PMHNP Exam Reported Questions and Answers 2023
What is dissemination? - ANSWER Getting the research information out to those who need to
know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What...
What is dissemination? - ANSWER Getting the research information out to those who need to
know it!
Publication - highest level
Presenting at National Conference
Presenting at Local Conference
Journal Club where one person reviews an article
What does a 17 on MMSE mean? - ANSWER Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER Inducer -->will lower dose of Lamictal and
BCP's
What do BCP's do to Lamictal? - ANSWER Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER There IS a difference but you say there isn't a
difference.
What is a Type II research error? - ANSWER There is NO difference but you say there is a
difference.
What is pseudo-dementia? - ANSWER Cognitive impairment secondary to depression that clears
when treated in the elderly. Dementia won't improve.
Is it normal for a 1 month old to have a palmar grasp? - ANSWER Yes.
What is a drug 1/2 life? - ANSWER The time it takes for 50% of a drug to be eliminated from the
body.
What 3 atypicals can be used with teens? - ANSWER Zyprexa, Abilify, Seroquel - low doses
What is a risk of using Tramadol? - ANSWER Serotonin Syndrome as it is very serotonergic.
What is the allele seen in Asians that increase the risk of SJS? - ANSWER HLAB-1502
When might you see toxic epidermal necrolysis? - ANSWER With worsening of SJS
How many generations do you include for a genogram? - ANSWER 1st degree - mother, father,
siblings
2nd degree - grandparents & cousins
3rd degree -
What does messenger RNA code for? - ANSWER Amino Acids
What is epigenetics? - ANSWER Factors that affect genes - environmental, smoking, stress, etc...
,What part of the brain is involved with OCD? - ANSWER Basal Ganglia
Occipito-Frontal
What happens to the brain during adolescence? - ANSWER Dendritic pruning
Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - ANSWER You will need to decreases the level because
Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs - ANSWER Leukotriene
receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations,
depression, insomnia, SI, tremor
What should you watch for with Tegretol? - ANSWER Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - ANSWER CKMB
What is the risk of a seriously elevated CKMB? - ANSWER Polymyositis
Rhabdo
What is a normal CKMB? - ANSWER 0.3 mcg/L
What psychoactives does Detrol interact with? - ANSWER Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - ANSWER CN XI -
Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER Self-Report - 0-63
0-13 - minimal
,14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte Sedimentation Rate) =
distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER 0-22 males
0-29 females
What is a retic count? - ANSWER Measures % of reticulocytes in blood (immature RBC's) Indicates
whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate? - ANSWER Anemia - acute or chronic beeding
What does an increased retic count indicate? - ANSWER Bone marrow disorder or Vitamin
Deficiency
What does an abnormal retic ount indicate in general? - ANSWER Doesn't diagnose anything. First
step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSWER Increase tegretol levels.
What happens if a pregnant women takes Accutane? - ANSWER Birth defects.
What labs do you get with RA? - ANSWER Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP -
helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ANSWER ANA
When do you assume informed consent? - ANSWER Unconscious
Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSWER Same as with
informed consent
Who can declare a patient incompetent and appoint a guardian? - ANSWER Only a court
Does impaired judgment mean one is incompetent? - ANSWER No.
Can an advanced directive ever be revoked? - ANSWER Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? -
ANSWER Nothing. They are all the same.
, Does the de facto rule of proxy apply in same sex marriages? - ANSWER No.
How do Asians see HC providers? - ANSWER As in a position of authority.
Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? - ANSWER SIgn
of respect
What is the evil eye? - ANSWER When a stronger or more powerful person looks at a weaker
person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea,
disturbed sleep, increased fussiness.
How do you protect from the evil eye? - ANSWER Red ribbon on an infant
Amulet for adults
How do you treat for evil eye? - ANSWER Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? - ANSWER Relationship
What is a proximate cause? - ANSWER Connection between A + B.
For there to be damages, what must exist first? - ANSWER Negligence
What is an occurrence basis liability insurance? - ANSWER "occurred" during the policy period,
no matter when the claim is brought against the insured
What is a claims made/based liability insurance? - ANSWER provides coverage for a claim that is
brought within the policy period, no matter when the loss occurred.
Who sets the minimum requirements for NP's? - ANSWER Board of Nursing
State
What are the various controlled substance classes? - ANSWER Schedule I - nobody has these -
not good for health - heroin, PCP, MDMA, researchers can get it sometimes.
Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate
Schedule III - Moderate Abuse Potential - hydrocodone, codeine
Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine
Schedule V - Very low abuse potential - anti-tussives, lomotil
What classes of CS's is the NP approved to prescribe? - ANSWER Schedules III-V ONLY.
Where does 50% of healthcare funds come from? - ANSWER The government
Who is eligible for Medicare? - ANSWER >65 or under 65 with diability, ANY age with renal
disease.
What is incident to billing? - ANSWER Means MD initiates treatment and NP is an extension of the
care and directly under the supervision of the MD.
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 a_plus_work. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
