Test Bank for PMHNP Boards 2023 Questions and
Answers
What is true of inter-professionalism?
All health professionals have individual professional competencies
What is the significance of an experimental p-value of 0.05?
There is a 5% chance of a similar result occurring by chance alone
What percentage of children with oppositional defiance disorder will develop conduct disorder?
30%
In the DSM-5, selective mutism is now considered what type of disorder?
anxiety disorder
Symptoms of selective mutism must persist for at least
1 month
Common competencies
overlap more than one health care professional, although not necessarily all health care
professionals, and are competencies expected of all health care professionals
Complementary competencies
enhance the qualities of other professions in provision of care
Collaborative competencies
those that each individual profession must possess to work with others, including those who
practice within different specialties within a profession.
Interpersonal collaboration is _______ centered
patient
Cognitive therapy is recommended for patients that have
negative cognitive distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients with
self-actualization and self-directed growth
Behavioral Therapy focuses on
changing maladaptive behaviors through the use of behavioral modification techniques
Existential therapy is for
reflection on life
confronting self
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate
lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing
diarrhea?
6 ((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report that suggested
implementation a national campaign to reduce the stigma of seeking care
Focusing on promoting recovery and building resilience
The efficacy of mental health treatments was found to be well documented in
influential report issued by US Surgeon General in 1999
State of high negative emotion and pessimism
neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like social interaction,
respond to external rewards, have more active dopamine networks, and are responsive to positive
reinforcement.
Extraversion (high levels protect from psychiatric illness)
Introverts are more likely to be _______ motivated and more likely to respond to _______
reinforcement
internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships often at
the expense of self-assertion
Agreeableness
Associated with self-control and a focused, organized approach to life. Are achievement-oriented
goal setters who can delay immediate gratification to obtain their long term desired outcome.
They are considered responsible, reliable, and dependable.
conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a functional analysis of
behavior (FAB). What is true about FAB?
FAB is concerned only with observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors, and
consequent stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with _____, not _____
perceptual psychology
behavior
Medication that can delay ejaculation in patients with premature ejaculation
Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
,First line treatment for lithium induced diabetes insipidus
Amiloride (K potassium diuretic) in addition to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicity
reduce lithium dose to minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided doses over the day)
Encourage adequate fluid intake
What is true about ECT in Parkinson's disease
it's more likely to cause transient delirium (worsened dyskinesia’s induced by L-dopa)
Lithium effects with Parkison's disease
may worsen tremor
nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________
l-dopa products
hypertensive crisis
Selegiline is selective for
MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds that
increase serotonin)
SSRI's can _______ Parkinsonism tremor
worsen (and decrease 'off time')
Process describes the mechanism by which the hippocampus stores memories
long-term potentiation
loss of memory relating to a particular category of information (inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with
ordinary forgetting)
systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately following a
traumatic event
localized amnesia
Person can recall some but not all of events from a particular time period
selective amnesia
Lack of memory of the patient's entire life
generalized amnesia
The drugs that are FDA approved for GAD
Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
, A surrogate has the right to terminate pregnancy if
the pregnancy threatens her health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the right to
determine whether or not child will be aborted (this is up to the couple)
Which medication is most effective for treating social phobia/social anxiety disorder, especially
when refractory?
Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally,
but her lungs are clear. Her ECG reveals 2nd degree heart block. Which of the following BP
medications should be avoided?
Calcium Channel Blockers
3 Contraindications to use a calcium channel blocker
1st or second degree heart block
Bradycardia
CHF
4 Side effects of calcium channel blockers
Headache
Lower extremity edema
Bradycardia
Heart Block
An NP is evaluating a 78 year old female with depression. She suspects the patient may have
Parkinson's disease. Which of the following is consistent with that diagnosis?
Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
Writhing movements occur with
Huntington's chorea
10 Non-motor manifestations of Parkinsons
Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
Cognitive dysfunction
Dementia
Answers
What is true of inter-professionalism?
All health professionals have individual professional competencies
What is the significance of an experimental p-value of 0.05?
There is a 5% chance of a similar result occurring by chance alone
What percentage of children with oppositional defiance disorder will develop conduct disorder?
30%
In the DSM-5, selective mutism is now considered what type of disorder?
anxiety disorder
Symptoms of selective mutism must persist for at least
1 month
Common competencies
overlap more than one health care professional, although not necessarily all health care
professionals, and are competencies expected of all health care professionals
Complementary competencies
enhance the qualities of other professions in provision of care
Collaborative competencies
those that each individual profession must possess to work with others, including those who
practice within different specialties within a profession.
