PMHNP Certification Exam Questions With Correct Answers
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Course
PMHNP
Institution
PMHNP
PMHNP Certification Exam Questions With
Correct Answers
What are assessed in the Thought Content of the MSE - answerSI/HI, Plan, Hallucinations
• PNEUMOIC - Old Age Parents Love Grandchildren - answer• Oral (0-18 months), Anal (18
months - 3 years), Phallic (3 years to 6 years), Latent (6 t...
PMHNP Certification Exam Questions With
Correct Answers
What are assessed in the Thought Content of the MSE - answer✔SI/HI, Plan, Hallucinations
• PNEUMOIC - Old Age Parents Love Grandchildren - answer✔• Oral (0-18 months), Anal (18
months - 3 years), Phallic (3 years to 6 years), Latent (6 to 12), Genital (12 +)
• FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6 years
old - answer✔• 3-year-old masturbates, play with self, says naughty things
• This is NORMAL for children this age.
What do you do when a patient has an increased prolactin level? - answer✔• Stop prolactin (stop
the agent that cause increase prolactin)
• ACUTE STRESS DISORDER - answer✔• A d/o resulting from exposure to a major stressor,
with SX of ANX, depression, dissociation, recurring nightmares, sleep disturbances, problems in
concentrations, reliving the event, dreams, flashbacks - UP to ONE MONTH - Less than 1
month.
• If LONGER than 1 month = PTSD
- Symptoms that occur immediately after the event but resolve in less than 3 days would not
meet criteria for acute stress disorder
What would you do if a 5-year-old tells you his brother sodomized him? - answer✔• Tell mom
don't leave him alone with patient and call CPS implement crisis
If a child is playing with doll in a sexual way, what do you do first? - answer✔• You SUSPECT
sexual abuse - Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE
Calling CPS to report suspected Sexual Abuse - You HAVE to report but you have to have
something (assessment data) to report - Assess = FIRST
If a 13-year-old tells you he want to smoke, what would be an appropriate response? - answer✔•
Ask him of his plan to stop smoking
If a 14-year-old girl clenching her teeth, what cranial nerve would you suspect? - answer✔•
Cranial nerve V-Trigeminal nerve (FIVE)
What cranial nerve is responsible for Bells Palsy? - answer✔7 = Facial Paralysis
What cranial nerves do you assess for corneal sensation - answer✔Nerves 5 & 7
What cranial nerves do you assess for papillary reaction to light and accommodation? -
answer✔Nerves 3,4,& 6
What cranial nerves do you assess for 6 cardinal fields of gaze & extra-ocular movements? -
answer✔Nerves 3, 4, & 6
What cranial nerves do you assess for corneal light reflex? - answer✔3, 4, & 6
Cranial Nerve 1 - answer✔Olfactory (smell)
Cranial Nerve 2 - answer✔Optic - vision
Cranial Nerve 3 - answer✔Oculomotor (eye movement): The occulomotor nerve is responsible
for motor enervation of upper eyelid muscle, extraocular muscle and pupillary muscle.
Cranial Nerve 4 - answer✔Trochlear (eye movement): The trochlear nerve controls an
extraocular muscle.
Cranial Nerve 5 - answer✔Trigeminal: The trigeminal nerve is responsible for sensory
enervation of the face and motor enervation to muscles of mastication (chewing).
Cranial Nerve 6 - answer✔Abducens (motor): The abducent nerve enervates a muscle, which
moves the eyeball.
Cranial Nerve 7 - answer✔Facial nerve: The facial nerve enervates the muscles of the face
(facial expression).
Cranial Nerve 8 - answer✔Vestibulocochlear (hearing and balance): The vestibulocochlear nerve
is responsible for the sense of hearing and balance (body position sense).
Cranial Nerve 9 - answer✔Glossopharyngeal: The glossopharyngeal nerve enervates muscles
involved in swallowing and taste. Lesions of the ninth nerve result in difficulty swallowing and
disturbance of taste.
Cranial Nerve 10 - answer✔vagus nerve: The vagus nerve enervates the gut (gastrointestinal
tract), heart and larynx.
Cranial Nerve 11 - answer✔accessory: The accessory nerve enervates the sternocleidomastoid
muscles and the trapezius muscles.
Cranial Nerve 12 - answer✔Hypoglossal (tongue movement): The hypoglossal nerve enervates
the muscles of the tongue.
What is the best action for a 16 y/o with conduct disorder that refuses tx? - answer✔• Send to
psych specialist for acting out kids - Referrals - Have to see if you are going to refer the same
patient to the same provider - Cannot refer the patient to another provider that is the same as you
(ie psych) - you must refer to a neurologist or another specialist or PCP
What is a priority consideration for a 16-year-old that shows up with mother for first therapy? -
answer✔• Confidentiality (ex. mom sits in lobby)
What is important to know about ACE inhibitors (Meds for Heart failure/HTN) - answer✔• This
medication can cause increased lithium levels to toxic levels - must collaborate with PCP to
determine whether to change ACE or change Lithium - Can't use both
What medication INCREASES Lithium serum level up to double - answer✔Ibuprofen
Why is Lithium used? - answer✔• First-line neuro-protective for bipolar
• Lab Values concerning for patient on Lithium: - answer✔• Leukocytosis
• Creatinine
• BUN
• NA+
• 4 + PORTEIN in Urine
• + Pregnancy Test
• Lithium (Eskalith/Lithobid) Toxicity - answer✔• Normal Range of LITHIUM LEVEL - 0.5 -
1.2 mEq/L
• MONITOR for TOXICITY: Toxicity = > 1.2 mEq/l
• Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic taste and
SEVERE tremor.
Common side effects of Lithium (Eskalith/Lithobid) - answer✔Nausea, fine-hand tremors (start
monitoring for toxicity), increased urination and thirst
What pregnancy category is Lithium (Eskalith/Lithobid) - answer✔CATEGORY D: AVOID in
pregnancy, especially 1st trimester - Ebstein anomaly, cardiac defect
What increases risk of lithium (Eskalith/Lithobid) toxicity? - answer✔NSAID, dehydration and
Thiazides
What co-morbid risk in increased with Lithium (Eskalith/Lithobid)? - answer✔• Risk of
Hypothyroidism
What do symptoms of hypothyroidism (decreased T4 & increased TSH) mimic? -
answer✔Unipolar mood disorders:
- confusion
- decreased libido
- impotence
- decreased apetite
- memory loss
- lethargy
- constipation
- headaches
- slow or clumsy movements
- syncope
- weight gain
- fluid retention
- muscle aches and stiffness
- slowed reflexes
- somatic discomfort including aching and joint stiffness
- slowed speech and thinking
- sensory disturbances including hearing
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