PMHNP REPORTED QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
DBT, goal to decrease emotional reactivity/crisis bxs and self validation. - ANSWER Patient is
borderline and suicidal what therapy?
Fairly common in children and will often remit on its own, ADHD concomittant - ANSWER Tics
what advise?
Help the parents with positive reinforcement and parenting skills, limit setting, logical
consequences, consistency, power stuggle/control issues problematic, parenting/family
dysfunction exacerbates - ANSWER ODD child
Scrape toenail and sent for testing - ANSWER Fungus on toenial
25-35 - ANSWER Age for schizophrenia female
"tell me how the medication works in your body" - ANSWER bipolar not taking medication
Alpha 2 delta, pregabalin- lyrica - ANSWER patient has neuropathic pain, what medication
will help? gabapentin not helping
consider cost and revenue, must calculate the time spent with patient vs time spent on risk called
indirect vs direct processing - ANSWER When opening independent practice
, PMHNP REPORTED QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
- ANSWER Can disclose info to medicare /CMS without consent
lithium - ANSWER First line neuro-protective for bipolar
check HCG, blackbox for pregnancy, can cause spinal bifida-tetrogenic, also check LFTs, CBC
- ANSWER What to check in terms of depakote in young girl
- ANSWER assertive inquiry
strengths and competencies. What is being done currently and assessment of strenghts, no
problem focused, 3 steps are discovery, understanding, amplifying - ANSWER Appreciate
Inquiry
collaborate with ER to provide a psych assessment - ANSWER Np notices teen with DKA
leaving without eval
proverb interpretation, abstract vs concrete interpretations - ANSWER MMSE part for thought
disorder
to teens in order to normalize the grieving process - ANSWER Teen commits suicide, NP does
presentation
educate friends/peers - ANSWER To reduce stigma among teens seeking mental health...
best assessment is mood questionnaire for bipolar, 7/13 bipolar likely - ANSWER Experiencing
, PMHNP REPORTED QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
irritability/depression/edginess?
Licensing jurisdiction for the np - ANSWER Telemedicine asking a legal question??
urine is red colored- hematuria, concerned for rhabdomyolysis (muscle breakdown), - ANSWER
Adolescent with substance abuse and working out has muscle aches
ability to manage a checkbook, instrumental ADLs go first (meds, phone, drive, house week,
balancing check book), then ADLs eating/dressing, Exec functions=judgement, planning, taxes
- ANSWER What are you looking at when you are assessing the function of an elderly
individual
large waist circumference - ANSWER First symptom of metabolic syndrome?
this is normal, repetitive patterns of bx, impaired social interactions, verbal/nonverbal
communication common - ANSWER Autistic child not responding to your verbal commands
stop and address her anxiety - ANSWER Women is anxious about administering medication to a
child
tests looking at reticulocytes hep evaluate conditions affecting RBCs such as anemia, low
reticulocytes may be seen with iron deficiency anemia, pernicious anemia, folic acid deficiency,
aplastic anemia - ANSWER Why would you be concerned about immature retuculocytes?
lithium - ANSWER First line neuro-protective for bipolar
- ANSWER What medication can alter absorption of antipsychotics?
, PMHNP REPORTED QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
DBT (dialectical behavior therapy) - ANSWER relaxation muscle prior to DBT
Greatest patient at risk for Violence - ANSWER Substance abuse
EMDR (eye movement desensitization and reprocessing) - ANSWER eye movement
desensitization and reprocessing
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
What does a 17 on MMSE mean? - ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of Lamictal
and BCP's
What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER There IS a difference but you say there isn't a
difference.
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
DBT, goal to decrease emotional reactivity/crisis bxs and self validation. - ANSWER Patient is
borderline and suicidal what therapy?
Fairly common in children and will often remit on its own, ADHD concomittant - ANSWER Tics
what advise?
Help the parents with positive reinforcement and parenting skills, limit setting, logical
consequences, consistency, power stuggle/control issues problematic, parenting/family
dysfunction exacerbates - ANSWER ODD child
Scrape toenail and sent for testing - ANSWER Fungus on toenial
25-35 - ANSWER Age for schizophrenia female
"tell me how the medication works in your body" - ANSWER bipolar not taking medication
Alpha 2 delta, pregabalin- lyrica - ANSWER patient has neuropathic pain, what medication
will help? gabapentin not helping
consider cost and revenue, must calculate the time spent with patient vs time spent on risk called
indirect vs direct processing - ANSWER When opening independent practice
, PMHNP REPORTED QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
- ANSWER Can disclose info to medicare /CMS without consent
lithium - ANSWER First line neuro-protective for bipolar
check HCG, blackbox for pregnancy, can cause spinal bifida-tetrogenic, also check LFTs, CBC
- ANSWER What to check in terms of depakote in young girl
- ANSWER assertive inquiry
strengths and competencies. What is being done currently and assessment of strenghts, no
problem focused, 3 steps are discovery, understanding, amplifying - ANSWER Appreciate
Inquiry
collaborate with ER to provide a psych assessment - ANSWER Np notices teen with DKA
leaving without eval
proverb interpretation, abstract vs concrete interpretations - ANSWER MMSE part for thought
disorder
to teens in order to normalize the grieving process - ANSWER Teen commits suicide, NP does
presentation
educate friends/peers - ANSWER To reduce stigma among teens seeking mental health...
best assessment is mood questionnaire for bipolar, 7/13 bipolar likely - ANSWER Experiencing
, PMHNP REPORTED QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
irritability/depression/edginess?
Licensing jurisdiction for the np - ANSWER Telemedicine asking a legal question??
urine is red colored- hematuria, concerned for rhabdomyolysis (muscle breakdown), - ANSWER
Adolescent with substance abuse and working out has muscle aches
ability to manage a checkbook, instrumental ADLs go first (meds, phone, drive, house week,
balancing check book), then ADLs eating/dressing, Exec functions=judgement, planning, taxes
- ANSWER What are you looking at when you are assessing the function of an elderly
individual
large waist circumference - ANSWER First symptom of metabolic syndrome?
this is normal, repetitive patterns of bx, impaired social interactions, verbal/nonverbal
communication common - ANSWER Autistic child not responding to your verbal commands
stop and address her anxiety - ANSWER Women is anxious about administering medication to a
child
tests looking at reticulocytes hep evaluate conditions affecting RBCs such as anemia, low
reticulocytes may be seen with iron deficiency anemia, pernicious anemia, folic acid deficiency,
aplastic anemia - ANSWER Why would you be concerned about immature retuculocytes?
lithium - ANSWER First line neuro-protective for bipolar
- ANSWER What medication can alter absorption of antipsychotics?
, PMHNP REPORTED QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE
SOLUTION EXAM
DBT (dialectical behavior therapy) - ANSWER relaxation muscle prior to DBT
Greatest patient at risk for Violence - ANSWER Substance abuse
EMDR (eye movement desensitization and reprocessing) - ANSWER eye movement
desensitization and reprocessing
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
What does a 17 on MMSE mean? - ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of Lamictal
and BCP's
What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER There IS a difference but you say there isn't a
difference.
