P.S. Fast2test在Google Drive上分享了免費的2026 College Admission PMHNP考試題庫：https://drive.google.com/open?id=1-0pbBKdZI4_dXgCmX4GrAULYkKqgRquo
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| Section | Objectives |
|---|---|
| Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Mood Disorders - Personality Disorders - Anxiety and Trauma-Related Disorders - Psychotic Disorders |
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations |
| Advanced Practice Skills | - Treatment Planning - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis |
| Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
| Psychotherapeutic Modalities | - Group and Family Therapy - Individual Psychotherapy - Crisis Intervention |
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問題 #80
A PMHNP is evaluating a two-year-old pediatric patient for symptoms consistent with childhood-onset schizophreni a. Which of the following would the PMHNP consider when evaluating differential diagnoses?
答案：B
解題說明：
Childhood-onset schizophrenia is rare in children under five years of age, so the PMHNP should consider this. Hallucinations or delusions characterize childhood-onset schizophrenia.
Hyperactivity and imaginary friends can be normal for a child of four years.
Night terrors typically occur in children between the ages of three and eight, with the peak age of onset being around four to six years old. Night terrors, also known as sleep terrors, are a type of parasomnia (a sleep disorder) that involves episodes of fear and panic during sleep; they are not diagnostic criteria for schizophrenia.
問題 #81
A patient diagnosed with anxiety disorder is prescribed brief focal psychotherapy (BFP) by the PMHNP. Which statement accurately describes BFP?
答案：D
解題說明：
BFP is used to address specific symptoms and problems in a short amount of time. It typically lasts for several weeks to several months and is a goal-focused approach to therapy. BFP can be used to treat a variety of mental health conditions, including anxiety disorders, depression, and post-traumatic stress disorder.
Psychodynamic therapy is a long-term approach to therapy that explores the patient's unconscious thoughts and feelings. Medication management may be used in conjunction with psychotherapy but is not a part of BFP. Cognitive-behavioral therapy focuses on identifying and changing negative thinking patterns.
問題 #82
A psychiatric nurse practitioner is providing care to a patient who is experiencing severe anxiety and panic. According to Maslow's Hierarchy of Needs, which of the following should be the priority nursing intervention for this patient?
答案：A
解題說明：
Maslow's Hierarchy of Needs is a theoretical framework used to prioritize interventions based on the individual's basic human needs. The hierarchy is comprised of five levels, with physiological needs at the bottom and self-actualization needs at the top. The five levels, in order from bottom to top, are physiological needs, safety needs, love and belonging needs, esteem needs, and self-actualization needs.
In the case of a patient experiencing severe anxiety and panic, the priority nursing intervention is to ensure the patient is safe from harm to self or others. This corresponds to the safety needs level of Maslow's Hierarchy of Needs. Until the patient's safety is ensured, the PMHNP cannot move on to addressing the patient's other needs.
問題 #83
What is one of the most common reasons that patients seek individual psychotherapy?
答案：A
解題說明：
Because medications alone do not treat a person's environmental or interpersonal stressors and their responses to stressors, an integrated approach is the most beneficial in treating mental illness.
The most common reasons patients seek individual psychotherapy are as follows:
* Loss
* Interpersonal conflict
* Symptomatic presentations such as panic, anxiety, phobias, and negativity
* Unfulfilled expectations and life transitions
* Character issues such as narcissism or aggressiveness
問題 #84
During an initial psychiatric interview, a patient makes frequent tangential references to certain issues, has peculiar speech mannerisms, and makes frequent "slips of the tongue." The nurse practitioner makes a note of these for exploration in future sessions.
Which cognitive process in the patient's presentation needs to be explored better to understand their needs?
答案：B
解題說明：
Unconscious processes must be considered to understand the provider-patient relationship. The majority of mental activity remains outside of conscious awareness. Unconscious processes may be suggested by tangential references, slips of the tongue, or prefacing statements with qualifiers such as "to be honest."
問題 #85
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