Psychiatric-Mental Health Nurse Practitioner Exam Crisis Intervention and Emergency Psychiatry 3

Question 1

Which symptom cluster in a trauma patient indicates acute stress disorder (ASD) rather than acute PTSD?

Accepted Answer

Symptoms occurring within one month of the traumatic event

Answer

Symptoms lasting more than one month

Answer

Presence of psychosis

Answer

Absence of avoidance symptoms

Question 2

A patient presents to the ED after a suicide attempt by overdose. After medical stabilization, the PMHNP's priority assessment is:

Accepted Answer

Level of suicidal intent before, during, and after the attempt

Answer

Cognitive functioning

Answer

Marital status and living situation only

Answer

Insurance coverage for inpatient care

Question 3

Neuroleptic malignant syndrome (NMS) is a psychiatric emergency characterized by which four findings?

Accepted Answer

Hyperthermia, muscle rigidity, autonomic instability, altered consciousness

Answer

Bradycardia, hypotension, tremor, sedation

Answer

Seizures, rash, hepatotoxicity, myoclonus

Answer

Akathisia, tardive dyskinesia, galactorrhea, QTc prolongation

Question 4

A PMHNP is conducting a safety planning intervention. Which element should be placed FIRST on the safety plan?

Accepted Answer

Warning signs that a crisis may be developing

Answer

Emergency contact numbers

Answer

Reasons for living

Answer

Names of mental health professionals to contact

Question 5

Which antidote is given for benzodiazepine overdose in a psychiatric emergency?

Accepted Answer

Flumazenil

Answer

Naloxone

Answer

N-acetylcysteine

Answer

Physostigmine

Question 6

A psychiatric patient in crisis states, 'I have a plan and I have the means.' According to risk stratification, this patient is best classified as:

Accepted Answer

High risk

Answer

Low risk

Answer

Moderate risk

Answer

Indeterminate risk