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PMHNP Exam Edge Review Questions with
Answers Based on Mental Health
Which of the following mood stabilizing agents would be considered an antimanic? - Answers-D) Lithium valproic acid is considered to be a: - Answers-B) 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: - Answers-A) Angelman syndrome an individual with angelman syndrome will have what life expectancy? - Answers-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: - Answers-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: - Answers-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 following tests would you use in testing the cerebellum system when making a diagnosis? - Answers-D) tandem gait another test, outside of the tandem gait, to assess the cerebellum system is: - Answers- A) the romberg test vibration sensation and stereognosis are used to test: - Answers-B) the sensory system the cranial nerve exam is used to assess: - 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: - Answers-B) video EEG seizures that are a physical reaction to underlying psychological distress? - Answers-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: - Answers-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: - Answers-A) Clinical nurse specialist The psychiatric assessment process includes all but which component? - Answers-A) Self-disclosure If a nurse serves both her client and an agency involved with her client, this is known as which of the following? - Answers-C) double agentry An infant born on time has been diagnosed with neonatal jaundice. How long will it last for the infant? - Answers-B) until the 8th day of life in a premature birth, how long does the neonatal jaundice last? - Answers-A) until the infants 14th day of life You have a patient who has a severe anxiety disorder. You have prescribed medication for him which he has been taking for several months. He states that it has done nothing to help his anxiety and he claims that you were negligent in prescribing this medication for him. If he wants to take this further and claim negligence in a court filing he will have to prove all of the following EXCEPT: - Answers-D) intention professional malpractice or professional negligence requires what to be true/legal/shown in court: - Answers-C) proof of duty, breach of duty, proximate cause and damages or harm Concepts of death change from infancy to old age. At about what age do children see death as inevitable? - Answers-B) 10 years preschool children do/do not understand the finality of death - Answers-A) do not understand the finality of death children ages 5-6 do/do not understand the finality of death - Answers-C) A&B children ages 6-9 do/do not understand the finality of death - Answers-A) do not fully understand--beginning to accept death as a final wish
According to Freud, what is dominant in a patient who is having a manic episode and pursuing pleasure? - Answers-A) ID the ID is the ______ mind: - Answers-B) unconscious mind A 32-year-old man who is married with two children scheduled a business trip which lasted longer than was planned. When he arrived home, he could not tell his wife why his trip lasted longer than he planned, nor could he tell her what happened in those extra days or even in the planned days. He is being assessed by you while still unaware of what happened to him. His wife tells you that he has been stressed "to the max" about business problems and finances. The trip was scheduled to address these stresses. After diagnosing dissociative fugue your goal for treatment will be which of the following? - Answers-A) help the man come to terms with the stress that triggered the fugue most dissociative fugues last how long: - Answers-A) brief, lasting from less to 1 day to several months The psychiatric mental health nurse practitioner knows that the human brain contains approximately 86 billion neurons (nerve cells) and approximately 85 billion glial cells. The neurons comprise several parts. The part that is the cell body is the: - Answers-C) soma You are testing a group of 3rd-grade students to discover whether any of them have physical or mental problems that need to be addressed. You ask each of them to arrange colored blocks in a certain sequence. One of the boys in the group cannot do this task. He is displaying which of the following problems? - Answers-D) Dyspraxia dyspraxia is a: - Answers-A) brain based motor disorder Many therapeutic factors come into play in group therapy. All of the following are one of these factors EXCEPT: - Answers-D) self first therapeutic factors outside of imparting of information, instillation of hope and existential resolution, include: - Answers-E) all of the above 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? - Answers-A) Hoover's sign a conversion disorder causes neurological s/s in pts without an illnesss; in patients with hoover's sign: - Answers-B) 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? - Answers-C) DA
