Georgette’s Psychiatric-Mental Health Nurse Practitioner (PMHNP) Certification LMR Practice Exam

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• Which statement best links pruning to neurodevelopmental disorders?
• Dusky vs. United States established the standard for?
• Tourette's is associated with increased what neurotransmitter?
• In major depressive disorder, which neurotransmitters are reported as decreased?
• Disulfiram (Antabuse) guideline includes which precaution?
• Which EKG finding is associated with lithium use?
• The autonomic nervous system controls which of the following?
• Methadone is best described as:
• Which lobe is primarily responsible for hearing?
• Which medication is a non-stimulant used for ADHD?
• Latuda (lurasidone) should be taken with a meal containing approximately how many calories?
• Which brain region is the primary source of norepinephrine?
• Arcus senilis is commonly seen with aging and is associated with which lipid abnormality?
• Which tissue contains synapses and dendrites?
• Which statement is true regarding Lamictal and aseptic meningitis?
• In a patient with right upper quadrant pain and dark brown urine, which laboratory test should be checked?
• Repolarization is the restoration phase, characterized by potassium leaving the cell and chloride entering the cell. Which option best describes this process?
• Which medication is listed for Tourette's syndrome?
• Which of the following is a negative symptom of schizophrenia?
• Rogers v. Okin established the right to refuse medication unless guardian consents.
• Bulimia nervosa is characterized by which feature?
• The somatic nervous system controls which body structures?
• Why should duloxetine (Cymbalta) be avoided with alcohol use?
• Which of the following is a sign of neuroleptic malignant syndrome?
• Reactive Attachment Disorder is commonly associated with which factor?
• Refeeding syndrome involves metabolic alterations that may occur during nutritional repletion and may present with which symptom?
• According to the material, what MMSE score range is described as severe impairment?
• Which structure is central to forming and storing explicit memories?
• Self Esteem corresponds to which level in Maslow's hierarchy?
• Erectile dysfunction medication with rapid absorption belongs to which class?
• Which agents are listed as inducers of CYP450 that can lead to subtherapeutic levels of coadministered drugs?
• Which ethical theory judges actions as right or wrong based on duties or rules rather than outcomes?
• In pregnancy, Ativan (lorazepam) exposure is associated with which neonatal outcome?
• In the nursing process, what does the acronym ADPIE stand for?
• Which statement correctly describes axons and dendrites?
• Which mood stabilizer is associated with neural tube defects in pregnancy?
• Which Piaget stage is typically characterized by a focus on the self and symbolic thought beginning in early childhood?
• Naltrexone is contraindicated in patients with which condition?
• Major depressive disorder diagnosis requires at least how many MSIGECAPS symptoms for a minimum duration?
• Norepinephrine is produced in which part of the brain?
• Which statement correctly differentiates Bipolar I from Bipolar II?
• Which process involves linking a neutral stimulus with a meaningful one to elicit a conditioned response?
• Which of the following is a positive symptom of schizophrenia?
• Which defense mechanism is best described as channeling emotions into a socially acceptable outlet or constructive activity?
• Which is a DIGFAST symptom?
• Osteoporosis prevention recommendations include which combination?
• In evaluating suspected macrocytic anemia, which tests are most appropriate to confirm nutritional deficiencies?
• Which pathway, when dopamine is low, leads to increased prolactin levels?
• The peripheral nervous system consists of which structures?
• Which statement is NOT a characteristic of Reactive Attachment Disorder as described in the material?
• Acute dystonia can present with which of the following?
• Schizoaffective disorder requires mood symptoms with psychotic symptoms, and at least how long must psychotic symptoms occur without mood symptoms?
• Which feature is most characteristic of conduct disorder but not of ODD?
• Seroquel (quetiapine) side effects include which combination?
• What should you check in Asian patients taking Tegretol?
• The prefrontal cortex is part of which brain region responsible for thinking, planning, and language?
• Fever is a feature that occurs in which two conditions requiring urgent evaluation?
• Which of the following is NOT a symptom of serotonin syndrome?
• What is the interaction between lithium and ACE inhibitors?
• Kickback is defined as what?
• Which PHQ-9 score range indicates severe depression?
