Psychiatric-Mental Health Nurse Practitioner Exam Special Populations in Psychiatric Care

Question 1

When prescribing SSRIs for children and adolescents, the FDA black box warning requires informing families about increased risk of:

Accepted Answer

Suicidal ideation and behavior in patients under 25

Answer

Tardive dyskinesia

Answer

Serotonin syndrome in all pediatric patients

Answer

QTc prolongation

Question 2

Which condition is characterized by at least 6 months of inattention and/or hyperactivity-impulsivity before age 12 with impairment in two or more settings?

Accepted Answer

Attention-deficit/hyperactivity disorder (ADHD)

Answer

Bipolar disorder

Answer

Conduct disorder

Answer

Autism spectrum disorder

Question 3

A PMHNP is assessing an elderly patient for depression. Which instrument is specifically validated for detecting depression in older adults?

Accepted Answer

Geriatric Depression Scale (GDS)

Answer

PHQ-9

Answer

Beck Depression Inventory (BDI)

Answer

Hamilton Depression Rating Scale (HAM-D)

Question 4

Which medication for ADHD is a non-stimulant and is preferred when there is comorbid anxiety or substance use disorder?

Accepted Answer

Atomoxetine

Answer

Methylphenidate

Answer

Amphetamine salts

Answer

Lisdexamfetamine

Question 5

A PMHNP caring for a pregnant patient with bipolar disorder should avoid which mood stabilizer in the first trimester due to risk of Ebstein's anomaly?

Accepted Answer

Lithium

Answer

Lamotrigine

Answer

Valproate

Answer

Quetiapine

Question 6

Which psychiatric disorder is most prevalent among incarcerated individuals in the US, highlighting a major gap in mental health care access?

Accepted Answer

Substance use disorder comorbid with serious mental illness

Answer

Autism spectrum disorder

Answer

Specific phobia

Answer

Eating disorders