Georgette Review PMHNP. Actual Exam Latest

Georgette Review PMHNP. Actual Exam Latest Update - 400 Questions and 100% Verified Correct Answers Guaranteed A+ A 16-year off boy presents with a long head, large ears, and hyper extensible joints, is very shy, and starts rocking and flapping his hands when he is upset. Which of the following is your most likely diagnosis?

• Tourette disorder
• Autism
• Fragile X

D. Rett disorder - CORRECT ANSWER: Fragile X

a 17 year old arrives at the emergency department with nonspecific complaints The patient's temperature is 100.8, pulse rate and blood pressure are elevated, and pupils are dilated with decreased reaction to light. Two days ago, the patient began taking sertraline for the treatment of depression. the patient has a history of substance use and

smoked marijuana one week ago. The diagnosis is - CORRECT ANSWER: serotonin

syndrome

A 23 year old woman is Brought in to to the ER after attempting to commit suicide by cutting her wrists. Which action by the PMHNP would be of highest priority initially?

• Assess her coping behaviors
• Assess her current level of suicidality
• Take her vital signs

D. Asess her health history - CORRECT ANSWER: take her vital signs

A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She is stabilized in the hospital. Ten days later she is started on venlafaxine and becomes tachycardia and diaphoretic, and develops myoclonic jerks. What condition is this?

A. NMS

• Opisthotonos
• Akathisia

D. Serotonin syndrome - CORRECT ANSWER: serotonin syndrome

a 48 year off Caucasian male presents for his therapy appointment. He is sad about losing his wife recently to covid 19. He reports feeling thoughts of hurting himself. He has a past history of overdosing on propranolol several years ago. Which of the following places him at higher risk of suicide?

• Previous attempt
• Age
• Gender

D. Marital Status - CORRECT ANSWER: A previous attempt

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A 64 year old caucasian male referred for treatment of refractory depression by his PCP reports continued lack of purpose, insomnia, decreased energy, reduced interest in pleasurable activities since losing his wife hit by a drunk driver 3 months ago. Which of the following is an assessment priority?

• Prior and current meds, dose, clinical response, side effects.
• Thoughts of self-harm, plan, intent, access
• Extent of alcohol use, and motivation to reduce to safe levels

D. Sleep patterns and hygiene - CORRECT ANSWER: thoughts of self-harm, plan,

intent, access

A 69 year old man with diagnosis of delirium has symptoms of psychosis which include frightening auditory and visual hallucinations and paranoid delusions. Which of the following medications should be chosen first for this man's symptoms?

• Haloperidol
• Quetiapine
• Valium

D. Olanzapine - CORRECT ANSWER: haloperidol.

A 72 year old is brought in by her husband with increasing forgetfulness, decreased activity, and decreased appetite for 2 months. She has a history of hypertension and is being treated with lisinopril. The exam is normal and the mini mental status exam provides a score of 24 but she declines to answer some questions and needs to be urged to participate in the assessment. What is the most likely diagnosis?

• Alzheimers disease
• Vascular dementia
• Depression

D. Delirium - CORRECT ANSWER: depression

A client experiencing difficulties with working memory, planning, and prioritizing, insight into his problems, and impulse control presents for assessment. In planning his care, the PMHNP should apply his knowledge that these symptoms represent problems with the

• frontal lobe
• Temporal lobe
• Parietal lobe

D. Occipital lobe - CORRECT ANSWER: frontal lobe

A client presents with complaints of changes in appetite, feeling fatigued, problems with sleep-rest cycle, and changes in libido. What is the neuroanatomical areas off the brain

that is responsible for the regulation of these functions? - CORRECT ANSWER:

Hypothalamus

A client says to the PMHNP, Some days life is just not worth it. All my wife and I do is fight and scream. Things at home were be calmer and simpler if I just wasn't there

anymore." The most therapeutic response is:

