NU673 MIDTERM PMHNP EXAM QUESTIONS
AND ANSWERS 100% CORRECT!!
PMHNP role - ANSWER scholarly activities publishing lectures presentation preceptor
ship continuing education mentoring mutual respect client advocacy participate in ANA
American psychiatric nurse association international Society of psychiatric nurses health
policy legal and ethical responsibility participate in government health policy activities
case management risk assessment for high risk situation risk management intervened
to reduce risk of non-healthy behaviors and advance directives.
PMHNP scope of Practice - ANSWER
Psychiatric H& P components - ANSWER Onset
duration
characteristics
associated aggravating factors
relieving factors
treatment and summary.
Psychiatric Assessment - ANSWER establish therapeutic relationship of acceptance
empathy professionalism respect gather data review the purpose consider safety issues
communication skills screening tools developmental assessment differential diagnosis
assess precipitating events stressors biological social psychological develop a
treatment plan that safe based on evidence and culture competent must instill hope to
decrease anxiety provide education and follow up labs and referrals to neuropsych
testing therapy education psychotropic meds reassurance follow up plan.
objective MSE scales in which examiner rates patient - ANSWER cooperative
conversate without acute distress orientation dress for agencies than cycle motor
activity iContact euthymic affect fall even congruent with reported mood of speech is
spontaneous normal rate appropriate volume and tone with no problems expressing self
thought content is normal elicited content denies suicide denies homicidal process
appears linear coherent goal directed cognition appears grossly intact with appropriate
attention span and concentration and average fund of knowledge judgment appears fair
insight appears fair the patient is able to articulate needs is motivated for compliance
,adherence to medication regime is willing and able to participate with treatment
disposition and discharge planning.
Psychiatric Interview - ANSWER the most important element in the evaluation and care
of persons with mental illness
Psychiatric H&P - ANSWER
psychiatric goals - ANSWER
psychiatric treatment - ANSWER
PQH-9:
1-4 min,
5-9 mild,
10-14 mod,
15-19 sev mod, >20 sv
Beck Depression Inventory (BDI)
0-13 min depression
14-19 mild depression
20-28 mod depression
29-63 severe depression
Bipolar Spectrum Diagnostic Scale (BSDS) - ANSWER BSDS
0-6 high unlike
7-12 low risk
13-19 mod
20-25 high likely
social determinants of health - ANSWER The conditions in which people are born, grow,
live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
Serotonin Syndrome - ANSWER With any drug that increases 5-HT (e.g., MAO
inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability,
flushing, diarrhea, seizures. A patient who presents with an excess of serotonin is likely
experiencing serotonin syndrome. Serotonin syndrome is classified by restlessness,
agitation, myoclonus, and vital sign abnormalities. Patients with a deficit of serotonin
would present with depression, sleep dysregulation, and loss of appetite.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
, Stevens-Johnson Syndrome - ANSWER erythema multiforme
extrapyramidal symptoms - ANSWER involuntary fine motor tremors, rigidity,
uncontrollable retlessness, acute dystonia.
Neuro Malignant Hyperthermia - ANSWER related to Dopamine 2 drop.
Neuromalignant syndrome - ANSWER excessive dopamine blockage and increased
muscle tone. autonomic dysfunction
agitation
confusion
high fever
Antipsychotics - ANSWER alter neurotransmitters in the brain to alleviate symptoms of
psychosis, paranoia, and schizophrenia
Antipsychotic effects - ANSWER Reduce Positive symptoms-mania, paranoia. First gen
antipsychotics have this effect such as slowing of the psychomotor activity in an
agitated patient and calming of emotion with suppression of hallucinations and
delusions
antipsychotic medications - ANSWER Block dopamine, acetylcholine, histamine, and
norepinephrine receptors in the brain and periphery. Acute and chronic psychosis,
schizophrenia, manic phase of bipolar disorders, Tourette's syndrome, delusional and
schizoaffective disorders, dementia. Conventional (typical) or atypical.
How antipsychotic drugs work - ANSWER hypothesis: individuals have too much
dopamine -- antipsychotics block dopamine receptors
dopamine pathways - ANSWER involved with diseases such as schizophrenia and
Parkinson's disease
PMHNP mental health Anxiety assessment tools - ANSWER GAD-7:
5-9 mild,
10-14 mod,
15-21 severe
HAM- A:
14-17 mild,
AND ANSWERS 100% CORRECT!!
