PMHNP Exam 2023 Questions and Answers
1. DBT (dialectical behavior therapy): Answer- relaxation
muscle prior to DBT
2. Greatest patient at risk for Violence: Answer- Substance
abuse
3. EMDR (eye movement desensitization and reprocessing):
Answer- eye movement desensitization and reprocessing
4. What is dissemination?: 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
5. What does a 17 on MMSE mean?: Answer- Moderate
cognitive impairment
.
,o
6. What is Tegretol in the CYP450 system?: Answer- Inducer
-->will lower dose of Lamictal and BCP's
7. What do BCP's do to Lamictal?: Inducer - will lower dose of
Lamictal
8. What is a Type I research error?: There IS a difference but
you say there isn't a difference.
9. What is a Type II research error?: There is NO difference but
you say there is a difference.
10.What is pseudo-dementia?: Cognitive impairment secondary
to depression that clears when treated in the elderly. Dementia
won't improve.
11.Is it normal for a 1 month old to have a palmar grasp?: Yes.
12.What is a drug 1/2 life?: The time it takes for 50% of a drug to
be eliminated from the body.
13.What 3 atypicals can be used with teens?: Zyprexa, Abilify,
Seroquel - low doses
14.What is a risk of using Tramadol?: Serotonin Syndrome as it
is very seroton- ergic.
15.What is the allele seen in Asians that increase the risk of
SJS?: HLAB-
.
,o
1502
16.When might you see toxic epidermal necrolysis?: With
worsening of SJS
17.How many generations do you include for a genogram?:
1st degree -
moth- er, father, siblings
2nd degree -
grandparents & cousins
3rd degree -
18.What does messenger RNA code for?: Amino Acids
19.What is epigenetics?: Factors that affect genes -
environmental, smoking, stress, etc...
.
, o
20.What part of the brain is involved with OCD?: Basal
Ganglia Occipito-Frontal
21.What happens to the brain during adolescence?: Dendritic
pruning Emotions are controlled by amygdala
By adulthood, PFC involved as well
22.When do males typically present with schizophrenia?: 10-25
yo
23.When do females typically present with schizophrenia?: 25-
35 yo 24. What does Erythromycin to trileptal?: You will need
to decreases the level because Trileptal(inducer) and erythromycin
is a inhibitor
25.ACE Inhibitors are the drug of choice for what?: Heart
Failure HTN
26.What are some psychiatric side effects seen with some
asthma drugs: - Leukotriene receptor agonists - singulair,
accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
27.What should you watch for with Tegretol?: Agranulocytosis
and
Hyponatrem- ia