ANCC(ACTUAL 2024-2025) REVIEW QUESTIONS WITH
ANSWERS (PMHNP IQ)
Which cytochrome (CYP) enzyme is implicated as a tobacco
inducer when an individual is treated on clozapine?
A) 1A2
B) 2D6
C) 2C9
D) 2C19 - <<<Answers>>>A) 1A2
When an individual is treated on clozapine and decreases
tobacco use, the clozapine level with increase, as tobacco is an
inducer to the clozapine, and the patient no longer needs the
higher dose of clozapine.
A new patient comes to you on a medication regimen of:
Adderall XR, Seroquel, Mirtazepine, Diazepam, Zolpidem. In
addition if initial dose dose not help the patient sleep. You
confirm the medication regimen with the patient's past
records. You diagnose with PTSD, alcohol use disorder
moderate by history in recovery, depressive disorder, and
ADD. You tx the patient and find that the patient is resistant
to changing the past medication regimen. The pt wants you to
rewrite the script so that the medication is available. In
checking with the pharmacy, you find out the pt has
potentially used 60 tablets of Zolpidem (Ambien) in a 20 day
period. Your best action is to:
, ANCC(ACTUAL 2024-2025) REVIEW QUESTIONS WITH
ANSWERS (PMHNP IQ)
A) Refill the order for the med as requested. The med has not
harmed the pt so far.
B) Discontinue the prescription for Zolpidem (Ambien). Talk
to the pt about the overuse of Zolpidem (Ambien) and the
danger it poses to his health and wellbeing.
C) Give th - <<<Answers>>>B) Discontinue the prescription
for Zolpidem. Talk to the pt about the overuse of Zolpidem
and the danger it poses to his health and wellbeing.
Zolpidem (Ambien) is a hypnotic med for the short-term
management of insomnia. It can be stopped abruptly without
significant harm to the patient other than rebound insomnia.
You are protecting your patient by stopping the dangerous
misuse of a hypnotic medication. You must also discuss the
ramifications of the misuse with the pt and attempt to help
him by giving him a rationale for the discontinuation and a
healthy plan for managing the insomnia.
When working with an avoidant patient with a history of
trauma, what type of communication techniques are helpful?
A) Techniques to decrease arousal
B) Clarification and close-ended questions
C) Techniques to increase arousal
ANSWERS (PMHNP IQ)
Which cytochrome (CYP) enzyme is implicated as a tobacco
inducer when an individual is treated on clozapine?
A) 1A2
B) 2D6
C) 2C9
D) 2C19 - <<<Answers>>>A) 1A2
When an individual is treated on clozapine and decreases
tobacco use, the clozapine level with increase, as tobacco is an
inducer to the clozapine, and the patient no longer needs the
higher dose of clozapine.
A new patient comes to you on a medication regimen of:
Adderall XR, Seroquel, Mirtazepine, Diazepam, Zolpidem. In
addition if initial dose dose not help the patient sleep. You
confirm the medication regimen with the patient's past
records. You diagnose with PTSD, alcohol use disorder
moderate by history in recovery, depressive disorder, and
ADD. You tx the patient and find that the patient is resistant
to changing the past medication regimen. The pt wants you to
rewrite the script so that the medication is available. In
checking with the pharmacy, you find out the pt has
potentially used 60 tablets of Zolpidem (Ambien) in a 20 day
period. Your best action is to:
, ANCC(ACTUAL 2024-2025) REVIEW QUESTIONS WITH
ANSWERS (PMHNP IQ)
A) Refill the order for the med as requested. The med has not
harmed the pt so far.
B) Discontinue the prescription for Zolpidem (Ambien). Talk
to the pt about the overuse of Zolpidem (Ambien) and the
danger it poses to his health and wellbeing.
C) Give th - <<<Answers>>>B) Discontinue the prescription
for Zolpidem. Talk to the pt about the overuse of Zolpidem
and the danger it poses to his health and wellbeing.
Zolpidem (Ambien) is a hypnotic med for the short-term
management of insomnia. It can be stopped abruptly without
significant harm to the patient other than rebound insomnia.
You are protecting your patient by stopping the dangerous
misuse of a hypnotic medication. You must also discuss the
ramifications of the misuse with the pt and attempt to help
him by giving him a rationale for the discontinuation and a
healthy plan for managing the insomnia.
When working with an avoidant patient with a history of
trauma, what type of communication techniques are helpful?
A) Techniques to decrease arousal
B) Clarification and close-ended questions
C) Techniques to increase arousal
