PMHNP-BC Exam Complete Questions and Answers Solved 100%

A patient with bulimia nervosa is being treated by a PMHNP. Which of the following is the first-line pharmacotherapy for bulimia nervosa?

A) antidepressants

3 multiple choice options

Which of the following conditions is least likely to produce similar symptoms to a panic attack?

A) MDD

3 multiple choice options

Statistically, gambling disorder is most prevalent among which of the following ethnic/racial groups?

D) African AMericans

3 multiple choice options

Cluster B personality disorders are characterized as having:

A) Dramatic and affective instability

3 multiple choice options

Cluster A personality disorders are characterized as having:

B) odd, unusual, eccentric. and asocial

3 multiple choice options

A PMHNP works in a community mental health clinic and evaluates a patient's competency to make decisions about their own treatment. Which of the following best describes the concept of competency in mental health care?

D) the ability to make informed decision about tx options

3 multiple choice options

You are a new nurse practitioner treating a victim of intimate partner violence. Your client states that she had been in the abusive relationship for over 10 years prior to the perpetrator being arrested and jailed. To better establish a diagnosis, you need more information and decide to perform a mental status exam on the client.

Mental status exam findings indicative of abuse include all of the following except:

D) having an extroverted personality

3 multiple choice options

A young woman brings her 77-year-old father to a clinic. She believes her father has Alzheimer's disease because he has been depressed and forgetful lately. What are the earliest symptoms of Alzheimer's disease?

C) Mood changes

3 multiple choice options

Tanner Stages define physical measurement in the development of primary and secondary sex characteristics in both females and males. What is stage 2 of a female's breast development?

B) breast bud stage with elevation of breast and papilla

3 multiple choice options

stage of tanner's development: breast bud stage with elevation of breast and papilla

A) stage 5

3 multiple choice options

You are a new nurse practitioner treating a recently paroled convict. This patient has a history of violent abuse of their partners. All of the following diagnoses are characteristic of this population except:

D) ODD

3 multiple choice options

A PMH-BC evaluates a 77-year-old man with the rapid onset of cognition with inattentiveness and disturbances in consciousness. On assessment, the patient presents with episodes of psychomotor agitation and retardation.

Based on the patient's presentation and symptoms, the PMH-BC should assess them for which of the following diagnoses?

C) mixed delirium

3 multiple choice options

Which of the following would be an appropriate early intervention strategy for a community mental health clinic to target personality disorders?

A) provide education and guidance to new and expectant parents through groups, community education and social outreach

3 multiple choice options

When evaluating a patient for anxiety symptoms, a PMHNP assesses for the presence of cognitive distortions. Which of the following is an example of a cognitive distortion?

C) fortune telling

3 multiple choice options

fortune telling is also known as:

C) A&B

3 multiple choice options

Which of the following is a valid screening tool used for the early detection of attention-deficit/hyperactivity disorder (ADHD)?

B) Conner's 3rd edition (Conners 3)

3 multiple choice options

behavioral assessment system for children (BASC) is used for?

A) comprehensive tool used to access a wide range of emotional and behavioral problems in children/adolescents

the Child Behavior Checklist (CBCL) is used for:

D) to identify a broad range of emotional and behavioral problems in children/adolescents

A PMHNP who is working at a community mental health clinic is assigned to collaborate with school leaders on developing primary prevention strategies to promote mental health for teenagers with histories of truancy. Which of the following is an example of a primary prevention strategy?

D) an emotional intelligence skills class for at risk adolescents

3 multiple choice options

A PMHNP is working with a family experiencing conflict related to a child's mental health diagnosis. Which of the following mediation strategies would be most effective for the PMHNP to use in this situation?

B) encouraging each family member to voice their concerns without interrruption

3 multiple choice options

A PMHNP is working with a community organization to develop prevention strategies to reduce homelessness. Which of the following interventions is most effective for preventing homelessness among individuals with mental health conditions?

C) providing CM services and MH tx

3 multiple choice options

All of the following statements are true about gray matter except:

C) it is the myelinated axons of neurons

3 multiple choice options

white matter is the:

A) myelinated axons of neurons

A client has been diagnosed with an enzyme deficiency disorder known to cause intellectual disability. Which of the following disorders causes a deficiency in hexosaminidase A which is related to the development of intellectual disability?

B) Tay-Sachs disease

3 multiple choice options

Tay Sach's disease is also known as

C) A&B

3 multiple choice options

A nurse is caring for a patient with borderline personality disorder. Which of the following strategies is a priority in the management of this patient's care?