• TIGER aims toward which goal?
• Which statement best describes involuntary admission criteria?
• Trazodone (Desyrel) is associated with which rare adverse effect?
• Mania requires symptoms for at least how long?
• Which sleep-wake pattern involves going to bed and waking earlier than the desired times?
• What lab should you check for athletes on lithium to assess dehydration?
• What action is appropriate when the lithium level is 1.3 mEq/L?
• For menopausal symptoms, which nonpharmacologic interventions are listed as beneficial in the material?
• What is a known risk when using bupropion (Wellbutrin) in patients with eating disorders?
• Which of the following is NOT a symptom of lithium toxicity?
• Namenda is used for moderate to severe Alzheimer's disease; is it a cholinesterase inhibitor?
• Humor: which defense mechanism involves using humor to cope with stress?
• Which of the following is an opioid intoxication symptom?
• The HITECH Act is part of which federal stimulus package?
• Which statement best differentiates oppositional defiant disorder (ODD) from conduct disorder?
• Which statement about Bipolar II disorder is true?
• Kava Kava is used for which purpose and what is a key safety consideration?
• Which neurotransmitters are chiefly implicated in mood disorders?
• Why is Clozaril used?
• Mini-Cog consists of which two components?
• Which is considered the lowest level of evidence?
• Which symptom indicates impairment of both motor function and speech in Huntington's disease?
• Temporal arteritis is associated with elevation of which laboratory value?
• The central nervous system is made up of which structures?
• In therapy for PTSD, which technique is described as guided imagery?
• Which combination is listed as a 'false positives' pairing?
• Sumatriptan (Imitrex) with Celexa increases the risk of which serious condition?
• Which Freud stage follows Latency?
• In Piaget's theory, which stage includes conservation and reversibility?
• Which antipsychotic is described as weight neutral and carries a risk of QT prolongation?
• Over-pruning is associated with which condition due to fewer synapses?
• Celexa and Lexapro share which notable side effect?
• Durham vs. United States is associated with which legal concept?
• What is the interaction between lithium and NSAIDs?
• Which statement accurately describes the temporal distinction between acute stress disorder and PTSD?
• Latuda should be taken with approximately how many calories of food?
• Which two medications have the highest risk of agranulocytosis and aplastic anemia?
• Which statement best describes hypomania duration criteria?
• Appreciative Inquiry is best described as:
• Which items are included in the SIGECAPS acronym used to screen for depressive symptoms?
• Combining sertraline (Zoloft) with ciprofloxacin is associated with an increased risk of which adverse event?
• Imagery rehearsal therapy is described as which of the following?
• Which case is associated with the insanity defense?
• Which medication is a non-stimulant ADHD medication also used for hypertension?
• Which sleep-wake pattern involves going to bed and waking later than the desired times?
• Which ethical theory concerns the outcome, focusing on whether an action produces greater good in the world?
• Which of the following is NOT a stimulant intoxication symptom?
• Which brain structure sends signals to the hypothalamus when distressed, initiating autonomic responses?
• If a patient develops manic symptoms, which medication should be discontinued first according to the material?
• The orbitofrontal cortex is described as regulating impulses and attention. This region is part of which major brain region?
• Which crisis intervention step involves evaluating the outcome?
• When should Clozaril or Tegretol be discontinued?
• Which region acts as a key regulator of autonomic and endocrine function including hunger and sleep?
• What is a paradoxical effect in pharmacology?
• In alcohol use disorder, what pattern of neurotransmitter changes is described?
• The hallmark brain changes in Alzheimer's disease are?
• What is the washout period between an MAOI and fluoxetine (Prozac)?
• Which learning concept is driven by reinforcement or punishment to shape future behavior?
• Tamoxifen (Nolvadex) may interact with certain antidepressants to potentially cause cancer recurrence. Which of the following could contribute?
• EMDR therapy is characterized by which of the following features?
• What medication should treat hypothyroidism caused by lithium use?
• The developmental onset for Autism Spectrum Disorder is typically in which period?
• A mother reports her child wakes up screaming in the middle of the night. What is the best initial question to assess sleep issue patterns?
