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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q910-Q915):

NEW QUESTION # 910
A patient is presenting to your clinic with reports of excessive hand washing and feeling as if she cannot leave the house unless she washes her hands seven times for five minutes each time. The patient often shows up for work late because her anxiety keeps her from completing the washing with enough time to get to work by her start time. You obtain further history and learn that the patient's mother had similar issues with cleaning the house.
What is the preliminary diagnosis that you will give this patient?

A. Acute panic disorder with anxious traits
B. Obsessive-compulsive disorder (OCD)
C. Conduct disorder
D. Generalized anxiety disorder (acute, single episode)

Answer: B

Explanation:
OCD is the presence of anxiety-provoked obsessions or compulsions that function to reduce the person's subjective anxiety level. Acute panic disorder with anxious traits and generalized anxiety disorder (acute, single episode) are symptoms of OCD.
Given the patient's family history, the obsessions affecting her work life, and the endorsement of needing to perform these tasks to reduce anxiety, the patient meets the criteria for OCD as a preliminary diagnosis.
Conduct disorder does not apply, as the patient is not refusing to go to work due to a personality trait but rather is unable to function due to a debilitating action that must be performed to reduce her anxiety level.

NEW QUESTION # 911
What is intimate partner violence (IPV)?

A. The physical, emotional, or sexual pain and injury that is intentionally inflicted by a person's intimate partner
B. The physical, emotional, economic, or sexual pain and injury perpetrated predominantly by the dominant male in a relationship
C. The physical and emotional pain and injury that is intentionally inflicted by a person's intimate partner
D. The physical, emotional, economic, or sexual pain and injury that is intentionally inflicted by a person's intimate partner

Answer: D

Explanation:
The other options are not the most accurate definition. Statistics do not support that IPV is perpetrated only by the dominant male.

NEW QUESTION # 912
What would prohibit nurse practitioners in a managed care plan from discussing alternative treatment options not covered by the insurance plan?

A. Political action rule
B. Gag rule
C. Health alliance
D. Special interest order

Answer: B

Explanation:
Gag rules prohibit nurse practitioners in a managed care setting from discussing alternative treatment options not covered by the insurance plan. They are also prohibited from providing information on the limitations of the plan or commenting negatively about the plan to patients.
A health alliance is a public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market. A special interest agency (not order) is a group of people seeking or receiving special advantages through political lobbying. A political action committee (not rule) is an organization that raises money privately to influence elections or legislation, especially at the federal level.

NEW QUESTION # 913
You are a nurse practitioner assessing a patient in the emergency department for acute alcohol withdrawal. You decide to perform a Clinical Institute Withdrawal Assessment (CIWA) for alcohol on the patient. Which of the following symptoms would not suggest active alcohol withdrawal?

A. Heightened level of sensorium
B. Nausea and vomiting
C. Agitation
D. Tremors

Answer: A

Explanation:
Patients with alcohol withdrawal will present with altered sensorium, not heightened.
The common withdrawal symptoms assessed on the CIWA scale are as follows:
* Nausea and vomiting
* Tremors
* Paroxysmal sweats
* Anxiety
* Agitation
* Tactile disturbances
* Auditory disturbances
* Visual disturbances
* Headaches
* Altered sensorium

NEW QUESTION # 914
Research utilization involves what processes?

A. Research study and outcomes management
B. Research critique, synthesizing and applying the findings, and measuring the outcomes
C. Resolution of findings and critique of the team
D. Team building, measuring the outcomes, and applying the findings

Answer: B

Explanation:
Research utilization and evidence-based practice are two models for reducing the gap between research findings and application to practice.
Research study and outcomes management are not part of research utilization.
Resolution of findings and critique of the team are not part of research utilization.
Team building is not part of research utilization.

NEW QUESTION # 915
......

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