Podcast
PMHNP Certification Q & A
Hosted by Fitzgerald Health Education Associates · EN
This podcast is for NP students studying to pass their PMHNP certification exam. Expert Fitzgerald faculty clinicians share their knowledge and experience to help you dissect the anatomy of a test question so you can better understand how to arrive at the correct test answer.
27episodes
Episodes
Newest firstAll episodes
Postural Intention Tremor Evaluation
1w ago00:06:49Tap to summarizeA 27-year-old female patient presents for a follow-up appointment for generalized anxiety disorder. She has a complex history including polysubstance use disorder and borderline personality disorder, but she had been doing well. She achieved remission of her symptoms over one year ago and has been well managed on escitalopram 10 mg daily. She has been substance free for over one year, and is in therapy for her personality disorder. Today she is not feeling well. She reports some major psychosocial stressors and a brief substance relapse, but she stopped using all substances 2 days ago. The PMHNP notes a pronounced postural and intention tremor and suspects this is due to withdrawal from which of the following substances? A. Kratom B. Opioids C. Marijuana D. Alcohol ---YouTube: https://www.youtube.com/watch?v=16Vg_4HFG1A&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=122
Transcribe →Carbamazepine Prescribing Risks
2w ago00:05:57Tap to summarizeThe PMHNP is managing a patient of Chinese ancestry with a diagnosis of bipolar disorder. The patient is currently experiencing some symptoms consistent with an early manic episode. When considering prescribing carbamazepine, the NP considers that this patient is at particular risk for which of the following adverse effects? A. Drug-induced hepatitis B. Pancreatitis C. Hypothyroidism D. Toxic epidermal necrolysis---YouTube: https://www.youtube.com/watch?v=5MaExNnaFDM&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=121
Transcribe →Antipsychotic Adverse Reactions
3w ago00:07:25Tap to summarizeThe PMHNP is called to the emergency department to evaluate a patient with an acute onset mental status change. The patient has a long history of schizophrenia and has been managed on a variety of antipsychotic therapies that have had some success, but the patient has not ever really achieved goal remission. Most recently he was started on a first generation antipsychotic along with benztropine (Cogentin). Today the patient is in the ED with confusion and muscle stiffness. Which of the following represents anticipated vital signs?A. T 103.5o F, P 54 bpm, RR 24 bpm, BP 150/100 mm Hg B. T 102.5o F, P 129 bpm, RR 22 bpm, BP 170/110 mm Hg C. T 96.4o F, P 60 bpm, RR 24 bpm, BP 190/120 mm Hg D. T 98.6o F, P 102 bpm, RR 18 bpm, BP 147/99 mm Hg ---YouTube: https://www.youtube.com/watch?v=9emyKQQhmYc&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=120
Transcribe →Major Neurocognitive Disorder Causes
4w ago00:07:54Tap to summarizeThe PMHNP is evaluating a 73-year-old patient who has just been discharged from the hospital after being treated for a urinary tract infection with associated delirium. She has a baseline major neurocognitive disorder and the spouse has been told in the past that the patient cannot take antipsychotics. However, while she was hospitalized she was given an antipsychotic for delirium and it seemed to help a lot. The spouse wants to know why the patient cannot take an antipsychotic for her chronic behavioral symptoms. The PMHNP knows that the patient most likely has which underlying cause of major neurocognitive disorder? A. Pick’s disease (FTD)B. Alzheimer’s disease (AD) C. Vascular disease (VaD) D. Parkinson’s disease (PD)
Transcribe →Autism Spectrum Evaluation
Apr 2900:07:37Tap to summarizeA 3-year-old child is being seen because the daycare facility staff have suggested to the parents that the child is having difficulty interacting with other children. Additionally, the staff have observed that when the child seems to become anxious or upset, he always becomes fixated on stacking building blocks one on top of the other to the extent that he will not acknowledge anyone or anything else. When the parents ask if their child has autism spectrum disorder (ASD), the PMHNP advises the parents that: A. The repetitive and predictable nature of stacking blocks is calming in children with ASDB. Stacking blocks is a very typical activity in children at this developmental stage and is not suggestive of ASD. C. The child should be tested for ASD, but in any event he should be discouraged from using building blocks as a coping mechanism. D. While the social dysfunction at this age may suggest ASD, the building block activity is not an abnormal finding in a 3-year-old. ---YouTube: https://www.youtube.com/watch?v=rf3inZzulEg&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=118
Transcribe →Serial 7s Assessment
Apr 2200:07:08Tap to summarizeThe PMHNP is performing a new patient assessment on a 41-year-old patient referred from primary care for depressive disorder refractory to SSRIs. During the mental status examination, the patient is unable to successfully perform a serial 7’s backward count. The NP documents an abnormal finding in the area of: A. Speech B. Thought process C. Judgment D. Cognition---YouTube: https://www.youtube.com/watch?v=uQYdcEqFBLc&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=117
Transcribe →Neurocognitive Domain Identification
Apr 1500:07:31Tap to summarizePatients with a deficit in one of six neurocognitive domains to the extent that it represents a deterioration of function from their baseline and makes it impossible for them to live independently are diagnosed with major neurocognitive disorder. Which of the following is not one of the six neurocognitive domains? A. Learning and memory B. Language C. Perceptual motor D. Cognition and emotion---YouTube:https://www.youtube.com/watch?v=b9166JUmJLg&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=116
Transcribe →Suicide Risk Evaluation
Apr 800:05:55Tap to summarizeThe PMHNP is evaluating a new patient who has been referred by his employer for evaluation. His supervisor is concerned about his mental health and his safety. The NP evaluates the patient and does not find criteria consistent with major depressive disorder, but identifies which of the following as particularly concerning for risk of suicide? A. Anhedonia B. HopelessnessC. Depressed mood D. Weight loss ---YouTube: https://www.youtube.com/watch?v=sNlBelJr92M&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=115
Transcribe →Social Detachment Treatment Approach
Apr 100:05:59Tap to summarizeThe PMHNP is called to consult on a patient in the emergency department who has been admitted following a traumatic motor vehicle/pedestrian accident. He was walking across the street when a speeding driver crashed into him at high speed. The patient remarkably does not have serious injuries, the staff noted that he seemed a bit “odd” and decided to call for a mental health consult. The patient lives alone, has no close friends or family members to call, and appears disinterested in any discussion of interpersonal relationships. The PMHNP recognizes that the most appropriate approach to this patient requires which of the following? A. A warm, straightforward approach with particular attention to being non-judgmental.B. A firm, professional approach with firm limit setting at the beginning of the encounter.C. Particular attention to the need for insight-oriented therapy with the goal od increasing independence.D. Referral to dialectical behavior therapy as a mechanism for promoting acceptance and change. ---YouTube: https://www.youtube.com/watch?v=CXMZcHbje1s&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=114
Transcribe →Laboratory Abnormalities Analysis
Mar 2500:06:51Tap to summarizeWhich of the following laboratory abnormalities is not consistent with a female patient who drinks more than 3 alcoholic drinks daily? A. Elevated high density lipoproteinB. Elevated macrocytosis C. Elevated transaminasesD. Elevated triglycerides---YouTube: https://www.youtube.com/watch?v=XL6auWRfup8&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=113
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