Mental Health Northern Kentucky University Proctored Exam 6 Practice Questions

A 23-year-old woman presents to the PMHNP with a chief complaint of "nervous tension." After a full evaluation and the administration of the Hamilton Anxiety Scale (HAM-A), the PMHNP diagnoses her with generalized anxiety disorder. He plans to use today's HAM-A score as a baseline and then readminister the scale at every follow-up appointment to monitor treatment. Her score today is 20. What does this score indicate?

A 41-year-old male client has just been diagnosed with nephrogenic diabetes insipidus (NDI) and asks the nurse practitioner for more information about the disorder. Which one of the following statements is NOT correct?

A 29-year-old pregnant woman presents to her nurse practitioner (NP) for a prenatal visit. The NP advises her to receive vaccination against whooping cough and influenza. Which of the following, besides the flu shot, will she receive?

The father of an 18-year-old girl who is being treated for generalized anxiety disorder with panic attacks calls the PMHNP with questions about the medications she was prescribed. He demands the information because the patient lives in his home and is on his health insurance plan. What should the nurse practitioner do?

A mother presents to the nurse practitioner with her 14-year-old son for a wellness check and a flu shot. The mother inquires about a sign she saw in the waiting room regarding human immunodeficiency virus (HIV) testing. She is surprised that adolescents need to be tested for HIV. The NP’s most appropriate response is:

A 49-year-old man with a history of a liver transplant presents with painless purplish spots on his face and mouth. The nurse practitioner suspects which of the following?

The PMHNP is evaluating a 27-year-old woman who has been diagnosed with posttraumatic stress disorder due to a childhood history of sexual trauma. Today she has brought her husband with her. He reports that he sometimes feels he has "two wives who have different likes and dislikes, different tastes in food, clothing, and entertainment, and even talk in different voices." The patient says she has periods in which she has no memory of what took place. As an example, she says she may be dining out with her husband and have no recollection of how she got there. The PMHNP will evaluate for which of the following disorders?

A 31-year-old woman with a history of intellectual disability and congenital heart defects presents to the nurse practitioner with new onset neurologic deficits. Magnetic resonance imaging is contraindicated in patients with a history of which of the following?

The psychiatric-mental health nurse practitioner is treating a 26-year-old woman diagnosed with bipolar I disorder who has exhibited a partial response to Lamictal 200 mg PO BID. The PMHNP wants to augment the Lamictal with valproate (Depakote). To do so, how must she change the dose of Lamictal?

A patient calls the PMHNP with a question about her newborn. "She has a shrill, high-pitched cry I have never heard before." The PMHNP advises her to do which of the following?

A nurse practitioner has just diagnosed a 14-year-old boy with Klinefelter syndrome. What is the most appropriate treatment?

The PMHNP primarily works with older adult patients who frequently present with cognitive issues. He knows many people with Lewy body dementia are misdiagnosed or do not receive diagnosis for 18 months or more. Which of the following assessment tools does the PMHNP use to discriminate between Lewy body dementia (LBD), Parkinson's disease dementia (PDD), and mild cognitive impairment (MCI) due to Lewy body disease from other forms of cognitive impairment?

A 36-year-old woman of Chinese descent presents to the PMHNP after a referral from her primary care physician, who has worked up her physical complaints. These physical complaints include headaches, dizziness, and abdominal pain. The patient says she also experiences insomnia, difficulty concentrating, anxiety, and fatigue. These symptoms started approximately 6 months ago, after her husband had an affair, which he ended. She is also under stress at work, since she just received a promotion. Which culture-bound syndrome should the PMHNP include in the differential diagnosis?

During an initial psychiatric evaluation on a 65-year-old man who is new to the practice, the patient expresses concern about his left foot "shaking." One of the differential diagnoses for dementia of Alzheimer’s type is Parkinson's disease. Which physical exam finding would be expected?

A 19-year-old girl sustained multiple long bone fractures as a result of a motor vehicle crash and now is at risk for fat embolism. Which of the following signs and symptoms strongly suggest fat embolism?

A 63-year-old White man presents with bowing deformity of his legs, gait abnormality, and tingling and weakness in his left leg. He is diagnosed with Paget’s disease of bone and asks the NP about his treatment options. Which of the following therapies is considered first line?

Kelly is a 22-year-old woman who was involved in a motor vehicle accident (MVA) 1 year ago. She now presents to the mental health clinic with her mother, who complains that Kelly's personality has changed drastically in the past year. Upon thorough examination, Kelly most likely has experienced an injury to which part of her brain?

A 26-year-old woman with bipolar disorder explains to the PMHNP that she stopped taking her medication during a manic episode, but she now wants to start again. Prior to re-initiating lithium (Eskalith) for mood stabilization, which of the following labs are appropriate to obtain for this patient?

The PMHNP is evaluating a 7-year-old boy who is brought in by his grandmother. The child has epicanthal skin folds, a short nose, a small head circumference, and a smooth, indistinct philtrum. What is the most likely diagnosis?