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College Admission PMHNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Psychotherapeutic Modalities- Crisis Intervention
- Individual Psychotherapy
- Group and Family Therapy
Topic 2: Ethics, Legal, and Professional Practice- Scope of Practice and Regulations
- Ethical Decision-Making
- Patient Safety and Quality Improvement
Topic 3: Diagnosis and Management of Psychiatric Disorders- Personality Disorders
- Mood Disorders
- Anxiety and Trauma-Related Disorders
- Psychotic Disorders
- Substance Use Disorders
Topic 4: Advanced Practice Skills- Advanced Psychiatric Assessment
- Diagnosis and Differential Diagnosis
- Treatment Planning
Topic 5: Scientific Foundations- Pathophysiology and Psychopathology
- Research and Evidence-Based Practice
- Psychopharmacology

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q130-Q135):

NEW QUESTION # 130
Which personality disorder is best treated by combining individual and group psychotherapy due to the intense transferences and countertransferences that are likely to develop?

Answer: B

Explanation:
Patients diagnosed with borderline personality disorder often develop transferences themselves and elicit countertransferences from others. This can greatly impede psychotherapeutic treatment. Group therapy combined with individual therapy benefits these patients by diluting the effects of both transference and countertransference.


NEW QUESTION # 131
Which type of group therapy allows members to search for meaning and to find understanding and resolution of past conflicts?

Answer: D

Explanation:
Often used with older adults, reminiscence therapy focuses on a progressive return of memories of past experiences.
Instillation of hope, interpersonal learning, and corrective refocusing are therapeutic factors in group therapy but are not a form of group therapy.


NEW QUESTION # 132
Delirium and dementia are often confused and misdiagnosed. Which of the following is most associated with dementia?

Answer: D

Explanation:
Patients with delirium can return to baseline with appropriate diagnosis and treatment of the delirium.Other findings of delirium are as follows:
* Acute onset of confusion
* Picking and random actions that are purposeless
* Acute reversal of sleep-wake cycle
* Disturbance that fluctuates, usually during the day
* Impaired recent and intermediate memory
* Psychomotor agitation
* Course of illness that may resolve within hours to days
Dementia is a group of disorders characterized by the gradual development of multiple cognitive deficits. Patients with dementia present with the following findings:
* Impaired executive functioning
* Impaired global intellect with preservation of level of consciousness
* Impaired problem-solving
* Impaired organizational skills
* Altered memory


NEW QUESTION # 133
A patient diagnosed with intellectual disability (ID) is evaluated for comorbid psychiatric disorders. Which of the following psychiatric disorders is most commonly comorbid with ID?

Answer: A

Explanation:
ADHD is the most common psychiatric disorder comorbid with intellectual disability. ADHD and intellectual disability share several symptoms, such as inattention, impulsivity, and hyperactivity, making it difficult to distinguish between the two disorders. Research has shown that some of the same brain regions and neurotransmitter systems are involved in developing ADHD and intellectual disability, which could increase the likelihood of comorbidity. Additionally, the assessments used to diagnose both disorders can overlap, making it difficult to identify each condition accurately and resulting in a high rate of comorbidity.


NEW QUESTION # 134
The principles of public health are comprised of primary, secondary, and tertiary prevention strategies. A nurse practitioner who volunteers in a disaster response effort to decrease the number of existing mental health cases resulting from trauma is participating in which public health prevention strategy?

Answer: D

Explanation:
Secondary prevention is aimed at decreasing the number of existing mental health cases and one way to do that is to provide prompt and effective treatment. By actively participating in disaster response, the PMH-BC is actively participating in decreasing the impact of the disaster on individual and group mental health by providing services in real-time during the crisis.
Primary prevention is geared toward decreasing the number of new mental health cases through preparation, education, and preventative measures such as stress management classes. Tertiary prevention is geared toward decreasing the severity and associated disability by providing rehabilitation or care management of vocational or skills training.


NEW QUESTION # 135
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