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Question Bank for PMHNP Boards Exam|2000 Questions and Answers
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Question Bank for PMHNP Boards Exam|2000 Questions and Answers
What is true of interprofessionality? - -All health professionals have
individual professional competencies
-What is the significance of an experimental p-value of 0.05 - -There is a 5%
chance of a similar result occurring by chance alone
-What percentage of children with oppositional defiance disorder will
develop conduct disorder? - -30%
-In the DSM-5, selective mutism is now considered what type of disorder? - -
anxiety disorder
-Symptoms of selective mutism must persist for at least - -1 month
-Common competencies - -overlap more than one health care professional,
although not necessarily all health care professionals, and are competencies
expected of all health care professionals
-Complementary competencies - -enhance the qualities of other professions
in provision of care
-Collaborative competencies - -those that each individual profession must
possess to work with others, including those who practice within different
specialties within a profession.
-Interpersonal collaboration is _______ centered - -patient
-Cognitive therapy is recommended for patients that have - -negative
cognitive distortions
irrational beliefs
faulty conceptions
-Humanistic Therapy focuses on assisting patients with - -self-actualization
and self-directed growth
-Behavioral Therapy focuses on - -changing maladaptive behaviors through
the use of behavioral modification techniques
-Existential therapy is for - -reflection on life
confronting self
, -120 who got diarrhea ate lettuce. 80 with diarrhea did not eat lettuce. 40
without diarrhea ate lettuce. 160 without diarrhea ate lettuce. What is the
odds ratio of eating lettuce and developing diarrhea? - -6
((120X160)/(80x40))
-The New Freedom Commission on Mental Health (NFCMH) released a report
that suggested - -implementation a national campaign to reduce the stigma
of seeking care
Focusing on promoting recovery and building resilience
-The efficacy of mental health treatments was found to be well documented
in - -influential report issued by US Surgeon General in 1999
-State of high negative emotion and pessimism - -neuroticism
-Commonly known as an optimistic outlook on life They are are outgoing,
like social interaction, respond to external rewards, have more active
dopamine networks, and are responsive to positive reinforcement. - -
Extraversion (high levels protect from psychiatric illness)
-Introverts are more likely to be _______ motivated and more likely to
respond to _______ reinforcement - -internally
negative (more likely to interact with internal motivation/self-image)
-Interpersonal trait of cooperation, easy going nature. Tend to have smooth
relationships often at the expense of self-assertion - -Agreeableness
-Associated with self-control and a focused, organized approach to life. Are
achievement-oriented goal setters who can delay immediate gratification to
obtain their long term desired outcome. They are considered responsible,
reliable, and dependable. - -conscientiousness
-In behavioral couples therapy, the initial sessions are spent doing a
functional analysis of behavior (FAB). What is true about FAB? - -FAB is
concerned only with observable stimuli connected to operant behavior
FAB is based on operant conditioning (identifying antecedent stimuli, operant
behaviors, and consequent stimuli)
The goal of FAB is modifying willful operant behavior
-Gestalt theory deals with _____, not _____ - -perceptual psychology
behavior
-Medication that can delay ejaculation in patients with premature ejaculation
- -Paroxetine (and other SSRIs)
(others include:
Topical anesthetic
,Tramadol
Phosphodiesterase-5 inhibitors)
-First line treatment for lithium induced diabetes insipidus - -Amiloride (K
potassium diuretic) in addition to dc lithium when possible.
-Ways to reduce polyuria associated with lithium toxicity - -reduce lithium
dose to minimum effective dose
take once daily at night (may be 5-30% lower than when given in divided
doses over the day)
Encourage adequate fluid intake
-What is true about ECT in Parkinson's disease - -it's more likely to cause
transient delirium (worsened dyskinesias induced by l-dopa)
-Lithium effects with Parkison's disease - -may worsen tremor
-nonselective MAOIs decrease the efficacy of ______ and increase the risk of
a __________ - -l-dopa products
hypertensive crisis
-Selegiline is selective for - -MAO-B
(after 10mg there is an increase in risk of serotonin syndrome if given with
other meds that increase serotonin)
-SSRI's can _______ Parkinsonism tremor - -worsen (and decrease 'off time')
-Process describes the mechanism by which the hippocampus stores
memories - -long-term potentiation
-loss of memory relating to a particular category of information (inability to
recall important autobiographical information, usually of a traumatic or
stressful nature, that is inconsistent with ordinary forgetting) - -systematized
amnesia
-Lack of memories from a circumscribed period of time, usually immediately
following a traumatic event - -localized amnesia
-Person can recall some but not all of events from a particular time period -
-selective amnesia
-Lack of memory of the patient's entire life - -generalized amnesia
-The drugs that are FDA approved for GAD - -Paroxetine
Citalopram
Escitalopram
, Venlafaxine
Duloxetine
Buspar
-A surrogate has the right to terminate pregnancy if - -the pregnancy
threatens her health or life
or
she is a genetic parent
-If the surrogate receives both ovum and sperm from couple, she loses the
right to - -determine whether or not child will be aborted (this is up to the
couple)
-Which medication is most effective for treating social phobia/social anxiety
disorder, especially when refractory? - -Phenelzine
-A 55-year-old female patient has Stg II HTN. On exam, she has trace pedal
edema bilaterally, but her lungs are clear. Her ECG reveals 2nd degree heart
block. Which of the following BP medications should be avoided? - -Calcium
Channel Blockers
-3 Contraindications to use a calcium channel blocker - -1st or second
degree heart block
Bradycardia
CHF
-4 Side effects of calcium channel blockers - -Headache
Lower extremity edema
Bradycardia
Heart Block
-An NP is evaluating a 78 year old female with depression. She suspects the
patient may have Parkinson's disease. Which of the following is consistent
with that diagnosis? - -Postural instability
Pill-rolling tremor
Shuffling Gait
Difficulty initiating movement
Mask-like facies (difficulty initiating movement)
-Writhing movements occur with - -Huntington's chorea
-10 Non-motor manifestations of Parkinsons - -Autonomic dysfunction
Gastrointestical dysfunction
Rhinorrhea
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