A) establishing a therapeutic alliance

3 multiple choice options

What neurotransmitters are thought to be involved in the neurophysiology of psychosis?

A) involvement of the dopamine system

3 multiple choice options

By the time they turn 18 years old, what percent of adolescents regularly smoke tobacco?

B) 20&

3 multiple choice options

Which of the following lifespan considerations is important when dealing with manic episodes and behaviors of adolescent clients?

D) Adolescent manic episodes are often associated with antisocial behaviors

3 multiple choice options

Which of the following is not grounds for disciplinary action per the State Nurse Practice Act?

A) making a med error

3 multiple choice options

Which personality disorder is most likely to cause one to act seductively and demand reassurance about their appearance?

A) Histrionic

3 multiple choice options

You are a new nurse practitioner treating a victim of intimate partner violence. Your client states that she had been in the abusive relationship for over 10 years prior to the perpetrator being arrested and jailed. To better establish a diagnosis, you need more information and decide to perform a mental status exam on the client.

Mental status exam findings indicative of abuse include all of the following except:

B) Aggressive behaviors

3 multiple choice options

A PMHNP is conducting a study to determine the effectiveness of three different types of therapy for reducing symptoms of depression. The PMHNP uses analysis of variance (ANOVA) to analyze the data. Which of the following is the correct interpretation of the F-statistic in an ANOVA?

C) the F-statistic represents the ratio of the between-group variance to the within-group variance

3 multiple choice options

Delirium etiologies that should be ruled out include all but which of the following?

A) Parkinson's disease

3 multiple choice options

Which classification of psychiatric medications requires routine lab work for metabolic monitoring?

B) SGA

3 multiple choice options

What disorder is characterized by a persistent regurgitation and chewing of food already eaten?

D) Rumination disorder

3 multiple choice options

What term is used to describe patients who injure themselves by self-mutilation but who do not wish to die?

A) Parasuicide

3 multiple choice options

A PMHNP is assessing a patient who reports symptoms of post-traumatic stress disorder (PTSD). Which of the following assessment tools would be most appropriate for the PMHNP to use to evaluate the severity of the patient's PTSD symptoms?

A) CAPS

3 multiple choice options

CAPS stands for and is used for:

D) all of the above

3 multiple choice options

A 26-month-old female is being evaluated for impairments in social interactions, development, communication, and behavior. A review of the patient's history reveals normal prenatal and perinatal development. Her parents describe normal psychomotor development until about 5 months of age. At that time, the parents noticed their daughter appeared to lose previously obtained hand motor skills and became clumsy. Her speech and language development were impaired, along with social engagement.

Based on the presenting symptoms, the PMH-NP suspects which of the following diagnoses?

C) Rett Syndrome

3 multiple choice options

Which of the following statements is not accurate concerning the diagnosis of panic disorder?

B) it occurs equally in males and females

3 multiple choice options

What type of risk assessment is intended to protect the public from persons with known mental disorders who have dangerous, violent, and criminal histories?

B) forensic risk assessment

3 multiple choice options

A patient who has been hospitalized for acute symptoms of schizophrenia has been stabilized. He is being discharged on Zyprexa 5 mg twice daily. Which of the following behaviors, if resumed, can impact the efficacy of the psychotropic medication and increase symptoms?

A) Smoking

3 multiple choice options

While working in an outreach clinic for underserved and impoverished communities, the PMH-NP initiated a maternal alcohol use reduction wellness initiative. Which of the following statements accurately reflects the necessity of this psychoeducational project?

C) the most preventable cause of ID is Fetal alcohol syndrome

3 multiple choice options

A PMHNP is assessing a patient who has been diagnosed with schizophrenia. Which of the following terms best describes the patient's symptom of reduced speech or difficulty producing spontaneous speech?

A) Alogia

3 multiple choice options

A nurse is providing care to a patient who discloses that they are experiencing intimate partner violence (IPV). Which of the following actions is the priority in the nurse's response?

D) providing the pt with resources for safety and support

3 multiple choice options

The primary goal in the clinical management of major depressive disorder (MDD) during the acute phase is which of the following?

