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The PMHNP PDF is the collection of real, valid, and updated American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified (PMHNP) practice questions. The College Admission PMHNP PDF dumps file works with all smart devices. You can use the PMHNP PDF questions on your tablet, smartphone, or laptop and start PMHNP Exam Preparation anytime and anywhere. The PMHNP dumps PDF provides you with everything that you must need in PMHNP exam preparation and enable you to crack the final PMHNP exam quickly.
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Topic 2: Scientific Foundation | 19% | - Psychopathology
|
| Topic 3: Diagnosis and Treatment | 43% | - Clinical Management
|
| Topic 4: Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
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NEW QUESTION # 1211
Which initiative developed a 10-year plan for nursing's path toward computer and information literacy?
Answer: B
Explanation:
The Technology Informatics Guiding Education Reform (TIGER) initiative developed a 10-year plan for nursing's path toward computer and information literacy. It involved more than 1,100 nursing content experts, and it took three years to complete. This initiative successfully defined the basic technology competencies and required curriculum for nurse practitioner education.
The TIGER initiative declared that it is a nurse practitioner's responsibility to understand and shape the landscape of healthcare technology to improve access, quality, and patient experience. HITECH addressed the implementation and adoption of EHRs more than it did computer and information literacy.
NEW QUESTION # 1212
Which of the following laboratory tests are typically done prior to the starting of Valproate (Depakote) and at routine intervals while the patient is on this medication?
Answer: A
Explanation:
Valproate, commonly known by its brand name Depakote, is a medication primarily used to treat epilepsy, bipolar disorder, and to prevent migraine headaches. Due to its potential side effects, particularly on the liver and blood cells, it is essential to conduct specific laboratory tests before starting the medication and periodically during treatment.
The two key tests required are the Complete Blood Count (CBC) and Liver Function Tests (LFTs). The CBC is crucial because Valproate can cause changes in blood cell counts, including a decrease in platelet count (thrombocytopenia), which can lead to bleeding complications. Regular monitoring helps in early detection and management of such side effects.
Liver Function Tests are equally important since Valproate can lead to liver damage, sometimes severe. These tests assess the health of the liver by measuring levels of liver enzymes, which increase in the blood in response to liver injury. Monitoring these enzymes helps in detecting liver damage early and adjusting the medication dosage or discontinuing it as necessary to prevent further harm.
Cardiac enzymes, on the other hand, are not routinely tested before starting Valproate as this medication does not commonly impact heart muscle enzymes. Therefore, tests for cardiac enzymes are not relevant for patients beginning or continuing treatment with Valproate unless there is a specific clinical indication unrelated to the use of this medication.
In conclusion, the correct answer to the question regarding necessary laboratory tests for patients starting on Valproate would be "Both A and B," meaning both CBC and Liver Function Tests. These tests are critical for safely managing the treatment with Valproate, ensuring that it remains an effective option without causing undue harm to the patient. Regular monitoring is essential to adjust the treatment according to the individual's response and tolerance to the medication.
NEW QUESTION # 1213
As a nurse practitioner, you are responsible for assessing cranial nerves as a part of the neurological exam. What cranial nerve assessment best tests for tactile perception of the facial skin?
Answer: C
Explanation:
Olfactory nerve (CN I)
The olfactory nerve transmits information to the brain regarding a person's sense of smell. This cranial nerve assessment is performed by having the client close their eyes to identify familiar odors.
Optic nerve (CN II)
The optic nerve transmits information to the brain regarding a person's vision.
Oculomotor nerve (CN III)
The oculomotor nerve helps control muscle movements of the eyes. The oculomotor nerve provides movement to most of the muscles that move the eyeball and upper eyelid, known as extraocular muscles. The oculomotor nerve also helps with involuntary functions of the eye.
Trochlear nerve (CN IV)
The trochlear nerve is also involved in eye movement. The trochlear nerve, like the oculomotor nerve, originates in the midbrain. It powers the contralateral superior oblique muscle, which allows the eye to point downward and inward.
Trigeminal nerve (CN V)
The trigeminal nerve is the largest cranial nerve and has both motor and sensory functions. Its motor functions help a person to chew and clench the teeth and give sensation to muscles in the tympanic membrane of the ear. This test is performed by touching the face and corneal reflex of the eye with a wisp of cotton and pin-pricking the skin and mucosa to test touch.
Abducens nerve (CN VI)
The abducens nerve also helps control eye movements. It helps the lateral rectus muscle, which is one of the extraocular muscles, to turn the gaze outward.
Facial nerve (CN VII)
The facial nerve functions to produce facial expressions and has both motor and sensory functions. The trigeminal nerve plays a greater role in tactile perception of the facial skin than the facial nerve.
Vestibulocochlear nerve (CN VIII)
The vestibulocochlear nerve is involved with a person's hearing and balance. It is assessed by checking the client's hearing using an audiometer or by simply whispering in the client's ear. Hearing loss is tested with the Weber and Rinne tests.
Glossopharyngeal nerve (CN IX)
The glossopharyngeal nerve possesses both motor and sensory functions. It is involved with the sensation of taste on the back of the tongue.
Vagus nerve (CN X)
The vagus nerve has a range of functions, providing motor, sensory, and parasympathetic functions. It plays a role in taste sensation, provides movement to the throat and soft palate, and regulates heart rhythm.
Accessory nerve (CN XI)
The accessory nerve provides motor function to the neck. It controls muscles that allow a person to rotate, extend, and flex the neck and shoulders. The cranial part of the accessory nerve combines with the vagus nerve.
Hypoglossal nerve (CN XII)
The hypoglossal nerve is a motor nerve that supplies the tongue muscles.
NEW QUESTION # 1214
Complementary and alternative therapies (CATs) are becoming more widely embraced in the United States. Which of the following is an example of a mind-body CATs intervention?
Answer: C
Explanation:
Mind-body interventions under the umbrella of CATs include the following:
* Guided imagery
* Meditation
* Yoga
* Biofeedback
Massage therapy and acupressure are manipulative body-based therapies. Vitamins and supplements are a biological-based therapy.
NEW QUESTION # 1215
Which of the following examples least illustrates countertransference in a nurse practitioner?
Answer: B
Explanation:
Countertransference represents a nurse practitioner's emotional reaction to a patient based on past experiences. Signs that indicate the presence of countertransference include
* Intense emotional reactions during the first encounter with a patient
* Recurrent anxiety or uneasiness while dealing with a patient
* Uncharacteristic carelessness when following up with a patient
* Difficulty empathizing
* Resistance to others treating the patient
* Preoccupation with or dreaming about the patient
* Frequently running overtime or cutting time short with a patient
* Depression during or after an interaction with a patient
Following up with the patient via phone to reinforce the importance of medication adherence is not an example of countertransference.
NEW QUESTION # 1216
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