an abundance to dopamine is linked to: - Answers-A) Psychosis What is NOT an accurate diagnostic criteria for body dysmorphic disorder? - Answers- 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: - Answers-B) 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: - Answers-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: - Answers-B) Schedule II high abuse potential are schedule ___? - Answers-D) Schedule I drugs least potential for abuse classification: - Answers-A) Schedule V The characteristics of quantitative research would include all of the following except? - Answers-C) Flexible design What is NOT a criteria for assessing the adequacy of informed consent? - Answers-B) Physical health criteria for informed consent: - Answers-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? - Answers-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 as a: - Answers-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? - Answers-A) Medicare Part A
increase his dosage, but will not increase it above the high limit of fluoxetine per day which is: - Answers-C) 80mg What acronym is associated with nonverbal skills used for listening? - Answers-B) SOLER the acronym SOLER is used to: - Answers-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? - Answers-C) orientation to time and place will be acutely impaired There is a significant overlap with dementia and delirium with the distinguishing feature being: - Answers-B) duration of onset. All of the following organizations were in collaboration when developing a set of - Answers-C) DOC What medication would increase seizure activity in electroconvulsive theory (ECT)? - Answers-B) Lithium propofol is considered to be: - Answers-A) a barbiturate anesthetic other meds that can increase seizure activity is: - Answers-D) all of the above The lobe responsible for taste, primary sensory area, and reading and writing is: - Answers-D) Parietal lobe problems in the parietal lobe can lead to: - Answers-B) sensory perceptual disturbances and agnosia The Federal Law that protects employees from workplace hazards is which of the following? - Answers-D) OSHA The study of what the body does to drugs is which of the following? - Answers-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 to investigate this woman's pattern of use? - Answers-B) How has your use changed from when you first began? Which of the following statements about the disability rights of a person with mental impairment is least accurate? - Answers-C) The Americans with Disability Act protects individuals currently using illegal drugs or actively involved in alcoholism
Flight of ideas is best defined as - Answers-C) excessive amount and rate of speech composed of fragmented or unrelated ideas An adult female patient has had low self-esteem all of her life. She is now 54 years old. In developing a therapeutic relationship with this patient, showing respect will be of essential importance. If the psychiatric mental health nurse practitioner wants to show respect for the patient she will avoid: - Answers-A) Challenging the pt often to develop her abiity to stand up for herself Seclusion and restraint of mental patients have become more regulated in recent years. The psychiatric mental health nurse practitioner must be cautious when considering using restraints on a patient. One contraindication for using restraints on a mental patient is: - Answers-B) an extremely unstable medical condition If a nurse is feeling they need to rescue a patient, which of the following solutions might be effective? - Answers-B) avoid any secret alliances If a nurse is feeling they need to use "over identification" a patient, which of the following solutions might be effective? - Answers-A) allow the pt to direct issues If a nurse is feeling they need to use "overinvolvement" a patient, which of the following solutions might be effective? - Answers-C) avoid calling the pt when off duty 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? - Answers-A) 6-8 weeks the initial mechanism of TCA would take _____ weeks to develop; for the maximum response, it takes 6-8 weeks - Answers-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 - Answers-C) 27 BMI between 20-25 is considered? - Answers-A) normal BMI obesity is indicated with a BMI over? - Answers-B) 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: - Answers-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
insomnia, agitation, headaches, weight gain, sexual dysfunction and serotonin syndrome are common SE of what classes of meds: - Answers-B) SSRIs and SNRIs The therapeutic range for lithium for adults (not geriatric) is which of the following? - Answers-A) 08-1. geriatric recommendation for lithium level that is therapeutic: - Answers-B) 0.6-0. What is NOT a characteristic of a laissez-faire type of leader? - Answers-A) productivity is high Group cohesiveness and member enthusiam as well as morale are low in what type of leadership: - Answers-B) 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? - Answers-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? - Answers-B) deliberate model The _______ model has the doctor giving the facts and leading the patient to a preference for treatment - Answers-C) interpretive model the ________ method, the doctor promotes the patient's well-being independent of the patient's current preference. - Answers-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: - Answers-B) end of life decisions Several studies have shown that religious beliefs are often associated with what type of reactions toward terminal care decisions? - Answers-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: - Answers-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? - Answers-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 - Answers-A) Transcranial magnetic stimulation When a mental health nurse is making an ethical decision, the nurse must first do what?
