Nursing MCQ Flashcards
7 cards from real Psychiatric-Mental Health Nurse Practitioner Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nursing MCQ flashcards as text
A patient taking phenelzine (an MAOI) asks which food they must strictly avoid. What is the correct response?
Answer: Aged cheeses
Aged cheeses contain high levels of tyramine, which can trigger a hypertensive crisis when combined with MAOIs.
A patient with borderline personality disorder (BPD) displays a pattern of idealizing and then abruptly devaluing their treatment providers. This defense mechanism is called:
Answer: Splitting
Splitting is the hallmark defense mechanism of BPD, where individuals perceive people as all good or all bad without integration.
Which instrument is the gold standard for measuring the severity of alcohol withdrawal?
Answer: Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)
The CIWA-Ar is the validated tool for assessing and guiding pharmacological management of alcohol withdrawal severity.
A PMHNP is assessing a patient for tardive dyskinesia. Which area of the body is most commonly affected first?
Answer: Orofacial region
Tardive dyskinesia characteristically begins with repetitive, involuntary movements of the lips, tongue, and jaw (orofacial region).
A patient with anorexia nervosa is medically stable and has been restricting intake. What is the most serious refeeding risk the PMHNP must monitor for?
Answer: Refeeding syndrome with hypophosphatemia
Refeeding syndrome causes a dangerous drop in serum phosphate as insulin shifts phosphate intracellularly, risking cardiac arrhythmias and respiratory failure.
Which second-generation antipsychotic carries the highest risk for metabolic syndrome, including significant weight gain and dyslipidemia?
Answer: Clozapine
Clozapine and olanzapine carry the highest risk of metabolic side effects among second-generation antipsychotics.
A nurse is applying motivational interviewing (MI) techniques. Which response best exemplifies a reflective listening statement?
Answer: 'It sounds like you feel torn between wanting to change and enjoying alcohol.'
Reflective listening in MI involves mirroring the patient's expressed ambivalence without judging or directing, which builds rapport and fosters change talk.