PMHNP role - ANSWER scholarly activities publishing lectures presentation preceptor
ship continuing education mentoring mutual respect client advocacy participate in ANA
American psychiatric nurse association international Society of psychiatric nurses health
policy legal and ethical responsibility participate in government health policy activities
case management risk assessment for high risk situation risk management intervened
to reduce risk of non-healthy behaviors and advance directives.
PMHNP scope of Practice - ANSWER
Psychiatric H& P components - ANSWER Onset
duration
characteristics
associated aggravating factors
relieving factors
treatment and summary.
Psychiatric Assessment - ANSWER establish therapeutic relationship of acceptance
empathy professionalism respect gather data review the purpose consider safety issues
communication skills screening tools developmental assessment differential diagnosis
assess precipitating events stressors biological social psychological develop a
treatment plan that safe based on evidence and culture competent must instill hope to
decrease anxiety provide education and follow up labs and referrals to neuropsych
testing therapy education psychotropic meds reassurance follow up plan.
objective MSE scales in which examiner rates patient - ANSWER cooperative
conversate without acute distress orientation dress for agencies than cycle motor
activity iContact euthymic affect fall even congruent with reported mood of speech is
spontaneous normal rate appropriate volume and tone with no problems expressing self
thought content is normal elicited content denies suicide denies homicidal process
appears linear coherent goal directed cognition appears grossly intact with appropriate
attention span and concentration and average fund of knowledge judgment appears fair
insight appears fair the patient is able to articulate needs is motivated for compliance
,adherence to medication regime is willing and able to participate with treatment
disposition and discharge planning.
Psychiatric Interview - ANSWER the most important element in the evaluation and care
of persons with mental illness
Psychiatric H&P - ANSWER
psychiatric goals - ANSWER
psychiatric treatment - ANSWER
PQH-9:
1-4 min,
5-9 mild,
10-14 mod,
15-19 sev mod, >20 sv
Beck Depression Inventory (BDI)
0-13 min depression
14-19 mild depression
20-28 mod depression
29-63 severe depression
Bipolar Spectrum Diagnostic Scale (BSDS) - ANSWER BSDS
0-6 high unlike
7-12 low risk
13-19 mod
20-25 high likely
social determinants of health - ANSWER The conditions in which people are born, grow,
live, work, and age, shaped by the distribution of money, power, and resources at
global, national, and local levels
Serotonin Syndrome - ANSWER With any drug that increases 5-HT (e.g., MAO
inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability,
flushing, diarrhea, seizures. A patient who presents with an excess of serotonin is likely
experiencing serotonin syndrome. Serotonin syndrome is classified by restlessness,
agitation, myoclonus, and vital sign abnormalities. Patients with a deficit of serotonin
would present with depression, sleep dysregulation, and loss of appetite.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
, Stevens-Johnson Syndrome - ANSWER erythema multiforme
extrapyramidal symptoms - ANSWER involuntary fine motor tremors, rigidity,
uncontrollable retlessness, acute dystonia.
Neuro Malignant Hyperthermia - ANSWER related to Dopamine 2 drop.
Neuromalignant syndrome - ANSWER excessive dopamine blockage and increased
muscle tone. autonomic dysfunction
agitation
confusion
high fever
Antipsychotics - ANSWER alter neurotransmitters in the brain to alleviate symptoms of
psychosis, paranoia, and schizophrenia
Antipsychotic effects - ANSWER Reduce Positive symptoms-mania, paranoia. First gen
antipsychotics have this effect such as slowing of the psychomotor activity in an
agitated patient and calming of emotion with suppression of hallucinations and
delusions
antipsychotic medications - ANSWER Block dopamine, acetylcholine, histamine, and
norepinephrine receptors in the brain and periphery. Acute and chronic psychosis,
schizophrenia, manic phase of bipolar disorders, Tourette's syndrome, delusional and
schizoaffective disorders, dementia. Conventional (typical) or atypical.
How antipsychotic drugs work - ANSWER hypothesis: individuals have too much
dopamine -- antipsychotics block dopamine receptors
dopamine pathways - ANSWER involved with diseases such as schizophrenia and
Parkinson's disease
PMHNP mental health Anxiety assessment tools - ANSWER GAD-7:
5-9 mild,
10-14 mod,
15-21 severe
HAM- A:
14-17 mild,
