PMHNP certification Exam KM (Questions and Answers)
Latest Update 2023
Which patient is at highest risk for SI
A. 30y/o married AA female with previous SI attempt *1 risk factor
B. 35 y/o single Asian male with previous SI attempt *3 risk factors
C. 38 y/o single AA male who is a manager of a bank *2 risk factors
D. 68 y/o single white male with depression *5 risk factors (age, male, white,
depression) – Correct Answer ✅D. 68 y/o single white male with depression
*5 risk factors (age, male, white, depression)
Count the risk factors
When interview teenagers (16 y/o) that arrive with their parents what
should you do? – Correct Answer ✅interview them separately from parents.
-This helps Build therapeutic rapport with teens by telling them the info is
confidential. Parents may be upset but remember you are advocating for the
child.
Which Ethnic group has the highest rate of suicide? – Correct Answer
✅Native Americans
PMHNP certification Exam KM (Questions and Answers)
Latest Update 2023
Example A patient is being treated for schizophrenia with olanzapine. Which
of the following is the most common side effect of olanzapine?
A. Increased waist circumference
B. EPS (not as common in atypical antipsychotics d/t 5HT2A)-receptor
antagonism
C. Increased Lipids
D. Metabolic Syndrome – Correct Answer ✅D. Metabolic Syndrome
(UMBRELLA ANSWER)
Which antipsychotics have the least weight gain? – Correct Answer ✅Latuda,
Abilify, (also least sedating), Geodon-if patient has metabolic syndrome
consider switching to one of the medications above. Or if the patient is
overly sedated try switching to ABILIFY
Which mood stabilizer have the least weight gain? – Correct Answer
✅Lamictal
-But remember all mood stabilizers cause some weight gain
When presented with a question about typical vs atypical antipsychotic the
answer is usually to start of a – Correct Answer ✅atypical
PMHNP certification Exam KM (Questions and Answers)
Latest Update 2023
A client presents with complains of changes in appetite, feeling fatigued,
problems with sleep-rest cycle, and changes in libido. What is the
neuroanatomical area of the brain that is responsible for the normal
regulation of these functions?
A. Thalamus
B. Hypothalamus
C. Limbic System
D. Hippocampus – Correct Answer ✅Hypothalamus
A, B, & D are all part of the limbic system so you can rule that out
When a patient is hesitant to participate in treatment you should
encourage? – Correct Answer ✅Bring a support person like a husband
Thyroid-Stimulating hormone normal level – Correct Answer ✅0.5-5.0 Mu/L
When T4 and T3 are high and TSH is low what is the diagnosis – Correct
Answer ✅HYPERTHYROIDISM, TSH secretion decreases: TSH LOW à key
symptoms HEAT INTOLERANCE
PMHNP certification Exam KM (Questions and Answers)
Latest Update 2023
Key symptoms of Heat Intolerance – Correct Answer ✅Hyperthyroidism
When T4 and T3 are Low and TSH is high what is the diagnosis – Correct
Answer ✅(HYPOTHYROIDISM) TSH secretion increased: TSH HIGH à COLD
INTERANCE
Key symptoms of Cold Intolerance – Correct Answer ✅Hypothyroidism
Hyperthyroid can mimic – Correct Answer ✅Mania
Hypothyroid can mimic – Correct Answer ✅Depression
A patient on depakote complains of RUQ pain and has reddish/brown urine –
Correct Answer ✅Hepatoxicity
-Check LFTs
Signs of Depakote toxicity – Correct Answer ✅Disorientation, confusion,
lethargy