ANCC PMHNP Exam Questions With Accurate Answers
Explained.
3-year-old masturbates, play with self, says naughty things - accurate
answers-FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC
STAGE - 3-6 years old
- This is NORMAL for children this age.
Freud stages of psychosexual development - accurate answers-PNEUMOIC -
Old Age Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER - accurate answers-Depression, dissociation,
recurring nightmares, sleep disturbances, problems in concentrations, reliving
the event, dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
5-year-old tells you his brother sodomized him - accurate answers-Tell mom
don't leave him alone with patient and call CPS implement crisis
Child is playing with doll in a sexual way - You SUSPECT sexual abuse -
accurate answers-Perform FURTHER ASSESSMENT and GATHER ENOUGH
INFO BEFORE Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to have something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke - accurate answers-ask him of his plan to stop
smoking
MMSE/ FOLSTEIN - accurate answers-MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal from 30-25
yrs old, then deteriorated mildly from 24-21 yrs old, became moderately
,demented from 20-13 yrs old, until he reached age 11 where it was too severe
to stay at home.
Beck Depression Inventory - accurate answers-Beck was 20 yrs old when he
started medication & therapy. Unfortunately, at age 31 it became too SEVERE
and was hospitalized.
HAM-A - accurate answers-Hamilton A started medication & therapy at 24 yrs
old for moderate anxiety. Sadly, when he turned 27 yrs old he was
hospitalized for SEVERE anxiety.
HAM-D - accurate answers-Hamilton D began medication & therapy at 14 yrs
old. He later had a dose increase at age 17 for MODERATE/SEVERE
depression. But soon after, it became SEVERE at age 23 & he was hospitalized.
PHQ-9 (Patient Health Questionnaire) - accurate answers-Penelope Q was just
10 yrs old when she started antidepressants & therapy. At age 15, she
required a dose increase due to moderate/severe depression. It helped her
until she turned 20 when it became SEVERE, and she had to be hospitalized.
GAD-7 scale - accurate answers-Gary was just 10 yrs old when he was treated
with meds & therapy for anxiety. Yet his symptoms still worsened and at 15
yrs old he was hospitalized for SEVERE anxiety.
HAM-D score of 19? - accurate answers-Severe. Assess for SI, treat with meds
& therapy.
Beck score of 20 - accurate answers-Moderate. Confirm diagnosis and treat
with meds & therapy.
PHQ-9 score of 15? - accurate answers-Moderate. Confirm diagnosis & start
therapy & meds
PHQ-9 score of 21? - accurate answers-Severe. Assess for SI, start therapy &
meds.
HAM-D score of 23? - accurate answers-Severe. Assess SI, treat with meds &
therapy.
,ZUNG Score of 70? - accurate answers-Severe. Assess SI, treat with meds &
therapy
SLUM > Score - accurate answers-0 - 20 indicate dementia; 21 - 26 = mild
neurocognitive disorder; 27 - 30 =
normal.
What is the WHODAS scale? - accurate answers-(World Health Organization
Disability Assessment Scale)? It is used instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work, social and
interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a score of 30
and under indicates the need for
hospitalization.
CIWA-Ar - accurate answers-Start symptom-treatment medication PRN at 8,
standing med at 15 (1st choice Diazepam lasts longer, UNLESS liver
compromised then give Ativan).
COWS Score/treatment? - accurate answers-Start PRN meds (Clonidine) at 7,
give suboxone or buprenorphine at 13.
Mydriasis (of pupil) - accurate answers-Dilated pupils (withdrawal sign, give
Clonidine)
Miosis? - accurate answers-Pinpoint pupils (intoxication/overdose, give
Naloxone)
CAGE questionnaire - accurate answers--cut down, annoyed, guilty, eye
opener
Have you ever felt you should Cut down on your drinking?
Have people Annoyed you by criticizing your drinking?
Have you ever felt bad or Guilty about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves
(Eye-opener)?
, How long to wait to take Disulfiram after alcohol use? - accurate answers-12
hours
Meds approved for opioid withdrawal? - accurate answers-Clonidine,
buprenephrone, suboxone
Opioid Toxicity/Overdose treatment? - accurate answers-Naloxone
Mnemonic for Alcohol Dependence Treatment (DAN): - accurate answers-
D=Disulfiram,
A=Acamprosate,
N=Naltrexone
What do you do as pmhnp if 21 yr old female comes in for eval/assessment for
meds and you see she's taking Accutane? - accurate answers-Check hcg for
pregnancy.
Pregnant female patient presents and she is taking Accutane and 4 other
medications. What is primary intervention? - accurate answers-D/C Accutane
and check hcg.
What s/e can happen with Accutane & antidepressants? - accurate answers-
Worsen Depression
What are the teratogenic risks for Depakote, lithium, carbamazepine? -
accurate answers-Depakote=spina bifida,
Lithium= Ebstein anomaly,
Carbamazepine=neural tube defects.
What can benzos cause if taking while pregnant? - accurate answers-Floppy
baby syndrome, cleft palate.
When determining risk factors for suicide in test questions, - accurate
answers-Count the risk factors if given options to choose from; the most risk
factors are the highest risk for suicide. No risk factor is bigger than another.
Suicide Risk Factors - accurate answers-Previous suicide attempt
Male 45 yrs & older
Female 55 yrs old & older
Explained.
3-year-old masturbates, play with self, says naughty things - accurate
answers-FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC
STAGE - 3-6 years old
- This is NORMAL for children this age.