• Which pathway is associated with negative symptoms of schizophrenia due to decreased dopamine?
• Which structure directs intentional movements and is also called the corpus striatum?
• Which dopaminergic pathway is most associated with movement and extrapyramidal symptoms when disrupted?
• Which drug is a cholinesterase inhibitor used to treat Alzheimer's disease?
• The orbitofrontal cortex is a region of the brain that controls impulses and attention. This region is part of which major lobe?
• On the Zung Self-Rating Depression Scale, a score above what indicates high suicide risk?
• Which lobe processes visual information?
• The cholinergic system is characterized by the use of which transmitter as the primary signal?
• Which region is a principal source of dopamine that affects movement and reward pathways?
• Which SSRI is commonly used to treat obsessive-compulsive disorder in children?
• Conversion disorder presents neurological symptoms that are:
• Which eating pattern is described in Reactive Attachment Disorder?
• Which feature best differentiates ODD from conduct disorder in terms of rights violations?
• Zyprexa (olanzapine) is most notably associated with which side effect?
• What two epidermal issues can arise from Tegretol or Lamictal?
• Which medication is NOT an SSRI?
• Anxiety disorders are associated with which neurotransmitter changes?
• Adjustment disorder is best described as which of the following?
• When a patient presents with a suspected fungal toenail infection, what is the appropriate initial diagnostic step?
• Advanced sleep phase type is defined as falling asleep and waking earlier than desired. Which option best describes it?
• In bipolar disorder, which neurotransmitter alteration is described?
• O'Connor v. Donaldson established that which of the following is true?
• Which of the following is a symptom of lead poisoning?
• Which statement describes the onset and duration of neuroleptic malignant syndrome after starting or changing therapy?
• Pick's disease is best described as which type of dementia?
• Delusional disorder is defined by delusions with no other psychotic symptoms for at least which duration?
• Which term describes the ego's unconscious distortion of reality to reduce anxiety?
• Ford v. Wainwright prohibits the execution of the insane.
• Which neurotransmitter is relatively elevated in Parkinson's disease due to dopamine loss?
• Which neurotransmitter group includes dopamine, norepinephrine, serotonin, and epinephrine?
• White matter is primarily composed of which structures?
• Which brain region regulates appetite, sleep, libido, and heart rate?
• Which division of the autonomic nervous system arouses the body and mobilizes energy in stressful situations?
• Delusional disorder is characterized by delusions for at least 1 month with:
• Which statement about depression neurotransmitters is true?
• Which of the following is an example of a potent CYP450 inducer that can decrease levels of coadministered drugs?
• What is the major clinical difference between anorexia nervosa and bulimia nervosa?
• In Freud's psychosexual stages, which stage centers on the erogenous zone?
• The symptom triad indicating a Clozaril-related infection includes which combination?
• A PHQ-9 score of 15-19 corresponds to which category of depression?
• SBIRT stands for which of the following?
• Critical Incident Stress Management (CISM) includes which of the following components?
• A hallmark feature of Rett syndrome is which of the following head growth patterns?
• Which tissue is characterized by the presence of myelinated axons?
• Damage or issues in which lobe can lead to visual and auditory hallucinations?
• Which antidepressant is known to be associated with weight gain?
• Which analytical technique is used to determine the basic underlying reason for a variance or defect?
• Which Piaget stage is associated with the development of object permanence?
• Which of the following lists the symptoms commonly seen in Huntington's disease?
• Which neurotransmitters are most associated with autism?
• Which statement best describes a combination that could trigger serotonin syndrome?
• Which drug's side effects include cataracts that require assessment with slit lamp?
• The Vanderbilt Scales screen for ADHD and common comorbidities, including which conditions?
• Huntington's disease typically presents before which age?
• What percentage range of children have learning disorders?
• What is the first step in crisis intervention?
• Trazodone is associated with which rare penile-related adverse effect?
• When cherry colored urine is observed, which parameter best indicates rhabdomyolysis?
• Which statement about iatrogenic medicine is correct?
• Which lab test indicates pregnancy?
• A patient on Clozapine develops fever. What is the most important test to perform?
• Which option is NOT a typical feature of Rett syndrome?
