EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.
PMHNP Exam Study Guide with
Complete Solutions
Autosomal Dominant - Answer✔✔-Genetic inheritance, is more rare (i.e. Huntington's disease),
is present in more than one generation.
Autosomal Recessive - Answer✔✔-Expressed in one generation, inherited from unaffected
parent, is more common.
CAGE Questionnaire - Answer✔✔-For substance abuse, Cut, Annoyed, Guilty, Eye opener
Suicidal Risk Assessment - Answer✔✔-SLAP: Social support, Lethality, Access to means, Plan and
previous attempts, & family history
Suicidal Risk Assessment #2
ISPATHWARM - Answer✔✔-ISPATHWARM: Ideation, Substance abuse, Purpose for living,
Anxiety/agitation, Trapped feeling, Hopelessness, Withdrawing from friends, Anger with rage,
Reckless in behaviors, Mood changes
Depression Assessment
SIGECAPS - Answer✔✔-SIGECAPS: Sleep, Interest, Guilt, Energy, Concentration, Appetite,
Psychomotor retardation, Suicidality
Mania Assessment
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DIGFAST - Answer✔✔-DIGFAST: Distractibility, Indiscretion, Grandiosity, Flight of ideas, Activity
increase, Sleep deficit, Talkativeness
Mental Status Exam Components
(All Borderline Subjects Are Tough Troubled Characters) - Answer✔✔-Appearance, Behavior,
Speech, Affect, Thought Process, Thought Content, Cognitive Examination
Hamilton Depression Rating (HDRS) for very severe depression - Answer✔✔-more than 23
Hamilton Depression Rating (HDRS) for severe depression - Answer✔✔-19-23
Hamilton Depression Rating (HDRS) for moderate depression - Answer✔✔-14-18
Hamilton Depression Rating (HDRS) for mild depression - Answer✔✔-8-13
Hamilton Depression Rating (HDRS) for no depression - Answer✔✔-0-7
Hamilton Anxiety Rating for moderate to severe anxiety - Answer✔✔-25-30
Hamilton Anxiety Rating for mild to moderate anxiety - Answer✔✔-18-24
Hamilton Anxiety Rating mild anxiety - Answer✔✔-<17
General screening labs - Answer✔✔-CBC, Chem, Thyroid, Hepatic, b12, folate, drug levels
Lithium labs - Answer✔✔-evaluate thyroid function, check creatinine clearance regularly
Depakote labs - Answer✔✔-check hepatic function
Olfactory Nerve
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(On) - Answer✔✔-CN I: Sensory: (test by smell- coffee, tea, non astringent smells)
Optic Nerve
(Old) - Answer✔✔-CN II: Sensory- visual acuity test (confrontation method to assess visual
fields)
Oculomotor
(Olympus) - Answer✔✔-CN III: Motor- eye movement (follow penlight through six fields of gaze,
test OD, OS individually)
Trochlear Nerve
(Towering) - Answer✔✔-CN IV: Motor- eye movement (superior oblique-same test as
oculomotor)
Trigeminal Nerve
(Tops) - Answer✔✔-CN V: Both- superficial and deep structures of head and face,
mastification/corneal reflex (test by show teeth)
Abducens Nerve
(A) - Answer✔✔-CN VI: Motor- specific eye movements (test same as oculomotor)
Facial Nerve
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(Fin) - Answer✔✔-CN VII: Both- taste of anterior 2/3 of tongue, sensation in ear canal, facial
movement (use salt/sugar for taste, evaluate corneal reflex, raise eyebrows, keep eyes closed,
and resist attempt to open, puff cheeks)
Acoustic Nerve
(And) - Answer✔✔-CN VIII: Sensory- Hearing/tickling watch and whisper (tuning fork with
Rinne- positive as normal, when air conduction persists twice as long as bone conduction)
Glossopharyngeal Nerve
(German) - Answer✔✔-CN IX: Both- Swallow, taste of posterior 1/3 of tongue, pain, touch, and
temp of mucosa and pharynx (check for deviation of uvula to unaffected side)
Vagus Nerve
(Viewed) - Answer✔✔-CN X: Both- Elevation of the uvula (swallow, have patient say aaah and
check uvula elevation, gag reflex, and ability to swallow water)
Accessory Nerve
(A) - Answer✔✔-CN XI: Motor- Innervates trapezius and sternocleidomastoid (shrug shoulders
against resistance, turn head against hand on cheek)
Hypoglossal
(Hop) - Answer✔✔-CN XII: Motor- motor of the tongue (push tongue against the inside of
cheek, stick out tongue and check for fasciculation)
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