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PMHNP Certification Exam Q&A: A Comprehensive Study Guide, Exams of Nursing

Regis CollegeNursing

A series of questions and answers related to the ancc psychiatric mental health nurse practitioner (pmhnp) certification exam. It covers a range of topics relevant to psychiatric nursing, including nutritional deficiencies, medication dosages, family therapy techniques, mental health promotion, legislative processes, anxiety assessment scales, stages of cognitive development, and statistical concepts. The document serves as a study aid for pmhnp candidates, offering concise answers to potential exam questions and highlighting key concepts in psychiatric mental health nursing. It also touches on ethical considerations and various therapeutic modalities.

Typology: Exams

2024/2025

Available from 06/05/2025

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ANCC PMHNP certification Exam with Questions And Answers
1. Nutritional deficiency in vegan diet that mimics psychiatric symptoms
Ans -
Niacin
2. Deficiency associated with chronic alcohol abuse
Ans Thiamine (Vitamin B1)
3. Positive Babinski reflex is normal for what age range
Ans Birth to age 2
4. System where the insurer is not only the payer but also the
provider of healthcare
Ans Managed Care Organization (MCO)
5. 2 part Q
Ans Recommended starting dose of risperidone (Risperdal) for adoles-
cence age 13 to 17; and recommended therapeutic dose for adolescence
Ans 0.5 mg/day; 3 mg/day
6. What type of family therapy use a structural mapping or genograms
as a treatment intervention
Ans Structural family therapy
7. Emphasizes how, when, and to whom family members relate in order
to understand and change family structure; goal is to produce structural
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Download PMHNP Certification Exam Q&A: A Comprehensive Study Guide and more Exams Nursing in PDF only on Docsity!

1 / ANCC PMHNP certification Exam with Questions And Answers

  1. Nutritional deficiency in vegan diet that mimics psychiatric symptoms Ans - Niacin
  2. Deficiency associated with chronic alcohol abuse Ans Thiamine (Vitamin B1)
  3. Positive Babinski reflex is normal for what age range Ans Birth to age 2
  4. System where the insurer is not only the payer but also the provider of healthcare Ans Managed Care Organization (MCO)
  5. 2 part Q Ans Recommended starting dose of risperidone (Risperdal) for adoles- cence age 13 to 17; and recommended therapeutic dose for adolescence Ans 0.5 mg/day; 3 mg/day
  6. What type of family therapy use a structural mapping or genograms as a treatment intervention Ans Structural family therapy
  7. Emphasizes how, when, and to whom family members relate in order to understand and change family structure; goal is to produce structural

2 / change in family organization; uses genograms to illustrate Relationships using sym- bols for overinvolvement, conflict, and coalitions. Ans Structural family therapy

  1. Involves coordinating care across treatment settings to ensure quality out- comes Ans case management
  2. Example of mental health promotion is Ans validating of feelings and ensuring patients they are not. Ans Normalcy; crazy
  3. Collection of individuals who coordinate lobbying efforts Around a com- mon interest and seek to influence policy makers Ans Special interest group
  4. Employee of a senator or representative Who keeps the legislator in- formed, meets with constituents, And drafts reports Ans Legislative assistant
  5. A group of members of Congress or a political party created to support a defined political ideology Ans caucus (congressional)
  6. When unpaid individuals contact their legislators to influence policy

4 /

  1. Piaget's stages of cognitive development when children begin using logic or reasoning about concrete events. Ans concrete operational stage (6-11 years)
  2. Piaget's stages of cognitive development when children begin to think abstractly, reason hypothetically, use deductive logic, Ans formal operational stage (11-19 years)
  3. Piaget's sensoriomotor stage of cognitive development when children develop object permanence Ans Infancy (birth to 2 years)
  4. Piagets preoperational stage Ans Early childhood (2-5 years)
  5. Piagets concrete operational stage Ans Middle childhood (6-11 years)
  6. Piagets formal operational stage Ans Adolescence (11-19 years)
  7. Commonly seen in Japan and Korea taijin kyofusho is a form of what mental illness Ans Social phobia
  8. Time frame for Celexa to have a therapeutic effect Ans 4-6 weeks

5 /

  1. When started on an SSRI may take weeks for effect and should be continued for months to prevent relapse Ans 4-6 weeks, 6-12 months
  2. Thiazide diuretics such as hydrochlorothiazide [increase/decrease?] lithi- um clearance, thus [increase/decrease?] the amount of lithium in the body Ans - Decrease; increase
  3. inferential statistics that assess whether the means of two groups are statistically different from each other Ans t-test
  4. inferential statistics that tests the difference among three or more groups- Ans Analysis of variance (ANOVA)
  5. inferential statistics that tests the relationship etween two variables Ans Pear- son's r correlation
  6. inferential statistics that shows the likelihood of an event occurring Ans prob- ability
  7. inferential statistic that describes the probability of a particular result occurring by chance alone Ans p-value/level of significance