• Which combination represents the two medications commonly given for neuroleptic malignant syndrome?
• Which of the following is NOT listed as causing mania?
• Suppression is defined as consciously repressing thoughts. Which defense mechanism is described by this definition?
• In Parkinson's disease acetylcholine activity is increased; in Alzheimer's disease it is decreased.
• Who is at higher risk of developing fibromyalgia according to the material?
• Which class is described as providing protection of ischemic injuries in the material?
• Huntington's disease is best described as which of the following?
• Neuron cell bodies are primarily located in which tissue?
• Which of the following is NOT a criterion for involuntary admission?
• Which DIGFAST symptom describes rapid, continuous flow of ideas?
• Later onset of schizophrenia is associated with which group?
• Which SSRI has a documented risk of QT prolongation when used with ciprofloxacin?
• What is the cornerstone of evidence-based practice?
• Grey matter contains which of the following?
• Which statement is true about the three antipsychotics with very low weight gain effects?
• Which should be avoided with MAOIs to reduce risk of adverse reactions?
• Which statement is not part of the MSIGECAPS evaluation rubric?
• The MMSE scoring mapping in the material lists which range as no impairment?
• In evaluating ADEM, which of the following neuromotor findings aligns with the material?
• Which laboratory finding is expected in acute disseminated encephalomyelitis (ADEM)?
• Which pathway is linked to extrapyramidal symptoms with increased acetylcholine and decreased dopamine?
• EMDR stands for which of the following?
• Which brain region is described as responsible for perception of pain?
• What is a fetal side effect of lithium?
• Which statement best differentiates neuroleptic malignant syndrome from acute dystonia in terms of onset?
• Which term is an analytical technique used to determine the basic underlying cause of a variance or defect?
• Acamprosate is contraindicated in patients with which condition?
• How is motivational interviewing defined?
• Which of the following is not a cholinesterase inhibitor?
• Which of the following is NOT an inhibitor of cytochrome P450 enzymes?
• Malingering is characterized by the presence of which factor?
• Which neurotransmitter change is commonly associated with anxiety disorders?
• What may be the issue if a patient on Lamictal presents with a fever and severe headache?
• The Just Culture Model focuses on:
• Which trio of neurotransmitters is associated with autism?
• Altruism: which defense mechanism is exemplified by helping others to cope with stress?
• What three antipsychotics have very low weight gaining effects?
• What is Russell sign?
• In factitious disorder, the condition involves presenting as ill when there is no real illness. Which option best matches this definition?
• Schizophrenia is best described as a disorder involving which core features?
• Arcus senilis is a gray-white arc around which structure of the eye?
• Which antidepressants are cautioned for tamoxifen interaction due to potential cancer recurrence?
• The dorsolateral prefrontal cortex is primarily responsible for which function?
• Kava kava interacts with levodopa by which mechanism?
• Inappropriate affect is categorized as which type of schizophrenia symptom?
• Serotonin is produced primarily in which brain structure?
• Somatic disorders, as described, involve symptoms with:
• Which law directs insurance companies to provide equal coverage for mental and medical problems?
• Which neurochemical pattern is described for schizophrenia?
• The parietal lobe includes which of the following functions?
• What is the recommended washout period when switching from an MAOI to an SSRI?
• Which description matches tardive dyskinesia?
• Maslow's Hierarchy: Which level corresponds to Self Actualization?
• Rennie v. Klein established that patients have the right to?
• Which non-stimulant ADHD medication is a selective alpha-2A agonist similar to clonidine?
• Which epidermal reactions are specifically linked to Tegretol or Lamictal in the material?
• Habeas Corpus refers to which right?
• Which of the following is a sign of lithium toxicity?
• Which stage of Piaget's cognitive development is characterized by egocentrism (ages 2-5)?
• Clozapine therapy requires monitoring of which laboratory parameter due to risk of agranulocytosis?
• The Recovery Model is best described as:
• Which neural center processes explicit memories for storage?
• Which of the following is part of the criteria for admitting an anorexic patient?
• Classical conditioning is a type of learning in which one learns to link two or more stimuli and anticipate events. Which option best describes this form of learning?
• Rett syndrome occurs predominantly in which gender?
