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

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