Download PMHNP Exam Reported Questions with correct answers 2023 and more Exams Nursing in PDF only on Docsity!
correct answers 2023
What is dissemination? - Correct Answer Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? - Correct Answer Moderate cognitive impairment What is Tegretol in the CYP450 system? - Correct Answer Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? - Correct Answer Inducer - will lower dose of Lamictal What is a Type I research error? - Correct Answer There IS a difference but you say there isn't a difference.
correct answers 2023
What is a Type II research error? - Correct Answer There is NO difference but you say there is a difference. What is pseudo-dementia? - Correct Answer Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve. Is it normal for a 1 month old to have a palmar grasp? - Correct Answer Yes. What is a drug 1/2 life? - Correct Answer The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? - Correct Answer Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? - Correct Answer Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? - Correct Answer HLAB-
correct answers 2023
Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? - Correct Answer 10-25 yo When do females typically present with schizophrenia? - Correct Answer 25-35 yo What does Erythromycin to trileptal? - Correct Answer You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? - Correct Answer Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs - Correct Answer Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? - Correct Answer Agranulocytosis and Hyponatremia
correct answers 2023
What are the 3 CK muscle enzyme tests? - Correct Answer CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? - Correct Answer CKMB What is the risk of a seriously elevated CKMB? - Correct Answer Polymyositis Rhabdo What is a normal CKMB? - Correct Answer 0.3 mcg/L What psychoactives does Detrol interact with? - Correct Answer Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? - Correct Answer CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? - Correct Answer CD4 <
correct answers 2023
0-29 females What is a retic count? - Correct Answer Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow. What does a decreased retic count indicate? - Correct Answer Anemia - acute or chronic bleeding What does an increased retic count indicate? - Correct Answer Bone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? - Correct Answer Doesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and macrolides? - Correct Answer Increase tegretol levels. What happens if a pregnant women takes Accutane? - Correct Answer Birth defects.
correct answers 2023
What labs do you get with RA? - Correct Answer Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis. CRP and ESR are both increased in RA but NOT in osteoarthritis. Where does the NP Code of Ethics come from? - Correct Answer ANA When do you assume informed consent? - Correct Answer Unconscious Incompetent Life Threatening Situation What are the legal ramifications of treating w/o informed consent? - Correct Answer Same as with informed consent Who can declare a patient incompetent and appoint a guardian? - Correct Answer Only a court Does impaired judgment mean one is incompetent? - Correct Answer No.
correct answers 2023
How do you treat for evil eye? - Correct Answer Access traditional healer + traditional care. For there to be a duty to a patient, what must exist? - Correct Answer Relationship What is a proximate cause? - Correct Answer Connection between A + B. For there to be damages, what must exist first? - Correct Answer Negligence What is an occurrence basis liability insurance? - Correct Answer "occurred" during the policy period, no matter when the claim is brought against the insured What is a claims made/based liability insurance? - Correct Answer provides coverage for a claim that is brought within the policy period, no matter when the loss occurred. Who sets the minimum requirements for NP's? - Correct Answer Board of Nursing
correct answers 2023
State What are the various controlled substance classes? - Correct Answer Schedule I - nobody has these - not good for health - heroin, PCP, MDMA, researchers can get it sometimes. Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate Schedule III - Moderate Abuse Potential - hydrocodone, codeine Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine Schedule V - Very low abuse potential - anti-tussives, lomotil What classes of CS's is the NP approved to prescribe? - Correct Answer Schedules III-V ONLY. Where does 50% of healthcare funds come from? - Correct Answer The government
correct answers 2023
Is dental care included in Medicaid? - Correct Answer Yes, <21 gets basic dental as part of the Medicaid plan. What is the purpose of HIPAA? - Correct Answer National standards for electronic HC transactions National ID for providers, health plans and employers. Not SIMPLY Confidentiality. What must be signed prior to any healthcare in the state - Correct Answer Notice of Privacy Practices Statement What happens if a patient refuses to sign an ROI? - Correct Answer Can decline to treat Health plan may condition enrollment on provision of consent When is HIPAA not required? - Correct Answer Emergency treatment Substantial communication barriers and consent is inferred Involuntary committment
correct answers 2023
Is it ok to announce a patient's name in a waiting room? - Correct Answer Yes, no other way to give care. Is it ok to leave a message on a patient's vm? - Correct Answer Yes, but should be limited. What is the impact of steroid inhalers on children? - Correct Answer Slows bone growth and may decrease ultimate height. What is the long-term impact of using steroid inhalers? - Correct Answer Cataracts, glaucoma, thinning of bones and skin What is included in the treatment of fibromyalgia? - Correct Answer Sleeping meds Antidepressants Pain meds What psychoactives are first line treatment for fibro? - Correct Answer Cymbalta, Effexor
correct answers 2023
What is the benefit of play therapy? - Correct Answer Don't have to confront emotions head on. What neurotransmitters are involved in the bioamine hypothesis of depression? - Correct Answer Noradrenaline Serotonin Dopamine MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the amount in the synapse. How do you test CN XII? - Correct Answer Stick out your tongue. What CN are you testing when you have a patient clinch their jaw and assess temporal muscles? - Correct Answer CN V - Trigeminal What are two important things to measure when using Zyprexa? - Correct Answer Lipid level and abdominal circumference
correct answers 2023
What is included in the mini-cognitive exam? - Correct Answer Clock, memory questions from MSE. What is HIV related dementia often mistaken for, especially at the beginning? - Correct Answer Depression What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil count) <1000? - Correct Answer Stop and repeat lab. Normal is 1500-8000 mm Can you take Buspar during pregnancy? - Correct Answer Category B - ok if really needed. Can you take Klonopin during pregnancy? - Correct Answer Category C - avoid if possible; does excrete into breast-milk and infant could get withdrawal symptoms. What is the concern when prescribing Lamictal with Depakote? - Correct Answer Both are CYP450 inducers of the other and therefore together will lower the level of both drugs.
correct answers 2023
If a patient takes Risperdal and develops NMS, which other atypical should you avoid in the future? - Correct Answer Zyprexa What happens when taking Lithium and NSAIDS? - Correct Answer NSAIDS can cause Lithium levels to increase and for the patient to become toxic! What medications are at risk to cause SJS in the Asian population? - Correct Answer HLAB-1502 Allele increase risks of SJS. Trileptal, Tegretol and other AED's. Amgdyla - Correct Answer Fear, Anxiety, and Aggression Neurotransmitter for Addiction - Correct Answer Dopamine and GABA Neurotransmitter for Mood Disorder - Correct Answer Serotonin and norepinephrine Which drug affects Carbamazepine/tegretol - Correct Answer Erythromycin will cause toxic levels. Decrease Carbamazepine/tegretol
correct answers 2023
Signs and Symptoms of stimulant abuse - Correct Answer insomnia and tremor Depakote check - Correct Answer HCG levels Depakote causes - Correct Answer Spinal bifida Grasp reflex. - Correct Answer an infantile reflex in which an infant closes her hand into a fist when her palm is touched Stroking the palm of a baby's hand causes the baby to close his or her fingers in a grasp. The grasp reflex lasts until about 5 to 6 months of age. Moro reflex. - Correct Answer The Moro reflex is often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out the arms and legs, cries, then pulls the arms and legs back in. A baby's own cry can startle him or her and trigger this reflex. This reflex lasts about 5 to 6 months. pincer grasp - Correct Answer 9 months
