PMHNP Boards Exam, Answered.
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The
physical examination is unremarkable. Laboratory results are within normal limits
except for a markedly elevated alkaline phosphatase level. The psychiatric-mental
health nurse practitioner - interprets the findings as normally occurring during a
rapid adolescent growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased
liver function values and: - increased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an
antidepressant, the psychiatric-mental health nurse practitioner eliminates
fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle
damage and rhabdomyolysis. The nurse practitioner's reason is that: - one
medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members
but refuses to meet if the family members are present. The psychiatric-mental
health nurse practitioner - asks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality
improvement at a community mental health clinic. The effective strategy for
evaluating the clinic's services is to: - use a survey to elicit patient satisfaction
responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she
recently started. The nurse practitioner decides to provide psychoeducation and to:
- e-mail drug information and resources
, Any court of law that evaluates the standards of care provided by a psychiatric-
mental health nurse practitioner - considers what a reasonably prudent health care
provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health
professionals are asked to provide crisis counseling service, after a gunman
recently took a class hostage at a local elementary school, wounded several
students, and then shot himself. In preparing for this assignment, the nurse
practitioner recognizes that: - a child's developmental stage will influence his or
her response to catastrophic stress
Which community-based program is a tertiary level intervention? - Partial
hospitalization program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse
practitioner that she is three months pregnant. She has been stable on fluoxetine
(Prozac) for the last two years. The patient asks whether she may safely continue
this medication during her pregnancy. The nurse practitioner responds: - "Let's
review the risks and benefits of continuing or discontinuing Prozac for you and
your baby."
Established clinical guidelines suggest that suicidality is decreased by treating
patients who have borderline personality disorder with: - dialectical behavioral
therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six
months of psychosocial interventions and continues to demonstrate aggressive
tendencies toward a younger sibling. The psychiatric-mental health nurse
practitioner prescribes: - risperidone (Risperdal) 0.25 mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization
unit evaluates a patient verbalizing suicidal thoughts after being sexually assaulted.
Before processing through the traumatic event, the nurse practitioner first attempts
to - provide an environment of safety.
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The
physical examination is unremarkable. Laboratory results are within normal limits
except for a markedly elevated alkaline phosphatase level. The psychiatric-mental
health nurse practitioner - interprets the findings as normally occurring during a
rapid adolescent growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased
liver function values and: - increased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an
antidepressant, the psychiatric-mental health nurse practitioner eliminates
fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle
damage and rhabdomyolysis. The nurse practitioner's reason is that: - one
medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members
but refuses to meet if the family members are present. The psychiatric-mental
health nurse practitioner - asks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality
improvement at a community mental health clinic. The effective strategy for
evaluating the clinic's services is to: - use a survey to elicit patient satisfaction
responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she
recently started. The nurse practitioner decides to provide psychoeducation and to:
- e-mail drug information and resources
, Any court of law that evaluates the standards of care provided by a psychiatric-
mental health nurse practitioner - considers what a reasonably prudent health care
provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health
professionals are asked to provide crisis counseling service, after a gunman
recently took a class hostage at a local elementary school, wounded several
students, and then shot himself. In preparing for this assignment, the nurse
practitioner recognizes that: - a child's developmental stage will influence his or
her response to catastrophic stress
Which community-based program is a tertiary level intervention? - Partial
hospitalization program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse
practitioner that she is three months pregnant. She has been stable on fluoxetine
(Prozac) for the last two years. The patient asks whether she may safely continue
this medication during her pregnancy. The nurse practitioner responds: - "Let's
review the risks and benefits of continuing or discontinuing Prozac for you and
your baby."
Established clinical guidelines suggest that suicidality is decreased by treating
patients who have borderline personality disorder with: - dialectical behavioral
therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six
months of psychosocial interventions and continues to demonstrate aggressive
tendencies toward a younger sibling. The psychiatric-mental health nurse
practitioner prescribes: - risperidone (Risperdal) 0.25 mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization
unit evaluates a patient verbalizing suicidal thoughts after being sexually assaulted.
Before processing through the traumatic event, the nurse practitioner first attempts
to - provide an environment of safety.
