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

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