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1. A 14-year-old patient has nonspecific complaints about pain in his or
her legs. The physical examination is unremarkable. Laboratory results are
within normal limits except for a markedly elevated alkaline phosphatase
level. The psychiatric-mental health nurse practitioner: interprets the findings
as normally occurring during a rapid adolescent growth spurt
2. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and:: increased MCV and elevated triglyceride
levels.
3. A new patient arrives at the office for treatment for depression. The
patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the psychiatric-mental health nurse practitioner
eliminates fluoxetine (Prozac), based on the knowledge that the combination
can lead to increased plasma levels of the statin, resulting in an increased
risk of muscle damage and rhabdomyolysis. The nurse practitioner's reason
is that:: one medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.
4. A 28-year-old patient who is psychotic arrives at the clinic with family
members but refuses to meet if the family members are present. The
psychiatric-mental health nurse practitioner: asks the family members to leave
for the appointment.
5. The psychiatric-mental health nurse practitioner is responsible for
initiating quality improvement at a community mental health clinic. The
effective strategy for evaluating the clinic's services is to:: use a survey to
elicit patient satisfaction responses.
6. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new medication
that he or she recently started. The nurse practitioner decides to provide
psychoeducation and to:: e-mail drug information and resources
7. Any court of law that evaluates the standards of care provided by a
psychiatric-mental health nurse practitioner: considers what a reasonably
prudent health care provider would do.
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8. The psychiatric-mental health nurse practitioner and a team of local
mental health professionals are asked to provide crisis counseling service,
after a gunman recently took a class hostage at a local elementary school,
wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that:: a child's developmental
stage will influence his or her response to catastrophic stress
9. Which community-based program is a tertiary level intervention?:
Partial hospitalization program that provides intensive group therapy for
rehabilitation.
10. A 32-year-old female patient informs the psychiatric-mental health
nurse practitioner that she is three months pregnant. She has been stable
on fluoxetine (Prozac) for the last two years. The patient asks whether she
may safely continue this medication during her pregnancy. The nurse
practitioner responds:: "Let's review the risks and benefits of continuing or
discontinuing Prozac for you and your baby."
11. Established clinical guidelines suggest that suicidality is decreased by
treating patients who have borderline personality disorder with:: dialectical
behavioral therapy.
12. A six-year-old patient with autistic spectrum disorder has not
responded to six months of psychosocial interventions and continues to
demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes:: risperidone
(Risperdal) 0.25 mg once a day.
13. The psychiatric-mental health nurse practitioner working in a crisis
stabilization unit evaluates a patient verbalizing suicidal thoughts after
being sexually assaulted. Before processing through the traumatic event,
the nurse practitioner first attempts to: provide an environment of safety.
14. The psychiatric-mental health nurse practitioner uses a cognitive-
behavioral approach to help a patient address self-defeating behaviors.
After identifying the stressor that causes the inappropriate behavior, the
initial strategy is to explore:: rational and irrational beliefs about the stressor.
1. A 14-year-old patient has nonspecific complaints about pain in his or
her legs. The physical examination is unremarkable. Laboratory results are
within normal limits except for a markedly elevated alkaline phosphatase
level. The psychiatric-mental health nurse practitioner: interprets the findings
as normally occurring during a rapid adolescent growth spurt
2. Laboratory findings for a patient with an alcohol use disorder indicate
increased liver function values and:: increased MCV and elevated triglyceride
levels.
3. A new patient arrives at the office for treatment for depression. The
patient reports taking simvastatin (Zocor) and lisinopril (Zestril). When
selecting an antidepressant, the psychiatric-mental health nurse practitioner
eliminates fluoxetine (Prozac), based on the knowledge that the combination
can lead to increased plasma levels of the statin, resulting in an increased
risk of muscle damage and rhabdomyolysis. The nurse practitioner's reason
is that:: one medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.
4. A 28-year-old patient who is psychotic arrives at the clinic with family
members but refuses to meet if the family members are present. The
psychiatric-mental health nurse practitioner: asks the family members to leave
for the appointment.
5. The psychiatric-mental health nurse practitioner is responsible for
initiating quality improvement at a community mental health clinic. The
effective strategy for evaluating the clinic's services is to:: use a survey to
elicit patient satisfaction responses.
6. The psychiatric-mental health nurse practitioner evaluates a new adult
patient via telemedicine. The patient has questions about a new medication
that he or she recently started. The nurse practitioner decides to provide
psychoeducation and to:: e-mail drug information and resources
7. Any court of law that evaluates the standards of care provided by a
psychiatric-mental health nurse practitioner: considers what a reasonably
prudent health care provider would do.
, PMHNP Boards
8. The psychiatric-mental health nurse practitioner and a team of local
mental health professionals are asked to provide crisis counseling service,
after a gunman recently took a class hostage at a local elementary school,
wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that:: a child's developmental
stage will influence his or her response to catastrophic stress
9. Which community-based program is a tertiary level intervention?:
Partial hospitalization program that provides intensive group therapy for
rehabilitation.
10. A 32-year-old female patient informs the psychiatric-mental health
nurse practitioner that she is three months pregnant. She has been stable
on fluoxetine (Prozac) for the last two years. The patient asks whether she
may safely continue this medication during her pregnancy. The nurse
practitioner responds:: "Let's review the risks and benefits of continuing or
discontinuing Prozac for you and your baby."
11. Established clinical guidelines suggest that suicidality is decreased by
treating patients who have borderline personality disorder with:: dialectical
behavioral therapy.
12. A six-year-old patient with autistic spectrum disorder has not
responded to six months of psychosocial interventions and continues to
demonstrate aggressive tendencies toward a younger sibling. The
psychiatric-mental health nurse practitioner prescribes:: risperidone
(Risperdal) 0.25 mg once a day.
13. The psychiatric-mental health nurse practitioner working in a crisis
stabilization unit evaluates a patient verbalizing suicidal thoughts after
being sexually assaulted. Before processing through the traumatic event,
the nurse practitioner first attempts to: provide an environment of safety.
14. The psychiatric-mental health nurse practitioner uses a cognitive-
behavioral approach to help a patient address self-defeating behaviors.
After identifying the stressor that causes the inappropriate behavior, the
initial strategy is to explore:: rational and irrational beliefs about the stressor.
