Download PMHNP-BC Mental Health Care & Treatment Practice Latest Update 2024-2025 Midterm Exam Ques and more Exams Nursing in PDF only on Docsity!
PMHNP-BC Mental Health Care & Treatment Practice Latest
Update 2024-2025 Midterm Exam Questions & Answers
A patient with bulimia nervosa is being treated by a PMHNP. Which of the following is the first-line pharmacotherapy for bulimia nervosa? - Answers-A) antidepressants Which of the following conditions is least likely to produce similar symptoms to a panic attack? - Answers-A) MDD Statistically, gambling disorder is most prevalent among which of the following ethnic/racial groups? - Answers-D) African AMericans Cluster B personality disorders are characterized as having: - Answers-A) Dramatic and affective instability Cluster A personality disorders are characterized as having: - Answers-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? - Answers-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: - Answers-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? - Answers-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? - Answers-B) breast bud stage with elevation of breast and papilla stage of tanner's development: breast bud stage with elevation of breast and papilla - Answers-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: - Answers-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? - Answers-C) mixed delirium Which of the following would be an appropriate early intervention strategy for a community mental health clinic to target personality disorders? - Answers-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? - Answers-C) fortune telling fortune telling is also known as: - Answers-C) A&B Which of the following is a valid screening tool used for the early detection of attention- deficit/hyperactivity disorder (ADHD)? - Answers-B) Conner's 3rd edition (Conners 3) behavioral assessment system for children (BASC) is used for? - Answers-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: - Answers-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? - Answers-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? - Answers-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 preventing homelessness among individuals with mental health conditions? - Answers- C) providing CM services and MH tx All of the following statements are true about gray matter except: - Answers-C) it is the myelinated axons of neurons
Which classification of psychiatric medications requires routine lab work for metabolic monitoring? - Answers-B) SGA What disorder is characterized by a persistent regurgitation and chewing of food already eaten? - Answers-D) Rumination disorder What term is used to describe patients who injure themselves by self-mutilation but who do not wish to die? - Answers-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? - Answers-A) CAPS CAPS stands for and is used for: - Answers-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? - Answers-C) Rett Syndrome Which of the following statements is not accurate concerning the diagnosis of panic disorder? - Answers-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? - Answers-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? - Answers-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?
- Answers-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? - Answers-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? - Answers-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? - Answers-A) Client safety All of the following are considered biological-based therapies except: - Answers-B) Biofeedback mind body interaction: - Answers-A) Biofeedback CAM therapies are known as: - Answers-C) A&B herbal products, vitamins, supplements and aromatherapy are what type of CAM: - Answers-C) Biological based therapies guided imagery, meditation, yoga and biofeedback are what type of CAMS: - Answers- D) Mind body interactions acupressure, acupuncture, massage and reflexology are what type of CAM: - Answers- 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? - Answers-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: - Answers-D) it teaches pts to consciously control their physiological functions Oppositional defiant disorder etiology has its foundation in all of the following except: - Answers-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? - Answers-C) interrupts when other students answer a question
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? - Answers-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? - Answers-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? - Answers-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? - Answers-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? - Answers-A) Dopamine ____ 's function involves normal functioning of thinking, decision makming, reward seeking behavior, fine muscle action, and integrated cognition: - Answers-A) Dopamine ____ 's function involves alertness orientation, fight or flight, learning, memory, focus and attention: - Answers-B) Norepi _____'s general function involves the regulation of sleep, pain perception, mood states, temperature, aggression and libido: - Answers-C) Serotonin _____'s general function involves memory and sustained autonomic function: - Answers-D) Gutamate Dopamine irregularities are closely linked to what disease process? - Answers-D) schizophrenia Norepinephrine's irregularities are closely linked to what disease process? - Answers-B) panic disorders and anxiety
Serotonin's irregularities are closely linked to what disease process? - Answers-A) depressive disorders Glutamate's irregularities are closely linked to what disease process? - Answers-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: - Answers-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? - Answers-B) relevant case law and health litigation Target symptoms of antidepressant treatment include which of the following? - Answers-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? - Answers-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? - Answers-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? - Answers-A) Body Uneasiness Test (BULIT-R) the Body Uneasiness Test is comprised of what: - Answers-C) A &B the Eating Attitudes Test (EAT) is comprised of what: - Answers-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? - Answers-D) Mortality rate All of the following are examples of descriptive statistics except: - Answers-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? - Answers-A) Forensic