- Answers-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? - Answers-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: - Answers-A) trust and rapport has been established Limiting the provision of health care services to save costs is known as which of the following? - Answers-D) health care rationing What treatment for bipolar disorders has the most evidence that it provides neuroprotective properties? - Answers-A) Lithium ______ also has evidence of neuroprotective properties. - Answers-B) Valproate What treatment will help a person who suffers from moderate anxiety to alter their response in stressful situations so that their anxiety is reduced? - Answers-D) Cognitive therapy A person with an IQ level of 65 would fall into which of the following classifications? - Answers-D) mild intellectual disability Members of groups take on different roles. An initiator, opinion giver, or evaluator is taking on which of the following roles? - Answers-C) task How many provisions does the nursing code of ethics have? - Answers-B) 9 An assessment tool that provides a graphic display of complex family patterns and serves as a source of hypotheses as to how presenting problems connect to the family context is which of the following? - Answers-D) genogram What is NOT an activity of the working or performing phase of a group? - Answers-A) summarizing the discussions and feelings Psychoeducation is a significant part of being a psychiatric mental health nurse practitioner. This requires certain competencies. The competency that falls into the affective domain is: - Answers-A) awareness of personal values and philosophy
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: - Answers-D) Heinz Kohut You have a client who physically collapses whenever she gets extremely angry. This patient is experiencing which of the following? - Answers-C) cataplexy is the abrupt temporary loss of voluntary muscular function and tone, evoked by an emotional stimulus such as anger. - Answers-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? - Answers-B) 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: - Answers-C) it affects the frontal lobes of the brain ______ is a rare type of age-related dementia that affects the frontal lobes of the brain and causes speech problems like aphasia, behavior difficulties, and eventually death. The cognitive decline occurs later (not earlier) in the disease process. It was first described by Czech neurologist and psychiatrist Arnold Pick in 1892. - Answers-A) Pick's disease It is considered frontotemporal dementia? - Answers-A) Picks disease The Mini-Mental Status Examination (MMSE) includes all but which of the following assessments? - Answers-C) affect Which of these ethnic groups has the highest percentage of child abuse? - Answers-D) native american and alaskan native Which of the following statements about Alzheimer's disease (AD) is least accurate? - Answers-C) AD is more prevalent in certain ethnicities In stage 2 of AD the disease is in its moderate stage. Patients show progressive memory loss; short-term memory is impaired; and memory difficulties interfere with all abilities. Patients are withdrawn from social activities and show a decline in ADLs. The patient often covers up for memory loss through confabulation. In this stage the patient commonly needs day care or in-home assistance. Other symptoms of AD in its moderate stage include all of the following except: - Answers-D) Hyperorality is the need to taste, chew and put everything in one's mouth.Other symptoms of stage 4 of this disease include agraphia, the inability to read or write; blunting of emotions; loss
of ability to recognize familiar objects; and hypermetamorphosis, the touching of everything in sight. - Answers-A) Hyperorality Other symptoms of _______ of this disease include agraphia, the inability to read or write; blunting of emotions; loss of ability to recognize familiar objects; and hypermetamorphosis, the touching of everything in sight. - Answers-C) A&B Which of the following makes it difficult to get informed consent from a patient that is not considered legally mentally incompetent? - Answers-D) all of the above A 14-year-old male patient is confused about his sexuality and it is affecting all phases of his life. To address this issue using Erik Erikson's stages of human development the psychiatric mental health nurse practitioner would concentrate on which developmental task? - Answers-B) identify vs role confusion Identify vs role confusion occurs at what age range - Answers-D) ages 12- In terms of the peer review process, which of the following statements is least accurate?
- Answers-A) Once the peer review process is complete the decision is final; no appeal is available. Verbal communication can best be described as which of the following? - Answers-B ) all the words an individual speaks Verbalization isconsidered to be the most - Answers-public link that people have with one another. What intervention could be used as part of reality therapy? - Answers-C) reject behavior that is not realistic reality therapy is a type of: - Answers-C) A&B Hostile and aggressive behavior can often be identified in stages. The incident or situation that initiates the aggressive response is called the - Answers-D) triggering phase Jean Piaget explored how intelligence and cognitive functioning develop in children. Of his four stages of development, the age of 6 to 12 years, encompasses which stage? - Answers-C) concrete operations What is a likely cause for a 40 year old male patient to have low testosterone levels? - Answers-D) stress Which of the following defense mechanisms would be considered healthy according to Vaillant's classification of defense mechanisms? - Answers-A) Sublimation
