PMHNP practice questions and Answers (100% Correct answers)200 Questions|| 2023, Exams of Nursing

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answers)200 Questions|| 2023

what term describes a scientific study that gathers multiple studies and analyzes them to draw a larger conclusion? - correct answer ✅systematic review. borderline personality disorder falls under which cluster of personality disorder traits? - correct answer ✅B a 36-year-old Caucasian male arrives for his usual monthly medication appointment. diagnosed with schizophrenia & has been stabilized on Haldol for 9 years. today he states he has an inner feeling of restlessness & inability to remain still. what type of E.P.S is suspected? - correct answer ✅akathisia which part of medicare provides optional coverage for beneficiaries? - correct answer ✅part c the cerebrum contains all of the following areas of the brain except one. cerebral cortex, brainstem, limbic system, or hypothalamus - correct answer ✅brainstem in a family systems context, what is the definition of morphogenesis? - correct answer ✅a family's tendency to adapt to change when changes are necessary.

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how does the body remove both serotonin and norepinephrine from the synaptic cleft? - correct answer ✅an active re-uptake process a 53 year old menopausal woman presents with complaints of anhedonia, depressed mood, & vasomotor symptoms. what medication effectively treats both vasomotor symptoms and depression? - correct answer ✅desvenlafaxine/pristiq it is an S.N.R.I. which personality disorder is most likely to have fantasies of success? - correct answer ✅narcissistic who should receive a shingles vaccine? - correct answer ✅anyone over the age of 60 who has had chickenpox some states use the umbrella term advanced practice nurse to refer to all of the following except which one? nurse anesthetists, certified nurse midwife, mid-level providers, or nurse practitioners - correct answer ✅mid-level providers eating disorders are characterized by what? - correct answer ✅disordered patterns of eating, accompanied by distress, disparagement, preoccupation, & a distorted perception of one's body shape

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the federal government offered financial awards to encourage hospitals to implement meaningful use. the financial awards are tied to specific objectives related to the effective use of electronic health records. give 3 examples of this. - correct answer ✅1. electronic prescribing

2. electronic medication interaction checks
3. computerized provider order entry for an act to be considered criminal, it must have 2 components: actus reus & mens rea. what is actus reus? - correct answer ✅voluntary conduct which complementary & alternative medicine technique is based on manipulating the flow of energy throughout the body? - correct answer ✅acupuncture who authored the report crossing the quality chasm, which emphasized the need for inter professional collaboration in order to improve the quality of health care?

• correct answer ✅institute of medicine is a durable power of attorney limited to terminal illness only? - correct answer ✅no

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what term describes a system where the insurer is not only the payer but also the provider of care? - correct answer ✅managed care what term best describes a public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market? - correct answer ✅health alliance freud would argue that adults who use 'biting' sarcasm as a defense mechanism are fixated in which psychosexual stage of development? - correct answer ✅oral what term is used to describe patients who injure themselves by self-mutilation but who do not wish to die? - correct answer ✅parasuicide what most accurately describes an individual with avoidant personality disorder? - correct answer ✅these patients are timid and easily wounded by criticism from others what are 3 reasons for homelessness? - correct answer ✅mental illness, poverty, & inadequate public assistance

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what is the primary goal of the AMA's scope of practice partnership initiative? - correct answer ✅to limit patients' choice of which health care provider they can see for treatment as a nurse practitioner you are expected to be competent in what areas? - correct answer ✅policy, practice inquiry, and technology and information literacy what term describes a digital version of a patient's medical file? - correct answer ✅electronic health record what term describes the death rate for a given population? - correct answer ✅mortality rate what action takes place during the working phase of a therapeutic relationship? - correct answer ✅clarifying patient expectations and mutually identifying goals at what age would you expect a child to sit alone with good coordination, imitate scribble, develop mild separation anxiety, and respond to social play such as peek- a-boo? - correct answer ✅40 weeks or about 8 months old

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physical exam findings of Rett syndrome include what? - correct answer ✅seizures, irregular respirations, and scoliosis what endocrine findings are suggestive of alcohol dependency? - correct answer ✅testicular atrophy, sexual dysfunction, and gynecomastia what is sexual identity? - correct answer ✅it refers to whom someone is affectionately attracted what are some examples of monoamine neurotransmitters? - correct answer ✅dopamine, norepinephrine, and serotonin what percent of the incarcerated population in the U.S. has a severe mental illness? - correct answer ✅15 to 24 percent statistically, gambling disorder is most prevalent among what ethnic/racial group?

