PMHNP CERTIFICATION EXAM 2024(ACTUAL TEST
VERIFIED A+) NEWEST UPDATE QUESTIONS WITH
CORRECT ANSWERS ALREADY GRADED A+ |1000+
QUESTIONS BRAND NEW
10 common alcohol withdrawal symptoms ...ANS: -n/v
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-tremors
-proxysmal sweats i
-anxiety
-agitaiton
-tactile disturbances i
-auditory disturbances i
-visual disturbances i
-headaches
-altered sensorium i
1mg of xanex equals how many mg of Ativan ...ANS: 2
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2 sample t test ...ANS: analyze continuous data from two separate
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samples with normal distributions
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2 schizoaffective dx subtypes ...ANS: -depressive
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-bipolar
3 phases of EMDR ...ANS: desensitization phase
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installation phase i
body scan i
3yo milestones ...ANS: says up to 1000 words
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uses 3-4 word sentences
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balances on 1 foot i i i
plays make believe i i
,ASCORERS STUVIA
5 As for health behavior change ...ANS: Assess
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Advise
Agree
Assist
Arrange
9 dimensions of temperament ...ANS: -Stella chess and Alexander
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Thomas
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-approach or withdrawal i i
-adaptability
-attention span and persistence i i i i
(not quality of sleep)
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a 20 year old asian man who was recently diagnosed with schizophrenia
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comes to your office for a follow up appointment. during the
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assessment, he talks about his experience in the group home, thinking
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that the television is sending him messages through news anchors
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during the 10pm evening news. what symptom is the client describing
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...ANS: ideas of reference
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a 23 year old women is brought into the ER after attempting suicide by
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cutting her wrists. which nursing action by the PMHNP would be of
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highest priority initially. ...ANS: take her vital signs
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a 74 year old married women was referred to you by her pcp for a psych
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eval. she had a normal medical and neurological exam in the last 2
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months. the client presents with her husband of 45 years who states "my
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wife is just not the same anymore, she is irritable and asks the same
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question several times, even though I've answered it many times. the
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client responds, oh Henry, you do the same thing, its just a normal part of
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getting older, and the kids think everything is fine. during the
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assessment you complete the MMSE and the client scores 18. as the
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pmhnp treating the client, you know the results of her MMSE indicate
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,ASCORERS STUVIA
i which level of cognitive impairment. ...ANS: moderate cognitive
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i impairment
a 74 year old woman presents for an evaluation. the pmhnp has her
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complete a MMSE and a clock drawing. the pt is unable to correctly draw
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the face of the clock. what area of the brain is most likely to have
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compromised functioning? ...ANS: the right hemisphere
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(involved with facial expression recognition, music and visual images i i i i i i i i
causing disturbances in drawing)
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a client comes into the clinic with a longstanding history of depression
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and chronic renal failure. he is on an antidepressant and a diuretic and
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complains of increased depression, mild confusion, irritability, and
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overall apathy from being too tired to do anything. the best initial
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PMHNP action at this time is ...ANS: order a comprehensive metabolic
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panel
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a client is displaying low self-esteem, poor self-control, self-doubt, and a
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high level of dependancy. these behaviors indicate developmental
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failure of which stage of development? ...ANS: early childhood
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a client presents with complaints of changes in appetite, feeling
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fatigued, problems with sleep-rest cycle, and changes in libido. what is
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the neuroanatomical area of the brain that is responsible for the normal
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regulation of these functions? ...ANS: hypothalamus
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a client returns for a follow-up appointment 3 weeks after starting on
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fluoxetine 20mg. during this appointment you notice that her speech is a
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little rapid, in marked contrast to the psychomotor retardation and
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paucity of spontaneous speech she displayed on her first visit. instead of
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looking at the floor, she now makes normal eye contact. her affect has
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gone from constricted to expansive. she continues to have difficulty
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sleeping, but her energy has improved and she states she feels so much
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, ASCORERS STUVIA
i better! what should you conclude about the shift in the clients
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i presentation? ...ANS: she is becoming hypomanic iiiii iii i i i
a client says to the pmhnp "some days life is just not worth it. all my wife
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and I ever do is fight and scream. things at home would be calmer and
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simpler if I just wasn't there anymore". the most therapeutic response
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for the PMHNP to make is ...ANS: tell me what you mean by "it would be
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simpler if you just weren't there anymore"?
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a client who is experiencing difficulties with working memory, planning
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and prioritizing, insight into his problems, and impulse control presents
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for assessment. in planning his care, the PMHNP should apply his or her
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knowledge that these symptoms represent problems with the... ...ANS:
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frontal lobe
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a client with bipolar I disorder presents to your PMHNP office for a
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follow up visit. during the visit the client informed you that he no longer
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wants to be treated with medication., and he does not have bipolar
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disorder, that was a misdiagnosis. he further informs you he stopped all
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his medication 2 months ago and is here to thank you for your care and
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tell you that he no longer needs follow up appointments. understanding
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the ethical conflict, you use which of the following ethical principles in
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working with this client? ...ANS: autonomy
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a community has an unusually high incidence of depression and drug
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use among the teenage population. the public health nurses decide to
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address the problem, in part, by modifying the environment and
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strengthening the capacities of families to prevent the development of
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new cases of depression and drug use. what is this an example of? ...ANS:
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primary prevention
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a new client reveals to the PMHNP that her boyfriend screams at her and
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has repeatedly slapped and pushed her in front of her 3 year old son. she
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goes on to say that the boyfriend has thrown things at her and on one
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