PMHNP BOARDS EXAM NEWEST 2025 ACTUAL EXAM
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kindling .....ANSWER.....Sensitization development of behavioral
seizures in response to repeated electrical or chemical stimuli.
ETOH can cause seizures.
Potency .....ANSWER.....Relative dose required to achieve certain
effects
High potency .....ANSWER.....Haldol (need lower dose)
Low potency .....ANSWER.....Chlorpromazine (Thorazine) (need
higher dose)
What 3 parts of the brain are affected by ADHD
.....ANSWER.....1. Frontal cortex
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2. Basal ganglia (motor control/ learning)
3. Reticular activity (ability to focus/fight or flight)
What 3 neurotransmitters are associated with ADHD?
.....ANSWER.....DNS (dopamine, norepinephrine, serotonin)
How many settings do symptoms of ADHD have to be assessed in
to diagnose? .....ANSWER.....2
How many criteria does a child vs an adult have to meet to be
diagnosed with ADHD? .....ANSWER.....Child-6
Adult-5
What type of medications are lipophilic and highly protein
bound? .....ANSWER.....Psychiatric medications
side effects of stimulants .....ANSWER.....-weight loss
-GI upset
-Anorexia
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-increased heart rate and blood pressure
What must you assess before starting a stimulant?
.....ANSWER.....Cardiac functions and family heart history
Average and mean age of onset for ADHD .....ANSWER.....Avg.:
3 years
Mean: 9 years
What type of drug class is intuniv (guanfacine) and what ages
has the FDA approved it for? .....ANSWER.....Alpha agonist and
ages 6-17 yrs.
What alpha agonist is used to treat ADHD but not FDA
approved? .....ANSWER.....clonidine
Agitation, anxiety, mood swings, increased mood, increased HR
and BP, heart palpitations and tremors are all symptoms of what
substance abuse? .....ANSWER.....Stimulants
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What type of therapy is used to treat ADHD?
.....ANSWER.....Behavioral therapy
What must you assess in school aged children with ADHD?
.....ANSWER.....The presence of learning disorders.
What scale for ADHD is available to the public?
.....ANSWER.....Vanderbilt ADHD DIAGNOSIS: Parent and
teacher rating scale
What would you do for a patient that has tics and is taking a
stimulant? .....ANSWER.....Discontinue medication. Tics are
contraindicated in stimulants.
What cluster is Borderline Personality Disorder? What is the
mainstay treatment? .....ANSWER.....Cluster B
DBT
What medication can help with self harming behavior?
.....ANSWER.....Lithium