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PMHNP Review

Total questions: 81

Worksheet time: 20hrs 1mins

Name
Class
Date
1.
Offspring of parents with Bipolar Disease have a risk of ______% of having Bipolar?
a)
25%
b)
30%
c)
60%
d)
24.9%
2.
On the Beck Depression Inventory, what is the score range for NOT DEPRESSED?
a)
0-9
b)
10-18
c)
19-29
d)
30-63
3.
On the Beck Depression Inventory, what is the score range for MILD TO MODERATE DEPRESSION?
a)
0-9
b)
10-18
c)
19-29
d)
30-63
4.
On the Beck Depression Inventory, what is the score range for MODERATE TO SEVERE DEPRESSION?
a)
0-9
b)
10-18
c)
19-29
d)
30-63
5.
On the Beck Depression Inventory, what is the score range for SEVERE DEPRESSION?
a)
0-9
b)
10-18
c)
19-29
d)
30-63
6.
What happens during NREM Sleep?
a)
You dream.
b)
There is minimal mental activity. 
c)
There is maximum (plenty of) mental activity. 
7.
What is Cranial Nerve 1? How is it tested?
a)
Olfactory or smelling
b)
Oculomotor; eye movements; follow penlight
8.
What is Cranial Nerve 2? How is it tested?
a)
Acoustic; hearing; tuning fork
b)
Optic; visual acuity
9.
What is Cranial Nerve 3? How is it tested?
a)
Oculomotor; eye movements; follow penlight
b)
Abducens; specific eye movement
10.
What is Cranial Nerve 4? How is it tested?
a)
Trochlear; superior oblique
b)
Glossopharyngeal; deviation of uvula
11.
What is Cranial Nerve 5? How is it tested?
a)
Facial; raise eyebrows; puff up cheeks
b)
Trigeminal; superficial and deep structures of head and face
12.
What is Cranial Nerve 6? How is it tested?
a)
Abducens; specific eye movements
b)
Accessory; shrug shoulders
13.
What is Cranial Nerve 7? How is it tested?
a)
Facial; raise eyebrows; puff up cheeks
b)
Olfactory or smelling
14.
What is Cranial Nerve 8? How is it tested?
a)
Acoustic; hearing; tuning fork
b)
Trochlear; superior oblique
15.
What is Cranial Nerve 9? How is it used?
a)
Vagus; check gag reflex
b)
Glossopharyngeal; deviation of uvula
16.
What is Cranial Nerve 10? How is it tested?
a)
Trigeminal; superficial and deep structures of head and face
b)
Vagus; check gag reflex
17.
What is Cranial Nerve 11? How is it tested?
a)
Accessory; shrug shoulders
b)
Hypoglossal; push tongue inside of cheek
18.
What is Cranial Nerve 12? How is it tested?
a)
Hypoglossal; push tongue inside of cheek
b)
Trochlear; superior oblique
19.
How long is the first stage of REM sleep?
a)
120 minutes
b)
10-20 minutes
c)
80-100 minutes
d)
30-50 minutes
20.
What is a method to test suicidal risk?
a)
SLAP (Specific, Lethal, Available, Proximinity)
b)
Have them talk to Psychologist.
21.
What is the purpose of  a Electroencephalography (EEG)?
a)
Assesses electrical impulses for the brain cortex
b)
Assesses and measures the magnetic fields created by nerve cells.
c)
Outline the presence and position of blood vessels in the brain
d)
Shows how oxygen is used in the brain.
22.
What is a sign of Bipolar Disease?
a)
Shortness of Breath and Dizziness 
b)
Feelings of worthlessness or guilt
c)
Significant Weight Loss or Gain
d)
A distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting a week
23.
What is a sign of Depression?
a)
Overall Happiness with brief episodes of sadness
b)
Depressed mood every day for at least two weeks
c)
Problems Sleeping
24.
On the Hamilton Anxiety Rating Scale, what is the score range for MILD SEVERITY?
a)
Less than 17
b)
18-24
c)
25-30
25.
On the Hamilton Anxiety Rating Scale, what is the score range for MILD TO MODERATE SEVERITY?
a)
Less than 17
b)
25-30
c)
18-24
26.
On the Hamilton Anxiety Rating Scale, what is the score range for MODERATE TO SEVERE?
a)
Less than 17
b)
25-30
c)
18-24
27.
What does Magnetic resonance imaging do?
a)
Assesses gross structure of brain
b)
Produces multiple images or pictures of the inside of the body.
c)
Provides information on how the brain and its tissues function on a cellular level
d)
Evaluates your basic mental status.
28.
