PMHNP Mock Board Review: Questions and Answers 2025, Exams of Nursing

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PMHNP MOCK BOARD REVIEW

(FITZGERALD) EXAM

QUESTIONS AND ANSWERS 2025

The goal of primary prevention is the of disease and examples of primary prevention include: (x2) Correct Answer: Prevention of Disease Immunization Counseling about Safety The goal of secondary prevention isof disease and examples of secondary prevention include: (x2) Correct Answer: Early Detection of Disease Blood Pressure Colonoscopy

The goal of tertiary prevention isof disease and examples of tertiary prevention include: (x1) Correct Answer: Minimizing Negative Outcomes from Disease Adjust therapy to avoid end organ damage Screen men for colorectal CA at y/o age and women for Cervical/Breast CA at y/o Correct Answer: 50 y/o 21 y/o Up to 44% of patients taking Valproate (Depakote) will have elevated Correct Answer: ALT/AST The GGT ranges from u/L and can be elevated due to Correct Answer: 0-45 u/L ETOH abuse The best measurement of kidney function is GFR and GFR is normal at mL/min Correct Answer: >90 mL/min

If a patients Na levels are low (<35), they will lithium which can result in the medical emergency of and signs of this medical emergency include (x3) Lithium can cause (x2) making it hard to moniter NA levels and there is an increased risk of gouter and for Pts on Lithium The medical emergency is Tx with (which should considered at levels >2. mEq/L absolutely be done if lithium levels reach mEq/L) Correct Answer: Reabsorb lithium Lithium Toxicity Hyperreflexia Arrhythmias Lithium Toxicity 4.0 mEq/L Nystagmus Polydipsia / Polyuria Peripheral Edema

treatment if ANC is To initiate a Pt on the 3rd line antipsychotic the Correct Answer: Clozapine (Clozaril) ANC >1, ANC<1, Normal TSH levels Correct Answer: 0.4-4. High TSH (0.4-4.0 mlU/ mL normal) and Low T4 (10-27 pmol/L normal) Correct Answer: Hypothyroidism Low TSH (0.4-4.0 mlU/ mL normal) and High T4 (10-27 pmol/L normal)

Correct Answer: Hyperthyroidism Defense mechanisms are derived out of Freud's Models (Id, Ego, SuperEgo) Correct Answer: Psychoanalytic Birth order was stressed by who recognized as a driving force and created theory Correct Answer: Adler Inferiority (think Inferiority Complex) Personality Theory Attachment Theory was developed by and the purpose of attachment is to ensure closeness and stability through a in development Healthy attachment is attachment in both children and adults Correct Answer: Bowlby Secure Base (Sense of Security for child) Secure Attachment

unconditional positive regard was created by who believed that Pts would develop & self-acceptance Correct Answer: Carl Rogers Self-Awareness Maslow's Hierarchy of Needs includes physiological, safety, love/belonging, esteem, and (the highest need) is also known as psychology Correct Answer: Self-Actualization Humanistic Psychology Therapeutic Theory that focuses on the 'here and now' is Therapy and was developed by Fitz A Gestalt Therapist may ask directive questions utilizing to elicit the client to have increased and decreased avoidance. Correct Answer: Gestalt Therapy Fitz Perls Confrontation

Awareness How to replace beliefs with beliefs is cognitive restructuring and the core of theory of psychopathology which is the basis of CBT created by Correct Answer: Irrational Beliefs Rational Beliefs Cognitive Theory of Psychopathology Beck The perception one has of their ability to perform a task to a certain level. An aspect of Bandura's Social Theory Correct Answer: Self-Efficacy Bandura's Social Cognitive Theory In Bowen's Family Theory, the individual can only be understood within their and an increase in stable relationships is seen within the context of (when compared to say... fusion which lacks boundaries) the goal is good Correct Answer: Social Context

Triangulation Differentiation of Self Aphasia, agnosia and apraxia damage attributed to the lobe Correct Answer: Parietal Lobe The reward neural pathway is the and the voluntary / involuntary movement neural pathway is the Correct Answer: Mesolimbic Pathway Nigrostriatal Pathway The action of any antipsychotic is to block the receptor and the receptor inhibits the formation of cAMP by inhibition of the enzyme Correct Answer: D adenylate cyclase Concomitant use of triptans and SSRI or SNRI antidepressants has led to an FDA warning for (but the risk is low according to JAMA study)

