PMHNP Exam
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
08-1.2 mEq/L - CORRECT ANSWER-Which of the following is the recommended therapeutic
concentration of lithium?
"I know I need to watch my salt intake. I have recently been eating foods with a higher amount
of sodium." - CORRECT ANSWER-The PMHNP is completing a physical assessment on an
outpatient with bipolar disorder who is currently taking lithium. The NP reviews the patient's
lab work and note a subtherapeutic lithium level. Which of the following statements made by
the patient may have had an impact on decreasing the patient's lithium level?
Theophylhne - CORRECT ANSWER-Which of the following medications interacts with lithium
and may cause a decrease in the serum lithium level?
Prefrontal cortex and limbic system - CORRECT ANSWER-Psychotherapy uses similar pathways
to pharmacotherapy, but works in a top-down manner as opposed to a bottom down manner.
The pathway psychotherapy uses is:
Omega-3 fatty acids - CORRECT ANSWER-32. Which of the following complementary therapies
increases serotonin levels, alters dopamine function, and regulates corticotrophin-releasing
factor?
Valerian - CORRECT ANSWER-Which of the following supplements/alternate therapies may be
utilized to enhance sleep?
,The cognitive side effects of transcranial magnetic stimulation are similar to those experienced
in ECT treatment. - CORRECT ANSWER-Which of the following statements is not true regarding
transcranial magnetic stimulation?
Medically refractory partial onset seizures. - CORRECT ANSWER-Vagal nerve stimulation is an
uncommonly used treatment option for patients with severely and chronically treatment-
resistant depressive disorders. Which of the following disorders is vagal nerve stimulation also
utilized for the treatment of?
VII - CORRECT ANSWER-Which of the following cranial nerves is associated with the "facial"
anticholinergic effects of dry mouth, decreased respiratory secretions, and decreased tearing?
Fluoxetine - CORRECT ANSWER-Which of the following medications is approved by the United
States FDA for the treatment of bulimia nervosa?
Hyperkalemia - CORRECT ANSWER-A mental health nurse practitioner is rounding on a 17-year-
old patient admitted to the inpatient unit with a diagnosis of anorexia nervosa. The patient has
recently experienced a significant weight loss, and her current treatment plan includes a re-
feeding plan with a goal of gaining 1-2 pounds per week. The NP is providing education to the
patient. and her family about re-feeding syndrome. Which of the following is NOT a
characteristic of re-feeding syndrome?
Anorexia nervosa - CORRECT ANSWER-Which of the following has the highest death rate of all
the psychiatric disorders?
Greater ability to function socially - CORRECT ANSWER-All of the following clinical features are
more commonly seen in patients with bipolar major depression as opposed to unipolar major
depression, EXCEPT for:
, Comorbid anxiety disorders and substance use disorders are more common in the geriatric
population. - CORRECT ANSWER-Which of the following statements regarding bipolar disorder
in a geriatric patient is NOT true?
Hypomanic episode - CORRECT ANSWER-A PMHNP is seeing a patient in the outpatient clinic
with a diagnosis of bipolar I disorder. During the patient interview, he states that over the past
four days he has not slept much and has not really felt tired. The NP notices that the patient is
more talkative than usual and is not allowing any periods of silence during the interview
process. He appears irritable and easily distracted. The patient mentions that he and his wife
have been arguing frequently, most recently due to a couple of shopping trips that he made
where he spent several hundred dollars. The patient makes the comment that he has always felt
that "he could have done better" and his wife is not worthy of being married to him anyways.
The patient states that he has been going to work as normal and has been exceptionally
productive over the past couple of days. Which of the following diagnoses is the patient likely
experiencing?
Anticoagulants - CORRECT ANSWER-All of the following classifications of medications have the
potential to induce psychosis, EXCEPT:
Flight of ideas - CORRECT ANSWER-A mental health nurse practitioner is working on an
inpatient psychiatry unit, and one of the new registered nurses tells her that she is caring for a
patient with a diagnosis of a manic episode with mixed features. She asks the NP to explain
what this means. The NP advises the nurse. that patients experiencing episodes of bipolar
mania, hypomania, and major depression can also experience symptoms of the opposite
polarity (mixed features), and that a manic episode with mixed features is defined as an episode
that meets the diagnostic criteria for mania along with at least three of the defined symptoms
being present on most days of the episode. Which of the following is NOT included in the
defined symptoms associated with a manic episode with mixed features?
Patients with mixed features are at greater risk for suicidal ideation and behavior - CORRECT
ANSWER-Which of the following statements is true regarding mood episodes with mixed
features?
