Psychiatric-Mental Health Nurse Practitioner Exam Nursing MCQ 3

Question 1

A patient taking phenelzine (an MAOI) asks which food they must strictly avoid. What is the correct response?

Accepted Answer

Aged cheeses

Answer

Aged cheeses contain high levels of tyramine, which can trigger a hypertensive crisis when combined with MAOIs.

Question 2

A patient with borderline personality disorder (BPD) displays a pattern of idealizing and then abruptly devaluing their treatment providers. This defense mechanism is called:

Accepted Answer

Splitting

Answer

Splitting is the hallmark defense mechanism of BPD, where individuals perceive people as all good or all bad without integration.

Question 3

Which instrument is the gold standard for measuring the severity of alcohol withdrawal?

Accepted Answer

Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)

Answer

The CIWA-Ar is the validated tool for assessing and guiding pharmacological management of alcohol withdrawal severity.

Question 4

A PMHNP is assessing a patient for tardive dyskinesia. Which area of the body is most commonly affected first?

Accepted Answer

Orofacial region

Answer

Tardive dyskinesia characteristically begins with repetitive, involuntary movements of the lips, tongue, and jaw (orofacial region).

Question 5

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?

Accepted Answer

Refeeding syndrome with hypophosphatemia

Answer

Refeeding syndrome causes a dangerous drop in serum phosphate as insulin shifts phosphate intracellularly, risking cardiac arrhythmias and respiratory failure.

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

Psychiatric-Mental Health Nurse Practitioner Exam Practice Test

Psychiatric-Mental Health Nurse Practitioner Exam Nursing MCQ 3