PMHNP exam study guide

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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q498-Q503):

NEW QUESTION # 498
Which of the following characterizes the link between life events and stressors for patients who suffer from generalized anxiety disorder (GAD)?

Answer: C

Explanation:
Studies have failed to show that life events and stressors are present simultaneously in patients with GAD.


NEW QUESTION # 499
Which statement accurately describes "with mixed features," a specifier used in the diagnosis of mood disorders?

Answer: D

Explanation:
Specifiers are special descriptions added to a patient's diagnosis to provide more information. Specifiers help characterize the condition and describe its overall course. Specifiers used to describe mood disorders include the following:
* With atypical features: These patients eat a lot, gain weight, sleep excessively, and have a feeling of being sluggish or paralyzed. They are also sensitive to rejection.
* With melancholic features: These patients feel worse in the morning than in the afternoon, and they experience decreased appetite, weight loss, and agitation. They also tend to feel excessively guilty and have trouble making decisions.
* With anxious distress: These patients have high levels of tension, restlessness, worry, and fear.
* With catatonic features: These patients exhibit either motor hyperactivity or inactivity.
* With mixed features: These patients experience a mixture of both manic and depressive symptoms.
* With peripartum onset: These patients develop a mood episode during pregnancy or within a month of having their baby.
* With psychotic features: These patients develop delusions or hallucinations along with their mood symptoms.
* With rapid cycling: These patients have experienced at least four mood episodes in the past year.
* With a seasonal pattern: These patients regularly become ill at a certain time of the year.


NEW QUESTION # 500
A PMHNP is working with a patient who is experiencing a sense of hopelessness and lack of motivation. According to Jean Watson's Caring Theory, which nursing actions are most likely to be effective in promoting the patient's recovery?

Answer: C

Explanation:
Jean Watson's Caring Theory emphasizes the importance of caring relationships in promoting healing and wellness. According to this theory, caring involves the nurse's ability to understand and respond to the patient's needs, which can lead to an increased sense of trust and security. When patients feel cared for, they are more likely to engage in behaviors that promote health and recovery.


NEW QUESTION # 501
From a systems perspective, the goal is to optimize rather than maximize what?

Answer: A

Explanation:
From a systems perspective, the goal is to optimize rather than maximize the performance of each of its components to bolster the system's overall production. Specifically, the goal is to optimize the quality recommendations from the Institute of Medicine (safe, effective, patient-centered, timely, efficient, and equitable) rather than maximize them.


NEW QUESTION # 502
What disorder is characterized by a persistent regurgitation and chewing of food already eaten?

Answer: B

Explanation:
Rumination disorder is characterized by a persistent regurgitation and chewing of food already eaten.
Pica is a psychiatric condition occurring when a patient eats material that is not food, such as soap, chalk, plaster, or paper. Enuresis refers to the repeated voiding of urine (either voluntarily or involuntarily) into bedding or clothing when five years old or older. Selective mutism is characterized by a child who chooses not to talk except when alone or with select friends or family.


NEW QUESTION # 503
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