PMHNP-BC EXAM 2024 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

Download PMHNP-BC EXAM 2024 WITH 100% ACCURATE SOLUTIONS and more Exams Nursing in PDF only on Docsity! PMHNP-BC EXAM 2024 WITH 100% ACCURATE SOLUTIONS 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 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? - correct answer✔✔ C) the most preventable cause of ID is Fetal alcohol syndrome A PMHNP is assessing a patient who has been diagnosed with schizophrenia. Which of the following terms best describes the patient's symptom of reduced speech or difficulty producing spontaneous speech? - correct answer✔✔ A) Alogia A nurse is providing care to a patient who discloses that they are experiencing intimate partner violence (IPV). Which of the following actions is the priority in the nurse's response? - correct answer✔✔ D) providing the pt with resources for safety and support The primary goal in the clinical management of major depressive disorder (MDD) during the acute phase is which of the following? - correct answer✔✔ A) Client safety All of the following are considered biological-based therapies except: - correct answer✔✔ B) Biofeedback mind body interaction: - correct answer✔✔ A) Biofeedback CAM therapies are known as: - correct answer✔✔ C) A&B herbal products, vitamins, supplements and aromatherapy are what type of CAM: - correct answer✔✔ C) Biological based therapies guided imagery, meditation, yoga and biofeedback are what type of CAMS: - correct answer✔✔ D) Mind body interactions acupressure, acupuncture, massage and reflexology are what type of CAM: - correct answer✔✔ B) Manipulative and body based therapies A PMHNP is providing care to a patient who has been diagnosed with a terminal illness. The patient has recently entered the bargaining phase of death and dying. Which of the following best describes the goal of the bargaining phase? - correct answer✔✔ D) to help the pt negotiate a compromise w the higher power or fate in an attempt to postpone their death All of the following statements are true regarding acupuncture except: - correct answer✔✔ D) it teaches pts to consciously control their physiological functions Oppositional defiant disorder etiology has its foundation in all of the following except: - correct answer✔✔ C) Frequent relocation of residency You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment with a chief complaint of, "My son's teacher is concerned about my son because he is not able to finish his in-class schoolwork. I just don't know what to do." You suspect the client may have attention-deficit hyperactivity disorder (ADHD), but you need more information. The mother states that it has been reported that her son fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, is always talking out of turn and distracting other students, and interrupts when other students answer a question. Which of the following symptoms is indicative of hyperactivity? - correct answer✔✔ C) interrupts when other students answer a question Which of the following is not a common core symptom of major depressive disorders in children? - correct answer✔✔ D) Hypersomnia Which of the following is not a common co-morbidity of PTSD? - correct answer✔✔ D) Psychosis You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment with a chief complaint of, "My son's teacher is concerned about my son because he is not able to finish his in-class schoolwork. I just don't know what to do." The mother states that it has been reported that her son fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, is always talking out of turn and distracting other students, and interrupts when other students answer a question. Given this information, you decide to perform a mental status exam on the client. What findings would you expect when performing this assessment that would support a diagnosis of attention deficit hyperactivity disorder (ADHD)? - correct answer✔✔ B) Poor concentration and memory 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 Which term describes the death rate for a given population? - correct answer✔✔ D) Mortality rate All of the following are examples of descriptive statistics except: - correct answer✔✔ C) P-value PMHNPs work with offenders in emergency departments and prisons. Which type of nurse-client relationship is based on the crime committed and the investigational aspect of the interaction? - correct answer✔✔ A) Forensic Which of the following is a differential diagnosis to consider that often mimics panic disorder and symptoms of anxiety? - correct answer✔✔ B) vestibular dysfunction A PMHNP is working with a patient who is struggling with feelings of isolation and a lack of purpose. Which of Erik Erikson's stages of psychosocial development is this patient likely experiencing? - correct answer✔✔ B) Intimacy vs Isolation Intimacy vs Isolation occurs when: - correct answer✔✔ A) early adulthood, 18-40 years A PMHNP is providing anticipatory guidance to parents of a two-year-old child. Which of the following is the most important topic to address during this visit? - correct answer✔✔ C) Limiting screen time Which of the following is true regarding those with posttraumatic stress disorder? - correct answer✔✔ A) they experience states of dissociation People suffering from PTSD can be prone to : - correct answer✔✔ D) alll of the above Which statement most accurately describes grassroots lobbying? - correct answer✔✔ C) it occurs when nonpaid individuals contact their legislators to influence policy A client states, "Nothing good ever happens to me. I am a failure and should just accept who I am." What would be the best behavioral technique for this individual? - correct answer✔✔ A) CBT A patient with a history of tobacco use disorder and schizophrenia is being treated with antipsychotic medication. Which statement is true regarding the relationship between tobacco use disorder and reduced antipsychotic efficacy? - correct answer✔✔ C) tobacco leads to decreased blood levels of the antipsychotic meds, resulting in reduced efficacy How does the body remove both serotonin and norepinephrine from the synaptic cleft? - correct answer✔✔ B) an active reuptake process 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