PMHNP certification Exam KM questions with verified correct answers
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Course
ANCC PMHNP
Institution
Oxford University (OX)
Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression...
PMHNP certification Exam KM questions
with verified correct answers
Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white, depression) -
answer D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression)
Count the risk factors
When interview teenagers (16 y/o) that arrive with their parents what should you do? - answer
interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is confidential. Parents
may be upset but remember you are advocating for the child.
Which Ethnic group has the highest rate of suicide? - answer Native Americans
Example A patient is being treated for schizophrenia with olanzapine. Which of the following is
the most common side effect of olanzapine?
A. Increased waist circumference
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor antagonism
C. Increased Lipids
D. Metabolic Syndrome - answer D. Metabolic Syndrome (UMBRELLA ANSWER)
,Which antipsychotics have the least weight gain? - answer Latuda, Abilify, (also least sedating),
Geodon-if patient has metabolic syndrome consider switching to one of the medications above.
Or if the patient is overly sedated try switching to ABILIFY
Which mood stabilizer have the least weight gain? - answer Lamictal
-But remember all mood stabilizers cause some weight gain
When presented with a question about typical vs atypical antipsychotic the answer is usually to
start of a - answer atypical
A client presents with complains of changes in appetite, feeling fatigued, problems with sleep-
rest cycle, and changes in libido. What is the neuroanatomical area of the brain that is
responsible for the normal regulation of these functions?
A. Thalamus
B. Hypothalamus
C. Limbic System
D. Hippocampus - answer Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
When a patient is hesitant to participate in treatment you should encourage? - answer Bring a
support person like a husband
Thyroid-Stimulating hormone normal level - answer 0.5-5.0 Mu/L
When T4 and T3 are high and TSH is low what is the diagnosis - answer HYPERTHYROIDISM, TSH
secretion decreases: TSH LOW à key symptoms HEAT INTOLERANCE
Key symptoms of Heat Intolerance - answer Hyperthyroidism
,When T4 and T3 are Low and TSH is high what is the diagnosis - answer (HYPOTHYROIDISM) TSH
secretion increased: TSH HIGH à COLD INTERANCE
Key symptoms of Cold Intolerance - answer Hypothyroidism
Hyperthyroid can mimic - answer Mania
Hypothyroid can mimic - answer Depression
A patient on depakote complains of RUQ pain and has reddish/brown urine - answer
Hepatoxicity
-Check LFTs
Signs of Depakote toxicity - answer Disorientation, confusion, lethargy
You suspect depakote toxicity what do you do? - answer Check
-LFT
-Ammonia
-Depakote Level
What herbal supplement can cause hepatoxicity? - answer Kava Kava
When taking Kava Kava in combinations with other medications you should caution about -
answer Risk of Hepatoxicity and Sedation
Ace inhibitors are treatment of choice for? - answer Heart Failure
Certain medications are known to increase lithium level, but HOW? - answer by reducing renal
clearance
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