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PMHNP Exam Reported Questions – well 400 answered 2023/2024
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PMHNP Exam Reported Questions – well 400 answered 2023/2024
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PMHNP Exam Reported Questions – well 400 answered2023/2024
Paranoid Personality DO - ✔✔ANSW✔✔..More common in schizophrenic families.
SUSPECT: Spousal infidelity suspected, Unforgiving, Suspicious of others, Perceive
attacks, Everyone viewed as either friend or enemy, Confiding in others is feared,
Threats perceived in benign events.
Parietal lobes VAST - ✔✔ANSW✔✔..Visual special processing
Association cortex
Symbolic recognition
Topographic sense
Partial agonist - ✔✔ANSW✔✔..A drug which does not produce maximal effect even
when all of the receptors are occupied
Patho of NMS - ✔✔ANSW✔✔..central dopamine system, muscle membrane
dysfunction, sympathetic nervous system
Patient Centered Counseling (5 A's) - ✔✔ANSW✔✔..Assess, Advise, Agree, Assist,
Arrange
Pavlov - ✔✔ANSW✔✔..Neural stimulus repeated, paired with unconditioned stimulus,
results in learning
Pearson's correlation - ✔✔ANSW✔✔..tests the relationship between 2 variables
Person-Centered Therapy - ✔✔ANSW✔✔..Carl Rogers: Unconditional Positive Regard,
genuineness, warmth accurate empathy, respect, permissiveness (development of self-
direction)
Pharmacodynamics - ✔✔ANSW✔✔..how a drug affects the body
Pharmacokinetics - ✔✔ANSW✔✔..movement of drugs within biological systems:
absorption, distribution, metabolism, elimination
Phenotype - ✔✔ANSW✔✔..human expression (down syndrome)
PHQ-9 - ✔✔ANSW✔✔..>5: mild depression
,>10: moderate depression
>15: moderately severe depression
>20: severe depression
Physical Conditions to Group Therapy - ✔✔ANSW✔✔..no barriers between participants,
5-10 participants, either open-ended or close-ended depending on the focus of group
Picks disease - ✔✔ANSW✔✔..frontotemporal dementia (pick bodies present).
personality changes in early stage
Pilocarpine - ✔✔ANSW✔✔..lowers intraocular pressure, lowers cholinergic load: useful
when someone is in cholinergic crisis
Pituitary gland - ✔✔ANSW✔✔..secretes hormones under influence of hypothalamus
Platelets normal levels - ✔✔ANSW✔✔..150-450 thousand/mm3
Potassium normal levels - ✔✔ANSW✔✔..3.5-5.1 mEq/L
Predictor of group therapy success? - ✔✔ANSW✔✔..Cohesion
Preoperational - ✔✔ANSW✔✔..2-7 years (symbolic play, only present no clear
understanding of time, non-contested respect for authority, can't distinguish fantasy
from reality)
Prevalence - ✔✔ANSW✔✔..proportion of a population that is affected by a disease at a
particular time
Primary Appraisal - ✔✔ANSW✔✔..individual makes judgment of stressor and it's either
irrelevant, pleasurable, or stressful to the person
Primary prevention - ✔✔ANSW✔✔..measures to promote health prior to onset of
problems (teaching)
Primary Prevention - ✔✔ANSW✔✔..Reducing Incidence
1A2 is inhibited by - ✔✔ANSW✔✔..SSRI's (fluvoxamine), increasing theophylline
2 brain centers associated with memory formation - ✔✔ANSW✔✔..medial temporal lobe
and basal forebrain
2C19 has reduced activity in - ✔✔ANSW✔✔..Asians and caucasians
,2D6 is most strongly inhibited by_____ - ✔✔ANSW✔✔..fluoxetine and paroxetine
(elevated TCA levels when switching from TCA that depends on 2D6 for metabolism to
SSRI)
3A4 is induced by __________. - ✔✔ANSW✔✔..carbamazepine (oral contraceptive
levels will decrease, and the level of carbamazepine itself)
3A4 is inhibited by_________. - ✔✔ANSW✔✔..some SSRI's (nefazodone)- some
benzo's will rise (alprazolam will rise when given fluoxetine)
4 stages of grief for children - ✔✔ANSW✔✔..Bolwby: numbness, disequilibrium,
disorganization and despair, reorganization
5 stages of grief - ✔✔ANSW✔✔..Kubler/Ross: Denial, Anger, Bargaining, Depression,
Acceptance
5HT - ✔✔ANSW✔✔..an indole, produced in raphe nuclei of brainstem, precursor to
tryptophan, removed from synaptic cleft and returned to storage via active reuptake
process
5HT is located primarily in ___ with projections___ - ✔✔ANSW✔✔..located in raphe
nucleus, projections everywhere
5HT projections to basal ganglia - ✔✔ANSW✔✔..5HT2 especially controls movements,
obsessions and compulsions
5HT projections to brainstem - ✔✔ANSW✔✔..sleep centers regulated with 5HT2A
postsynaptic receptors
5HT projections to frontal lobe - ✔✔ANSW✔✔..mood and depression
5HT projections to hypothalamus - ✔✔ANSW✔✔..5HT3- appetite sleep (mirtazapine)
5HT projections to limbic area - ✔✔ANSW✔✔..5HT2A and 2C- anxiety and panic
(enafranil, luvox)
5HT projections to peripheral - ✔✔ANSW✔✔..5HT3, 5HT4, receptors in gut regulate
appetite as well as GI motility
5HT projections to spinal cord - ✔✔ANSW✔✔..sexual response and gut
5HT1A is - ✔✔ANSW✔✔..somatodendritic and presynaptic
, 5HT1D is - ✔✔ANSW✔✔..terminal autoreceptor and presynaptic
a psychiatric-mental health home model would be based on what approach to patient
care? - ✔✔ANSW✔✔..Biopsychosocial
abdominal obesity - ✔✔ANSW✔✔..>37 inches in males, > 31.5 in women (for central
and south americans)
>35.5 in men and >31.5 in women in south Asians
Abducens Nerve
(A) - ✔✔ANSW✔✔..CN VI: Motor- specific eye movements (test same as oculomotor)
Accessory Nerve
(A) - ✔✔ANSW✔✔..CN XI: Motor- Innervates trapezius and sternocleidomastoid (shrug
shoulders against resistance, turn head against hand on cheek)
Acetylcholine - ✔✔ANSW✔✔..Amino acid, synthesized by basal nucleus of Meynert,
precursors are acetylcoenzyme A and choline, memory and cognition, held in balance
with dopamine in substantia nigra
Acetylcholine antagonist examples - ✔✔ANSW✔✔..Benztropine (Cogentin)
Trihexyphenidyl (Artane)
Amandtadine (Symmetrel)
Selegiline (Eledepryl)- this is a MAOI
Acoustic Nerve
(And) - ✔✔ANSW✔✔..CN VIII: Sensory- Hearing/tickling watch and whisper (tuning fork
with Rinne- positive as normal, when air conduction persists twice as long as bone
conduction)
Activity Orientation - ✔✔ANSW✔✔..Measurable achievements (education, career,
parenting), spontaneous being (satisfied with being self with or without
accomplishments), emphasizing self-development in all aspects as integrated whole
ADHD comorbidities - ✔✔ANSW✔✔..learning disabilities, anxiety, depression, ODD,
CD
ADHD primary symptoms - ✔✔ANSW✔✔..inattention, distractibility, impulsivity,
hyperactivity
Adventitious Crisis - ✔✔ANSW✔✔..disasters (fires, earthquakes, riots, crimes of
violence)
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