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PMHNP certification 2022 exam questions and answers(100% correct)
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PMHNP certification 2022 exam questions and answers(100% correct)
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PMHNP certificationCAGE correct answers: items responses are scored either 1 or 0. A score 2 or higher is considered
clinically significant
OCD correct answers: obsessive thoughts interfere with your daily life
-are you concern about things being contaminated, keeping things in perfect order
-do you feel driven to perform certain acts over and over again?
-have unwanted images or thought that you cant seem to get out of your head
layman's explanation of mental illness correct answers: Abnormal functioning of neurotransmitters.
Neuroanatomical differences have been found in some cases.
-can arise from multiple sources, not a single or consistent cause has been established
biomedical psychiatry correct answers: mental illness is conceptualized as a disorder of the brain circuit
caused by a complex interplay of genetic and environmental factor
state-dependent learning correct answers: when a memory is formed a new neural pathway is created.
If the memory was formed under specific chemical conditions (on a drug, manic), then the pathway will
be primed to work most effectively under these circumstances.
-state-dependent learning in bipolar. Bipolar individuals in a depressed episode may not be able to recall
details of manic episodes. Corroboration is needed.
Assessment tools to screen for cognitive impairment correct answers: -folstein mini-mental: perfect
score is 30. <24 impairment. If only 9th grade education <17
Abnormal sodium levels correct answers: -increased: dehydration, methyldopa,
-decreased: SIADH, heart failure, nephrotic syndrome, hepatic disease.
Abnormal Potassium levels correct answers: Increased: amiloride, spirolactone, lithium, propranolol.
Decreased
alpha 1 antagonists correct answers: -vasodilator and used for hypertension
-raynauds
-PTSD and GAD
-benign prostatic hyperplasia (tamsulosin)
-agonism: vasoconstrictor
-trazadone and many antipsychotics
ESR-erythrocyte sedimentation rate correct answers: high values indicate autoimmune, malignancies,
infections
absolute neurophil count calculations correct answers: total WBC x percentage of neurophil in
differential=ANC
, Calcium correct answers: -increased: >10.8 caused by hyperparathyroidism from tumor of renal disease,
lithium
PET vs. fMRI correct answers: measures brain activity by associated changes in blood flow. Relies on fact
that cerebral blood flow and neuronal activity are coupled.
-In addition, PET has the advantage of being able to identify specific receptors associated with
neurotransmitter through its ability to image radioactive ligands
ELISA testing correct answers: -first screen with ELISA. ELISA tests for HIV antibodies. Vast majority of
HIV positive people have detectable antibodies by 3 months after exposure.
Splitting correct answers: the individual segregates experiences in to all-good or all-bad, with no room
for ambiguity or ambivalence.
displacement correct answers: separation of emotion from it object of discontent and redirected to a
less threatening and intimidating
--example: displaced aggression- If expressing or dismay to the source of the anger could lead to
negative consequences, we may rather than express our angry to a person or object that pose no threat.
introjecion correct answers: a process whereby an individual unconsciously incorporates the qualities of
another person into his or her ego structure
Gestalt Therapy correct answers: emphasizes personal responsibility. Cultivate a greater self-awareness
and mindfulness.
-greater self-awareness of mind and body
-chair technique: a role-playing exercise. The client is asked to adopt one role in one chair, and another
in the other chair (e.g. plays parent and then plays child)
Hyperprolactinemia and Risperidone correct answers: -prolactin levels peak the first 6 to 8 weeks
-returns to normal range in 3 t0 5 months
-hyperprolactinemia is dose-dependent
-osteopenia, amenorrhea, galactorrhea, gynecomastia
-get baseline, repeat in two months. ask about nipple discharge, menstruation, sexual dysfunction. If the
patient has elevated prolactin after 2 months but no symptoms, repeat test in two months.
Antipsychotics that cause the most hypotension correct answers: olanzapine, risperidone, quetiapine
Rett Syndrome correct answers: -more common in females--the mutation arises from the X
chromosome.
-onset before first birthday
-loss of skills already acquired: speech and purposeful hand movement
-delayed head growth, scoliosis, ataxia
Tourettes correct answers: -tics must be present for at least a year before diagnosis
-must have motor and vocal tic
-abnormalities in the basal ganglia andd dopamine system are implicated
-First use guanfascine or clonidine. if doesnt work then use risperidone
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