College Admission - PMHNP–High Pass-Rate Exam Review

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College Admission PMHNP Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Advanced Practice Skills	24%	- Psychotherapy Modalities 1. Cognitive Behavioral Therapy 2. Supportive Therapy - Psychopharmacology 1. Drug Interactions and Side Effects 2. Medication Management - Assessment and Diagnosis 1. Psychiatric Interviews 2. Mental Status Examination
Topic 2: Professional Role and Policy	14%	- Ethical and Legal Standards 1. Professional Accountability 2. Confidentiality and Consent - Healthcare Policy 1. Healthcare Regulations 2. Advocacy and Leadership - Collaboration and Consultation 1. Interdisciplinary Practice 2. Care Coordination
Topic 3: Diagnosis and Treatment	43%	- Special Populations 1. Older Adults 2. Children and Adolescents - Treatment Planning 1. Individualized Care Plans 2. Crisis Intervention - Clinical Management 1. Chronic Mental Illness Management 2. Acute Psychiatric Conditions
Topic 4: Scientific Foundation	19%	- Research and Evidence-Based Practice 1. Clinical Guidelines 2. Research Interpretation - Neuroscience and Neurobiology 1. Neurotransmitters and Brain Function 2. Neurodevelopmental Concepts - Psychopathology 1. Differential Diagnosis 2. Psychiatric Disorders Across Lifespan

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1296-Q1301):

NEW QUESTION # 1296
Which of the following best represents how many nurse practitioners work today in the United States?

A. Over 45,000
B. Over 79,000
C. Over 100,000
D. Over 205,000

Answer: D

Explanation:
In 1965, Dr. Loretta Ford (a public health nurse) and Dr. Henry Silver (a pediatrician) established the first nurse practitioner program at the University of Colorado. This program educated pediatric nurse practitioners with a focus on disease prevention and health promotion. Over the next decade, nurse practitioner schools proliferated across the country. Today, there are over 205,000 nurse practitioners.

NEW QUESTION # 1297
You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment, stating, "My son's teacher is concerned because he is not able to finish his in-class schoolwork. I just don't know what to do." You suspect the client may have attention deficit hyperactivity disorder (ADHD), but you need more information. Per the mother, the patient often fidgets in his seat, gets distracted easily, is extremely disorganized, and has a difficult time remembering to turn in his classwork.
Which of the following symptoms is most indicative of hyperactivity?

A. Fidgets in his seat
B. Is extremely disorganized
C. Has a difficult time remembering to turn in his class work
D. Gets distracted easily

Answer: A

Explanation:
Hyperactive and impulsive traits of ADHD are as follows:
* Fidgets
* Leaves seat
* Runs or climbs
* Is unable to engage in quiet activities
* Is always on the go
* Talks excessively
* Blurts out information
* Has a difficult time waiting their turn
* Interrupts others
Inattentive traits of ADHD include all of the following:
* Fails to give attention to details
* Has difficulty sustaining attention
* Does not listen when spoken to
* Does not follow through on instructions
* Is disorganized
* Avoids or dislikes tasks that require sustained mental effort
* Loses things
* Is distracted
* Is forgetful

NEW QUESTION # 1298
Older adults often present with confusion and restlessness when they are experiencing insomni a. Which of the following underlying psychiatric disorders is least likely to be a contributing factor to insomnia in addition to advanced age?

A. Mood disorders
B. ADHD
C. Anxiety disorders
D. Borderline personality disorder

Answer: D

Explanation:
Mood disorders, anxiety disorders, and ADHD can all contribute to worsening sleep and insomnia in advanced-age clients.

NEW QUESTION # 1299
Which of the following statements regarding Medicaid reimbursement for nurse practitioner (NP) services is accurate?

A. Individual state Medicaid reimbursement rates for NP services have been found to have no bearing on the presence or absence of NPs employed in primary care services
B. When compared with individual state Medicaid rates for NP services, the requirement of a collaborative practice agreement has a greater effect on whether NPs participate in primary care services
C. Physician practices are equally likely to employ NPs regardless of the individual state's Medicaid reimbursement rate for NP services
D. The presence of NPs in a healthcare practice increases the likelihood that the practice accepts Medicaid, increasing community access to health care

Answer: D

Explanation:
Nurse practitioners are reimbursed by Medicare and Medicaid in every state for providing the same services as physicians. In nearly every state, nurse practitioners are reimbursed at a rate of 85% of the allowable physician rate. However, in states that have high Medicaid reimbursement rates for NP services, there is greater participation of NPs in the provision of primary care services and hence an improvement in community access to healthcare.
In addition, in practices where NPs are employed, there is a greater likelihood that the practice would accept patients with Medicaid, again improving community access to quality healthcare. Physician practices are less likely to employ NPs in states where Medicaid reimbursement for NP services is low, limiting or restricting community access to health care.

NEW QUESTION # 1300
Which term best describes the use of aggregate variance data to change a system of healthcare practice?

A. Information technology
B. Outcomes management
C. Informatics
D. Database management system

Answer: B

Explanation:
Outcomes management is the use of aggregate variance data to change a system of healthcare practice. Variance is any event that alters patient progress toward expected outcomes. Sources of variance include practitioner behavior (competency), the severity of illness, and practice patterns that either expedite care or inhibit the delivery of care.

NEW QUESTION # 1301
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