Examination
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PMNHP Psychiatric-Mental Health Nurse Practitioner
2024-2025
Last Minute Review PMHNP Georgette’s LMR Exam
Review Questions with Correct Answers | 100% Pass
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Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
What should you not do when advocating for a patient?
- Answer>> Judge or confront
What class of medication is contraindicated with tics? -
Answer>> Stimulants
What should you provide for prior to assessing abuse
victims? - Answer>> A safe environment
NMS s/s? - Answer>> Extreme muscle rigidity,
mutism, elevated CPK (muscle contraction and
destruction), myoglobinuria (breakdown of muscle cells,
rhabdomyolysis), increased WBCs, and increased LFTs
Treatment of NMS and MOAs? - Answer>> D/C med,
bromocriptine (D2 agonist), and dantrolene (muscle
relaxant)
Serotonin syndrome s/s? - Answer>> Hyperreflexia
and myoclonic jerks
Treatment for serotonin syndrome? - Answer>> D/C
med and administer cyproheptadine
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Wash out from SSRI to MAOI or vice-versa? -
Answer>> 14 days
Wash out from Prozac to MAOI? - Answer>> 5-6 weeks
Drug choice for patient that is depressed and also has
cancer? - Answer>> Celexa or lexapro d/t fewer drug
to drug interactions
Drug choice for patient with low energy and fatigue
with depression? - Answer>> Wellbutrin
Drug choice for patient with sexual problems d/t
medication or depression? - Answer>> Wellbutrin
C/I for Wellbutrin? - Answer>> Seizure disorder or hx
or present eating disorder
Drug choices for patient with chronic neuropathic pain
and depression? - Answer>> 1. SNRI (cymbalta)
2. TCA (amitriptyline)
3. Alpha 2 delta ligand (gabapentin or lyrica)
Black box warning for SSRIs in children, adolescents,
and young adults? Intervention for this? - Answer>>
Increased risk of SI; always assess SI, frequency, and
severity
Alcohol is a form of _______-_________ and a __________ to
the treatment of depression. - Answer>> self-
medication; barrier
Prozac can cause? Intervention? - Answer>>
Insomnia; take in AM
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Disorder that most greatly increases thoughts of self-
harm? - Answer>> Depression
Disorder that most greatly increases homicidal
ideation? - Answer>> Antisocial personality
Why is there less evidence available supporting the use
of antidepressants in children? - Answer>> Lower
placebo rates
Schizophrenia age of onset in men? Women? -
Answer>> 18-25; 25-35
Findings on PET scan or MRI in schizophrenia? -
Answer>> INCREASED ventricle size; DECREASED
everything else
No stimulants in schizophrenia due to? - Answer>>
Increased dopamine release
Tertiary prevention for schizophrenia? - Answer>>
Social skills training
Why should you refer a patient with schizophrenia to
exercise programs, especially aerobic exercise? -
Answer>> It improves cognition, quality of life, and
long term health
What are your actions if a child reports abuse? -
Answer>> First interview separately from parents
then report to CPS
What should you do if a child plays with toys in a way
that you suspect abuse? - Answer>> Report to CPS
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