• correct answer ✅african americans what cranial nerve assessment tests smell, ensures patency of nasal passages, and is performed by having the client close the eyes to identify smells? - correct answer ✅olfactory

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what are the most common potentially law-breaking sexual behaviors? - correct answer ✅voyeuristic acts what psychiatric disorder is characterized by at least one psychotic symptom present for less than one month? - correct answer ✅brief psychotic disorder in almost every state, nurse practitioners are reimbursed at what percentage of the allowable physician rate? - correct answer ✅85 percent which part of medicare provides optional coverage for outpatient pharmaceuticals? - correct answer ✅part D which class of medications would be most appropriate for treating a patient stabilized on haldol that is exhibiting mild pseudo-parkinson's symptoms? - correct answer ✅muscarinic 1 agonist patient switched to halodol last week presents with oriented to self, fever of 105.3, heart rate 126, breath rate 22, extremities are stiff and rigid, WBCs of 14, creatinine of 2.6. what is the most serious complication of her presentation? - correct answer ✅rhabdomyolsis

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what is the primary purpose of the corpus callosum? - correct answer ✅connect right and left hemispheres and facilitate sensorimotor information exchange what medication can produce a false positive for methamphetamines? - correct answer ✅prozac/fluoxetine what medication can produce a false positive for benzodiazepines? - correct answer ✅zoloft/sertraline what medication can produce a false positive for cocaine? - correct answer ✅motrin what food product can produce a false positive for morphine or heroin? - correct answer ✅poppy seeds how do managed care organizations control health care costs? - correct answer ✅bargain with medical practices for reduced rates on visits autism spectrum disorder can present with what deficits? - correct answer ✅lack of social reciprocity, insistence on sameness, & nonverbal communication

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what are the general functions of norepinephrine? - correct answer ✅alertness, focused attention, learning, & memory what are the general functions of dopamine? - correct answer ✅thinking, fine muscle action, & reward-seeking behavior what are the general functions of GABA? - correct answer ✅reduces arousal, aggression, & anxiety what are the general functions of serotonin? - correct answer ✅regulates sleep, pain, mood states, & temperature what is an example of a psychological preventative factor that protects someone from developing a psychiatric disorder? - correct answer ✅healthy ego defenses compared with physicians, nurse practitioners save the consumer & the insurance company what percent of costs? - correct answer ✅20 percent a person who is proficient in the use of software, hardware selection, & computer maintenance possesses what skill? - correct answer ✅computer competency

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what underlying psychiatric disorder is not linked to insomnia? - correct answer ✅oppositional defiant disorder the institutional review board ensures what? - correct answer ✅1. risks to participants are minimized

2. participant selection is equitable
3. adverse events are reported
4. risks & benefits are evaluated
5. informed consent is obtained & documented
6. data safety monitoring plans are implemented when indicated what are signs & symptoms of stevens johnsons syndrome? - correct answer ✅facial swelling, tongue swelling, macules/papules/burning confluent red rash, skin sloughing, pro-dromal headache, malaise, arthralgia, & painful mucous membranes may occur before rash what is stevens johnsons syndrome? - correct answer ✅immune reaction to a foreign antigen that can occur with exposure to any anticonvulsant drug

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what is the therapeutic range for lithium? - correct answer ✅0.6-1. If first onset of manic symptoms occurs after age 40, what is likely the cause? - correct answer ✅another medical condition what are the side effects of lithium toxicity? - correct answer ✅slurred speech, confusion, coarse hand tremors, severe GI effect what medications when taken with lithium can double the level? - correct answer ✅NSAIDs and ACE inhibitors which personality disorder is most likely to be excessively scrupulous? - correct answer ✅obsessive-compulsive what EPS has a mask like appearance and a shuffling gait? - correct answer ✅pseudo-parkinson's what findings do you expect to support autism spectrum disorder? - correct answer ✅flat or blunted affect, little or no eye contact, and lack of emotional reciprocity