• Which laboratory findings are indicative of neuroleptic malignant syndrome?
• In organizational change, who is defined as the person formally in charge of guiding a change effort?
• Risperdal (risperidone) and Reglan (metoclopramide) interaction involves which statement?
• For detox in patients with hepatic dysfunction, which benzodiazepines are preferred?
• What is the treatment for hypertensive crisis caused by MAOI-TCA interaction?
• Wernicke's area, responsible for receptive speech, is located in which lobe?
• Which disorder involves presenting as ill to oneself despite no actual illness?
• Which agents can cause serotonin syndrome?
• Which alpha-2 delta ligands are approved for neuropathic pain treatment?
• Geodon (ziprasidone) has which key administration precaution?
• Opiate detox for pregnant women uses which medication?
• Combining citalopram (Celexa) with ciprofloxacin carries a risk of which cardiac change?
• Stark Law prohibits referrals to facilities owned by physicians or their family when payment is made by which government programs?
• The Hamilton Anxiety Rating Scale comprises how many items and how are they scored per item?
• Which of the following describes the motor signs of Parkinsonism?
• Which pair constitutes the major amino acid neurotransmitters in the CNS?
• Which medication is known by the brand name Zyprexa?
• Pick's disease is a rare form of dementia that presents with which features?
• Which is a sign of amphetamine abuse?
• Effexor side effect is most commonly associated with which of the following?
• Which of the following is a symptom of serotonin syndrome?
• If a patient with mental illness can meet basic needs and is not a danger to self or others, involuntary admission is generally:
• On the GAD-7 scale, a score above what indicates severe anxiety?
• Which neurotransmitters are implicated in Tourette's syndrome according to the material?
• Which statement is true about acetylcholine changes in Parkinson's disease and Alzheimer's disease?
• What is the first-line antidepressant for children?
• What happens during pruning?
• Common adverse effects of cholinesterase inhibitors include which of the following?
• What type of study is considered the highest level of evidence?
• Disorganized thought is categorized as which type of schizophrenia symptom?
• Which antipsychotic is classically associated with corneal deposits?
• Tics are found in what percentage of children?
• Lewy body dementia is characterized by which symptoms?
• In suspected Acute disseminated encephalomyelitis (ADEM), which action is most appropriate to take immediately?
• Which drug is a serotonin-norepinephrine reuptake inhibitor used to treat depression?
• In the data on ages of schizophrenia, which group is associated with early onset?
• Which term describes the restoration of the resting membrane potential after depolarization, with potassium leaving the cell?
• Decreased testosterone in women presents with which symptoms?
• If a patient presents with cherry colored urine, what test should be ordered?
• Which brain region is the primary source of serotonin?
• Which medications are cholinesterase inhibitors used for Alzheimer's disease?
• Metabolic syndrome risk associated with atypical antipsychotics includes increases in which parameters?
• Brief psychotic disorder is characterized by psychotic symptoms lasting less than:
• Broca's area, involved in speech production, is located in which lobe?
• GABA is synthesized in which brain region according to the source?
• Depolarization is the initial phase of the neuronal membrane potential characterized by the influx of which ions?
• Under-pruning is associated with which condition due to excess synapses?
• Factitious disorder features which characteristic?
• Operant conditioning is a type of learning in which behavior is strengthened if followed by a reinforcer or diminished if followed by a punisher. Which option best describes this form of learning?
• Dopamine is produced in which brain regions?
• What is the total score range for the Hamilton Anxiety Rating Scale?
• Which medication is listed as causing depression in the material?
• Which medication is a 5HT-2A receptor antagonist used to treat serotonin syndrome?
• Desmopressin (DDAVP) is used for bedwetting and decreases urine production. What is its primary clinical purpose?
• Respondent behavior is defined as behavior that occurs as an automatic response to some stimulus. Which option best describes this concept?
• Which of the following is a sign of fetal alcohol syndrome?
• A PHQ-9 score of 0-4 corresponds to which category of depression?
• Namenda (memantine) is indicated for which stage of Alzheimer's disease?
• Client readiness to learn includes which four readiness domains?
• Which function is associated with the frontal lobe?
