PMHNP ACTUAL EXAM 2024 QUESTIONS WITH ANSWERS NEW UPDATE GRADE A+ 100% SCORES
Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor B. 35 y/o single Asian male with previous SI attempt *3 risk factors C. 38 y/o single AA male who is a manager of a bank
*2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age,
male, white, depression) answer== D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression)
Count the risk factors
When interview teenagers (16 y/o) that arrive with their parents
what should you do? A interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is confidential. Parents may be upset but remember you are advocating for the child.
Which Ethnic group has the highest rate of suicide? answer== Native Americans
Example A patient is being treated for schizophrenia with olanzapine. Which of the following is the most common side effect of olanzapine?
Increased waist circumference
EPS (not as common in atypical antipsychotics d/t 5HT2A)-
receptor antagonism C. Increased Lipids
D. Metabolic Syndrome answer== D. Metabolic Syndrome (UMBRELLA ANSWER)
Which antipsychotics have the least weight gain? answer== Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic syndrome consider switching to one of the medications above. Or if the patient is overly sedated try switching to ABILIFY Which mood stabilizer have the least weight gain? answer== Lamictal
-But remember all mood stabilizers cause some weight gain
When presented with a question about typical vs atypical antipsychotic the answer is usually to start of a answer== atypical
A client presents with complains of changes in appetite, feeling fatigued, problems with sleep-rest cycle, and changes in libido. What is the neuroanatomical area of the brain that is responsible for the normal regulation of these functions?
Thalamus
Hypothalamus C. Limbic System D. Hippocampus answer== Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
When a patient is hesitant to participate in treatment you should encourage? answer== Bring a support person like a husband
Thyroid-Stimulating hormone normal level answer== 0.5-5.0 Mu/L
When T4 and T3 are high and TSH is low what is the diagnosis answer== HYPERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptoms HEAT INTOLERANCE
Key symptoms of Heat Intolerance answer== Hyperthyroidism
When T4 and T3 are Low and TSH is high what is the diagnosis answer== (HYPOTHYROIDISM) TSH secretion increased: TSH HIGH à COLD INTERANCE
Key symptoms of Cold Intolerance answer== Hypothyroidism
Hyperthyroid can mimic answer== Mania
Hypothyroid can mimic answer== Depression
A patient on depakote complains of RUQ pain and has reddish/brown urine answer== Hepatoxicity
-Check LFTs
Signs of Depakote toxicity answer== Disorientation, confusion,
lethargy
You suspect depakote toxicity what do you do? answer== Check
-LFT
-Ammonia
-Depakote Level
What herbal supplement can cause hepatoxicity? answer== Kava Kava When taking Kava Kava in combinations with other medications you should caution about answer== Risk of Hepatoxicity and Sedation
TCAs carry a risk of answer== Hepatotoxicity
Signs of Stevens-Johnson Syndrome answer== -fever, mouth pain, swelling, burning eyes, blisters, skin pain
two psychotropics known to cause steven johnson syndrome answer== lamictal and tegretol
Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor B. 35 y/o single Asian male with previous SI attempt *3 risk factors C. 38 y/o single AA male who is a manager of a bank
*2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age,
male, white, depression) answer== D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression)
Count the risk factors
When interview teenagers (16 y/o) that arrive with their parents
what should you do? A interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is confidential. Parents may be upset but remember you are advocating for the child.
Which Ethnic group has the highest rate of suicide? answer== Native Americans
Example A patient is being treated for schizophrenia with olanzapine. Which of the following is the most common side effect of olanzapine?
Increased waist circumference
EPS (not as common in atypical antipsychotics d/t 5HT2A)-
receptor antagonism C. Increased Lipids
D. Metabolic Syndrome answer== D. Metabolic Syndrome (UMBRELLA ANSWER)
Which antipsychotics have the least weight gain? answer== Latuda, Abilify, (also least sedating), Geodon-if patient has metabolic syndrome consider switching to one of the medications above. Or if the patient is overly sedated try switching to ABILIFY Which mood stabilizer have the least weight gain? answer== Lamictal
-But remember all mood stabilizers cause some weight gain
When presented with a question about typical vs atypical antipsychotic the answer is usually to start of a answer== atypical
A client presents with complains of changes in appetite, feeling fatigued, problems with sleep-rest cycle, and changes in libido. What is the neuroanatomical area of the brain that is responsible for the normal regulation of these functions?
Thalamus
Hypothalamus C. Limbic System D. Hippocampus answer== Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
When a patient is hesitant to participate in treatment you should encourage? answer== Bring a support person like a husband
Thyroid-Stimulating hormone normal level answer== 0.5-5.0 Mu/L
When T4 and T3 are high and TSH is low what is the diagnosis answer== HYPERTHYROIDISM, TSH secretion decreases: TSH LOW à key symptoms HEAT INTOLERANCE
Key symptoms of Heat Intolerance answer== Hyperthyroidism
When T4 and T3 are Low and TSH is high what is the diagnosis answer== (HYPOTHYROIDISM) TSH secretion increased: TSH HIGH à COLD INTERANCE
Key symptoms of Cold Intolerance answer== Hypothyroidism
Hyperthyroid can mimic answer== Mania
Hypothyroid can mimic answer== Depression
A patient on depakote complains of RUQ pain and has reddish/brown urine answer== Hepatoxicity
-Check LFTs
Signs of Depakote toxicity answer== Disorientation, confusion,
lethargy
You suspect depakote toxicity what do you do? answer== Check
-LFT
-Ammonia
-Depakote Level
What herbal supplement can cause hepatoxicity? answer== Kava Kava When taking Kava Kava in combinations with other medications you should caution about answer== Risk of Hepatoxicity and Sedation
TCAs carry a risk of answer== Hepatotoxicity
Signs of Stevens-Johnson Syndrome answer== -fever, mouth pain, swelling, burning eyes, blisters, skin pain
two psychotropics known to cause steven johnson syndrome answer== lamictal and tegretol
