PMHNP Test Bank Part 1

Pre-Quiz
On the national NP certification exam, you should expect to find specific questions on your state’s APRN practice act.
You plan to sit for the certification exam in a state where NPs have limited or no controlled substance prescribing authority. As a result, your certification exam will not contain questions about prescribing opioids.
Once an NP has achieved nationally recognized certification from a state and nationally recognized certification agency, this person can now practice as a nurse practitioner.
1Assessment of the optic disc is a component of the evaluation of cranial nerve:
A 47-year-old woman with long-standing depression returns today for a medication recheck. On exam you find her affect is blunted and her hair is unwashed and unkempt. Usually she comes to her visits alone; however her husband is with her today. This patient’s symptom history is likely to include a report of:
Of the following, which should be performed first in assessing a 48-year-old woman with suicidal ideation?
You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most desirable? Mobile van
An 8-year-old boy presents for an evaluation for possible attention-deficit/hyperactivity disorder (ADHD). His parents report him to be a healthy 3rd- grader with “plenty of good friends.” They are concerned he could have ADHD because he is “hyperactive” and because his father had ADHD. The Vanderbilt screening tools completed by his parents strongly indicate inattention, with moderate hyperactivity symptoms.
Your next best action is to:
Arrange for parents to obtain Vanderbilt screening tool or other written feedback from his teacher and return in 2 weeks.
The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in which of the following activities?
Collaborating with the regional public health department on an initiative to prevent suicides by increasing awareness of community resources
You are asked to speak to a group of healthcare executives on the NP role. Which of the following provides the strongest support for NP practice?
Rank the following from highest to lowest level of research design. Expert Opinion = 3
Case reports = 2 Randomized Control Trials = 1
Which of the following constitutes a primary prevention strategy in a 78-year-old man with depression?
A 46-year-old woman with type 2 diabetes mellitus and schizophrenia that is well-controlled with ziprasidone (Geodon®) presents for a check-up. Which of the following is a secondary prevention strategy?
A 35-year-old man with bipolar disorder was recently hospitalized for a manic episode. On returning to work as an accountant in a large company, he accesses his company’s employee assistance program (EAP) to facilitate his return to work. This is an example of which prevention strategy?
Conducting a parent class to new parents on how to cope with stressors of having a newborn in the home True/False
Influenza and pneumococcal immunizations cannot be given on the same day
Immune globulin is a concentrated solution of antibodies derived from pooled donated blood.
The 3-dose series of HPV vaccine should be given to males age 9 through 26 years to reduce the likelihood of genital wart acquisition.
Tdap (tetanus, diphtheria, acellular pertussis [Adacel®, Boostrix®]) vaccine should replace a single dose of Td (tetanus, diphtheria) vaccine for most adults who have not previously received a dose of Tdap in order to provide
additional protection against pertussis. True False
Vaccination of incarcerated adults against hepatitis B is discouraged because it is a 3-shot series
According to the latest ACIP guidelines, routine influenza immunization is recommended for all of the following persons except:
According to the ACIP guidelines, zoster vaccination should be given to all adults ≥ age ____ years.
Which of the following is not considered a secondary prevention strategy in a 48-year-old woman with bipolar I disorder?
Which of the following provides the most accurate indicator for alcoholism?
Positive response to two items on the CAGE questionnaire
A 64-year-old male with COPD reports having smoked 2 packs-per-day for the past 20 years.
You calculate that he has a pack-year history of:
According to ACS guidelines, an annual fecal occult blood test (FOBT) or fecal immunochemical test (FIT) should begin for men and women with average risk for colorectal cancer at age:
According to the American College of Obstetricians and Gynecologists (ACOG), t should begin for women at age:
4For a patient receiving valproate therapy, regular monitoring for all of the following is recommended except:
A 76-year-old woman presents with fatigue and the following laboratory results:
Hb=9.3 g/dL (13–17) (93 g/L [130−170])
MCV=71 fL (80–96 fL)
A critical diagnosis to consider is:
A potential laboratory indicator for alcohol abuse is:
The most accurate laboratory measurement for kidney function is:
Which of the following medications does not require initial laboratory testing prior to implementing therapy? Lamotrigine
In order to prevent an outbreak of hepatitis D infection, the NP plans to:
True/False
The hepatitis B virus is efficiently transmitted via sexual fluids.
The most efficient route of transmission for the hepatitis C virus is sexual activity.
Vertical transmission of hepatitis C is quite common.
A 45-year-old man with schizophrenia and alcohol dependence presents with the following laboratory results:
A 44-year-old woman is referred to you from her primary care provider for possible bipolar disorder. On review of her records you note the following laboratory data:
The cranial nerve responsible for facial expressions and secretion of tears and saliva is:
The cranial nerve responsible for chewing is:
Untreated Hyperthyroidism or Hypothyroidism or both?
