Shows / PMHNP Certification Q & A
PMHNP Certification Q & A
This podcast is for NP students studying to pass their PMHNP certification exam. Expert Fitzgerald faculty clinicians share their knowledge and experience to help you dissect the anatomy of a test question so you can better understand how to arrive at the correct test answer.
Episodes
- PMHNP Certification Q & A
Bipolar Fatigue Assessment
A 29-year-patient with bipolar disorder is being seen today in follow-up. She has a history of not being well managed, but for the last several months she has…
- PMHNP Certification Q & A
Substance Treatment Analysis
The PMHNP is performing a follow-up visit on a 41-year-old female who is being treated for obsessive-compulsive disorder. She has been seeing an…
- PMHNP Certification Q & A
PHQ-9 Depression Assessment
The PMHNP is reviewing the results of a comprehensive new patient assessment and notes that the result of the patient health questionnaire (PHQ)-9 is a 7…
- PMHNP Certification Q & A
Alcohol Behavior Assessment
J.T. is a 38-year-old male patient who presents for assessment and treatment of substance use disorder. He has a long history of chronic alcohol use, typically…
- PMHNP Certification Q & A
OCD Symptom Recurrence Assessment
The PMHNP is seeing a 11-year-old patient who is being managed for obsessive-compulsive disorder. The patient has been in exposure response therapy for almost…
- PMHNP Certification Q & A
Initial Psychiatric Evaluation
An initial psychiatric evaluation should include a comprehensive risk assessment across the lifespan. Which of the following should be part of the initial…
- PMHNP Certification Q & A
Mental Status Examination Findings
The PMHNP is performing a follow-up visit on a 32-year-old male. He is being treated with sertraline 100 mg daily for a major depressive episode that began…
- PMHNP Certification Q & A
Pediatric Developmental Assessment
A 5-year-old child presents for evaluation with her mother. The mother is concerned that the child might have autism spectrum disorder and asks for a…
- PMHNP Certification Q & A
Therapeutic Alliance in a Court-Ordered Patient
The PMHNP is seeing a 22-year-old male patient for his initial evaluation. The appointment is court ordered and the patient seems very uncomfortable being…
- PMHNP Certification Q & A
Adverse Drug Effects in Psychiatric Treatment
The PMHNP is evaluating a patient new to the practice. He is a 27-year-old male with a long history of bipolar depression, generalized anxiety disorder, and a…
- PMHNP Certification Q & A
Social Determinants of Health Domains
Social determinants of health (SDOH) are recognized by the World Health Organization as non-medical conditions that can often outweigh genetic or clinical…
- PMHNP Certification Q & A
Therapeutic Modalities for Depressive Symptoms
The PMHNP is working with a patient who is struggling with significant depressive symptoms. The patient is a 34-year-old female who is lives alone and works in…
- PMHNP Certification Q & A
Treatment Considerations for Bipolar Depression
The PMHNP is managing a patient with bipolar disorder. While the patient has had manic episodes historically, the dominant pole of his disorder is depression…
- PMHNP Certification Q & A
Adverse Effects of Olanzapine Therapy
The PMHNP is seeing a patient in follow-up. The patient has a diagnosis of schizoaffective disorder and has been taking the second-generation antipsychotic…
- PMHNP Certification Q & A
Considerations for Self-Disclosure
The PMHNP is considering the case of a patient who is struggling with significant depressive symptoms following a difficult divorce. The symptoms are having a…
- PMHNP Certification Q & A
Managing Treatment-Resistant Schizophrenia
The PMHNP is managing a patient with treatment-resistant schizophrenia who continues to have positive symptoms despite appropriate trials with two different…
- PMHNP Certification Q & A
Laboratory Abnormalities in a Patient With Anorexia Nervosa
The PMHNP has just accepted a position at an eating disorders clinic which offers a multi-disciplinary approach to the management of eating disorders…
- PMHNP Certification Q & A
Adolescent Insomnia in a Patient With Generalized Anxiety Disorder
A 14-year-old patient is being managed for generalized anxiety disorder and has been responding well to fluoxetine. However, both the patient and his mother…
- PMHNP Certification Q & A
Reactive Attachment Disorder in a 5-Year-Old Child
