PMHNP Exam Questions With Accurate Solutions.
What do you provide for a patient if they lost their job or house - accurate
answers-Brief supportive therapy
Cultural expected responses to a stressor = meaning/context - accurate
answers-Cultural syndrome
3 steps to cultural formulation of interviews - accurate answers-Clarify
meaning of illness/predicament
Contextualize their situation in their local world
Empower the patient
Somatic complaints of pain interpret patient symptoms based on what -
accurate answers-Cultural Context
Serving multicultural population is called multicultural teaching what should
you use - accurate answers-Ethno specific assessment parameters
Seen in the Latino population. Result from a shocking, unpleasant or
frightening experience that is believed to cause the soul to leave the body -
accurate answers-Susto (fright)
Attack of nerves, uncontrollable shouting, attacks of crying, trembling, heat in
chest that raises to the head, verbal/physical aggression - accurate answers-
Ataque de nervios aka Puerto rican syndrome
What is considered the evil eye causing fatigue, HA, weight loss, exhaustion,
and malaise - accurate answers-Mal de ojo
Empacho means what - accurate answers-Blocked intestine, indigestion
(bloating/nausea)
mollera caida - accurate answers-sunken fontanel
A patient develops symptoms with eye contact due to culture syndrome. How
do you tx them? - accurate answers-Brief supportive therapy
,Education to multicultural population you must provide ________ teaching -
accurate answers-multicultural
What culture can have an imbalance between an individual relationship with
the world - accurate answers-Native Americans
What ethnicity has the highest risk of suicide - accurate answers-Native
Americans
If a nurse tries to take away a healing stick what should you do - accurate
answers-Teach the nurse cultural competency
What must an NP do before releasing information to a traditional healer -
accurate answers-Get informed consent
It is culturally sensitive to provide a _____ if a patient does not speak english -
accurate answers-interpreter
S/S of hypothyroidism can mimic - accurate answers-depression
S/S of hyperthyroidism can mimic - accurate answers-mania
If the T3 and T4 ar high the TSH will be - accurate answers-Low
low TSH is indicative of - accurate answers-hyperthyroidism
S/S of hyperthyroidism - accurate answers-Heat intolerance, agitation,
anxiety, irritability, tachycardia, mood swings, weight loss
S/S of hypothyroidism - accurate answers-Cold intolerance, lethargy, weight
gain, decreased libido
TSH levels - accurate answers-0.5 - 5 is normal
TSH is 0.4 - accurate answers-Hyperthyroidism
TSH of 7 - accurate answers-Hypothyroidism
,A patient on Depakote presents with abdominal pain in the RUQ,
reddish/brown urine, yellowing of skin, fatigue - accurate answers-Signs of
hepatotoxicity
Intervention for a pt on depakote and presenting with hepatotoxicity -
accurate answers-D/C, check LFT (AST, ALT)
AST and ALT levels - accurate answers-AST: 5-40
ALT: 5-35
Therapeutic range for depakote - accurate answers-50-125, toxicity starts at
what level
S/S of depakote toxicity? - accurate answers-Disorientation, lethargy,
decreased respiratory rate, and N/V
Intervention for depakote toxicity - accurate answers-DC, check depakote
level, LFT, and ammonia
A patient on depakote presents with upper abd pain radiating to back, abd
tenderness, fever, rapid pulse, NV, oily stools - accurate answers-Pancreatitis
What can depakote cause if a pregnant patient is taking it - accurate answers-
Spina Bifida NT defect
What can KAVA cause - accurate answers-liver damage
Why do people take KAVA - accurate answers-anxiety, stress, insomnia
What happens if you take xanax and kava - accurate answers-Drowsiness
What medications can you not take KAVA with - accurate answers-Sedatives
like CNS depressants
Clonazepam, lorazepam, phenobarbital, zolipedm
What are s/s of steven johnson syndrome which can occur with lamotrigine -
accurate answers-Fever, boxy aces, red rash, peeling of skin, face/tongue
swelling
, What mood stabilizer causes the least amount of weight gain - accurate
answers-Lamotrigine
What mood stabilizers cause the least amount of weight gain - accurate
answers-Ziprasidone, aripiprazole (least sedating) and lurasidone (ZAL)
What labs should be checked for pt's who are taking antipsychotics that can
cause weight gain - accurate answers-BMI, his waist ratio (checks abd obesity)
glucose and lipids
Management of antipsychotic induced weight gain - accurate answers-
Exercise, nutritional counseling, or switch to a different one like ZAL
What black bow warning comes with carbamazepine (tegritol) - accurate
answers-Agranulocytosis and aplastic anemia
S/S of aplastic anemia - accurate answers-Pallpr, fatiuge, HA, fever,
nosebleeds, bleeding gums, skin rash, SOB
What medication should you screen the HLAB 1502 allel for and for what
population - accurate answers-Carbamazepine and asians
Antiepileptics such as tegretol, topamax, and dilantin are well known for -
accurate answers-Decreasing effectiveness of oral contraceptives
Monitor pt who take carbamazepine and clozapine together: - accurate
answers-For infection, sudden fever, chills, sore throat, weakness
When should you D/C carbamazepine or clozapine for ANC level - accurate
answers-1000, weather a pt has infection or not
Besides agranulocytosis and aplastic anemia, carbamazepine can also cause
what blood issue - accurate answers-Neutropenia
At what level can lithium toxicity occur - accurate answers-0.6-1.2
What medication is the neuroprotective treatment of choice for bipolar
