PMHNP Boards Questions and Answers
with Complete Solutions
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal
...
PMHNP Boards Questions and Answers
with Complete Solutions
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical
examination is unremarkable. Laboratory results are within normal limits except for a markedly
elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner ✔✔interprets
the findings as normally occurring during a rapid adolescent growth spurt
Laboratory findings for a patient with an alcohol use disorder indicate increased liver function
values and: ✔✔increased MCV and elevated triglyceride levels.
A new patient arrives at the office for treatment for depression. The patient reports taking
simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatricmental health nurse practitioner eliminates fluoxetine (Prozac), based on the knowledge that the
combination can lead to increased plasma levels of the statin, resulting in an increased risk of
muscle damage and rhabdomyolysis. The nurse practitioner's reason is that: ✔✔one medication is
a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses to
meet if the family members are present. The psychiatric-mental health nurse practitioner ✔✔asks
the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement
at a community mental health clinic. The effective strategy for evaluating the clinic's services is
to: ✔✔use a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via telemedicine.
The patient has questions about a new medication that he or she recently started. The nurse
practitioner decides to provide psychoeducation and to: ✔✔e-mail drug information and resources
Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse
practitioner ✔✔considers what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health professionals
are asked to provide crisis counseling service, after a gunman recently took a class hostage at a
local elementary school, wounded several students, and then shot himself. In preparing for this
assignment, the nurse practitioner recognizes that: ✔✔a child's developmental stage will influence
his or her response to catastrophic stress
Which community-based program is a tertiary level intervention? ✔✔Partial hospitalization
program that provides intensive group therapy for rehabilitation.
A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is
three months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The
patient asks whether she may safely continue this medication during her pregnancy. The nurse
practitioner responds: ✔✔"Let's review the risks and benefits of continuing or discontinuing
Prozac for you and your baby."
Established clinical guidelines suggest that suicidality is decreased by treating patients who have
borderline personality disorder with: ✔✔dialectical behavioral therapy.
A six-year-old patient with autistic spectrum disorder h
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