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 & APsychiatric Physical Assessment
A.G. is a 51-year-old female patient who is being managed for a variety of mental health conditions including bipolar disorder, opioid use disorder…
PMHNP Certification Q & APerinatal Cultural Care
A 31-year-old Middle Eastern female presents to establish care. She recently relocated to the United States with her husband and is struggling with living in…
PMHNP Certification Q & APanic Attack Symptom Assessment
The PMHNP is conducting a new patient assessment with a patient who has self-referred for treatment of her panic attacks. The patient relates that she has had…
PMHNP Certification Q & ABipolar Treatment Plan Adjustment
A 22-year-old female patient is transferred to your care after another provider in the practice retired. She has been managed for bipolar I disorder for 3…
PMHNP Certification Q & APharmacotherapeutic Options for Bipolar Depression
A patient with a history of rapid-cycling bipolar disorder presents for evaluation of her current, profound depressive symptoms. The patient has been…
PMHNP Certification Q & ADepression Pre-Treatment Assessment
The PMHNP is seeing a patient who presents for complaint of depressive symptoms. The patient reports a history of anhedonia, hopelessness, worthlessness, sleep…
PMHNP Certification Q & ACountertransference Awareness
The PMHNP has a new patient who reminds her of a former teacher who played an important role in her life and whom she regards as a mentor. The NP is concerned…
PMHNP Certification Q & APsychiatric Refocusing Intervention
The PMHNP is conducting a follow-up appointment with a patient who is being treated for generalized anxiety disorder. The patient has a long-standing difficult…
PMHNP Certification Q & APediatric Social Assessment
The mother of a 3-year-old female brings her daughter in for a psychiatric evaluation. The mother is concerned because she sometimes sees her daughter talking…
PMHNP Certification Q & ASerotonergic Adverse Effects
The PMNP is evaluating a patient who is being treated for obsessive compulsive disorder with fluoxetine 60 mg daily. The patient has been on fluoxetine for…
PMHNP Certification Q & AAcute Overdose Management
The PMHNP is on call at the residential treatment facility and is called to urgently see a patient being treated for methamphetamine use disorder. The patient…
PMHNP Certification Q & AAutism Associated Findings
A 32-year-old female patient tells the PMHNP in the course of an office visit that her toddler’s pediatrician has suggested that the 3-year-old be referred for…
PMHNP Certification Q & ASubstance Use Screening
Which of the following is a true statement with respect to the CAGE-AID questionnaire? A. It is a 5-item questionnaire used to screen for alcohol use disorder…
PMHNP Certification Q & AMetabolic Symptom Assessment
The PMHNP has ordered a comprehensive metabolic panel, CBC, TSH, and HgbA1c as part of a new patient screening panel to evaluate very generic complaints of…
PMHNP Certification Q & ASSRI Clinical Outcomes
The PMHNP is seeing a patient who has been in Exposure-Response Therapy for obsessive-compulsive disorder for the last four months with suboptimal clinical…
PMHNP Certification Q & ADevelopmental Conflicts
Developmental theorists often assert that dysfunction of some sort during growth and development may result in psychopathological traits in adulthood…
PMHNP Certification Q & AGender Dysphoria Diagnosis
A 15-year-old male patient reveals that he does not feel comfortable in his body. When considering a diagnosis of gender dysphoria the PMHNP recognizes that…
PMHNP Certification Q & ATherapeutic Techniques
A 27-year-old female presents for therapy because she and her new husband are having difficulty adjusting to their new roles as spouses sharing a household who…
PMHNP Certification Q & ATherapeutic Approach Recognition
The PMHNP is evaluating a patient in follow-up and despite appropriate pharmacotherapy and psychotherapy the patient has not achieved a successful remission…
PMHNP Certification Q & AIdentifying Passive Aggression
Patient in mental health care may be at increased risk for demonstrating unhealthy coping mechanisms or inappropriate responses to distress. When your patient…
PMHNP Certification Q & AMedication Adherence Strategies
An 18-year-old male patient has been treated successfully for bipolar II disorder as an outpatient with Risperdal, however now that he has symptom control he…
PMHNP Certification Q & AAssessment Findings
A 28-year-old male presents for follow-up of his medication management for schizophrenia. Which of the following assessment findings represents an improvement…
PMHNP Certification Q & ASchizophrenia Intervention
When managing the patient with schizophrenia, the PMHNP recognizes that which of the following interventions is most closely associated with good long-term…
PMHNP Certification Q & AComprehensive Assessment
While performing an initial comprehensive assessment on a new patient the PMHNP is particularly attentive to social determinants of mental health. Which of the…
PMHNP Certification Q & AFluoxetine Education
A 41-year-old female patient is being treated for obsessive-compulsive disorder (OCD). She is in exposure-response therapy (ERT) and is frustrated by the time…
PMHNP Certification Q & ALithium in Bipolar Treatment
A number of mood stabilizers and antipsychotics are indicated for the patient with bipolar disorder. Which of the following is a true statement with regard to…
PMHNP Certification Q & ACountertransference Impact
Which of the following scenarios should prompt a PMHNP to self-reflect on the potential impact of countertransference on the patient/provider relationship? The…
PMHNP Certification Q & AOlanzapine Adverse Effects
A 34-year-old female patient presents for treatment. She has been on and off medication for schizophrenia for years but has historically been non-adherent to…
PMHNP Certification Q & ATherapeutic Bond Techniques
A PMHNP student is beginning his clinical practicum in a child and adolescent psychiatry practice and quickly realizes that performing patient interviews in…
PMHNP Certification Q & AAppropriate Lab Assessment