disorder - accurate answers-Lithium
What do you provide for a patient if they lost their job or house - accurate
answers-Brief supportive therapy
Cultural expected responses to a stressor = meaning/context - accurate
answers-Cultural syndrome
3 steps to cultural formulation of interviews - accurate answers-Clarify
meaning of illness/predicament
Contextualize their situation in their local world
Empower the patient
Somatic complaints of pain interpret patient symptoms based on what -
accurate answers-Cultural Context
Serving multicultural population is called multicultural teaching what should
you use - accurate answers-Ethno specific assessment parameters
Seen in the Latino population. Result from a shocking, unpleasant or
frightening experience that is believed to cause the soul to leave the body -
accurate answers-Susto (fright)
Attack of nerves, uncontrollable shouting, attacks of crying, trembling, heat in
chest that raises to the head, verbal/physical aggression - accurate answers-
Ataque de nervios aka Puerto rican syndrome
What is considered the evil eye causing fatigue, HA, weight loss, exhaustion,
and malaise - accurate answers-Mal de ojo
Empacho means what - accurate answers-Blocked intestine, indigestion
(bloating/nausea)
mollera caida - accurate answers-sunken fontanel
A patient develops symptoms with eye contact due to culture syndrome. How
do you tx them? - accurate answers-Brief supportive therapy
,Education to multicultural population you must provide ________ teaching -
accurate answers-multicultural
What culture can have an imbalance between an individual relationship with
the world - accurate answers-Native Americans
What ethnicity has the highest risk of suicide - accurate answers-Native
Americans
If a nurse tries to take away a healing stick what should you do - accurate
answers-Teach the nurse cultural competency
What must an NP do before releasing information to a traditional healer -
accurate answers-Get informed consent
It is culturally sensitive to provide a _____ if a patient does not speak english -
accurate answers-interpreter
S/S of hypothyroidism can mimic - accurate answers-depression
S/S of hyperthyroidism can mimic - accurate answers-mania
If the T3 and T4 ar high the TSH will be - accurate answers-Low
low TSH is indicative of - accurate answers-hyperthyroidism
S/S of hyperthyroidism - accurate answers-Heat intolerance, agitation,
anxiety, irritability, tachycardia, mood swings, weight loss
S/S of hypothyroidism - accurate answers-Cold intolerance, lethargy, weight
gain, decreased libido
TSH levels - accurate answers-0.5 - 5 is normal
TSH is 0.4 - accurate answers-Hyperthyroidism
TSH of 7 - accurate answers-Hypothyroidism
,A patient on Depakote presents with abdominal pain in the RUQ,
reddish/brown urine, yellowing of skin, fatigue - accurate answers-Signs of
hepatotoxicity
Intervention for a pt on depakote and presenting with hepatotoxicity -
accurate answers-D/C, check LFT (AST, ALT)
AST and ALT levels - accurate answers-AST: 5-40
ALT: 5-35
Therapeutic range for depakote - accurate answers-50-125, toxicity starts at
what level
S/S of depakote toxicity? - accurate answers-Disorientation, lethargy,
decreased respiratory rate, and N/V
Intervention for depakote toxicity - accurate answers-DC, check depakote
level, LFT, and ammonia
A patient on depakote presents with upper abd pain radiating to back, abd
tenderness, fever, rapid pulse, NV, oily stools - accurate answers-Pancreatitis
What can depakote cause if a pregnant patient is taking it - accurate answers-
Spina Bifida NT defect
What can KAVA cause - accurate answers-liver damage
Why do people take KAVA - accurate answers-anxiety, stress, insomnia
What happens if you take xanax and kava - accurate answers-Drowsiness
What medications can you not take KAVA with - accurate answers-Sedatives
like CNS depressants
Clonazepam, lorazepam, phenobarbital, zolipedm
What are s/s of steven johnson syndrome which can occur with lamotrigine -
accurate answers-Fever, boxy aces, red rash, peeling of skin, face/tongue
swelling
, What mood stabilizer causes the least amount of weight gain - accurate
answers-Lamotrigine
What mood stabilizers cause the least amount of weight gain - accurate
answers-Ziprasidone, aripiprazole (least sedating) and lurasidone (ZAL)
What labs should be checked for pt's who are taking antipsychotics that can
cause weight gain - accurate answers-BMI, his waist ratio (checks abd obesity)
glucose and lipids
Management of antipsychotic induced weight gain - accurate answers-
Exercise, nutritional counseling, or switch to a different one like ZAL
What black bow warning comes with carbamazepine (tegritol) - accurate
answers-Agranulocytosis and aplastic anemia
S/S of aplastic anemia - accurate answers-Pallpr, fatiuge, HA, fever,
nosebleeds, bleeding gums, skin rash, SOB
What medication should you screen the HLAB 1502 allel for and for what
population - accurate answers-Carbamazepine and asians
Antiepileptics such as tegretol, topamax, and dilantin are well known for -
accurate answers-Decreasing effectiveness of oral contraceptives
Monitor pt who take carbamazepine and clozapine together: - accurate
answers-For infection, sudden fever, chills, sore throat, weakness
When should you D/C carbamazepine or clozapine for ANC level - accurate
answers-1000, weather a pt has infection or not
Besides agranulocytosis and aplastic anemia, carbamazepine can also cause
what blood issue - accurate answers-Neutropenia
At what level can lithium toxicity occur - accurate answers-0.6-1.2
What medication is the neuroprotective treatment of choice for bipolar
disorder - accurate answers-Lithium