A) Client safety

3 multiple choice options

All of the following are considered biological-based therapies except:

B) Biofeedback

3 multiple choice options

mind body interaction:

A) Biofeedback

CAM therapies are known as:

C) A&B

2 multiple choice options

herbal products, vitamins, supplements and aromatherapy are what type of CAM:

C) Biological based therapies

3 multiple choice options

guided imagery, meditation, yoga and biofeedback are what type of CAMS:

D) Mind body interactions

2 multiple choice options

acupressure, acupuncture, massage and reflexology are what type of CAM:

B) Manipulative and body based therapies

2 multiple choice options

A PMHNP is providing care to a patient who has been diagnosed with a terminal illness. The patient has recently entered the bargaining phase of death and dying. Which of the following best describes the goal of the bargaining phase?

D) to help the pt negotiate a compromise w the higher power or fate in an attempt to postpone their death

3 multiple choice options

All of the following statements are true regarding acupuncture except:

D) it teaches pts to consciously control their physiological functions

3 multiple choice options

Oppositional defiant disorder etiology has its foundation in all of the following except:

C) Frequent relocation of residency

3 multiple choice options

You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment with a chief complaint of, "My son's teacher is concerned about my son because he is not able to finish his in-class schoolwork. I just don't know what to do." You suspect the client may have attention-deficit hyperactivity disorder (ADHD), but you need more information. The mother states that it has been reported that her son fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, is always talking out of turn and distracting other students, and interrupts when other students answer a question.

Which of the following symptoms is indicative of hyperactivity?

C) interrupts when other students answer a question

3 multiple choice options

Which of the following is not a common core symptom of major depressive disorders in children?

D) Hypersomnia

3 multiple choice options

Which of the following is not a common co-morbidity of PTSD?

D) Psychosis

3 multiple choice options

You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment with a chief complaint of, "My son's teacher is concerned about my son because he is not able to finish his in-class schoolwork. I just don't know what to do." The mother states that it has been reported that her son fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, is always talking out of turn and distracting other students, and interrupts when other students answer a question. Given this information, you decide to perform a mental status exam on the client.

What findings would you expect when performing this assessment that would support a diagnosis of attention deficit hyperactivity disorder (ADHD)?

B) Poor concentration and memory

3 multiple choice options

A patient with a history of major depressive disorder has been discharged from the hospital and is now attending weekly support group meetings. This is an example of which level of prevention of mental disorders?

A) Tertiary prevention

3 multiple choice options

A PMHNP uses motivational interviewing as a therapeutic technique with a patient. Which of the following is accurate regarding motivational interviewing?

C) it assumes that the willingness and motivation for change are intrinsic

3 multiple choice options

All the following are possible risk factors for the development of schizophrenia, except:

A) cold or absent parent

3 multiple choice options

Which of the following features on a patient screening suggests that there may be a medical cause for a suspected mental disorder?

C) non-auditory disturbances of perception

3 multiple choice options

PMH-NPs work with individuals from different cultures, so being culturally competent is an important goal for optimal patient care. Understanding that cultural issues can influence symptoms and treatment, PMH-NPs strive to be sensitive to each individual's culture so that comprehensive mental health care can be provided.

Which of the following is true regarding culture-bound syndromes?

A) specific behaviors that seem aberrant may be related to an individual's culture and not linked to a psych disorder

3 multiple choice options

All of the following are traits of oppositional defiant disorder (ODD) except:

B) Blames self for outbursts after calming down

3 multiple choice options

A 21-year-old female presents to her primary care provider because she has stopped menstruating. She is a thin, athletic woman with poor dental hygiene and erosion of her tooth enamel. Her weight is slightly below average but within normal limits. She describes herself as "a little weird" about her weight, and she sometimes exercises heavily after eating a big meal.

What laboratory findings would you expect with this patient?

D) normal thyroid function

3 multiple choice options

A 73-year-old female presents at the emergency room with acute onset of mental and behavioral changes. The patient's daughter accompanies her and said that "this is just the way that her sister went," explaining that her aunt had severe Alzheimer's disease. A review of the patient's history reveals a disturbance in cognition that has developed over a short time with impaired memory, psychomotor agitation, and a reversal of sleep-wake cycles.

The nurse practitioner orders electrolytes, urine C/S, pulse ox, and an EEG to rule out which condition?

B) Delirium

A PMHNP is analyzing data from a study of depression symptoms in a sample of 100 patients. Which of the following descriptive statistics would be most useful for summarizing the data and identifying any potential outliers?

D) Mean

3 multiple choice options

A PMHNP is caring for a patient with a terminal illness who has expressed a desire to create a living will. Which of the following statements by the patient would indicate a clear understanding of the purpose of a living will?