7 /

  1. related to the value, effectiveness, and efficiency of care received (multiple choice Ans health alliance, health economics, health care system, health produc- tion function) Ans health economics
  2. public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market (multiple choice Ans health alliance, health economics, health care system, health production func- tion) Ans health alliance
  3. What defense mechanism is patient using that is causing her to see people as either all good or all evil Ans Splitting
  4. which school was the site of the first NP program Ans University of Colorado
  5. A medication with a lower therapeutic index is a [higher/lower?] margin of safety Ans Lower (ex Ans lithium)

8 /

  1. HAM-A, Zung's Anxiety Sclae, and Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) are all measures for anxiety; GAD-7 is 7- ques- tion Ans standardized rating measure; screening tool
  2. stroke symptoms impact Wernicke's area, which functions as receptive speech and language comprehension; can impact emotions and lead to auditory and visual hallucinations Ans temporal lobe
  3. stroke impact Broca's area and would likely result in speech diffi- culty and not receptive understanding Ans frontal lobe
  4. considered gold standard for treating manic episodes Ans lithium
  5. Baseline labs required for lithium initiation Ans thyroid panel, BUN/creatinine, pregnancy test EKG for patients over 50
  6. Guided imagery, meditation, yoga, biofeedback are interventions under umbrella of complementary and alternative therapies (CATS) Ans mind-body
  7. aromatherapy is a based therapy Ans biological

10 /

  1. initial phase of action potential; excitatory response; influx of sodium and calcium ions into the cell Ans Depolarization
  2. restoration phase; inhibitory response; potassium leaving cell or chloride entering cell Ans Repolarization
  3. what court case determined that the presence of mental illness alone cannot justify involuntary hospitalization Ans O'Connor vs Donaldson (OCD)
  4. Yalom phase that considers the direction and framework of the group, defining purpose and goals, determining membership criteria Ans pre-group phase
  5. Defines NP roles and actions Ans scope of practice
  6. Identifies competencies assumed to be held by NPs Ans scope of practice
  7. has broad variations from state to state due to outdated legislation Ans scope of practice
  8. gives authoritative statements regarding quality and type of practice that should be provided

11 / Ans standards of practice

  1. offer a way to judge nature of care provided; reflect expectation of care provided, professional agreement of minimal acceptable level of performance; can be used to legally describe standard of care Ans standards of practice
  2. type of therapy used when clients have irrational beliefs, faulty concep- tions, and negative distortions about themselves Ans cognitive therapy
  3. therapy approach in which client reflects on life and self- confrontation is encouraged Ans existential therapy
  4. motor restlessness, inability to sit still, rocking, pacing, constant motion of a unilateral limb, subjective sense of restlessness Ans akathisia
  5. absence of movement, difficulty initiating motion Ans Akinesia
  6. muscle spasticity Ans Dystonia
  7. shuffling gait, motor slowing, mask-like facial expression, pill- rolling, tremors, muscle rigidity Ans Pseudo-Parkinson's

13 /

  1. Industry vs inferiority Ans competence
  2. identity vs role confusion Ans fidelity
  3. intimacy vs isolation Ans love
  4. generatively vs stagnation Ans care
  5. ego integrity vs despair Ans wisdom
  6. Indiscriminate enthusiasm typically found during MSE (thought process- es) for. Ans mania
  7. Goal-directed, organized, redirectable behaviors are common thought processes that manifest with. Ans anxiety
  8. Non chemical therapy that increases dopamine, serotonin, and norepi- nephrine; course typically consists of 6-12 treatments and involves sedating the patient Ans electroconvulsive therapy (ECT)

14 /

  1. In 2/3 of cases occurs before a panic attack Ans MDD (major depressive disorder)
  2. Builds on CBT techniques and Socratic questioning focusing on the exis- tential goal of purpose and meaning Ans humanistic therapy
  3. Specifically focuses on self growth and self actualization, Finding meaning in life and it's circumstances Ans humanistic therapy
  4. Targets finding meaning and purpose in life but is based on accepting reality and making responsible decisions Ans existential therapy
  5. Time-limited therapy that focuses on the present stressor Ans interpersonal therapy (IPT)
  6. Therapy that stresses emotional regulation, increasing stress tolerance, developing interpersonal skills, and mindfulness. Ans DBT (dialectical behavior therapy)
  7. If a patient threatens to commit suicide, what legal doctrine allows a nurse practitioner to involuntarily admit them Ans parens patriae
  8. Patients with suicidal thoughts usually exhibit severe hopelessness and believe that through suicide they will experience gain.

16 /

  1. Type of systematic review that analyzes a collection of quantitative stud- ies Ans meta-analysis
  2. Type of family therapy that uses miracle questioning, scaling, and excep- tion-finding questions Ans solution-focused therapy
  3. Therapy based on the effective resolution of problems using personal resources and strengths Ans solution-focused therapy
  4. Therapy focused on providing a structural change in family dynamics to manage problems more effectively Ans structural family therapy
  5. Therapy designed to increase each member of the family's awareness of each other's role Ans Family systems therapy
  6. Therapy that views symptoms as metaphors and teaches the family new ways to behave to reduce problem behaviors Ans strategic family therapy
  7. T/F impaired memory is a symptom of discontinuation syndrome, along with flu-like symptoms, fatigue, lethargy, myalgia, decreased

17 / concentration, N/V, parenthesis, irritability, anxiety, insomnia, crying, dizziness, vertigo Ans True