What is the Mood Disorder Questionnaire used for?
a)
Used to identify patients most likely to have Bipolar Disorder.
b)
Used to identify patients most likely to have Depression
29.
How many items are on the Patient Health Questionnaire (PHQ-9)? How many points is the evaluating scale?
a)
9 items; 5 point evaluating scale
b)
8 items; 5 point evaluating scale
c)
4 items; 9 point evaluating scale
d)
9 items; 4 point evaluating scale
30.
What is the most common and legal drug?
a)
Acetaminophen
b)
Alcohol
c)
Tobacco
d)
Caffeine
31.
What does a total score of 2 or more indicate on the Abnormal Involuntary Movement Scales?
a)
It indicates a positive AIMS and evaluation of meds and risk exposure is needed to continue or switch meds
b)
It indicates that no evaluation of meds is needed. The patient does not need to switch meds, and they can keep taking it as instructed.
32.
What is one thing the 
Abnormal Involuntary Movement Scale measures?
a)
Measures dystonia movements in patients treated with antipsychotics.
b)
Measure dyskinesia movements in patients treated with antipsychotic meds
33.
How many items are measured on the Abnormal involuntary movement scale? 
a)
11
b)
13
c)
12
d)
10
34.
On the Abnormal Involuntary Movement Scale, 1 through 4 examines what? 
a)
trunk movements
b)
oral facial movements
c)
dental and denture status that may influence score
d)
extremity movements
35.
On the Abnormal Involuntary Movement Scale, 5 and 6 examines what? 
a)
extremity movements
b)
trunk movements
c)
global judgement related to symptoms present
d)
dental and denture status that may influence score
36.
On the Abnormal Involuntary Movement Scale, 7 examines what? 
a)
examines dental and denture status that may influence score
b)
oral facial movements
c)
trunk movements 
d)
global judgement related to symptoms present
37.
On the Abnormal Involuntary Movement Scale, 8 through 10 examines what? 
a)
examines dental and denture status that may influence score
b)
trunk movements
c)
extremity movements 
d)
examines global judgement related to symptoms present
38.
On the Abnormal Involuntary Movement Scale, 11 through 12 examines what? 
a)
examines dental and denture status that may influence score
b)
trunk movements
c)
oral facial movements
d)
examines global judgement related to symptoms present
39.
How many generations is a Autosomal dominant present in?
a)
One generation
b)
More than one generation
40.
How many generations is a Autosomal recessive present in?
a)
One generation unaffected
b)
More than one generation
41.
What does brainmapping assess?
a)
Assess cognitive functioning
b)
Assess your cognitive problem soving and thinking abilities
42.
What is brainmapping?
a)
Physical map of the brain
b)
Topographic map of the brain and spinal cord (central nervous system)
43.
What does Brief psychiatric rating scale assess?
a)
Assesses psychosis
b)
Assess schizophrenic behavior
44.
What does the Connors Parent and Teacher Questionaire screen for?
a)
Sensory Processing Disorders
b)
Autism
c)
Bipolar Disease
d)
ADHD
45.
What is the total score range of Hamilton Anxiety Rating Scale?
a)
0-60
b)
1-55
c)
0-56
d)
1-57
46.
What is the total score range of Hamilton Depression Rating Scale?
a)
0-76
b)
1-76
c)
0-80
d)
0-77
47.
What does the Hamilton Depression Rating Scale screen for?
a)
Anxiety
b)
Depression
48.
On the Hamilton Depression Rating Scale, what is the score range for MILD DEPRESSION?
a)
More than 23
b)
0-7
c)
8-13
d)
19-22
49.
On the Hamilton Depression Rating Scale, what is the score range for MODERATE DEPRESSION? 
a)
0-7
b)
14-18
c)
8-13
50.
What can the patient health questionnaire be used for?
a)
Screen for depression in primary care
b)
Screen for bipolar in primary care
51.
On the Hamilton Depression Rating Scale, what is the score range for NO DEPRESSION?
a)
0-7
b)
8-13
c)
14-18
d)
19-22
52.
Which of the BELOW is NOT a symptom of depression?
a)
Sleep disorder either increased or decreased 
b)
Interest deficit (anhedonia); change in sexual interest or desire
c)
Guilt (worthlessness, Hopelessness or regret)
d)
Irritability 
53.
Which of the BELOW is NOT a symptom of depression?
a)
Energy and concentration deficit
b)
Appetite increased or decreased; weight changes 
c)
Agitation and Suicidality
d)
Loss of patience
54.
What does patient engagement involve?
a)
trust
b)
safety
c)
love
d)
BOTH A and B
55.
