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

These questions are part of the practice quiz. Start practicing

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