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| Section | Weight | Objectives |
|---|
| Professional Role and Policy | 14% | - Collaboration and Consultation
- 1. Interdisciplinary Practice
- 2. Care Coordination
- Healthcare Policy
- 1. Advocacy and Leadership
- 2. Healthcare Regulations
- Ethical and Legal Standards
- 1. Professional Accountability
- 2. Confidentiality and Consent
|
| Diagnosis and Treatment | 43% | - Special Populations
- 1. Children and Adolescents
- 2. Older Adults
- Clinical Management
- 1. Acute Psychiatric Conditions
- 2. Chronic Mental Illness Management
- Treatment Planning
- 1. Crisis Intervention
- 2. Individualized Care Plans
|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
- 1. Neurodevelopmental Concepts
- 2. Neurotransmitters and Brain Function
- Psychopathology
- 1. Psychiatric Disorders Across Lifespan
- 2. Differential Diagnosis
- Research and Evidence-Based Practice
- 1. Research Interpretation
- 2. Clinical Guidelines
|
| Advanced Practice Skills | 24% | - Assessment and Diagnosis
- 1. Mental Status Examination
- 2. Psychiatric Interviews
- Psychopharmacology
- 1. Medication Management
- 2. Drug Interactions and Side Effects
- Psychotherapy Modalities
- 1. Supportive Therapy
- 2. Cognitive Behavioral Therapy
|
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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1057-Q1062):
NEW QUESTION # 1057
You are treating a 45-year-old patient who has been diagnosed with schizophrenia and treated with thioridazine (Mellaril) for the past 15 years. You decide to switch the patient to a different antipsychotic due to what serious long-term consequence that is specific to high-dose thioridazine?
- A. Priapism
- B. Tardive dyskinesia
- C. Retinal pigmentation
- D. Hyperprolactinemia
Answer: C
Explanation:
Retinal pigmentation can occur in patients prescribed >1,000 mg of thioridazine. Even when thioridazine is stopped, this side effect may persist and lead to blindness.
Hyperprolactinemia, priapism, and tardive dyskinesia can occur as side effects of any antipsychotic medication.
NEW QUESTION # 1058
The neuron is comprised of three parts: cell body, axon, and dendrite. What is the role of the axon?
- A. Conveys information from the central nervous system to skeletal muscles
- B. Collects incoming signals from other neurons and sends the signals toward the neuron's cell body
- C. Transmits signals away from the neuron's cell body to connect with other neurons and cells
- D. Maintains and restores energy by inhibiting the activity of organs
Answer: C
Explanation:
The neuron is comprised of three parts: cell body, axon, and dendrite. The axon transmits signals away from the neuron's cell body to connect with other neurons and cells. The dendrite collects incoming signals from other neurons and sends the signals toward the neuron's cell body.
NEW QUESTION # 1059
A patient presents with difficulty with communication, difficulty with independent living skills, and an IQ score below 70. What is the most likely diagnosis for this patient?
- A. Pervasive Developmental Disorder
- B. Schizophrenia
- C. Intellectual Disability
- D. Autism Spectrum Disorder
Answer: C
Explanation:
Intellectual disability (ID) is a disorder characterized by significant limitations in cognitive functioning and adaptive behaviors, including communication and independent living skills. The criteria for ID include an IQ score below 70, which is present in this patient's case. Autism spectrum disorder and schizophrenia do not necessarily affect IQ. Pervasive developmental disorder is a subtype of autism spectrum disorder.
NEW QUESTION # 1060
Which of the following strategies for reducing homelessness would be least likely to have a lasting effect on the long-term goal of reducing homelessness?
- A. Outreach
- B. Prevention
- C. Integrated care
- D. Urgent and acute treatment of mentally ill homeless individuals
Answer: D
Explanation:
Although urgent and acute treatment of symptoms of homeless individuals is a part of treatment, it has little to no lasting effect when this is the only treatment provided, as it is not sustainable and not supportive of the long-term goal of reducing homelessness.
Strategies for reducing homelessness include the following:
* Outreach: Introducing services to homeless persons with serious mental illness in various settings; building an empathetic, consistent, and caring relationship to provide treatment
* Integrated care: Treatment combining mental health and medical care to improve overall functioning in the community; providing colocation of mental health and primary care at a single site
* Supportive services in housing: Moving homeless persons with serious mental illness directly to independent housing with support and intensive attention
* Prevention: Beginning with discharge planning in inpatient settings, provide resources for mental health care, housing, transitioning service, and follow-up
NEW QUESTION # 1061
You are a new nurse practitioner opening a clinic specifically to treat children and adolescents. You have an initial evaluation appointment today with the mother of an eight-year-old female who is concerned about her daughter's odd movements. When you further assess and ask questions about the onset, the mother states that her daughter has been healthy up to this point without any issues at all. She is concerned and asks you what could be causing this.
Which of the following is least important when screening for Rett syndrome?
- A. Labs, especially metabolic panels
- B. Whether the mother gave her daughter Tylenol (acetaminophen) recently
- C. How long the symptoms have been present and if the condition is worsening
- D. Family history of genetic disorders or mutations
Answer: B
Explanation:
Tylenol (acetaminophen) will not cause these symptoms when given to children. Rett syndrome's etiology is unknown. However, it is believed that children suffering from Rett syndrome have
* A known, progressive, and deteriorating course of illness after an initial period without apparent disability
* A potential metabolic disorder
* Genetic mutation(s)
NEW QUESTION # 1062
......
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