A 77-year-old male is admitted to the emergency department from a long-term care facility where he has lived for over 3 years. He has been maintained on…
PMHNP Certification Q & AClozapine & Complex Psych History
The PMHNP is performing an initial history and physical examination on a new patient who has just transferred to his care from out of state. The patient has a…
PMHNP Certification Q & AInsomnia in Adolescents
A 14-year-old patient is being managed for social anxiety by a therapist and is doing well. However, she reports having difficulty falling asleep most nights…
PMHNP Certification Q & AManaging Bipolar I Disorder
A 32-year-old female is diagnosed with bipolar I disorder. While discussing with her information about her diagnosis, medications, and anticipated course of…
PMHNP Certification Q & AFetal Alcohol Syndrome Findings
The PMHNP is evaluating a 4-year-old male patient who is presented to care by his new adoptive parents. The patient has been in a variety of foster homes since…
PMHNP Certification Q & AWithdrawn Child
A 4-year-old child presents for care with his new adoptive mother. The child has had a difficult first years of life, having been separated from his mother at…
PMHNP Certification Q & ASuspected ADD
The PMHNP is conducting a new patient intake for a 6-year-old male. The patient’s mother made the appointment because she is afraid that her son has ADD. She…
PMHNP Certification Q & AUnresponsive ED Visit
The PMHNP is called to the emergency room for a stat consult on a patient who reportedly was transferred in by ambulance after “acting weird at a party.” Upon…
PMHNP Certification Q & AAnticipated Abnormalities
The PMHNP is evaluating a 14-year-old girl who is encouraged to care by her parents because they are concerned that she has an eating disorder. Physical…
PMHNP Certification Q & AUnexpected Symptoms
A 51-year-old female is referred from her primary care provider. The patient had a 27-year-old son who died two years ago after inadvertently running in front…
PMHNP Certification Q & ASSRI Response
An 82-year-old man with a long history of depression has been treated over the years with various pharmacologic agents with little improvement. Last week the…
PMHNP Certification Q & AAgitated Elderly Patient
The PMHNP on call gets a call from the assisted living facility to advise that his 78-year-old patient is acutely confused. The patient, who is treated with…
PMHNP Certification Q & ABipolar Disorder Risk Factors
A 25-year-old female patient is being evaluated to rule out bipolar disorder. The PMHNP knows that all of the following are risk factors for bipolar disorder…
PMHNP Certification Q & APharmacotherapy Option
A 29-year-old pregnant woman is referred to the PMHNP for management of anxiety and depression. She has been taking paroxetine 40 mg daily as an outpatient for…
PMHNP Certification Q & ATranstheoretical Model of Change
A 42-year-old male presents for treatment of opioid use disorder. He has been taking 30 mg oxycodone tablets 4-6 times a day for over a year and both his…
PMHNP Certification Q & ASuicide Assessment
Suicide assessment should include an assessment of both risk factors and protective factors. Which of the following is a true statement with respect to suicide…
PMHNP Certification Q & AProfound Anxiety In Teen
A 19-year-old male is in your office for evaluation of profound anxiety. He is in his first year of college and last week there was an active shooter on…
PMHNP Certification Q & APiaget's Developmental Stage
The PMHNP is asked to evaluate a 5-year-old child who has been having difficulty adjusting to kindergarten and has been disruptive in the classroom. The child…
PMHNP Certification Q & AMental Status Exam
While performing a mental status exam, the PMHNP asks the patient to count backwards, beginning with 100 and subtracting 7. This is an effort to assess which…
PMHNP Certification Q & ADifficult PMHNP interview
A new patient is being evaluated at the request of her primary care provider. While conducting the interview the PMHNP has a very difficult time getting direct…
PMHNP Certification Q & AComparing Medicine
When counseling the parents of a 7-year-old patient regarding pharmacotherapy for attention deficit disorder, the PMHNP identifies which clinically relevant…
PMHNP Certification Q & AADD Tool
Which of the following is not a validated tool used to evaluate attention deficit disorder? A. The Vanderbilt Assessment Scale B. The Connors Comprehensive…
PMHNP Certification Q & AAlzheimer's Treatment
Alzheimer’s disease is the most common cause of major neurocognitive disorder and and while largely managed with non-pharmacologic interventions, there are…
PMHNP Certification Q & ABorderline Personality Characteristic
A new patient presents for evaluation of self-diagnosed bipolar disorder. An assessment of her history of interpersonal relationships increases your index of…
PMHNP Certification Q & AMedication Change
A 32-year-old female patient with diagnoses of bipolar I disorder and borderline personality disorder was recently transferred to your care. She was managed on…
PMHNP Certification Q & ATreatment Contraindications
You are evaluating a 71-year-old female patient and have made a diagnosis of major depressive episode, moderate. The patient is agreeable to pharmacotherapy…
PMHNP Certification Q & APiaget's
Piaget’s sensorimotor stage of development is characterized by all of the following except: A. Object permanence B. Magical thinking C. Exploring D…
PMHNP Certification Q & APTSD Medication Treatment
You are evaluating a 17-year-old patient who presents for care reporting panic attacks. A comprehensive assessment suggests that the patient is experiencing…
PMHNP Certification Q & AOCD Pharm Options
A 14-year-old female is diagnosed with obsessive-compulsive disorder and has been in exposure and response prevention (ERP) therapy for the last three months…
PMHNP Certification Q & ASuspected Organism
Which of the following organisms are associated with an increased risk of neurodevelopmental disorders? A. Group B Streptococcus B. Escherichia coli C. Herpes…
PMHNP Certification Q & AEvaluation Recommendation
The PMHNP is evaluating Jared, a 47-year-old male who is brought to care by his wife because “he’s not the man I married 20 years ago.” He denies any…