PMHNP Mock Board Review Questions with Solutions (Latest Update 2024), Exams of Nursing

Download PMHNP Mock Board Review Questions with Solutions (Latest Update 2024) and more Exams Nursing in PDF only on Docsity!

(Latest Update 2024)

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 is ___ of disease and examples of secondary prevention include: (x2) - Correct Answer ✅Early Detection of Disease Blood Pressure Colonoscopy The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include: (x1) - Correct Answer ✅Minimizing Negative Outcomes from Disease

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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

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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

2.5 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

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Polydipsia / Polyuria Peripheral Edema To initiate a Pt on the 3rd line antipsychotic ___ the ANC needs to be over ___ and stop treatment if ANC is ___ - 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

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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

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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

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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

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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

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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)

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Tx for ___ is Cyproheptadine (Periactin), fluids and ___ to decrease seizure- like 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

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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

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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

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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 ___

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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 1 <. The ___ Report ensures that all investigators or participants in research must pass a test on protection of human subjects - Correct Answer ✅Belmont Report

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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%

(Latest Update 2024)

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
4. Formal Operational

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___ 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 ___ Model of ___ Precontemplation Contemplation Preparation Action Maintenance - Correct Answer ✅Trans-theoretical Model of Change

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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

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Termination (Regression/Resistance) Harry Stack Sullivan's ___Theory hypothesized that there are two drives for all behavior: ___ drive (i.e. sleep, hunger, sex) ___ drive (i.e. conforming to social norms) These desires form the hierarchy of needs (survival to____) - Correct Answer ✅Interpersonal Theory Satisfaction Drive Security Drive Self-Actualization Leininger's theory of ___ care is premised on regardless of the ___, the essence of nursing is the ___ - Correct Answer ✅Theory of Cultural Care

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Culture Care In Caring Theory, ___ proposed that the aspects of care that potentiate therapeutic healing and relationships are ___ - Correct Answer ✅Watson Curative Factors P I C O T - Correct Answer ✅Population Intervention Comparison Outcome

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Time Process of Quality Improvement P D S A - Correct Answer ✅Plan - Plan the Change Do - Carry out the Plan Study - Examine results Act - Improve the process (based on decision influenced by outcome) The bundle of ___ matter (called ___) that connects the left and right hemispheres of the brain allowing for decussation of sensorimotor exchange

• Correct Answer ✅White Matter Corpus Callosum

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Issues with hearing of memory are associated with the ___ region of the brain - Correct Answer ✅Temporal Another name for the striatum is the ___ and issues with the ___ can lead to bradykinesis, hyperkinesia, dystonia (___) - Correct Answer ✅Basal Ganglia EPS While the precursor for neurotransmitters NE / DA is ___ the precursor for the indole 5HT is ___ - Correct Answer ✅Tyrosine Tryptophan Substance P, Endorphins and Enkephalins are all classified as ___ - Correct Answer ✅Neuropeptides overweight BMI obese BMI - Correct Answer ✅26-29.9

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30-35

Aspect of Gestalt Therapy - Taking action towards self that we wish someone else would do for us - Correct Answer ✅Retroflection Aspect of Gestalt Therapy - Organism and Environment have poor differentiation (dysfunctional closeness) - Correct Answer ✅Confluence Aspect of Gestalt Therapy - Assigning aspect of self to others in an effort to dismiss their feelings (i.e. ___ guilt because you feel guilty) - Correct Answer ✅Projection (projecting guilt because you feel guilty) Aspect of Gestalt Therapy - Blindly accepting someone else's view - Correct Answer ✅Introjection

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Normal Thyroxine (T4) Levels ranges ___ pmol/L - Correct Answer ✅10-27 pmol/L Parse's ___ theory examines every persons perspective meaning of ___ - Correct Answer ✅Human Becoming Theory Quality of Life