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ANCC PRACTICE PMHNP EXAM
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ANCC PRACTICE PMHNP EXAM
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ANCC PRACTICE PMHNP EXAMA 14-year-old patient has nonspecific reports of pain in their 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:
interprets the findings as normally occurring during a rapid adolescent growth spurt.
obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early
rheumatic fever.
orders a repeat blood test.
suspects that the patient has acute pancreatitis. - Answers-interprets the findings as
normally occurring during a rapid adolescent growth spurt.
A 13-year-old male patient complains about generalized pain in his lower extremities.
The provider does not record any significant findings during the physical examination
and laboratory results are within normal limits except for an alkaline phosphatase level
of 294 IU/L. What is the most appropriate next step for the psychiatric-mental health
nurse practitioner?
Suspect viral hepatitis
Note the findings as normally occurring during rapid adolescent growth
Suspect leukemia and refer to a specialist
Order a repeat blood test - Answers-Note the findings as normally occurring during rapid
adolescent growth
A 16-year-old female presents for a psychiatric evaluation. She has a two-year history of
obsessive-compulsive behaviors. Her mother is distraught because she has been
complaining of seeing bugs on her skin, even though she is informed that nothing is
there. This has resulted in obsessive picking to the point where she causes bleeding.
The psychiatric nurse practitioner observes various sores on her upper extremities,
chest, and stomach in varying stages of healing. How would the nurse practitioner
classify the visible physical injuries found on her body
Symptom
Disorder
Sign
Behavior - Answers-Sign
A 22-year-old male patient is evaluated by the psychiatric mental health nurse
practitioner. She notes muscle rigidity, flat affect, slowed motor responses, and tremors.
Upon further review of medications, the provider notes that the patient is currently taking
30 milligrams of Abilify (aripiprazole) daily. The practitioner annotates the physical signs
as which class of extrapyramidal (EPS) side effects?
, Acute dystonia
Akathisia
Parkinsonian symptoms
Tardive dyskinesia - Answers-Parkinsonian symptoms
A 25-year-old male presents to the mental health clinic with complaints of gynecomastia
following initiation of antipsychotic medication due to an acute psychotic episode and
inpatient treatment. The nurse practitioner understands that this is likely caused by the
medication's effect on which area of the brain?
Nigrostriatal
Mesolimbic pathway
Tuberoinfundibular pathway
Mesocortical pathway - Answers-Tuberoinfundibular pathway
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 hydrochloride
(Prozac) for the last two years. The patient asks whether she may safely continue this
medication during her pregnancy. The nurse practitioner responds,:
"At this time, Prozac is safe for you to continue during your pregnancy."
"Cognitive behavior therapy has proven to be successful during pregnancy with no risk
to the fetus, so let's discontinue your Prozac."
"Let's review the risks and benefits of continuing or discontinuing Prozac for you and the
fetus."
"Prozac is unsafe for the fetus, so we'll wean you off this medication during your
pregnancy." - Answers-Let's review the risks and benefits of continuing or discontinuing
Prozac for you and the fetus.
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 hydrochloride
(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. What is the nurse practitioner's rationale?
Both medications are CYP450 3A4 inhibitors.
Both medications are CYP450 3A4 substrates.
One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inducer.
One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor. -
Answers-One medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.
A patient from India emphasizes a strong feeling that they are one with Brahma and
connected to life through this being. While developing a treatment plan, the psychiatric-
mental health nurse practitioner realizes that this patient's spirituality also guides their:
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