Page 1 of 85
PMHNP CERTIFICATION EXAM NEWEST WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANS WERS LATEST UPDATE JUST RELEASED THIS
YEAR
Which meds have the worse serotonin discontinuation syndrome
Those with short half lives
such as zoloft
Symptoms of serotonin withdrawal syndrome
Fever, achiness, soreness, lethargy, fatigue, impaired memory, decreased concentration, GI
UPSET
Shits and Shivers
Ages of onset for schizophrenia in males vs females
-MALES 18-25 years
-FEMALE 25-35 years
Schizophrenia increases the risk for
SUICIDE
*HIGH RISK OF SI in SCHIZOPHRENIA*
1
SUCCESS!
,Page 2 of 85
Just having schizophrenia increases your risk of suicide.
MUST ASK ABOUT SI, EVERYTIME (frequency, severity of thoughts)
What increases the causes or increases the risk or schizophrenia
excessive pruning of synapses
-inadequate synapse formation,
-intrauterine insults such as maternal exposure to toxins, viral agents, maternal substance
use, maternal illness, maternal malnutrition, fetal oxygen deprivation,
-first order relative (mom/dad)
MRI or PET scan what is seen in schizophrenia
EVERYTHING DECREASES EXCEPT VENTRICLES
-You will see VENTRICULAR ENLARGEMENT
Stimulants can potentiate the release of what neurotransmitter?
Dopamine which can worsen symptoms of schizophrenia
Assertive Community Treatment (ACT)
a form of rehabilitation post hospitalization, in home treatment
What level of prevention is ACT?
2
SUCCESS!
,Page 3 of 85
Tertiary
What adjunctive treatment is important in schizophrenia
-social skills training
-Exercise
Exercise for mental health patients can promote
Cognition
Quality of Life
Long-term health
ACT is ideal for patients with a history of
Treatment non-compliance
-Think about making the treatment convenient for them-->bringing it to their home
What diagnosis has the highest risk of Homicidality
Antisocial
In the MMSE how do you test for abstraction?
proverb interpretation everyone that lives in glass houses shouldn’t throw stones Are they
able to think abstractly
Thought Process-Tangential
3
SUCCESS!
, Page 4 of 85
means that their response has nothing to do with the question
Circumstantial
means that their response goes in circles instead of getting to the point of the question
Mental Status-Thought Content includes
SI/HI/AH/VH
Another name for MMSE
Folstein Scale
How to assess concentration on MMSE
Serial 7s or perform an activity backwards i.e list the days of the week backwards
Assess ability to learn new material
repeat 3 words after me
Assess ability to recall
repeat 3 words after 5 minutes
Assess fund of knowledge
Who is the president
What is a quick and easy way to assess for neurological issues
4
SUCCESS!
PMHNP CERTIFICATION EXAM NEWEST WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANS WERS LATEST UPDATE JUST RELEASED THIS
YEAR
Which meds have the worse serotonin discontinuation syndrome
Those with short half lives
such as zoloft
Symptoms of serotonin withdrawal syndrome
Fever, achiness, soreness, lethargy, fatigue, impaired memory, decreased concentration, GI
UPSET
Shits and Shivers
Ages of onset for schizophrenia in males vs females
-MALES 18-25 years
-FEMALE 25-35 years
Schizophrenia increases the risk for
SUICIDE
*HIGH RISK OF SI in SCHIZOPHRENIA*
1
SUCCESS!
,Page 2 of 85
Just having schizophrenia increases your risk of suicide.
MUST ASK ABOUT SI, EVERYTIME (frequency, severity of thoughts)
What increases the causes or increases the risk or schizophrenia
excessive pruning of synapses
-inadequate synapse formation,
-intrauterine insults such as maternal exposure to toxins, viral agents, maternal substance
use, maternal illness, maternal malnutrition, fetal oxygen deprivation,
-first order relative (mom/dad)
MRI or PET scan what is seen in schizophrenia
EVERYTHING DECREASES EXCEPT VENTRICLES
-You will see VENTRICULAR ENLARGEMENT
Stimulants can potentiate the release of what neurotransmitter?
Dopamine which can worsen symptoms of schizophrenia
Assertive Community Treatment (ACT)
a form of rehabilitation post hospitalization, in home treatment
What level of prevention is ACT?
2
SUCCESS!
,Page 3 of 85
Tertiary
What adjunctive treatment is important in schizophrenia
-social skills training
-Exercise
Exercise for mental health patients can promote
Cognition
Quality of Life
Long-term health
ACT is ideal for patients with a history of
Treatment non-compliance
-Think about making the treatment convenient for them-->bringing it to their home
What diagnosis has the highest risk of Homicidality
Antisocial
In the MMSE how do you test for abstraction?
proverb interpretation everyone that lives in glass houses shouldn’t throw stones Are they
able to think abstractly
Thought Process-Tangential
3
SUCCESS!
, Page 4 of 85
means that their response has nothing to do with the question
Circumstantial
means that their response goes in circles instead of getting to the point of the question
Mental Status-Thought Content includes
SI/HI/AH/VH
Another name for MMSE
Folstein Scale
How to assess concentration on MMSE
Serial 7s or perform an activity backwards i.e list the days of the week backwards
Assess ability to learn new material
repeat 3 words after me
Assess ability to recall
repeat 3 words after 5 minutes
Assess fund of knowledge
Who is the president
What is a quick and easy way to assess for neurological issues
4
SUCCESS!
