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MHNP Exam Questions and Answers Fall 2022 Test Bank.
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MHNP Exam Questions and Answers Fall 2022 Test Bank. DBT (dialectical behavior therapy) - relaxation muscle prior to DBT Greatest patient at risk for Violence - Substance abuse EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and ............

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  • August 8, 2022
  • 58
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

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  • pmhnp 2022 pmhnp

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  • PMHNP 2022
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Latest Questions/Answer (PMHNP IQ)
2022-2023

What direct-acting dopamine receptor agonist is recommended to be used in the
treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine
blockade?

A)benzotropine (Cogentin)
B)bromocriptine (Parlodel)
C)dantrolene (Dantrium)
D) trihexyphenidyl (Artane)
A) Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor agonist to help
decrease the dopamine blockade. Danrolene (Dantrium) is a muscle relaxant. Benzotropine
(Cogentin) and Trihexyphenidyl (Artane) are anticholinergic medications used for extrapyramidal side
effects (EPS).

Mr. Smith is a 56 year old white male who has been successfully treated on
Selegiline for over 4 years. Mr. Smith is going in for elective surgical procedure.
Which medication is strictly contraindicated with Selegiline?

A)Non-steroidal anti-inflammatory drugs (NSAIDS)
B)Codeine
C)Morphine
D) Meperidine

D)Meperidine is strictly prohibited when a patient is treated on a monoamine oxidase
inhibitor (MAOI) due to the risk of hypertensive crisis and death.
A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to take
which of the following actions?

A)Consult with hematologist to determine appropriate antibiotic regimen and monitor
closely.
B)Institute twice-weekly complete blood count with differentials and monitor closely.
C)Discontinue clozapine, initiate alternative antipsychotic medication and monitor closely.
D) Institute daily complete blood count with differentials and monitor closely.

B) Institute twice-weekly complete blood count with differentials and monitor closely.

The recommended cut-points for discontinuation of clozapine are WBC of 2,000 to
3,000 or granulocytes of 1,000 to 1,500 for agranulocytosis and severely compromised
immune system. At a WBC of 4,000, the recommendation is to closely monitor CBC
with differential twice a week while patient may continue clozapine in the absence of
any other signs or symptoms.

,A patient with a diagnosis of schizophrenia has a history of suicidal ideation and
suicide attempts. The PMHNP should consider which antipsychotic medication that is
the only antipsychotic to reduce the risk of suicide in schizophrenia?

,A)Abilify (aripriprazole)
B)Latuda (lurasidone)
C)Invega (iloperidone)
D) Clozaril (clozapine)

D)Clozaril (clozapine) is the only known antipsychotic medication that had been
shown to reduce the risk of suicide in patients diagnosed with schizophrenia.
A patient being treated for major depressive disorder and on sertraline (Zoloft), 150 mg po daily
for the past 16 years, presents to the psychiatric mental health practitioner for an outpatient
follow-up visit. During the visit she states that she has not been feeling well, reporting the flu.
She also states she has not taken her medication in the last five days. Which of the following
symptoms would she be describing if you suspect selective serotonin reputable inhibitors (SSRIs)
discontinuation syndrome?

A)Agitation, nausea, dysphoria, and diequilibrium
B)Agitation, nausea, tremor, and ataxia.
C)Restlessness, tremor, fever, and shivering.
D) Restlessness, headache, increased heart rate, and diarrhea.

A) Agitation; nausea, dysphoria, and disequilibrium

The patient has SSRI discontinuation syndrome and would be presenting with flu-like
symptoms. If the patient had serotonin syndrome, she would present with symptoms of
autonomic instability.

Which of the following statements reflect the current understanding of dopamine (DA)
pathways and clinical symptoms in schizophrenia?

A) Negative symptoms are related to DA deficit in the cerebral cortex; positive
symptoms are related to DA excess in the nucleus accumbens and mesolimbic
system.

B)Negative symptoms are related to DA excess in the cerebral cortex; positive
symptoms are related to DA deficit in the nucleus accumbens and mesolimbic system.

C) Negative symptoms are related to DA excess in the mesolimbic system; positive
symptoms are related to DA deficit in the substantia nigra and ventral tegmental area.
Negative symptoms are related to DA deficit in the mesolimbic system; positive
symptoms are related to DA excess in the substantia nigra and ventral tegmental area.
A) Negative symptoms are related to DA deficit in the cerebral cortex; positive
symptoms are related to DA excess in the nucleus accumbens and mesolimbic
system.

Negative symptoms & cognitive impairment are thought to be related to hypoactivity of the
mesocortical dopiminergic tract, which by its association with the prefrontal cortex and neocortex

, contributes to motivation, planning, sequencing of behaviors in time, attention, and social
behavior. Positive symptoms (hallucination and delusions) are thought to be caused by dopamine
hyperactivity in the mesolimbic

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