PMHNP-BC exam Latest Update -

PMHNP-BC exam Latest Update - Actual Exam 160 Questions and 100% Verified Correct Answers Guaranteed A+

A child who has difficulty feeling safe with a caregiver and unable to feel comfort. What theorist's theory would help explain the behavior and guide treatment? - CORRECT

ANSWER: Bowlby- attachment theory. Children who come from parents with high

expressed emotion and unresolved losses tend to develop disorganized attachment

A medication that can induce mania - CORRECT ANSWER: Corticosteroids

action stage - CORRECT ANSWER: stage of change in the transtheoretical model in

which the individual is actively changing a negative behavior or adopting a new, healthy behavior

Acute dystonia in the eyes - CORRECT ANSWER: Oculogyric crisis. Eyes roll up. Treat by discontinuing offending agent. Administer IM Cogentin (benztropine). Not as common with atypicals as with first generation antipsychotics.

Anticholinergic drugs used for EPS - CORRECT ANSWER: Benztropine (cogentin)

Trihexyphenidyl (Artane)

arcus senilis (gray opaque band in the cornea) prior to age 40 is associated with what

disorder? - CORRECT ANSWER: Hyperlipidemia

Asians are poor metabolizers of which enzyme? (Will have exaggerated response to

diazepam) - CORRECT ANSWER: CYP 2C19

Attachment between infant and mother facilitates: - CORRECT ANSWER: Self- regulation of emotions

brain changes in schizophrenia - CORRECT ANSWER: increase in ventricular volume

(enlarged cerebral ventricles) Hippocampus volume decrease, 4% smaller Decreased electrical activity in frontal lobes Decrease glutamate and GABA release.Decreased total brain volume

Capgras syndrome - CORRECT ANSWER: person believes someone he or she knows

has been replaced by an imposter (hallmark of the syndrome)

Characteristics of schizotypal personality disorder - CORRECT ANSWER: Ideas of

reference and magical thinking

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Chlorpromazine (Thorazine) and clozapine cause what troublesome side effect due to

their alpha 1-adrenergic blockade? - CORRECT ANSWER: Orthostatic hypotension.

Manage by raising dose of chlorpromazine and clozapine slowly.

Circumstantiality - CORRECT ANSWER: delay in reaching the point of a

communication because of unnecessary and tedious details

Classic symptoms of NMS - CORRECT ANSWER: Acute mental status change,

muscular rigidity, autonomic instability

Cognitive executive function ADLS - CORRECT ANSWER: Higher-order activities such as balancing a check book, assembling tax records, filing taxes.

Communication techniques that are helpful when working with avoidant patient with a history of trauma - CORRECT ANSWER: Techniques to increase arousal. Activation is needed to allow memories stored in the amygdala to be processed.

Contemplation stage of change - CORRECT ANSWER: 2nd stage - aware of problem,

thinking about making a change

Core values that underlie advanced practice nursing and culturally competent care: -

CORRECT ANSWER: Respect, advocacy, partnership

Displacement - CORRECT ANSWER: psychoanalytic defense mechanism that shifts

sexual or aggressive impulses toward a more acceptable or less threatening object or person, as when redirecting anger toward a safer outlet

dopamine and norepinephrine - CORRECT ANSWER: neurotransmitters involved in

ADHD

Dopamine antagonism in the tuberoinfundibular pathway can cause what side effect?

(Antipsychotic drugs) - CORRECT ANSWER: Galactorrhea

Dopamine pathways in relation to clinical symptoms of schizophrenia - CORRECT ANSWER: Negative symptoms are related to DA deficit in the cerebral cortex; positive symptoms are related to DA excess in the nucleus accumbens and mesolimbic system.

ego - CORRECT ANSWER: the largely conscious, "executive" part of personality that, according to Freud, mediates among the demands of the id, superego, and reality. The ego operates on the reality principle, satisfying the id's desires in ways that will realistically bring pleasure rather than pain. It would say "I think. I evaluate".

Existentialism (Humanism) Yalom 2005 - CORRECT ANSWER: a philosophical theory

or approach that emphasizes the existence of the individual person as a free and responsible agent determining their own development through acts of the will.

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