2024 PMHNP CERTIFICATION
EXAM WITH ANSWERS
what change in a dose response curve is observed when a patient becomes
tolerant of a medication - CORRECT-ANSWERSshift to the right
when is the use of transdermal selegiline not beneficial - CORRECT-
ANSWERSfor pts with pheochromocytoma
due to excess norepinephrine leading to hypertensive crisis
what drug is effective in improving sexual dysfunction in men, but when
given with an antidepressant to counter its adverse sexual effects, its
actually anxiolytic - CORRECT-ANSWERSyohimbine
What is the MOA of sumatriptan? - CORRECT-ANSWERS5HT1D and 5HT1B
Agonist
what substance or technique was first used to induce convulsions to treat
psychiatric illness - CORRECT-ANSWERScamphor
average duration of ECT treatments - CORRECT-ANSWERS-10 weeks
-gradually shift from weekly to monthly treatments over 1-3 months then
maintain monthly administration for 6 months
pneumacococal vaccine for older adults - CORRECT-ANSWERS>65yo or with
chronic lung conditions, chronic CVD, DMII, chronic renal disease, chronic
liver disease, chronic alcohol use disorder, and immunocompromising
conditions= PPSV23
<65yo = PPSV13
what substance is often found in lower concentrations in the CSF of violent,
impulsive criminals - CORRECT-ANSWERS5HIAA
what type of psychotherapy is the most studied and used for cluster C
personality disorders - CORRECT-ANSWERSIndividual psychotherapy
what part of the brain is responsible for sensory integration - CORRECT-
ANSWERSparietal lobe
,what meds are contraed in ECT - CORRECT-ANSWERStheophylline (cause
prolonged seizures)
hypoglycemic
beta blockers (can cause asystole)
lidocaine (can reduce seizure induction)
lithium (caused prolonged seizures and confusion)
what percentage of the population has obsessive compulsive personality
disorder - CORRECT-ANSWERS5-10%
in order to obtain reimbursement from medicare, the NP must learn how to
use the... - CORRECT-ANSWERSHealthcare common procedure coding
system HCPCS
who started the first nurse practitioner program - CORRECT-ANSWERSLoretta
ford
negative punishment - CORRECT-ANSWERSremoval of a desirable stimulus to
decrease a specific behavior
fact witness - CORRECT-ANSWERSwitness who has knowledge about the
details of a case
patient centered medical homes - CORRECT-ANSWERS-initiated by the
centers of medicare and medicaid services in response to a mandate for
provision of targeted, accessible, continuous, and family-centered care to
medicare beneficiaries with chronic diseases that require regular monitoring
and care
positive predictive value (PPV) - CORRECT-ANSWERSdependent on the
prevalence of a disease in a population.
what is true regarding the conversion to ICD-10-CM - CORRECT-ANSWERSwill
increase by tenfold the amount of data that describes clinical conditions
what does medicare part B cover - CORRECT-ANSWERSdurable medical
equipment
medically necessary services and supplies and preventative services
high reliability organizations - CORRECT-ANSWERSculture of safety
foster a learning environment and evidence-based care
promote positive working environments for nurses
are committed to improving safety and quality care
what is the immunization vaccine recommend for those 50+ - CORRECT-
ANSWERSherpes zoster
,what is true of measures to evaluate quality improvement in healthcare -
CORRECT-ANSWERSprocess measures can be based on scientific evidence
prospective cohort study - CORRECT-ANSWERSfollows similar individuals
overtime with respect to certain variables to determine how those variables
will impact the rate of a certain outcome
The federal emergency medical treatment and Labor Act (EMTALA) -
CORRECT-ANSWERS-aka patient anti-dumping law
-requires most hospitals to provide an examination and needed stabilizing
treatment, without consideration of insurance coverage or ability to pay,
when a patient presents to the emergency room for attention to an
emergency medical condition
the numerator in an item by item measurement of a quality improvement
measure is - CORRECT-ANSWERSthe number of patients for whom the item
was performed
what is true regarding standards of practice for nurse practitioners -
CORRECT-ANSWERS-identification of expected outcomes is a standard of
care for PMHNPs
-the standard of practice for PMHNPs includes identification of consumer
resources to assist consumers in appropriate use of mental health services
what is true regarding nurse-managed health centers (NMHC) in the ACA
provision - CORRECT-ANSWERSthey were funded in the first year
long term inpatient care usually requires a minimum of - CORRECT-
ANSWERS3 months
continuous reinforcement - CORRECT-ANSWERSa reward is given every time
the target responses occurs
sunset legislation - CORRECT-ANSWERSthe act must be reviewed by a
certain date or be automatically rescinded
balanced budget act of 1997 - CORRECT-ANSWERSallows direct
reimbursement to nurse practitioners by medicare
Fay Abdella nursing theory - CORRECT-ANSWERSemphasizes the delivery of
nursing care for the whole person to meet the physical, social, emotional,
intellectual, and spiritual needs of the client and family
what are components of interprofessional education at the Rosalind Franklin
University of Medicine and Science - CORRECT-ANSWERSservice component
, didactic
clinical experience
prospective payment system (PPS) - CORRECT-ANSWERSmedicare-approved
program that pays a set amount for patient care based on the Diagnosis
Related Group (DRG)
chinese ethnicity and drug metabolism - CORRECT-ANSWERShave a lower
average level of CYP2D6 and may require lower doses of antipsychotics and
antidepressants metabolized through that enzyme
2 sample t test - CORRECT-ANSWERSanalyze continuous data from two
separate samples with normal distributions
contracted service system - CORRECT-ANSWERSwhen the np is paid directly
by the patient's payer who agrees to pay the NP for providing care for a
specific population
inductive reasoning - CORRECT-ANSWERSdevleoping generalizations from
specific observations
Madeline Leininger's theory - CORRECT-ANSWERShealth as a state of
wellbeing that is culturally defined and valued by a designated culture
a patient with medicare qualifies for hospice care if - CORRECT-ANSWERS-the
pt has medicare part a
-has a terminal diagnosis
-2 physicians certify that the pt has less than 6 months to live if the illness
runs its typical course
central points to the international society of psychiatric mental health nurses
vision of mental health care in the 21st century - CORRECT-
ANSWERScreation of a consumer-based system
-reduction of fragmentation of services
-creation of a mental health workforce to carry out the transformation of
mental healthcare delivery
-emphasis to providing services to underserved populations (Children, teens,
older adults)
meaningful use - CORRECT-ANSWERSthe concept instituted by medicare and
medicaid to improve quality, safety, and efficiency, in healthcare through the
use of certified electronic health record technology
The IOM Report: The Future of Nursing: Leading Change, Advancing Health
was released in 2010. The ANA listed the following as goals of nurse
advocacy consistent with this report. - CORRECT-ANSWERS-ensure that NPs
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