A 5-year-old child is accompanied by the foster mother for evaluation of behavioral problems. The foster mother is experienced and has been very successful…
- PMHNP Certification Q & A
Pharmacotherapeutic Pattern Recognition
Jennifer is a 27-year-old female who has been in psychiatric care for several months for a diagnosis of bipolar disorder. She has not responded to three…
- PMHNP Certification Q & A
Treatment Resistance Presentation
A patient is mandated to care by court for evaluation and treatment of substance use disorder. He has a history of polysubstance abuse including ETOH…
- PMHNP Certification Q & A
Situational Insomnia Management
A 39-year-old male patient presents asking for pharmacotherapy to help with difficulty falling asleep. He denies any psychiatric history and is in good health…
- PMHNP Certification Q & A
Naloxone Allergy Verification
The PMHNP has assumed care of a 32-year-old patient who is being managed for opioid use disorder with buprenorphine-naloxone 8.2 mg films t.i.d. The patient’s…
- PMHNP Certification Q & A
Postural Intention Tremor Evaluation
A 27-year-old female patient presents for a follow-up appointment for generalized anxiety disorder. She has a complex history including polysubstance use…
- PMHNP Certification Q & A
Carbamazepine Prescribing Risks
The PMHNP is managing a patient of Chinese ancestry with a diagnosis of bipolar disorder. The patient is currently experiencing some symptoms consistent with…
- PMHNP Certification Q & A
Antipsychotic Adverse Reactions
The PMHNP is called to the emergency department to evaluate a patient with an acute onset mental status change. The patient has a long history of schizophrenia…
- PMHNP Certification Q & A
Major Neurocognitive Disorder Causes
The PMHNP is evaluating a 73-year-old patient who has just been discharged from the hospital after being treated for a urinary tract infection with associated…
- PMHNP Certification Q & A
Autism Spectrum Evaluation
A 3-year-old child is being seen because the daycare facility staff have suggested to the parents that the child is having difficulty interacting with other…
- PMHNP Certification Q & A
Serial 7s Assessment
The PMHNP is performing a new patient assessment on a 41-year-old patient referred from primary care for depressive disorder refractory to SSRIs. During the…
- PMHNP Certification Q & A
Neurocognitive Domain Identification
Patients with a deficit in one of six neurocognitive domains to the extent that it represents a deterioration of function from their baseline and makes it…
- PMHNP Certification Q & A
Suicide Risk Evaluation
The PMHNP is evaluating a new patient who has been referred by his employer for evaluation. His supervisor is concerned about his mental health and his safety…
- PMHNP Certification Q & A
Social Detachment Treatment Approach
The PMHNP is called to consult on a patient in the emergency department who has been admitted following a traumatic motor vehicle/pedestrian accident. He was…
- PMHNP Certification Q & A
Laboratory Abnormalities Analysis
Which of the following laboratory abnormalities is not consistent with a female patient who drinks more than 3 alcoholic drinks daily? A. Elevated high density…
- PMHNP Certification Q & A
Reward Neurotransmitter Recognition
The PMHNP is counseling a patient who wants to enter treatment for a substance use disorder. The patient has been using methamphetamine for over one year and…
- PMHNP Certification Q & A
Schizophrenia Stabilization Treatment
When managing a patient in the stabilization phase of schizophrenia primary goals and process include which of the following? A. Self-management skills B…
- PMHNP Certification Q & A
Acute Psychosocial Stress Evaluation
A 50 -year-old female patient has been followed by the PMHNP for over 6 years for a diagnosis of major depressive disorder, recurrent. The patient has achieved…
- PMHNP Certification Q & A
OCD Prognostic Indicators
A 48-year-old patient who reports a diagnosis of obsessive-compulsive disorder has transferred to your care after moving from out of state. You are unable to…
- PMHNP Certification Q & A
Lithium Safety Monitoring
A patient with bipolar I disorder is currently being managed with lithium, 60 mg q.h.s. along with quetiapine 300 mg daily. The patient presents today for…
- PMHNP Certification Q & A
Chronic Low Mood Evaluation
A 27-year-old patient presents for evaluation at the suggestion of his intimate partner who thinks he might have depression. During the initial evaluation the…
- PMHNP Certification Q & A