C) "I want to specify by wishes for end of life care in case i am unable to communicate them later"

3 multiple choice options

In common psychiatric disorders, which neurotransmitter is implicated in the complex pathophysiology of certain disease processes involving normal functions such as decision-making and integrated cognition?

A) Dopamine

3 multiple choice options

____ 's function involves normal functioning of thinking, decision makming, reward seeking behavior, fine muscle action, and integrated cognition:

A) Dopamine

3 multiple choice options

____ 's function involves alertness orientation, fight or flight, learning, memory, focus and attention:

B) Norepi

3 multiple choice options

_____'s general function involves the regulation of sleep, pain perception, mood states, temperature, aggression and libido:

C) Serotonin

3 multiple choice options

_____'s general function involves memory and sustained autonomic function:

D) Gutamate

3 multiple choice options

Dopamine irregularities are closely linked to what disease process?

D) schizophrenia

3 multiple choice options

Norepinephrine's irregularities are closely linked to what disease process?

B) panic disorders and anxiety

3 multiple choice options

Serotonin's irregularities are closely linked to what disease process?

A) depressive disorders

3 multiple choice options

Glutamate's irregularities are closely linked to what disease process?

C) bipolar disorders

3 multiple choice options

The federal government offered financial awards to encourage hospitals to implement meaningful use. The incentive program required hospitals to demonstrate all of the following except:

C) adoption of a government-designed EHR

3 multiple choice options

The forensic PMHNP should possess theoretical and practical knowledge of the criminal justice and mental health systems, with a good knowledge base of which of the following?

B) relevant case law and health litigation

3 multiple choice options

Target symptoms of antidepressant treatment include which of the following?

D) impaired memory

3 multiple choice options

A PMHNP is providing care to a family with a 16-year-old daughter experiencing behavioral issues. The nurse suspects structural family therapy may be beneficial in addressing the family's problems. Which of the following is a key concept of structural family therapy?

D) emphasizing the importance of identifying and changing the negative communication patterns within the family

3 multiple choice options

Which of the following is considered a risk factor for the development of anxiety disorder?

A) high level of parent distress

3 multiple choice options

A PMHNP is assessing a patient who reports symptoms of an eating disorder. Which of the following assessment tools would be most appropriate for the PMHNP to use to evaluate the patient's level of body dissatisfaction and preoccupation with food?

A) Body Uneasiness Test (BULIT-R)

3 multiple choice options

the Body Uneasiness Test is comprised of what:

C) A &B

2 multiple choice options

the Eating Attitudes Test (EAT) is comprised of what:

A) a screening tool to evaluate an individual's attitude and behaviors related to food, weight and eating-but does NOT specifically assess body dissastifaction

Which term describes the death rate for a given population?

D) Mortality rate

3 multiple choice options

All of the following are examples of descriptive statistics except:

C) P-value

3 multiple choice options

PMHNPs work with offenders in emergency departments and prisons. Which type of nurse-client relationship is based on the crime committed and the investigational aspect of the interaction?

A) Forensic

3 multiple choice options

Which of the following is a differential diagnosis to consider that often mimics panic disorder and symptoms of anxiety?

B) vestibular dysfunction

3 multiple choice options

A PMHNP is working with a patient who is struggling with feelings of isolation and a lack of purpose. Which of Erik Erikson's stages of psychosocial development is this patient likely experiencing?

B) Intimacy vs Isolation

3 multiple choice options

Intimacy vs Isolation occurs when:

A) early adulthood, 18-40 years

A PMHNP is providing anticipatory guidance to parents of a two-year-old child. Which of the following is the most important topic to address during this visit?

C) Limiting screen time

3 multiple choice options

Which of the following is true regarding those with posttraumatic stress disorder?

A) they experience states of dissociation

3 multiple choice options

People suffering from PTSD can be prone to :

D) alll of the above

3 multiple choice options

Which statement most accurately describes grassroots lobbying?

C) it occurs when nonpaid individuals contact their legislators to influence policy

3 multiple choice options

A client states, "Nothing good ever happens to me. I am a failure and should just accept who I am."

What would be the best behavioral technique for this individual?

A) CBT

3 multiple choice options

A patient with a history of tobacco use disorder and schizophrenia is being treated with antipsychotic medication. Which statement is true regarding the relationship between tobacco use disorder and reduced antipsychotic efficacy?

C) tobacco leads to decreased blood levels of the antipsychotic meds, resulting in reduced efficacy

3 multiple choice options

How does the body remove both serotonin and norepinephrine from the synaptic cleft?

B) an active reuptake process

3 multiple choice options