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PMHNP Exam Reported Questions and Answers 2023 A+

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PMHNP Exam Reported Questions and Answers 2023 What is dissemination? - ANSWER Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What...

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  • June 21, 2024
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PMHNP Exam Reported Questions and Answers 2023



What is dissemination? - ANSWER Getting the research information out to those who need to
know it!

Publication - highest level

Presenting at National Conference

Presenting at Local Conference

Journal Club where one person reviews an article

What does a 17 on MMSE mean? - ANSWER Moderate cognitive impairment

What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of Lamictal and
BCP's

What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal

What is a Type I research error? - ANSWER There IS a difference but you say there isn't a
difference.

What is a Type II research error? - ANSWER There is NO difference but you say there is a
difference.

What is pseudo-dementia? - ANSWER Cognitive impairment secondary to depression that clears
when treated in the elderly. Dementia won't improve.

Is it normal for a 1 month old to have a palmar grasp? - ANSWER Yes.

What is a drug 1/2 life? - ANSWER The time it takes for 50% of a drug to be eliminated from the
body.

What 3 atypicals can be used with teens? - ANSWER Zyprexa, Abilify, Seroquel - low doses

What is a risk of using Tramadol? - ANSWER Serotonin Syndrome as it is very serotonergic.

What is the allele seen in Asians that increase the risk of SJS? - ANSWER HLAB-1502

When might you see toxic epidermal necrolysis? - ANSWER With worsening of SJS

How many generations do you include for a genogram? - ANSWER 1st degree - mother, father,
siblings

2nd degree - grandparents & cousins

3rd degree -

What does messenger RNA code for? - ANSWER Amino Acids

What is epigenetics? - ANSWER Factors that affect genes - environmental, smoking, stress, etc...

,What part of the brain is involved with OCD? - ANSWER Basal Ganglia

Occipito-Frontal

What happens to the brain during adolescence? - ANSWER Dendritic pruning

Emotions are controlled by amygdala

By adulthood, PFC involved as well

When do males typically present with schizophrenia? - ANSWER 10-25 yo

When do females typically present with schizophrenia? - ANSWER 25-35 yo

What does Erythromycin to trileptal? - ANSWER You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor

ACE Inhibitors are the drug of choice for what? - ANSWER Heart Failure

HTN

What are some psychiatric side effects seen with some asthma drugs - ANSWER Leukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor

What should you watch for with Tegretol? - ANSWER Agranulocytosis and Hyponatremia

What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB

Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSWER CKMB

What is the risk of a seriously elevated CKMB? - ANSWER Polymyositis

Rhabdo

What is a normal CKMB? - ANSWER 0.3 mcg/L

What psychoactives does Detrol interact with? - ANSWER Topamax

KCL

Zonegran

What CN are you assessing when you have the patient shrug their shoulders? - ANSWER CN XI -
Spinal Accessory

What do you see in labs with HIV & Dementia? - ANSWER CD4 <200

Viral Load is high

<20% get it with antiretroviral treatment

What is the scoring with the Beck Depression Inventory? - ANSWER Self-Report - 0-63

0-13 - minimal

,14-19 - mild

20-28 - moderate

29-63 - severe

What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout

What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin

What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte Sedimentation Rate) =
distance in mm RBC's have descended in 1 hour.

What is a normal sed rate or ESR? - ANSWER 0-22 males

0-29 females

What is a retic count? - ANSWER Measures % of reticulocytes in blood (immature RBC's) Indicates
whether enough RBC's are being produced by bone marrow.

What does a decreased retic count indicate? - ANSWER Anemia - acute or chronic beeding

What does an increased retic count indicate? - ANSWER Bone marrow disorder or Vitamin
Deficiency

What does an abnormal retic ount indicate in general? - ANSWER Doesn't diagnose anything. First
step is ID source of the issue.

What happens when you mix tegretol and macrolides? - ANSWER Increase tegretol levels.

What happens if a pregnant women takes Accutane? - ANSWER Birth defects.

What labs do you get with RA? - ANSWER Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP -
helps confirm diagnosis.

CRP and ESR are both increased in RA but NOT in osteoarthritis.

Where does the NP Code of Ethics come from? - ANSWER ANA

When do you assume informed consent? - ANSWER Unconscious

Incompetent

Life Threatening Situation

What are the legal ramifications of treating w/o informed consent? - ANSWER Same as with
informed consent

Who can declare a patient incompetent and appoint a guardian? - ANSWER Only a court

Does impaired judgment mean one is incompetent? - ANSWER No.

Can an advanced directive ever be revoked? - ANSWER Yes, at any time.

What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? -
ANSWER Nothing. They are all the same.

, Does the de facto rule of proxy apply in same sex marriages? - ANSWER No.

How do Asians see HC providers? - ANSWER As in a position of authority.

Expect to give instructions and help make decisions

What does it mean when an Asian patient does not make eye contact with the NP? - ANSWER SIgn
of respect

What is the evil eye? - ANSWER When a stronger or more powerful person looks at a weaker
person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea,
disturbed sleep, increased fussiness.

How do you protect from the evil eye? - ANSWER Red ribbon on an infant

Amulet for adults

How do you treat for evil eye? - ANSWER Access traditional healer + traditional care.

For there to be a duty to a patient, what must exist? - ANSWER Relationship

What is a proximate cause? - ANSWER Connection between A + B.

For there to be damages, what must exist first? - ANSWER Negligence

What is an occurrence basis liability insurance? - ANSWER "occurred" during the policy period,
no matter when the claim is brought against the insured

What is a claims made/based liability insurance? - ANSWER provides coverage for a claim that is
brought within the policy period, no matter when the loss occurred.

Who sets the minimum requirements for NP's? - ANSWER Board of Nursing

State

What are the various controlled substance classes? - ANSWER Schedule I - nobody has these -
not good for health - heroin, PCP, MDMA, researchers can get it sometimes.

Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate

Schedule III - Moderate Abuse Potential - hydrocodone, codeine

Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine

Schedule V - Very low abuse potential - anti-tussives, lomotil

What classes of CS's is the NP approved to prescribe? - ANSWER Schedules III-V ONLY.

Where does 50% of healthcare funds come from? - ANSWER The government

Who is eligible for Medicare? - ANSWER >65 or under 65 with diability, ANY age with renal
disease.

What is incident to billing? - ANSWER Means MD initiates treatment and NP is an extension of the
care and directly under the supervision of the MD.

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