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what psychiatric medication is an inducer of the hepatic cytochrome P enzyme? - correct answer ✅carbamazepine intimate partner violence is defined as what? - correct answer ✅physical, emotional, economic, or sexual pain and injury that is intentionally inflicted by a person's intimate partner what term describes the amount that people spend before their health insurance pays for the cost of health care? - correct answer ✅deductible what cranial nerve assessment tests for tactile perception of the facial skin? - correct answer ✅trigeminal which act incentivizes pharmaceutical companies to develop drugs to treat rare disease? - correct answer ✅orphan drug act true or false: females have an earlier age of onset than males in obsessive- compulsive disorder - correct answer ✅false in a hospital psychiatric consultation setting, what is one of the most common mental illness diagnoses? - correct answer ✅adjustment disorder

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what are the systemic effects of hypothyroidism? - correct answer ✅decreased libido, constipation, & weight gain an NP helps a local school district implement a new DARE program. this is an example of what type of prevention strategy? - correct answer ✅primary prevention following fda labeling, what medication can be started at age 3 for A.D.D.? - correct answer ✅amphetamines what area of the brain has been indicated to modulate pain and can help explain how transcranial magnetic stimulation can help decrease pain? - correct answer ✅prefrontal cortex when assessing an elderly patient complaining of tinnitus, the PMHNP would associate what finding with an acoustic neuroma? - correct answer ✅unilateral tinnitus, ringing in the affected ear the statement that 'this group has enabled me to not feel so alone' is an example of which yalom curative factor? - correct answer ✅universality

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what medication is not currently indicated for the maintenance phase of treatment in bipolar 1, but has shown efficacy in treatment of acute manic or mixed episodes? - correct answer ✅extended release carbamazepine which medication is strictly contraindicated with selegiline, an M.A.O.I.? - correct answer ✅meperidine/demerol what is the current understanding of dopamine pathways and clinical symptoms in schizophrenia? - correct answer ✅negative symptoms are due to hypoactivity of mesocortical dopaminergic tract & positive symptoms are due to hyperactivity in the mesolimbic tract primary deficit may be mesocortical tract where dopamine function is diminished & decreasing inhibitory effects of the mesolimbic tract what serotonin receptor antagonism makes an antipsychotic 'atypical'? - correct answer ✅5ht2a receptor antagonism and d2 receptor antagonism lorazepam is the preferred benzodiazepine when managing alochol withdrawal symptoms in a patient with co-morbid what? - correct answer ✅hepatic disease

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what findings on an MRI & pet scan would be uncommon in schizophrenics? - correct answer ✅decreased cerebral ventricles when there are disturbances in drawing, such as a clock, what area of the brain is affected? - correct answer ✅right hemisphere what can lithium cause to an infant when given to a pregnant woman? - correct answer ✅ebstein's anomaly what cytochrome enzyme is implicated as a tobacco inducer when an individual is treated on clozapine? - correct answer ✅1a2, as tobacco use decreases, then the dose needed will decrease, inducer speeds up metabolism, less drug available what direct-acting dopamine receptor angonist is recommended to be used in the treatment of neuroleptic malignant syndrome to help lower the dopamine receptor blockade? - correct answer ✅parlodel what are the recommended cut points for discontinuation of clozapine? - correct answer ✅w.b.c.s of 2,000 to 3, granulocytes of 1,000 to 1,

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what is the main differentiating factor between repression and suppression? - correct answer ✅repression is involuntary and suppression is voluntary which anti psychotic medication is the only known anti psychotic known to reduce the risk of suicide in schizophrenia? - correct answer ✅clozapine tramadol has serotonin and noradrenaline re-uptake inhibitors, putting patients taking SSRIs at risk for what? - correct answer ✅serotonin syndrome the literature on group outcomes has revealed that negative group outcomes has been associated with what quality in group leaders? - correct answer ✅being overly confrontational while treating a 12 year old boy for ADHD, the PHMNP observes what physical features that raise concerns for genetic evaluation for fragile X syndrome? - correct answer ✅long head and ears, short stature, hyperextensible joints what laboratory test should be ordered to rule out a medical cause of dementia symptoms? - correct answer ✅vitamin b

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what lifestyle factor poses the greatest risk for depression, irritability, liver problems, and hypertension in a college student? - correct answer ✅anabolic steroid use families seeking equilibrium in the face of change is an example of what concept?