Psychotherapy Approach Selection
The PMHNP is seeing a patient who has been struggling with a collection of anxiety and depressive symptoms. She is resistant to pharmacotherapy and prefers to…
- PMHNP Certification Q & A
Clinical Interview Bias
The PMHNP is interviewing a new patient, a 32-year-old single female who is presenting for evaluation of underlying anxiety. While collecting a social history…
- PMHNP Certification Q & A
Onset Anxiety Assessment
A 64-year-old patient presents with new onset anxiety. She denies any history of anxiety disorder or any psychiatric disorder previously in her life, but for…
- PMHNP Certification Q & A
Dopamine Pathway Abnormalities Analysis
The dopamine hypothesis of schizophrenia postulates an abnormality in which of the following dopamine pathway as the etiology of symptoms? Select all that…
- PMHNP Certification Q & A
Mental Health Evaluation
The PMHNP is seeing a patient who presents with a chief complaint of feeling depressed. Further exploration reveals that while the patient does have several…
- PMHNP Certification Q & A
Psychosocial Stage Assessment
The PMHNP is evaluating a 69-year-old patient who has self-referred for evaluation. The patient retired from his professional role as a CEO from a major…
- PMHNP Certification Q & A
Assessing Anxiety Symptoms
Which of the following medical conditions should be considered when a patient presents complaining of new onset episodes of anxiety-like symptoms including…
- PMHNP Certification Q & A
Perinatal Depression Prevention
A PMHNP partners with a local women’s health practice to develop a program to screen pregnant women for depression in an effort to identify patients at high…
- PMHNP Certification Q & A
Personality Disorder Assessment
The PMHNP is evaluating a patient who has presented for care repeatedly reporting that she is bipolar and has manic episodes. She has been medicated in the…
- PMHNP Certification Q & A
Pharmacotherapy: Medication Avoidance
A 67-year-old female is being evaluated for complaints of depression. She has always struggled with times where she was down but never liked taking medication…
- PMHNP Certification Q & A
Evaluating Child Attachment
The PMHNP is evaluating a family at the request of county social services. A mother, father, 8-year-old and 2-year-old are present for the evaluation. The NP…
- PMHNP Certification Q & A
Assessing Cognitive Changes
A 78-year-old man presents for a follow-up visit. Two months ago he was started on sertraline for major depressive disorder and has been titrated up to 100 mg…
- PMHNP Certification Q & A
Piaget Sensorimotor Principles
Cognitive assessment in children characterizes stages of development consistent with Piaget’s developmental theory. One of the cognitive principles typically…
- PMHNP Certification Q & A
Fluoxetine Adverse Effects
A 12-year-old patient is being seen today in follow-up after being started on fluoxetine 1 month ago for a diagnosis of generalized anxiety disorder. The…
- PMHNP Certification Q & A
PTSD Clinical Evaluation
The PMHNP is evaluating a patient who presents complaining of panic attacks that occur for no identifiable reason. The patients has been treated for these…
- PMHNP Certification Q & A
OCD SSRI Dose Escalation
J.B. is a 41-year-old female patient who is being managed for obsessive compulsive disorder. She has been in exposure response therapy (ERT) for several months…
- PMHNP Certification Q & A
Hypnopompic Hallucination Counseling
The PMHNP is evaluating a patient with significant anxiety and depressive symptoms. In the course of the evaluation the NP further appreciates that the patient…
- PMHNP Certification Q & A
Stimulant Therapy Growth Counseling
A.J. is an 8-year-old male who is under the care of the PMHNP for ADHD. His symptoms are profound, and the recommendation is to begin psychostimulant therapy…
- PMHNP Certification Q & A
Adolescent Behavioral Assessment
A 14-year-old patient has been managed for the last year with fluoxetine 40 mg daily for a diagnosis of generalized anxiety disorder. She had been doing well…
- PMHNP Certification Q & A
Treatment of Parkinson’s Psychosis
PMHNP is asked to evaluate a 71-year-old male patient who is reportedly having visual hallucinations. His adult daughter accompanies him to the appointment and…
- PMHNP Certification Q & A
Managing Lewy Body Hallucinations
A 71-year-old patient with neurocognitive disorder due to Lewy Body disease presents for a routine follow-up. His wife reveals that he seems to be…