: - - # CORRECT ANSWER® E) all of the above You are evaluating a young adult patient who has been diagnosed as having hallucinogen poisoning. You know that this predominantly alters perception, cognition, and mood. With this in mind, which of the following should be done during the physical exam of this patient? - - #7 CORRECT ANSWER A) perform detailed neurological and psychiatric exam The psychiatric mental health nurse practitioner is assessing a 12-year-old male who has suffered a concussion after being hit by a baseball. This type of concussion would be categorized asa:- - # CORRECT ANSWER D) diffuse brain injury Which part of Medicare covers inpatient care in hospitals, including critical access hospitals and skilled nursing facilities, hospice care and some home health care? - - ## CORRECT ANSWER A) Medicare Part A avoid withdrawal symptoms when she stops which of the following drugs would be best? - - CORRECT ANSWER B) PROZAC Most SSRIs have a half life of approx 1 day--but Prozac has a half life of: - - # CORRECT ANSWER A) 4-6 days What statement is least accurate concerning aging? - - #” CORRECT ANSWER D) most older adults are infirm and require help with daily activities One of the techniques for treating posttraumatic stress disorder (PTSD) combines exposure therapy with the empty-chair technique. This is known as - - # CORRECT ANSWER 8B) adaptive disclosure A 46-year-old male comes in for a follow-up check. The psychiatric mental health nurse practitioner has prescribed fluoxetine for his depression. His daily dosage is 20 mg per day. He reports that this does not help him at all. The nurse practitioner decides to increase his dosage, but will not increase it above the high limit of fluoxetine per day which is:- - ~# CORRECT ANSWER®W C) 80mg What acronym is associated with nonverbal skills used for listening? - - # CORRECT ANSWER® B) SOLER the acronym SOLER is used to: - - # CORRECT ANSWER C) A&B You are evaluating an 89-year-old female to determine if her cognitive decline is evidence of dementia or if it is delirium. If she is indeed suffering from delirium, which of the following will be observed? - - # CORRECT ANSWER C) orientation to time and place will be acutely impaired There is a significant overlap with dementia and delirium with the distinguishing feature being: - - e CORRECT ANSWER B) duration of onset. All of the following organizations were in collaboration when developing a set of - - # CORRECT ANSWER C) DOC What medication would increase seizure activity in electroconvulsive theory (ECT)? - - & CORRECT ANSWER B) Lithium propofol is considered to be: - - #” CORRECT ANSWER A)a barbiturate anesthetic other meds that can increase seizure activity is:- - ## CORRECT ANSWER D) all of the above The lobe responsible for taste, primary sensory area, and reading and writing is: - - CORRECT ANSWER D) Parietal lobe problems in the parietal lobe can lead to: - - ~ CORRECT ANSWER® 8) sensory perceptual disturbances and agnosia The Federal Law that protects employees from workplace hazards is which of the following? - - « CORRECT ANSWER D) OSHA The study of what the body does to drugs is which of the following? - - #” CORRECT ANSWER A) Pharmacokinetics You are conducting a clinical interview with a 19-year-old female with a substance use disorder. This interview will cover a number of domains. Which of the following inquiries would you use Which of the following would be considered correct for number of weeks that it would take for the maximum response to tricyclic antidepressants (TCA) to develop? - - # CORRECT ANSWER A) 6-8 weeks the initial mechanism of TCA would take weeks to develop; for the maximum response, it takes 6-8 weeks - - # CORRECT ANSWER C) 1-3 weeks As part of the physical examination of a 30-year-old female who has been referred to you for evaluation of depressive symptoms you check her height and weight and calculate her body mass index. You find that she can be classified as overweight because her body mass index (BMI) is- - *## CORRECT ANSWER C) 27 BMI between 20-25 is considered? - - # CORRECT ANSWER A) normal BMI obesity is indicated with a BMI over? - - # CORRECT ANSWERY 8B) 30 You have been asked to be part of a comprehensive geriatric consultation involving an 82-year- old female. You understand that this geriatric consultation will include all of the following EXCEPT: - - «& CORRECT ANSWER* D) Family finances You recently prescribed Valium for your 20-year-old client to treat her symptoms of moderate anxiety. After a few days, she reports that the Valium has made her agitated and has had no sedative effects. You understand that this reaction is an example of which of the following? - - « CORRECT ANSWER B) idiosyncratic reaction Physiologically, at what age is a female considered an adult? - - # CORRECT ANSWER 8B) 17 yrs Physiologically, at what age is a male considered an adult? - - # CORRECT ANSWERW C) 18 yrs You are observing a female adult in a group therapy session. You note that she is constantly twirling her long hair around her index finger. She only stops when she speaks to the group. But when she is done, she immediately starts the hair twirling again. You know that this is known as which of the following? - - # CORRECT ANSWER A) automatism are repeated purposeless behaviors often indicative of anxiety. This behavior is not performed purposefully and the individual cannot recall the behavior. Drumming one's fingers, twisting locks of hair, or tapping the foot are all examples - - CORRECT ANSWER A) automatisms . The neurologic disorders associated with automatisms include: - - # CORRECT ANSWER C) A&B The psychiatric conditions associated with automatisms include: - - # CORRECT ANSWERY® D)B&C There are many types of behaviors that may result in charges of malpractice for the NP in psychiatric practice. When a client is searched without probable cause this is considered which of the following? - - # CORRECT ANSWER D) invasion of privacy making false statements in order to cause harm to a reputation? - - # CORRECT ANSWER A) defamation of character the threat of doing harm - - # CORRECT ANSWER