What does the Positive and negative syndrome scale assess?
a)
symptoms of schizophrenia
b)
symptoms of depression
c)
symptoms of bipolar
56.
What does SLAP stand for?
a)
S=Social Support 
L= Lethal
A= Access
P= Plan and Previous attempts
b)
S= Skeletal Support
L= Legal
A= Accessable
P= Plan Ahead
57.
What does Positron emissions tomography assess? 
a)
 Localized mental activities within the brain
b)
Generalized mental actives within the brain
58.
What are Precipitating factors?
a)
Genetic Factors that help to cure a disease
b)
Exacerbating factors, triggers, connecting events and causality
59.
What does SLUMS screen for?
a)
cognition
b)
brain growth
60.
On SLUMS, what is the score range for NORMAL?
a)
27-30
b)
0-20
c)
21-26
61.
On SLUMS, what is the score range for MILD NEUROCOGNITIVE DEFICIT?
a)
0-20
b)
27-30
c)
21-26
62.
On SLUMS, what is the score range that INDICATES DEMENTIA?
a)
21-26
b)
0-20
c)
27-30
63.
Which of the below symptoms DOES NOT indicate a Suicide risk that is endorsed by American Association of Suicidality?
a)
Ideation
b)
MINOR Mood Changes
c)
Substance Abuse
d)
Purpose for living seems lost
64.
Which of the below symptoms DOES NOT indicate a Suicide risk that is endorsed by American Association of Suicidality?
a)
Anxiety with agitation
b)
inability to sleep or sleeping excessively 
c)
Trapped feeling; no way out
Hopelessness
d)
Drawn to be with friends and family more
65.
Which of the below symptoms DOES NOT indicate a Suicide risk that is endorsed by American Association of Suicidality?
a)
Anger with rage, revengeful
b)
Extreme cautiousness
66.
Schizophrenia is highest amongst offspring of two parents with a ____% chance of the offspring having Schizophrenia.
a)
27.4
b)
26.9
c)
30.1
d)
27.3
67.
Which of the below movements is NOT a characterization of REM?
a)
Muscle Atonia and Great EEG Activitaton
b)
Rapid eye movements
c)
Muscle Twitching
d)
Stable Breathing
68.
Which stage of sleep has the slowest EEG waves and is the deepest stage of sleep? Also, this stage of sleep decreases with age. This is why many older people feel their sleep is lighter than when they were children.
a)
NREM Stage 4
b)
NREM Stage 3
69.
What does symptom presentation focus on?
a)
Affective, cognitive and physical
b)
Behavior, mental, and body anatomy 
70.
What does the Vanderbilt Assessment screen for?
a)
Autism
b)
ADHD
c)
Bipolar
71.
Where is the Ventrolateral preoptic nucleus (VLPN) located and what does it inhibit?
a)
Located in hypothalamus; inhibits brainstem arousal nuclei
b)
Located in hypothalamus; inhibits hormones
72.
A therapeutic relationship is _______?
a)
disease-centered
b)
person-centered
73.
How many items does the World Health Organization ______ Assessment Schedule have? What does this scale assess for?
a)
35; mood
b)
35; disability
c)
36; mood
d)
36; disability
74.
Which of the below is NOT a mental status exam component?
a)
Appearance and Behavior
b)
Thought process and content
c)
Speech and cognitive explanation
d)
Insight
75.
What stage does sleep begin with?
a)
REM
b)
Non-REM
76.
What does Level 1 Cross-Cutting Symptom Measure assess? And how many questions does it have?
a)
drug abuse level; 25 questions
b)
drug abuse level; 23 questions
c)
 mental health domains across Psychiatric diagnoses; 25 questions
d)
 mental health domains across Psychiatric diagnoses; 23 questions
77.
What does a mental health provider look for about information of the history of presenting problems?
a)
Duration
b)
What's going on in their life
c)
Duration AND What's going on in their life
78.
Which of the below is NOT a sign of Depression according to the Depression Mnemonic?
a)
Sleep disorder either increased or decreased 
b)
Interest deficit (anhedonia); change in sexual interest or desire
c)
Energy and Concentration increase
d)
Guilt (worthlessness, Hopelessness or regret)
79.
Which of the below is NOT a sign of Depression according to the Depression Mnemonic?
a)
Appetite increased or decreased; weight changes 
b)
Increased interest in being with others
c)
Psychomotor retardation or agitation 
d)
Suicidality
80.
On the Hamilton Depression Rating Scale, what is the score range for SEVERE DEPRESSION?
a)
19-22
b)
23+
c)
14-18
81.
On the Hamilton Depression Rating Scale, what is the score range for VERY SEVERE DEPRESSION?
a)
25+
b)
23+