Interpersonal collaboration is _______ centered
patient
Cognitive therapy is recommended for patients that have
negative cognitive distortions
irrational beliefs
faulty conceptions
Humanistic Therapy focuses on assisting patients with
self-actualization and self-directed growth
Behavioral Therapy focuses on
changing maladaptive behaviors through the use of behavioral modification techniques
Existential therapy is for
reflection on life
confronting self
,120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40 without diarrhea ate
lettuce. 160 without diarrhea ate lettuce. What is the odds ratio of eating lettuce and developing
diarrhea?
6 ((120X160)/(80x40))
The New Freedom Commission on Mental Health (NFCMH) released a report that suggested
implementation a national campaign to reduce the stigma of seeking care
Focusing on promoting recovery and building resilience
The efficacy of mental health treatments was found to be well documented in
influential report issued by US Surgeon General in 1999
State of high negative emotion and pessimism
neuroticism
Commonly known as an optimistic outlook on life They are are outgoing, like social interaction,
respond to external rewards, have more active dopamine networks, and are responsive to positive
reinforcement.
Extraversion (high levels protect from psychiatric illness)
Introverts are more likely to be _______ motivated and more likely to respond to _______
reinforcement
internally
negative (more likely to interact with internal motivation/self-image)
Interpersonal trait of cooperation, easy going nature. Tend to have smooth relationships often at
the expense of self-assertion
Agreeableness
Associated with self-control and a focused, organized approach to life. Are achievement-oriented
goal setters who can delay immediate gratification to obtain their long term desired outcome.
They are considered responsible, reliable, and dependable.
conscientiousness
In behavioral couples therapy, the initial sessions are spent doing a functional analysis of
behavior (FAB). What is true about FAB?
FAB is concerned only with observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant behaviors, and
consequent stimuli)
The goal of FAB is modifying willful operant behavior
Gestalt theory deals with _____, not _____
perceptual psychology
behavior
Medication that can delay ejaculation in patients with premature ejaculation
Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
,First line treatment for lithium induced diabetes insipidus
Amiloride (K potassium diuretic) in addition to dc lithium when possible.
Ways to reduce polyuria associated with lithium toxicity
reduce lithium dose to minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided doses over the day)
Encourage adequate fluid intake
What is true about ECT in Parkinson's disease
it's more likely to cause transient delirium (worsened dyskinesia’s induced by L-dopa)
Lithium effects with Parkison's disease
may worsen tremor
nonselective MAOIs decrease the efficacy of ______ and increase the risk of a __________
l-dopa products
hypertensive crisis
Selegiline is selective for
MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with other meds that
increase serotonin)
SSRI's can _______ Parkinsonism tremor
worsen (and decrease 'off time')
Process describes the mechanism by which the hippocampus stores memories
long-term potentiation
loss of memory relating to a particular category of information (inability to recall important
autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with
ordinary forgetting)
systematized amnesia
Lack of memories from a circumscribed period of time, usually immediately following a
traumatic event
localized amnesia
Person can recall some but not all of events from a particular time period
selective amnesia
Lack of memory of the patient's entire life
generalized amnesia
The drugs that are FDA approved for GAD
Paroxetine
Citalopram
Escitalopram
Venlafaxine
Duloxetine
Buspar
, A surrogate has the right to terminate pregnancy if
the pregnancy threatens her health or life
or
she is a genetic parent
If the surrogate receives both ovum and sperm from couple, she loses the right to
determine whether or not child will be aborted (this is up to the couple)
Which medication is most effective for treating social phobia/social anxiety disorder, especially
when refractory?
Phenelzine
A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal edema bilaterally,
but her lungs are clear. Her ECG reveals 2nd degree heart block. Which of the following BP
medications should be avoided?
Calcium Channel Blockers
3 Contraindications to use a calcium channel blocker
1st or second degree heart block
Bradycardia
CHF
4 Side effects of calcium channel blockers
Headache
Lower extremity edema
Bradycardia
Heart Block
An NP is evaluating a 78 year old female with depression. She suspects the patient may have
Parkinson's disease. Which of the following is consistent with that diagnosis?
Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
Writhing movements occur with
Huntington's chorea
10 Non-motor manifestations of Parkinsons
Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
Sleep disturbance
Fatigue
Mood disorder
Cognitive dysfunction
Dementia