B) Assault Group cohesiveness and member enthusiam as well as morale are low in what type of leadership: - - # CORRECT ANSWER® 8B) laissez-faire type of leader Relaxation training may be effective for a patient who suffers from generalized anxiety disorder. This is which type of therapy? - - #7 CORRECT ANSWER® C) behavioral When the healthcare professional acts as counselor to a patient by advocating a particular course of action, this is which approach to the relationship with a patient? - - # CORRECT ANSWER 8B) deliberate model The model has the doctor giving the facts and leading the patient to a preference for treatment - - ~# CORRECT ANSWER C) interpretive model the method, the doctor promotes the patient's well-being independent of the patient's current preference. - - # CORRECT ANSWER® D) the paternalistic method Medical professionals should be aware of the importance of spirituality to patients and their families. Research has shown that it has an impact on coping methods and: - - # CORRECT ANSWER B) end of life decisions Several studies have shown that religious beliefs are often associated with what type of reactions toward terminal care decisions? - - # CORRECT ANSWER A) mature and active coping methods and reactions Persons with mental illness are guaranteed the same rights under federal and state laws as any other citizen. These civil rights include all of the following EXCEPT: - - # CORRECT ANSWER A) the right to enter contractual relationships even if the pt has been adjuncated incompetent A noninvasive and relatively safe stimulation of the dorsa lateral prefrontal area used to rapidly change magnetic fields to induce electrical current to flow in the brain is which of the following? - - CORRECT ANSWER C) TMS Its antidepressant properties may involve induction to get electrical current across the insulating tissues of the scalp and skull without discomfort. It has recently been indicated as an effective treatment for depression - - ~# CORRECT ANSWER A) Transcranial magnetic stimulation When a mental health nurse is making an ethical decision, the nurse must first do what? - - &# CORRECT ANSWER A) assess the situation What would be the appropriate ethical response to a patient from another culture who does not believe in psychopharmacology and refuses medication? - - ~# CORRECT ANSWER C) support the pt's decision which promotes autonomy The termination phase of the patient-NP relationship can begin when any of the following take place EXCEPT: - - # CORRECT ANSWER A) trust and rapport has been established Limiting the provision of health care services to save costs is known as which of the following? - - @ CORRECT ANSWER D) health care rationing What treatment for bipolar disorders has the most evidence that it provides neuroprotective properties? - - # CORRECT ANSWER A) Lithium also has evidence of neuroprotective properties. - - # CORRECT ANSWERW B) Valproate What method might be used to disseminate information about a unit of a health care facility decreasing the number of medication errors after implementing a new strategy? - - CORRECT ANSWER C) Journal publication One of the categories in the mental status examination is the general description of the patient. This general description will not include: - - # CORRECT ANSWER®¥ C) emotions A woman who recently suffered the loss of her husband in a fatal traffic accident is seeking something for her insomnia while she works through her grief. Which of the following is most likely to be prescribed for this client? - - w CORRECT ANSWER C) Alprazolam why is alprazolam a better choice than valium? - - # CORRECT ANSWER D) all of the above What signature is needed for the release of a 15 year old patient's records being transferred to a psychologist? - - # CORRECT ANSWER® 8) Guardian What IQ is indicative of moderate Intellectual disabilities? - - # CORRECT ANSWER®# C) 45 A patient being treated for severe depression by the psychiatric mental health nurse practitioner is handed an informed consent form to sign allowing for the use of electroconvulsive therapy on him. It is not complete. An informed consent that includes the procedural information, alternatives to the procedure, and the name of the person who will perform the procedure is missing: - - # CORRECT ANSWER D) the associated risks and benefits The psychiatric mental health nurse practitioner is guided by a system of ethics or morality. She understands that ethics, as applied to life, is known as: - - # CORRECT ANSWERW A) bioethics A nurse is threatening a patient with restraints if he does not calm down. You understand that this is considered which of the following? - - # CORRECT ANSWER A) assault One of the predictors af functional impairment in schizophrenia is the inability to understand or recognize displays of emotion from others and an inability to express emotion. This is known as: - - &@ CORRECT ANSWER C) affective blunting Which of the following is considered the "gold standard" diagnostic test to detect dementia? - - « CORRECT ANSWER A) MMSE When dealing with an older patient, it is important to know the theories of old age development and the theorists who are involved. One theorist holds that the maintenance of self-esteem is a major task of old age. This theorist is: - - # CORRECT ANSWER D) Heinz Kohut You have a client who physically collapses whenever she gets extremely angry. This patient is experiencing which of the following? - - # CORRECT ANSWER C) cataplexy is the abrupt temporary loss of voluntary muscular function and tone, evoked by an emotional stimulus such as anger. - - ~# CORRECT ANSWER® C) Cataplexy Three characteristics must be present for a problem to be deemed an ethical one. Which of the following is NOT one of these characteristics? - - # CORRECT ANSWER® 8) the problem is applicable across all cultures and ethniciites The psychiatric mental health nurse practitioner is examining a 49-year-old male with Pick's disease. His family wants to know about the disease. One of the things that the PMHNP will tell them is that: - - ~# CORRECT ANSWER () it affects the frontal lobes of the brain 
