PMHNP Boards Exam Questions With
Correct Answers
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal limits except for a markedly
elevated alkaline phosphatase level. The psychiatric-menta...
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal limits except for a markedly
elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner -
answer✔interprets the findings as normally occurring during a rapid adolescent growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function
values and: - answer✔increased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports taking
simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-
mental health nurse practitioner eliminates fluoxetine (Prozac), based on the knowledge that the
combination can lead to increased plasma levels of the statin, resulting in an increased risk of
muscle damage and rhabdomyolysis. The nurse practitioner's reason is that: - answer✔one
medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses to
meet if the family members are present. The psychiatric-mental health nurse practitioner -
answer✔asks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement
at a community mental health clinic. The effective strategy for evaluating the clinic's services is
to: - answer✔use a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via telemedicine.
The patient has questions about a new medication that he or she recently started. The nurse
practitioner decides to provide psychoeducation and to: - answer✔e-mail drug information and
resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health
nurse practitioner - answer✔considers what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health professionals
are asked to provide crisis counseling service, after a gunman recently took a class hostage at a
local elementary school, wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that: - answer✔a child's developmental stage will
influence his or her response to catastrophic stress
Which community-based program is a tertiary level intervention? - answer✔Partial
hospitalization program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is
three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The
patient asks whether she may safely continue this medication during her pregnancy. The nurse
practitioner responds: - answer✔"Let's review the risks and benefits of continuing or
discontinuing Prozac for you and your baby."
Established clinical guidelines suggest that suicidality is decreased by treating patients who have
borderline personality disorder with: - answer✔dialectical behavioral therapy.
A six-year-old patient with autistic spectrum disorder has not responded to six months of
psychosocial interventions and continues to demonstrate aggressive tendencies toward a younger
sibling. The psychiatric-mental health nurse practitioner prescribes: - answer✔risperidone
(Risperdal) 0.25 mg once a day.
The psychiatric-mental health nurse practitioner working in a crisis stabilization unit evaluates a
patient verbalizing suicidal thoughts after being sexually assaulted. Before processing through
the traumatic event, the nurse practitioner first attempts to - answer✔provide an environment of
safety.
The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to help a
patient address self-defeating behaviors. After identifying the stressor that causes the
inappropriate behavior, the initial strategy is to explore: - answer✔rational and irrational beliefs
about the stressor.
A patient who has borderline personality disorder experiences intense anxiety when the
psychiatric-mental health nurse practitioner goes on vacation. The most appropriate explanation
for this reaction is that the patient: - answer✔has not developed object constancy.
An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate
behavior, despite a parent's reports of "disobedience, poor grades, and laziness." To further
assess the patient's functioning, the psychiatric-mental health nurse practitioner: - answer✔meets
with the parent and patient together to explore the discrepant report.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller sirjoel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
