Valid College Admission PMHNP Test Question, Study PMHNP Reference

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College Admission PMHNP Exam Syllabus Topics:

SectionWeightObjectives
Scientific Foundation19%- Psychopathology
  • 1. Differential Diagnosis
  • 2. Psychiatric Disorders Across Lifespan
- Neuroscience and Neurobiology
  • 1. Neurodevelopmental Concepts
  • 2. Neurotransmitters and Brain Function
- Research and Evidence-Based Practice
  • 1. Clinical Guidelines
  • 2. Research Interpretation
Diagnosis and Treatment43%- Special Populations
  • 1. Children and Adolescents
  • 2. Older Adults
- Treatment Planning
  • 1. Crisis Intervention
  • 2. Individualized Care Plans
- Clinical Management
  • 1. Acute Psychiatric Conditions
  • 2. Chronic Mental Illness Management
Professional Role and Policy14%- Collaboration and Consultation
  • 1. Care Coordination
  • 2. Interdisciplinary Practice
- Ethical and Legal Standards
  • 1. Professional Accountability
  • 2. Confidentiality and Consent
- Healthcare Policy
  • 1. Healthcare Regulations
  • 2. Advocacy and Leadership
Advanced Practice Skills24%- Assessment and Diagnosis
  • 1. Psychiatric Interviews
  • 2. Mental Status Examination
- Psychotherapy Modalities
  • 1. Cognitive Behavioral Therapy
  • 2. Supportive Therapy
- Psychopharmacology
  • 1. Medication Management
  • 2. Drug Interactions and Side Effects

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q99-Q104):

NEW QUESTION # 99
A 22-year-old college student was seen in the emergency room for new-onset visual and auditory hallucinations. He was accompanied by friends who admitted to partying with him over the weekend. One reported, "He just started to get really weird and said that he saw snakes and people who weren't there. He's never been like this before." The patient's worried parents arrive shortly thereafter, frantic for their son. The mother reports that her grandmother also "went crazy" years ago.
What element in the patient's history most indicates the patient's condition may be reversible?

Answer: A

Explanation:
A patient who experiences psychosis related to substance abuse often returns to baseline once the substance is stopped. With the onset of symptoms beginning at the party, there is a reasonable suspicion that substance abuse is the cause of the psychosis.
A first-degree relative with schizophrenia, type 1 diabetes mellitus, or symptoms that started five hours ago are not indicators that the patient's condition may be reversible.


NEW QUESTION # 100
Which statement most accurately defines the purpose of a pharmacy benefit management company?

Answer: C

Explanation:
A pharmacy benefit management company serves as an intermediary to secure favorable prices from drug manufacturers. Usually, an insurance company hires them to negotiate lower prices for medications to be included in the insurance company's formulary.
A pharmacy benefit management company does not exist to make recommendations to Congress regarding pharmaceutical payment reform, encourage subscribers to acquire medical care from a network of providers, or provide patients with health insurance policies that have low out-of-pocket expenses.


NEW QUESTION # 101
A PMH-NP is caring for a 52-year-old man with a 30-year PPD smoking habit and a significant history of alcohol use. He has been employed at a landfill for 25 years. The patient presents with symptoms of depression and irritability. "I think I'm going crazy. I can't see right; my brain's messed up, I can't think. I can't walk right. I can't even talk right. I think I sometimes hear people's voices that aren't even there!" A review of medical symptoms reveals an ataxic gait, dysarthria, and peripheral neuropathy.
Based on the patient's biopsychosocial history, which of the following environmental toxins should be ruled out as a contributing factor first?

Answer: C

Explanation:
Environmental toxins impact physical and mental health. Based on the patient's history of working in a landfill, mercury poisoning should be suspected and ruled out. Mercury poisoning presents with neuropsychiatric symptoms (including psychosis) and medical symptoms (ataxia, peripheral neuropathy, and dysarthria).
Lead poisoning can lead to severe lead encephalopathy with dizziness, ataxia, headaches, and possible delirium but does not have the associated dysarthria or neuropathies the patient is reporting. Manganese can manifest as "manganese madness" with symptoms of excited laughter, nightmares, and emotional lability. Early signs of arsenic poisoning are skin pigmentation and GI disturbances.


NEW QUESTION # 102
A patient with dementia is being started on cholinesterase inhibitors. These drugs work by which of the following?

Answer: A

Explanation:
Cholinesterase inhibitors, such as Donepezil, Rivastigmine, and Galantamine, are commonly used to treat dementia, including Alzheimer's. These drugs work by inhibiting the breakdown of acetylcholine, a neurotransmitter that plays a role in memory and cognitive function. By inhibiting the breakdown of acetylcholine, these drugs increase their availability and improve cognitive function in individuals with dementia.
Cholinesterase inhibitors do not affect the reuptake or release of acetylcholine and do not stimulate dopamine release.


NEW QUESTION # 103
Which of the following, if identified as an atypical antipsychotic medication by a nurse practitioner student, requires correction?

Answer: C

Explanation:
Loxapine is a typical antipsychotic. Other typical antipsychotics include the following:
* Haloperidol
* Thioridazine
* Molindone
* Thiothixene
* Fluphenazine
* Mesoridazine
* Trifluoperazine
* Chlorpromazine
* Perphenazine
Clozapine, ziprasidone, and aripiprazole are atypical antipsychotics. Other atypical antipsychotics include the following:
* Risperidone
* Quetiapine
* Olanzapine
* Paliperidone
* Iloperidone
* Asenapine
* Lurasidone


NEW QUESTION # 104
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