Tx for is Cyproheptadine (Periactin), fluids and to decrease movement/muscle stiffness Correct Answer: Serotonin Syndrome Benzos The ability of a Pt who had a stroke to regain the ability to speak by recruiting other areas of the brain to compensate for damaged regions is Correct Answer: Neural Plasticity African Americans patients are more likely to be and over-diagnosed with (x2) Correct Answer: Involuntarily Hospitalized Substance Abuse / Schizophrenia Sickness, unhappiness and role functioning from leaving body in Latino culture is Correct Answer: Soul Susto The H.S.S.A. Mature Defense Mechanism Correct Answer: Humor

Suppression Sublimation Altruism Effective therapeutic technique in Psychotherapy (IPT) is Correct Answer: Interpersonal Psychotherapy Role Playing Dantrium (Dantrolene) or Parlodel (Bromocriptine) are both used in the Tx of Correct Answer: NMS Lead Pipe Rigidity Tremors Dyskinesia Patient with bipolar most likely to be misdiagnosed with unipolar depression is Correct Answer: Bipolar II Mood disorder (i.e. Bipolar, MDD, SAD...) with typically an early age of onset

Correct Answer: Dysthymia (x3) Cat B psychiatric medications Correct Answer: Busparone (Buspar) Clozapine (Closaril) Lurasidone (Latuda) Due to QT prolongation, max dose of Citalopram (Celexa) is in adults over. Correct Answer: 20 mg

60 y/o SSRI withdrawal syndrome is but not Correct Answer: Bothersome Deadly John Bowlby developed with the idea that the caregiver provides (x2) creating a stable base for the child Correct Answer: Attachment Theory Safety/Security

A credential is used to provide to the public by ensuring a minimum level of competence and title protect of psychiatric nurse practitioners for certification is provided by the Scope of practice for any NP is determined by Correct Answer: Protect American Nurses Association (ANA) State Law To be deemed incompetent requires a A durable power of attorney for health care designates in writing an agent to act on behalf of an individual medically and should be considered for patients with chronic Correct Answer: Court Ruling Psychiatric Disorders When considering probability is lies between (something not possible) and (something that will occur on every instance) and in order for the p value to have SIGNIFICANCE it must by Correct Answer: 0

<.05

The Report ensures that all investigators or participants in research must pass a test on protection of human subjects Correct Answer: Belmont Report Treatment of choice for trichomonas vaginalis is the oral antibiotic Correct Answer: Metronidazole (Flagyl) If insomnia is presenting in later years, this may be due to rhythms, but is common in Pts with Correct Answer: Chronobiological Rhythms Alzheimer's Insomnia lasting a few days caused by travel or mild stress is and responds to relaxation techniques Short-term insomnia is considered to be < , and BH disorders cause > % of chronic insomnia and the BH type of Dx most common to cause insomnia are

Correct Answer: Transient Insomnia <3 weeks

50% Mood Disorders (i.e. MDD, Bipolar II, SAD...) Displaced feelings r/t significant people in the Pts past onto the PMHNP Correct Answer: Transferance Emotional reaction by provider to the Patient based upon the providers past experiences Correct Answer: Countertransferance In Cognitive Theory, developed by Piaget the x4 stages of cognitive development: Birth-2 (understanding object permanence) 2-7 (Language and Magical Thinking) 7-12 (Logic in understanding change - reversibility of water and ice) 12 (abstract thought) Correct Answer: 1. Sensorimotor

2. Preoperational
3. Concrete Operational

Model of

4. Formal Operational Model developed by Becker explains how beliefs influence behaviors and why healthy people may not use screening or prevention measures: Perception of S/S Perceived B/B As well as 'cues to action' - basically what is going to Correct Answer: Health Belief Model Susceptability / Seriousness Benefits / Barriers Motivate the Change Precontemplation Contemplation Preparation Action Maintenance Correct Answer: Trans-theoretical Model of Change

Bandura's Social Cognitive Theory postulate that behavior is the result of factors, factors, and which is the perception one has of their ability to to a certain level Correct Answer: Cognitive / Environmental Self-Efficacy Preform a Task x3 Phases of the therapeutic Nurse-Client Relationship (Peplau) Introduction & creating Tx goals Implementing Tx plan Focus on self management {(x2) by client is expected} Correct Answer: Orientation Working Termination (Regression/Resistance)