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
08-1.2 mEq/L - CORRECT ANSWER-Which of the following is the recommended therapeutic
concentration of lithium?
"I know I need to watch my salt intake. I have recently been eating foods with a higher amount
of sodium." - CORRECT ANSWER-The PMHNP is completing a physical assessment on an
outpatient with bipolar disorder who is currently taking lithium. The NP reviews the patient's
lab work and note a subtherapeutic lithium level. Which of the following statements made by
the patient may have had an impact on decreasing the patient's lithium level?
Theophylhne - CORRECT ANSWER-Which of the following medications interacts with lithium
and may cause a decrease in the serum lithium level?
Prefrontal cortex and limbic system - CORRECT ANSWER-Psychotherapy uses similar pathways
to pharmacotherapy, but works in a top-down manner as opposed to a bottom down manner.
The pathway psychotherapy uses is:
Omega-3 fatty acids - CORRECT ANSWER-32. Which of the following complementary therapies
increases serotonin levels, alters dopamine function, and regulates corticotrophin-releasing
factor?
Valerian - CORRECT ANSWER-Which of the following supplements/alternate therapies may be
utilized to enhance sleep?
,The cognitive side effects of transcranial magnetic stimulation are similar to those experienced
in ECT treatment. - CORRECT ANSWER-Which of the following statements is not true regarding
transcranial magnetic stimulation?
Medically refractory partial onset seizures. - CORRECT ANSWER-Vagal nerve stimulation is an
uncommonly used treatment option for patients with severely and chronically treatment-
resistant depressive disorders. Which of the following disorders is vagal nerve stimulation also
utilized for the treatment of?
VII - CORRECT ANSWER-Which of the following cranial nerves is associated with the "facial"
anticholinergic effects of dry mouth, decreased respiratory secretions, and decreased tearing?
Fluoxetine - CORRECT ANSWER-Which of the following medications is approved by the United
States FDA for the treatment of bulimia nervosa?
Hyperkalemia - CORRECT ANSWER-A mental health nurse practitioner is rounding on a 17-year-
old patient admitted to the inpatient unit with a diagnosis of anorexia nervosa. The patient has
recently experienced a significant weight loss, and her current treatment plan includes a re-
feeding plan with a goal of gaining 1-2 pounds per week. The NP is providing education to the
patient. and her family about re-feeding syndrome. Which of the following is NOT a
characteristic of re-feeding syndrome?
Anorexia nervosa - CORRECT ANSWER-Which of the following has the highest death rate of all
the psychiatric disorders?
Greater ability to function socially - CORRECT ANSWER-All of the following clinical features are
more commonly seen in patients with bipolar major depression as opposed to unipolar major
depression, EXCEPT for:
, Comorbid anxiety disorders and substance use disorders are more common in the geriatric
population. - CORRECT ANSWER-Which of the following statements regarding bipolar disorder
in a geriatric patient is NOT true?
Hypomanic episode - CORRECT ANSWER-A PMHNP is seeing a patient in the outpatient clinic
with a diagnosis of bipolar I disorder. During the patient interview, he states that over the past
four days he has not slept much and has not really felt tired. The NP notices that the patient is
more talkative than usual and is not allowing any periods of silence during the interview
process. He appears irritable and easily distracted. The patient mentions that he and his wife
have been arguing frequently, most recently due to a couple of shopping trips that he made
where he spent several hundred dollars. The patient makes the comment that he has always felt
that "he could have done better" and his wife is not worthy of being married to him anyways.
The patient states that he has been going to work as normal and has been exceptionally
productive over the past couple of days. Which of the following diagnoses is the patient likely
experiencing?
Anticoagulants - CORRECT ANSWER-All of the following classifications of medications have the
potential to induce psychosis, EXCEPT:
Flight of ideas - CORRECT ANSWER-A mental health nurse practitioner is working on an
inpatient psychiatry unit, and one of the new registered nurses tells her that she is caring for a
patient with a diagnosis of a manic episode with mixed features. She asks the NP to explain
what this means. The NP advises the nurse. that patients experiencing episodes of bipolar
mania, hypomania, and major depression can also experience symptoms of the opposite
polarity (mixed features), and that a manic episode with mixed features is defined as an episode
that meets the diagnostic criteria for mania along with at least three of the defined symptoms
being present on most days of the episode. Which of the following is NOT included in the
defined symptoms associated with a manic episode with mixed features?
Patients with mixed features are at greater risk for suicidal ideation and behavior - CORRECT
ANSWER-Which of the following statements is true regarding mood episodes with mixed
features?