HypothyroidismDry Skin
Hyperthyroidism Fine Tremor
HypothyroidismHung Up DTR
Both Mental Status Change
Both Atypical Presentation in elder
Both Thyroid enlargement
HypothyroidismMenorrhagia
Hyperthyroidism Exopthalmos
Hyperthyroidism Lid Retraction
Which of the following is most consistent with untreated hypothyroidism?
Which of the following is most consistent with untreated hyperthyroidism?
Which of the following second-generation antipsychotics should be avoided in an overweight patient at risk for diabetes?
On medication review your patient states that he is taking something for “heart burn.” Which of the following medications would be most concerning for a drug-drug interaction?
Melvin is a 45-year-old man with obsessive compulsive disorder, schizoid personality disorder, hypertension, hyperlipidemia, and type 2 diabetes. Which of the following is Melvin least likely to be taking?
Melvin develops psychotic symptoms requiring medication treatment. Based on his metabolic profile, which medication would be most appropriate for Melvin?
Melvin is a 45-year-old man with obsessive compulsive disorder, schizoid personality disorder, hypertension, hyperlipidemia, and type 2 diabetes.
Laboratory testing of a 34-year-old male who has been receiving valproate therapy for the past 2 months for bipolar disorder reveals AST=168 units/L and ALT=132 units/L. The PMHNP considers:
A 54-year-old man presents in the ED with symptoms of lethargy, weakness, blurred vision, and confusion. His medical history includes manic depression, dyslipidemia, and hypertension. He is currently being treated with lithium, a statin, and an antihypertensive medication that was started in the past week. Suspecting lithium toxicity, which of the following is least likely to contribute to his current symptoms?
When considering the use of clozapine, regular monitoring of which of the following is required?
5Match the concepts or theorists to the theories.
Stresses wholism Person-centered
Unconditional positive regard Gestalt
Id, ego and superego Freud
Based on attachment theory and Sullivan Interpersonal
Logotherapy Existential
Irrational beliefs lead to anxiety and depression Cognitive
Triangulation Family systems
ABC model Behavioral
Self-actualization Maslow
Which psychological theory emphasizes “humanistic” psychology?
The psychological theory that incorporates assertiveness training and social skills training is:
The 3 Cs of behavioral psychological theory include all of the following except:
Which of the following is not a nursing role identified by Peplau?
Which of the following of Erikson’s Stages of Psychological Development comes latest in life?
According to the Biopsychosocial Theory of Mental Illness, substance use accounts for a ________ cause of mental illness.
According to the Biopsychosocial Theory of Mental Illness, abuse accounts for a ________ cause of mental illness.
A 16-year-old adolescent is failing out of high school and frequently argues with his parents. He confides that he is confused by same-sex attraction and is desperate to avoid telling his parents. An important consideration when working with adolescents is their major developmental task according to Erikson is:
The mother of a 4-year-old boy expresses frustration that her child has yet to understand right from wrong. One example is whe found her son drawing on the walls with markers and could not explain why he did it. An appropriate response from the NP woul Correct answer: Reasoning skills and following rules typically begin around 7 years of age.
True or False? Ensuring early skin-to-skin contact post birth is one method to facilitate attachment in the mother-baby dyad.
According to Ainsworth, the type of insecure attachment associated with clinging to inconsistent parents is:
According to Bowlby, attachment disorders are linked to all of the following conditions except:
According to Kohlberg, a 9-year-old would fall under which stage of moral reasoning?
Problematic attachment can be due to all of the following except:
The Oedipus complex is typically observed in children at age:
6Match the medications and involved neurotransmitters.
A. GABA
B. Serotonin
C. Norepinephrine
D. Dopamine
BenzodiazapinesA
FluoxetineB
VenlafaxineB&C
MethylphenidateC&D
Antipsychotics D
Match the clinical effects with neurotransmitters.
A. Serotonin
B. Norepinephrine
C. Dopamine
Loose bowels after starting medication
Galactorrhea
Focus and concentration
Elevated blood pressure B
Sexual dysfunction after starting medication
Dyskinesias
Substance dependence and abuse
The mechanism of action of bupropion is as a selective reuptake inhibitor of:
Dopamine & norepinephrine
A patient diagnosed with Alzheimer’s dementia is likely to have dysfunction of which part of the brain? Hippocampus
Second-generation antipsychotics (SGAs) are preferred over first-generation antipsychotics primarily due to:
The ability of a person who has had a stroke to regain the ability of speech by recruiting other areas of the brain to compensate damaged regions is an example of:
The dopamine pathway responsible for the positive symptoms of schizophrenia is the:
Match the dopamine pathway with its appropriate function/ symptoms.
A. Mesolimbic dopamine pathway
B. Nigrostriatal dopamine pathway
C. Mesocortical dopamine pathway
D. Tuberoinfundibular dopamine pathway

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.