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| Section | Weight | Objectives |
|---|
| Topic 1: Professional Role and Policy | 14% | - Healthcare Policy
- 1. Advocacy and Leadership
- 2. Healthcare Regulations
- Ethical and Legal Standards
- 1. Professional Accountability
- 2. Confidentiality and Consent
- Collaboration and Consultation
- 1. Interdisciplinary Practice
- 2. Care Coordination
|
| Topic 2: Diagnosis and Treatment | 43% | - Clinical Management
- 1. Chronic Mental Illness Management
- 2. Acute Psychiatric Conditions
- Special Populations
- 1. Children and Adolescents
- 2. Older Adults
- Treatment Planning
- 1. Individualized Care Plans
- 2. Crisis Intervention
|
| Topic 3: Scientific Foundation | 19% | - Psychopathology
- 1. Differential Diagnosis
- 2. Psychiatric Disorders Across Lifespan
- Neuroscience and Neurobiology
- 1. Neurodevelopmental Concepts
- 2. Neurotransmitters and Brain Function
- Research and Evidence-Based Practice
- 1. Research Interpretation
- 2. Clinical Guidelines
|
| Topic 4: Advanced Practice Skills | 24% | - Psychotherapy Modalities
- 1. Supportive Therapy
- 2. Cognitive Behavioral Therapy
- Psychopharmacology
- 1. Drug Interactions and Side Effects
- 2. Medication Management
- Assessment and Diagnosis
- 1. Psychiatric Interviews
- 2. Mental Status Examination
|
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Top PMHNP Practice Test Free PDF | High-quality Exam PMHNP Simulator Fee: American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified
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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q61-Q66):
NEW QUESTION # 61
A 36-year-old Caucasian male arrives for his usual monthly medication appointment. He is diagnosed with schizophrenia and has been stabilized on haloperidol for the past nine years. Today, he complains of an inner feeling of restlessness and the inability to remain still. He states, "I've been pacing around my apartment nonstop, just walking up and down the stairs." This suggests what type of extrapyramidal side effect?
- A. Tardive dyskinesia
- B. Dystonia
- C. Akinesia
- D. Akathisia
Answer: D
Explanation:
Extrapyramidal symptoms are drug-induced side effects that affect motor functioning and muscle movement. Typical antipsychotics like haloperidol, perphenazine, and chlorpromazine are more likely to cause these side effects than atypical antipsychotics like olanzapine, lurasidone, and risperidone. The common types of extrapyramidal symptoms are listed below:
* Akathisia: motor restlessness, inability to remain still, rocking, pacing, or constant motion of a unilateral limb, subjective sense of restlessness, often mistaken for increasing anxiety
* Akinesia: absence of movement, difficulty initiating motion, subjective feeling of lack of motivation to move, often mistaken for laziness or lack of interest
* Dystonia: muscle spasticity usually in the back or neck, subjectively painful, often mistaken for agitation
* Pseudo-Parkinson's: shuffling gait, motor slowing, mask-like facial expression, pill-rolling, tremors, muscle rigidity
* Tardive dyskinesia: involuntary abnormal muscle movement of the mouth, tongue, face, and jaw that may progress to limbs; can be irreversible or occur as an acute process at the initiation of medications or as a chronic condition at any point during treatment
NEW QUESTION # 62
Risk factors for suicide include which of the following?
- A. Being 25 or younger and male
- B. Being female
- C. Being Caucasian
- D. Being married
Answer: C
Explanation:
Risk factors for suicide include being a male aged 45 or older or a female aged 55 or older; being divorced, single or separated; being Caucasian; living alone; having a psychiatric disorder or a physical illness; engaging in substance abuse; having a previous suicide attempt; having a family history of suicide; and experiencing a recent loss.
NEW QUESTION # 63
A 31-year-old female with schizophrenia feels fatigued and sleepy all the time. She asks if there are other medications she could try. Which medication is least likely to cause sedation while still effectively managing the symptoms of schizophrenia?
- A. Olanzapine
- B. Perphenazine
- C. Paliperidone
- D. Aripiprazole
Answer: D
Explanation:
Aripiprazole has the lowest risk of sedation of all antipsychotics, and it is recommended for those wanting to avoid side effects of fatigue and sleepiness.
Olanzapine, paliperidone, and perphenazine all have a higher risk of sedation than aripiprazole.
NEW QUESTION # 64
According to Freud, during what psychosexual stage of development are sexual concerns largely unimportant?
- A. Latency stage
- B. Phallic stage
- C. Oral stage
- D. Genital stage
Answer: A
Explanation:
Freud's stages of psychosexual development:
1. Oral: birth to 12-18 months
2. Anal: 12-18 months to 3 years
3. Phallic: 3 to 5-6 years
4. Latency: 5-6 years to adolescence
5. Genital: adolescence to adulthood
The latency stage is characterized by a time in which sexual concerns are largely unimportant. During this phase, children establish decisive patterns of adaptive functioning. They develop a sense of industry and a capacity for mastery of objects. This is the phase in which children develop a foundation for mature adult life satisfaction.
NEW QUESTION # 65
A PMHNP is treating a patient who speaks a language for which a certified interpreter is not available. Which of the following is the best course of action to ensure informed consent?
- A. Obtain consent using simple English and non-verbal cues to ensure the patient understands.
- B. Have a family member who speaks English interpret the treatment options and obtain consent.
- C. Use an online translation tool to explain the treatment options and obtain consent.
- D. Delay treatment until a certified interpreter can be found to facilitate the discussion.
Answer: D
Explanation:
Delaying treatment may not be the correct choice from a treatment perspective, but it is the best choice for ensuring informed consent. Accurate and effective communication through a certified interpreter respects the patient's right to understand their treatment options, risks, and benefits, which is fundamental for informed consent.
Online translation tools may not accurately convey medical terminology or nuances, risking miscommunication. Using a family member as an interpreter can raise issues of confidentiality, accuracy, and bias, potentially compromising the patient's understanding and voluntariness of consent. Relying on simple English and non-verbal cues does not guarantee the patient's full understanding of the treatment options, risks, and benefits.
NEW QUESTION # 66
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