Freud stages of psychosexual development - accurate answers-PNEUMOIC -
Old Age Parents Love Grandchildren
Oral (0-18 months)
Anal (18 months - 3 years)
Phallic (3 years to 6 years)
Latent (6 to 12)
Genital (12 +)
ACUTE STRESS DISORDER - accurate answers-Depression, dissociation,
recurring nightmares, sleep disturbances, problems in concentrations, reliving
the event, dreams, flashbacks -
UP to ONE MONTH - Less than 1 month.
if LONGER than 1 month=PTSD
5-year-old tells you his brother sodomized him - accurate answers-Tell mom
don't leave him alone with patient and call CPS implement crisis
Child is playing with doll in a sexual way - You SUSPECT sexual abuse -
accurate answers-Perform FURTHER ASSESSMENT and GATHER ENOUGH
INFO BEFORE Calling CPS to report
suspected Sexual Abuse - You HAVE to report but you have to have something
(assessment data) to report - Assess = FIRST
13-year-old want to smoke - accurate answers-ask him of his plan to stop
smoking
MMSE/ FOLSTEIN - accurate answers-MMSE/FOLSTEIN
Mr. Folstein had Benjamin Button's disease where he was normal from 30-25
yrs old, then deteriorated mildly from 24-21 yrs old, became moderately
,demented from 20-13 yrs old, until he reached age 11 where it was too severe
to stay at home.
Beck Depression Inventory - accurate answers-Beck was 20 yrs old when he
started medication & therapy. Unfortunately, at age 31 it became too SEVERE
and was hospitalized.
HAM-A - accurate answers-Hamilton A started medication & therapy at 24 yrs
old for moderate anxiety. Sadly, when he turned 27 yrs old he was
hospitalized for SEVERE anxiety.
HAM-D - accurate answers-Hamilton D began medication & therapy at 14 yrs
old. He later had a dose increase at age 17 for MODERATE/SEVERE
depression. But soon after, it became SEVERE at age 23 & he was hospitalized.
PHQ-9 (Patient Health Questionnaire) - accurate answers-Penelope Q was just
10 yrs old when she started antidepressants & therapy. At age 15, she
required a dose increase due to moderate/severe depression. It helped her
until she turned 20 when it became SEVERE, and she had to be hospitalized.
GAD-7 scale - accurate answers-Gary was just 10 yrs old when he was treated
with meds & therapy for anxiety. Yet his symptoms still worsened and at 15
yrs old he was hospitalized for SEVERE anxiety.
HAM-D score of 19? - accurate answers-Severe. Assess for SI, treat with meds
& therapy.
Beck score of 20 - accurate answers-Moderate. Confirm diagnosis and treat
with meds & therapy.
PHQ-9 score of 15? - accurate answers-Moderate. Confirm diagnosis & start
therapy & meds
PHQ-9 score of 21? - accurate answers-Severe. Assess for SI, start therapy &
meds.
HAM-D score of 23? - accurate answers-Severe. Assess SI, treat with meds &
therapy.
,ZUNG Score of 70? - accurate answers-Severe. Assess SI, treat with meds &
therapy
SLUM > Score - accurate answers-0 - 20 indicate dementia; 21 - 26 = mild
neurocognitive disorder; 27 - 30 =
normal.
What is the WHODAS scale? - accurate answers-(World Health Organization
Disability Assessment Scale)? It is used instead of GAF.
Measures multiple disabilities in multiple areas (cognition, work, social and
interpersonal relations).
The LOWER the number, the MORE SEVERE the impairment.
For example, a score of 50 through 30 indicates SI with intent; a score of 30
and under indicates the need for
hospitalization.
CIWA-Ar - accurate answers-Start symptom-treatment medication PRN at 8,
standing med at 15 (1st choice Diazepam lasts longer, UNLESS liver
compromised then give Ativan).
COWS Score/treatment? - accurate answers-Start PRN meds (Clonidine) at 7,
give suboxone or buprenorphine at 13.
Mydriasis (of pupil) - accurate answers-Dilated pupils (withdrawal sign, give
Clonidine)
Miosis? - accurate answers-Pinpoint pupils (intoxication/overdose, give
Naloxone)
CAGE questionnaire - accurate answers--cut down, annoyed, guilty, eye
opener
Have you ever felt you should Cut down on your drinking?
Have people Annoyed you by criticizing your drinking?
Have you ever felt bad or Guilty about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves
(Eye-opener)?
, How long to wait to take Disulfiram after alcohol use? - accurate answers-12
hours
Meds approved for opioid withdrawal? - accurate answers-Clonidine,
buprenephrone, suboxone
Opioid Toxicity/Overdose treatment? - accurate answers-Naloxone
Mnemonic for Alcohol Dependence Treatment (DAN): - accurate answers-
D=Disulfiram,
A=Acamprosate,
N=Naltrexone
What do you do as pmhnp if 21 yr old female comes in for eval/assessment for
meds and you see she's taking Accutane? - accurate answers-Check hcg for
pregnancy.
Pregnant female patient presents and she is taking Accutane and 4 other
medications. What is primary intervention? - accurate answers-D/C Accutane
and check hcg.
What s/e can happen with Accutane & antidepressants? - accurate answers-
Worsen Depression
What are the teratogenic risks for Depakote, lithium, carbamazepine? -
accurate answers-Depakote=spina bifida,
Lithium= Ebstein anomaly,
Carbamazepine=neural tube defects.
What can benzos cause if taking while pregnant? - accurate answers-Floppy
baby syndrome, cleft palate.
When determining risk factors for suicide in test questions, - accurate
answers-Count the risk factors if given options to choose from; the most risk
factors are the highest risk for suicide. No risk factor is bigger than another.
Suicide Risk Factors - accurate answers-Previous suicide attempt
Male 45 yrs & older
Female 55 yrs old & older