• Which statement about disulfiram is true?
• Which antidepressant is known to cause weight gain and may be chosen when weight gain is desired?
• Which symptoms may indicate a Clozaril-induced infection?
• Huntington's disease inheritance is best described as:
• Which medication is used as a muscle relaxant in the treatment of neuroleptic malignant syndrome?
• Rett Syndrome features include which of the following statements?
• Epinephrine is produced by which endocrine organ?
• Which scale uses the criterion 'More than 15' to indicate severe symptoms?
• Which structure is a component of the basal ganglia and is sometimes called the corpus striatum?
• Depakote use in pregnancy is associated with which neural tube defect?
• Which case addresses the right to refuse medication?
• Which of the following is not an acid suppressant among those listed to interact with Risperdal?
• Beck Inventory: Over what score is depression considered severe?
• Reading and writing are functions associated with which lobe?
• Which medication is a D2 receptor agonist used in the treatment of neuroleptic malignant syndrome?
• First-line antipsychotic in children according to the material is which medication?
• OCD has been linked to a change in which neurotransmitter?
• Which neurotransmitters are classified as monoamines?
• On the Hamilton Anxiety Rating Scale, which score range represents mild severity?
• Which EKG abnormality is listed as associated with lithium therapy?
• Which of the following is NOT a symptom of lead poisoning?
• In substance use disorders, which neurotransmitter change is described?
• The Tarasoff duty to warn applies in which scenario?
• The cholinergic system includes acetylcholine and which other signaling molecules?
• Which two classes of medications are explicitly listed as increasing lithium toxicity risk when used concurrently with lithium?
• Parasympathetic nervous system plays which role?
• In Freud's psychosexual theory, which stage is associated with the Oedipus complex?
• Schizophreniform disorder refers to schizophrenia-like symptoms lasting
• Regarding sleep regulation, which statement aligns with the material?
• Upper abdominal pain in a patient taking Depakote may indicate which emergency?
• Why should acid suppressants such as cimetidine, ranitidine, and omeprazole be dosed 2 hours apart from Risperdal?
• Why should a patient on lithium avoid calcium channel blockers?
• Defense mechanisms are defined as what?
• Which statement about alcohol dehydrogenase (ADH) is accurate?
• What can happen when TCAs and MAOIs are combined?
• Which region is critical for stress processing and has been linked to childhood trauma?
• Lithium toxicity is a medical emergency at which level?
• Which symptom is most characteristic of akathisia?
• If a patient on lithium has a level of 1.3 mEq/L, what is the appropriate action?
• Which assessment tool is specifically used to measure abnormal involuntary movements in patients on antipsychotic medications?
• Which facial features are associated with fetal alcohol syndrome?
• Pseudodementia is best described as which of the following?
• AIMS is used to assess which clinical feature?
• Which lab value confirms pregnancy?
• Which combination with sumatriptan can lead to serotonin syndrome?
• Which medication in neuroleptic malignant syndrome acts as a D2 receptor agonist?
• Which of the following is a positive symptom of schizophrenia?
• Autism Spectrum Disorder is characterized by which core features?
• Endocrine findings suggestive of alcohol dependency include which of the following?
• Which movement disorder is characterized by lip smacking and tongue protrusion?
• Which statement describes the onset and resolution of serotonin syndrome after starting or changing therapy?
• Which pathway is associated with positive symptoms of schizophrenia due to increased dopamine?
• Parkinson's disease shows which pattern of neurotransmitter change?
• Which statement best describes onset differences between neuroleptic malignant syndrome and serotonin syndrome?
• Stark Law prohibits physicians or their family members who own health care facilities from referring patients to those facilities if Medicare or Medicaid will pay for treatment. This is best described as which type of restriction?
• What is the brand name for pregabalin?
• Delayed sleep phase type is defined as falling asleep and waking later than desired. Which option best describes it?
• Which functions are attributed to the temporal lobe?
• A patient on lithium presents with dark brown urine. What is the next best action?
• If a patient is prescribed both Depakote and Lamictal, what adjustment is recommended for Lamictal?
• Tarasoff establishes which professional duty?
• Which neurotransmitter changes are most associated with ADHD?