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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q770-Q775):

NEW QUESTION # 770
A 17-year-old male patient with autism and bipolar disorder has been prescribed Depakote for the management of severe aggression toward himself and others. Since he started Depakote, these behaviors have decreased, but the patient now presents with daytime fatigue and lethargy. Blood work reveals therapeutic Depakote levels but high ammoni a. Adding the Depakote resulted in a significant decrease in aggression and was thought to be overall helpful.
What action could be taken to mitigate the elevated ammonia and retain the benefits of the Depakote?

A. Prescribe a vegetarian diet to reduce dietary sources of ammonia
B. Monitor ammonia and liver enzymes, as ammonia levels rise with initial dosing and stabilize as the body acclimates
C. Reduce the Depakote dose and monitor
D. Add the amino acid L-carnitine to reduce ammonia levels

Answer: D

Explanation:
Valproic acid can create elevated ammonia levels, which can provoke symptoms ranging from fatigue to coma. When valproic acid levels are therapeutic and thought to be helpful for prescribed symptoms, the addition of l-carnitine can help lower ammonia levels. If this intervention is not effective, the dose may need to be reduced, or the medication may need to be stopped.

NEW QUESTION # 771
What standardized rating scale is typically used to assess for schizophrenia?

A. Scale for assessment of negative symptoms
B. Zung self-report inventory
C. Global deterioration scale
D. Saint Louis University mental status examination

Answer: A

Explanation:
Standardized rating scales are used as a guide when planning care and treatment. The scale for assessment of negative symptoms is an assessment tool for patients with schizophrenia.
The Zung self-report inventory is used to measure depression.
The global deterioration scale is used to measure cognitive function.
The Saint Louis University mental status examination is a tool to assess for mild cognitive impairment and dementia.

NEW QUESTION # 772
What process occurs when a neutral third party facilitates a win-win situation to resolve a conflict?

A. Litigation
B. Negotiation
C. Conflict resolution
D. Arbitration

Answer: C

Explanation:
Conflict resolution is directed by a neutral third party to facilitate a win-win situation.
Negotiation is the act of discussion among two or more people to reach an agreement. Arbitration is a process in which a third party reviews evidence from both parties and makes a decision to settle the case. Litigation involves two parties settling a dispute through the court system.

NEW QUESTION # 773
Which of the following medications for the treatment of a patient with major depressive disorder is a PMHNP allowed to prescribe?

A. Antihypertensives
B. Antidepressants
C. Insulin
D. Narcotics

Answer: B

Explanation:
According to the American Nurses Association (ANA), psychiatric nurse practitioners are licensed and certified to diagnose and treat mental health conditions, including prescribing medication. PMHNPs can prescribe a wide range of psychopharmacological agents, including antidepressants, mood stabilizers, and antipsychotics.

NEW QUESTION # 774
Which of the following actions takes place during the termination phase of a therapeutic nurse/patient relationship?

A. Reviewing the patient's progress toward objectives
B. Implementing the treatment plan
C. Undertaking preventative health care
D. Providing a diagnostic evaluation

Answer: A

Explanation:
There are three phases of a therapeutic relationship between a nurse practitioner and their patient:
1. Introduction
2. Working
3. Termination
During the termination phase, the following actions usually take place:
* Reviewing the patient's progress toward objectives
* Establishing a long-term plan of care
* Focusing on self-management strategies
* Disengaging from the patient relationship
* Referring the patient to other services as needed

NEW QUESTION # 775
......

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