pg. 1 PMHNP Exam 2024 Reported Questions with 100% Correct Verified Answers/ Rated A+
What are some psychiatric side effects seen with some asthma drugs - Correct Answer - Leukotriene receptor agonists - singular, accolade, Zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol? - Correct Answer - Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests? - Correct Answer - CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - Correct Answer - CKMB
What is the risk of a seriously elevated CKMB? - Correct Answer - Polymyositis Rhabdom
What is a normal CKMB? - Correct Answer - 0.3 mcg/L
What psychoactive does Detrol interact with? - Correct Answer - Topamax KCL Zonogram
What CN are you assessing when you have the patient shrug their shoulders? - Correct Answer - CN XI - Spinal Accessory
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pg. 2 What do you see in labs with HIV & Dementia? - Correct Answer - CD4 <200 Viral Load is high <20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - Correct Answer - Self-Report
- 0-63
0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe
What is the purpose of telepsychiatry? - Correct Answer - Increase the ability to reach rural and underserved areas.
What is the purpose of Motivational Interviewing? - Correct Answer - Explore ambiguity Maintain passive position
What is required for Medicare submission? - Correct Answer - ICD 10 and narrative or CPT
What is the neurotransmitter problem in Schizophrenia? - Correct Answer - Excess dopamine in mesolimbic pathway.
What is the neurotransmitter problem in ADHD? - Correct Answer - Dopamine, norepinephrine and serotonergic dysfunction
What is the benefit of play therapy? - Correct Answer - Don't have to confront emotions head on.
What is sensitivity? - Correct Answer - Helps rule-out disease = True Positive = Snout 2 / 4
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What is specificity? - Correct Answer - Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - Correct Answer - Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - Correct Answer - 0-22 males 0-29 females
What is a retic count? - Correct Answer - Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBCs are being produced by bone marrow.
What does a decreased retic count indicate? - Correct Answer - Anemia - acute or chronic bleeding
What does an increased retic count indicate? - Correct Answer - Bone marrow disorder or Vitamin Deficiency
What does an abnormal retic out indicate in general? - Correct Answer - Doesn't diagnose anything. First step is ID source of the issue.
What happens when you mix Tegretol and macrolides? - Correct Answer - Increase Tegretol levels.
What happens if a pregnant woman takes Accutane? - Correct Answer - Birth defects.
What labs do you get with RA? - Correct 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.
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pg. 4 Where does the NP Code of Ethics come from? - Correct Answer - ANA
When do you assume informed consent? - Correct Answer - Unconscious Incompetent Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - Correct Answer - Same as with informed consent
Who can declare a patient incompetent and appoint a guardian? - Correct Answer - Only a court
Does impaired judgment mean one is incompetent? - Correct Answer - No.
Can an advanced directive ever be revoked? - Correct Answer - Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - Correct Answer - Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - Correct Answer - No.
How do Asians see HC providers? - Correct 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? - Correct Answer - Sign of respect
What is the evil eye? - Correct 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.
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