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College Admission PMHNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Ethics, Legal, and Professional Practice- Scope of Practice and Regulations
- Ethical Decision-Making
- Patient Safety and Quality Improvement
Topic 2: Diagnosis and Management of Psychiatric Disorders- Anxiety and Trauma-Related Disorders
- Substance Use Disorders
- Personality Disorders
- Psychotic Disorders
- Mood Disorders
Topic 3: Scientific Foundations- Research and Evidence-Based Practice
- Psychopharmacology
- Pathophysiology and Psychopathology
Topic 4: Advanced Practice Skills- Diagnosis and Differential Diagnosis
- Advanced Psychiatric Assessment
- Treatment Planning
Topic 5: Psychotherapeutic Modalities- Individual Psychotherapy
- Crisis Intervention
- Group and Family Therapy

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1269-Q1274):

NEW QUESTION # 1269
Genes can account for differences in how individuals metabolize drugs. Genetic testing helps identify the presence of gene variants that may help determine the dosing of certain medications. Which of the following is an example of a gene test used in pharmacogenomics?

Answer: C

Explanation:
The FDA requires testing for the HLA-B 1502 allele in people of Asian descent prior to prescribing carbamazepine due to the risk of Stevens-Johnson syndrome.
DNA and mRNA contain and express genes but are not considered genes themselves. Phenotype is the physical expression of genetic information.


NEW QUESTION # 1270
In medical malpractice cases, the plaintiff must establish what?

Answer: A

Explanation:
To establish a medical malpractice suit, the plaintiff must establish that a dereliction of duty directly caused damage (also known as the four Ds of medical malpractice). The plaintiff must establish that:
* The nurse practitioner owed the plaintiff a duty
* The nurse practitioner's conduct fell below the standard of care
* The nurse practitioner's conduct caused the plaintiff injury
The burden of proof in medical malpractice suits is by a preponderance of evidence (greater than 50%). Medical malpractice suits are civil cases. Proof beyond reasonable doubt applies to criminal cases.


NEW QUESTION # 1271
Substance use screening tool interpretation is an important part of advanced assessment and pertinent to the role of the psychiatric-mental health nurse practitioner. What is the most common tool used to assess for opiate withdrawal?

Answer: C

Explanation:
The COWS (Clinical Opiate Withdrawal Scale) assessment is used to assess the withdrawal severity of opiates.
The CIWA assessment is used to assess the withdrawal severity of alcohol and/or benzodiazepines. The AUDIT assessment is also an alcohol use assessment tool, less commonly used than CIWA. The S-MAST is a tool used to assess and screen for alcoholism in the geriatric population.


NEW QUESTION # 1272
Which of the following would be an unexpected outcome of using massage therapy for anxiety and tension?

Answer: B

Explanation:
Massage therapy may affect anxiety and tension by increasing lymph flow through the reduction of blood pressure and increased blood flow, thus improving muscle tone and mental relaxation.


NEW QUESTION # 1273
Activities or systems designed to recognize and intervene to reduce the risk of injury to clients are best described as which of the following?

Answer: A

Explanation:
Risk management interventions are implemented to reduce unhealthy behaviors in clients and high-risk situations. Risk management is also the process of recognizing and intervening in order to reduce subsequent claims against healthcare providers.
Risk assessment is continuous monitoring for high-risk situations and assessing persons for non-healthy behaviors.
Risk mitigation is the act of process change in order to mitigate the risk finding.
Risk intervention is a task performed in real-time in order to prevent an immediate risk.


NEW QUESTION # 1274
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