• correct answer ✅homeostasis norepinephrine is a neurotransmitter that is implicated in alertness and anxiety. what area of the brain has a large majority of norepinephrine neurons? - correct answer ✅locus coeruleus & medullary reticular formation in bipolar 1, men are more prone than women to have what? - correct answer ✅manic episodes women are more likely to have depressive episodes & rapid cycling what hematologic changes can occur with lithium? - correct answer ✅leukocytosis the risk of bleeding on SSRIs, NSAIDs, or aspirin is an example of what principle? - correct answer ✅pharmacodynamics

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the core values that underlie advanced practice nursing and culturally competent care are: - correct answer ✅respect, advocacy, partnership which personality disorder is best treated by combining individual and group psychotherapy due to the intense transferences and countertransferences that are likely to develop? - correct answer ✅borderline personality disorder what is the most accurate description of agoraphobia? - correct answer ✅they fear situations or places they might have trouble obtaining help if they become scared what finding or trait is not suggestive of someone experiencing abuse? - correct answer ✅aggression what circadian rhythm sleep-wake disorder sub type is characterized by falling asleep and waking later than desired? - correct answer ✅delayed sleep phase type to understand how past development impacts a person's behavior is a goal of what kind of therapy? - correct answer ✅existential

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what psychiatric condition is characterized by patients who are experiencing symptoms of schizophrenia but have been ill for only 1 to 6 months? - correct answer ✅schizophreniform disorder competence to be executed was established in what supreme court case? - correct answer ✅ford versus wainwright which moral duty does a nurse practitioner leader uphold when he or she tells the truth? - correct answer ✅veracity the technology informatics funding education reform initiative declared that N.P.s have the responsibility to do what? - correct answer ✅understand and shape the landscape of health care technology what mental status exam findings would be expected in someone experiencing abuse? - correct answer ✅depressive traits, passive behaviors, & co-dependence what population has the highest rate of antisocial personality disorder? - correct answer ✅adult men with alcohol use disorder in a forensic setting-particular to forensic setting

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what circadian rhythm sleep-wake disorder subtype is characterized by falling asleep and waking progressively later than desired? - correct answer ✅non-24- hour sleep-wake type what is the evidence hierarchy? 7 items - correct answer ✅-systematic review of R.C.T.s or non R.C.T. -single R.C.T. or non R.C.T. -systematic review of correlational/observational -single correlational/observational -systematic review of qualitative/descriptive -single descriptive/qualitative -opinions of authorities/experts what type of systematic review statistically analyzes a collection of quantitative studies? - correct answer ✅meta-analysis what is grassroots lobbying? - correct answer ✅nonpaid individuals contact their legislators to influence policy

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what is a migrant worker? - correct answer ✅leaves their permanent residence to take agricultural jobs in different locations Cluster C personality disorder traits - correct answer ✅Anxious, fearful, avoidant, dependent, obsessive compulsive what are the symptoms of antidepressant discontinuation syndrome? - correct answer ✅FINISH: flu-like symptoms, insomnia, nausea, imbalance, sensory disturbance, hyperarousal what are the symptoms of neuroleptic malignant syndrome? - correct answer ✅FEVER: fever, encephalopathy, vitals instability, elevated wbc/cpk, rigidity what are the symptoms of serotonin syndrome? - correct answer ✅HARMED: Hyperthermia, Autonomic instability, Rigidity, Myoclonus, encephalopathy, Diaphoresis, what symptoms of serotonin syndrome make it different from neuroleptic malignant syndrome? - correct answer ✅myoclonus & diaphoresis

