Download PMHNP Exam Reported Questions WITH Correct Verified Answers 2025-2026 Edition. Graded A, E and more Exams Health sciences in PDF only on Docsity!
PMHNP ANCC Review Test questions with correct
answers
- Characteristics of a Therapeutic Relationship: Genuineness Acceptance Nonjudgement Authenticity Empathy Respect Professional boundaries
- Single most important goal in transformation of mental health care in the past two decades: Recovery
- Sadness can be pathological when...: It is disproportionate to events and
sustained over a significant time period; It significantly impairs normal social functioning (occupational, social, school, re- lational) or somatic functioning (eating, sleep); it is apparently unrelated to any identifiable event or situation in a person's life
- Psychodynamic Theories: Object Loss Theory Aggression-Turned-Inward Theory Cognitive Theory (Beck 1979) Learned Helplessness-Hopelessness Theory
- Benefits of Group Therapy: (ISCC) Insight, Social Skills, Cost-effective, Com- munity
Increases insight about oneself Increases social skills Is cost-effective
Develops a sense of community
- Pregroup Phase: Leader considers direction and framework of the group
Purpose, goals, membership size, pregroup interview, informed consent
- Forming Phase: Members worried about self-disclosure and being rejected. Goals and expectations identified, boundaries established Development of trust and rapport very important in this phase
- Storming Phase: Members resistant; may use testing behaviors. Issues begin to surface related to inclusion, control, affection
Leader's tasks: Allow expression of positive and negative feelings, assist group in understanding underlying conflict, examine nonproductive behaviors
- Norming Phase: Resistance to group overcome by members Strong attraction to group and others emerges Open and spontaneous communication occurs Group norms established
- Performing Phase: Group's work becomes more focused.
Creative problem-solving & solutions emerge Experiential learning takes place. Group energy directed towards completion of goals
- Adjourning Phase: Preparation made to end group Members & leaders express their feelings about each other and termination Discussion about what was learned and what issues still exist takes place
- When does work of termination begin (what group stage)?: First stage
- Solution-Focused Therapy - what techniques are involved?: Miracle Ques- tions
Exception-finding questions
the family and increase levels of self-differentiation (level at which one's sense of self-worth is not dependent on external relationships)
- Cognitive Therapy - creator?: Aaron Beck, 1979
- Primary Prevention - what is it?: Aimed at decreasing the incidence (number of new cases) of mental disorders
- Examples of Primary Prevention?: Helping people avoid stressors or cope with them more adaptively:
Smoking prevention classes Stress management classes for grad students D.A.R.E.
- Secondary Prevention - what is it?: Aimed at decreasing the prevalence (number of existing cases) of mental disorders
- Examples of Secondary Prevention: Early case finding
Screening
Prompt & effective treatment
Examples: Telephone hotlines, crisis intervention, disaster responses
- Tertiary Prevention - what is it?: Aimed at decreasing the disability and sever- ity of a mental disorder
- Examples of Tertiary Prevention?: Rehabilitation Services
Avoidance or postponement of complications
Day treatment programs, case management for physical/housing/vocational needs, social skills training
- Common indicators of physical child abuse: Hx of unexplained multiple fractures
Burns, hand or bite marks
Monitoring responses of other group members who may have similar flashbacks
triggered is important but the initial focus is on the member experiencing the flashback
- What does activation do?: Allows memories stored in the amygdala to be processed
- What does Systemic Family Therapy use?: Triangles, genograms, differenti- ation of self
- What is sublimation?: redirecting unacceptable feelings into an acceptable channel
MADD
- Minimum standard of therapy for a child with history of trauma?: Trauma focused CBT
- TSH normal values: 2-10 mU/l
- Medications used to treat mood disorders & bipolar disorders: Valproic acid (Depakene)
Divalproex sodium (Depakote) Lithium carbonate
Perphenazine (Trilafon)
- FDA pregnancy risks for medications: A: Controlled studies show no risk B: No evidence of risk in humans C: Risk cannot be ruled out D: Positive evidence of risk X: Absolutely contraindicated in pregnancy
- Medications that induce mania: Steroids Disulfiram (Antabuse) Isoniazid (INH)
Antidepressants (in persons with bipolar disorder)
- With oral medications, absorption usually occurs...: in the small intestine and then in the liver
- Pharmacology: study of what drugs do and how they do it
- Pharmacokinetics: Study of what the body does to drugs; includes: absorption distributio
n metabolis m excretion
- Pharmacodynamics: Study of what drugs do to the body;
target sites for drug actions include receptors, ion channels, enzymes & carrier proteins
- First-pass metabolism: process by which the drug is metabolized by cy- tochrome P450 (P450) enzymes in the intestines and liver prior to going to the systemic circulation
- Half-life (T 1/2): Time needed to clear 50% of the drug from plasma
Half-life also determines the dosing interval and the length of time to reach a steady state
- Typical antipsychotics are also known as: First-generation antipsychotics
- Top goal/priority in acute phase of MDD: Ensuring patient safety
Venlafaxine (Effexor)
- Fluoxetine: Prozac
- Amygdala: In the temporal lobe bilaterally most commonly associated with fear fear, anxiety, aggression
A limbic system structure involved in memory, emotion, anxiety, particularly fear and aggression
- Anorexia nervosa BMI?: less than 18.
If BMI less than 16, automatic admission
- What is anorexia nervosa?: Eating disorder in which an irrational fear of weight gain leads one to starve him/herself
- ANOVA: Analysis of variance
Inferential statistical test for comparing the means of three or more groups Tests the difference among 3 or more groups
- Considerations for Anxorexia: Safety is key Set up family therapy (especially adolescent patients since no control over food choices)
Admission criteria: BMI <16 - automatic hospitalization Weight loss over 30% over 6 months Severe hypothermia (temp <36 C or 96.8 F) HR less than 40 BPM SBP <70 mmHg Hypokalemia (< 3 mEq/L)
- Prozac in elderly: Increases anxiety
- Health Insurance Breakdown in U.S.: Private Ins - 64% Uninsured - 16.3% Medicare - 14.5%
Medicaid - 15.9%
- A patient presenting with alcohol use disorder - lab values to pay specific
- What drugs are CYP450 INDUCERS?: Carbamazepine Rifampin Alcohol Phenytoin Griseofulvin Phenobarbital Sulfonylureas ...induces my rage
- Either CYP450 inducers or inhibitors: ketoconazole valproate sulfonamides chloramphenicol
- DIGFAST symptoms: Distractibility Impulsivity Grandiosity Flight of Ideas Activity Sleep (decreased need for sleep, not sleeping, not tired)
Talkativeness
- Flight of ideas: Rapid, nonstop ideas coming to the brain and coming out in speech in the form of rapid, uninterruptible speech
- Acoustic neuroma - first symptom?: Unilateral tinnitus
- What birth defect can lithium cause if given to a pregnant woman?: Ep- stein's anomaly
- Medications that induce mania: Steroids
Disulfiram (Antabuse) Isoniazid (INH) Antidepressants (in those with bipolar d/o)
- Medications that induce depression: beta blockers steroids interferon accutane some retrovirals neoplastic drugs benzodiazepines