• Do you mean yo are thinking about leaving your wife to moving out?" 2 / 4

• Tell me what you mean by "it would be simpler if you weren't there anymore."
• So you are thinking suicide might be an option for you?
• Remain silent. - CORRECT ANSWER: B. Tell me what you mean by "it would be

simpler if you weren't there anymore"

A male patient informs as adult PMHNP that he has not slept in three days, has poor

concentration, and denies fatigue. The patient's diagnosis is:

A. ADHD

• Bipolar disorder
• Panic disorder

D. Primary insomnia - CORRECT ANSWER: bipolar disorder

A married female patient has been in therapy with an adult psychiatric and mental health nurse practitioner for 3 months. The patient's husband abuses alcohol and refuses treatment. The night before the next scheduled appointment, the patient telephones the clinical nurse specialist stating that her husband is drunk, violent, and threatening to kill her. The PMHNPs priority intervention is

• To arrange for an emergency psychiatric intervention
• Arrange for the woman's safety
• Request a restraining order

D. Request to speak to the husband - CORRECT ANSWER: Arrange for the woman's

safety.

A patient has been treated for the past several years with fluphenazine (Prolixin). You tonic that he is drooling and has a slight pill rolling movement of the fingers. These are EPS symptoms known as

• pseudo parkinsonism
• anticholinergic effects
• Tardive dyskinesia

D. Acute dystonia - CORRECT ANSWER: A. Pseudoparkinsonism

A patient is diagnosed with schizophrenia. Which of the following would be the appropriate question for the PMHNP to ask when assessing side effects produced by dopamine antagonism in the nigrostriatal pathway?

• Are you experiencing constipation?
• Are you experiencing pill rolling tremors, shuffling gait, and mask like facial

expression?

• Are you experiencing increased thirst?

D. Are you experiencing breast discharge? - CORRECT ANSWER: Are you

experiencing pill rolling tremors, shuffling gait, and mask like facial expression

A patient with a known diagnosis of bipolar I disorder presents to your clinic complaining of manic symptoms and insomnia. Your patient has been stable on lithium for the past six months To determine if a medication change or increase is warranted, it is important to gather more information. You suspect a possible medication-induced manic episode when the patient endorses what? 3 / 4

• She was recently placed on a beta blocker for anxiety.
• She was recently prescribed a benzo
• She recently had a flare up of her rheumatoid arthritis and received treatment for one

week (aka a steroid)

D. She recently began a new retroviral agent for hepatitis - CORRECT ANSWER:

recently treated for RA

A week after raising the dose of clomipramine, a patient treated for depression presents to the clinic with reports of change in mental status, fever, and hyperreflexxia. As the treating PMHNP, you know these symptoms are consistent with which of the following?

A. NMS

B. EPS

• Hypertensive crisis

D. Serotonin syndrome - CORRECT ANSWER: serotonin syndrome

Absence of movement or difficulty initiating movement - CORRECT ANSWER: akinesia

Treatment: cogentin

According to the current clinical guidelines for treating a patient with bipolar I disorder mania with psychotic features, an adult psychiatric and mental health nurse practitioner

prescribes:

A.) Lithium

• Citalopram
• Lamotrigine

D. Quetiapine - CORRECT ANSWER: quetiapine

Acetylcholine is made - CORRECT ANSWER: basal nucleus of Meynert

action in contemplation - CORRECT ANSWER: help the person find a change strategy that is realistic, acceptable, accessible, and effective.

action in precontemplation - CORRECT ANSWER: give information to raise awareness of the problem, but do not try to tell the person what to do.

action step in action - CORRECT ANSWER: support and advocate

help accomplish steps for change.

action step in maintenance - CORRECT ANSWER: help the person identify the

possibility of a relapse identify strategies to prevent relapse.

action step in preparation - CORRECT ANSWER: help the person find the change

strategy that is realistic, acceptable, appropriate, and effective.

Acute onset altered level of consciousness

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