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what are the traits of paranoid personality disorder? - correct answer ✅SUSPECT: spouse cheating, unforgiving, suspicious, perceives attacks, enemy or friend, confiding is feared, threats perceived what are the traits of schizotypal personality disorder? - correct answer ✅ME PECULIAR: magical thinking, experiences unusual perceptions, paranoid ideations, eccentric appearance/behavior, constricted affect, unusual thinking/speech, lacks close friends, ideas of reference, anxiety in social situations, rule out psychotic/pervasive disorders what are the traits of borderline personality disorder? - correct answer ✅IMPULSIVE: impulsive, moodiness, paranoia/dissociation under stress, unstable self-image, labile intense relationships, suicidal gestures, inappropriate anger, vulnerability to abandonment, emptiness what are the traits for histrionic personality disorder? - correct answer ✅PRAISE ME: provocative behavior, relationships considered more than they are, attention center, influenced easily, style of speech-impressionistic, make-up, exaggerated emotions what are the traits of narcissistic personality disorder? - correct answer ✅GRANDIOSE: grandiose, requires attention, arrogant, need to be special, dreams

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of success/power, inter personally exploitative, others-not recognized, sense of entitlement, envious what are the traits of dependent personality disorder? - correct answer ✅RELIANCE: reassurance required, expressing disagreement difficult, life responsibilities assumed by others, initiating projects difficult, alone, nurture seeking, companionship sought urgently when one ends, exaggerated fears of caring for self what are the traits of schizoid personality disorder? - correct answer ✅DISTANT: detached affect, indifferent to criticism/praise, sexual little interest, tasks solitary, absence of close friends, neither denies/enjoys close relationships, takes pleasure in few activities what are the traits of antisocial personality disorder? - correct answer ✅CORRUPT: cannot conform to law, obligations ignored, reckless disregard for safety, remorseless, underhanded, planning insufficient, temper what are the traits of avoidant personality disorder? - correct answer ✅CRINGES: criticism preoccupies thoughts in social settings, restraint in relationships due to fear of shame, inhibited in new relationships, needs to be sure of being liked

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before engaging, gets around occupational activities involving interpersonal contact, embarrassment, self view of inferior what are the traits of obsessive-compulsive personality disorder? - correct answer ✅SCRIMPER: stubborn, cannot discard worthless objects, rule obsessed, inflexible, miserly, perfectionistic, excludes leisure, reluctant to delegate bipolar is believed to be related to an increase in what neurotransmitter? - correct answer ✅glutamate according to erikson, during which psychosocial stage would you expect a person to develop a sense of unity in life's accomplishments? - correct answer ✅ego- integrity versus despair what class of medication aids in pyramidal cell functioning in the prefrontal cortex by preventing the excessive release of glutamate? - correct answer ✅serotonin antagonist/reuptake inhibitors what are the TCAs? - correct answer ✅mines in lines: imipramine, desimpramine, nortryptaline, amitriptyline

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what are the side effects of TCAs? - correct answer ✅they cried antidepressants: thrombocytopenia, cardiac like arrhythmia, MI, stroke, anticholinergic like tachycardia, urinary retention, blurred vision, constipation, confusion, and seizures what are the MAOIs? - correct answer ✅Pit of despair: pheneziline, isocarboxazid, tranylcypromine what are the side effects of MAOIs? - correct answer ✅ha ha: hypertension/hypertensive crisis, anticholinergic side effects, hepatocellular jaundice, arrythmia, anorexia what are the SSRIs? - correct answer ✅had the flu twice & feel like a SPEC: fluvoxamine, fluoxetine, sertraline, paroxetine, escitalopram, citalopram what are the side effects of SSRIs? - correct answer ✅bad SSRI: body weight increase, anxiety, dizziness, serotonin syndrome, stimulated CNS, reproductive/sexual dysfunction, insomnia what are the atypical antipsychotics? - correct answer ✅done pine my zone: risperidone, ziprasidone, clozapine, olanzapine, quetiapine, aripiparzole