Exam Dumps PMHNP Collection - New PMHNP Exam Questions

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| Section | Weight | Objectives |
|---|
| Topic 1: Advanced Practice Skills | 27% | - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation
|
| Topic 2: Diagnosis and Treatment | 22% | - Biological, environmental, and lifestyle interventions - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan - Pharmacological management and monitoring
|
| Topic 3: Psychotherapy and Related Theories | 11% | - Crisis intervention and stabilization - Therapeutic frameworks and modalities - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles
|
| Topic 4: Ethics, Legal Principles, and Cultural Care | 17% | - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Legal regulations, confidentiality, informed consent
|
| Topic 5: Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes
|
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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q231-Q236):
NEW QUESTION # 231
What type of systematic review analyzes a collection of qualitative studies?
- A. Observational study
- B. Meta-synthesis
- C. Randomized controlled trial
- D. Meta-system review
Answer: B
Explanation:
A systematic review is a scientific study that gathers multiple studies and analyzes them to draw a larger conclusion. The term systematic refers to methodical order and planning. When conducting a systematic review, the researcher uses transparent and structured steps in order to avoid bias and increase confidence in the findings. A meta-synthesis is a scientific study that analyzes a collection of qualitative studies. These studies discover meaning by summarizing the results in a narrative format.
Meta-system review is not a term that is commonly used to describe systematic reviews.
NEW QUESTION # 232
A PMHNP is working with a patient who has a history of substance abuse and is in recovery. Which of the following is an example of a relapse-prevention strategy?
- A. Providing the patient with substances that are less harmful than their drug of choice
- B. Setting strict rules and consequences for substance use
- C. Encouraging the patient to avoid social situations where substance use is likely to occur
- D. Allowing the patient to use substances occasionally as a reward for good behavior
Answer: C
Explanation:
One of the most important relapse-prevention strategies is to avoid situations where substance use is likely to occur. This can include avoiding certain people, places, and activities that may trigger the desire to use substances. Encouraging the patient to avoid these situations can help reduce the risk of relapse.
NEW QUESTION # 233
A patient with schizophrenia presents at the emergency room with emotional blunting, increasing isolation, and withdrawal from his usual activities at the treatment residence where he resides. The group home staff said his schizophrenia has been well controlled, with few auditory or visual hallucinations reported in the past week.
What does the PMH-BC suspect regarding the patient's symptoms?
- A. The patient is experiencing positive symptoms of schizophrenia
- B. The patient is experiencing negative symptoms of schizophrenia
- C. The patient's hallucinations are well-controlled
- D. Without the presence of auditory and visual hallucinations, the patient does not have the functional skills to interact and would benefit from cognitive therapy
Answer: B
Explanation:
This patient is exhibiting negative symptoms of schizophrenia, which include apathy, minimal speech, and social isolation. These symptoms can be overlooked because they are not management issues or troublesome.
Negative symptoms include emotional shut-down, isolation, and withdrawal. They are a serious concern because they are a factor in worsening illness.
NEW QUESTION # 234
Which of the following disorders should the PMHNP assess for when there is suspected disruption of the nigrostriatal dopaminergic pathway?
- A. Parkinson's disease
- B. ADHD
- C. Hyperprolactinemia
- D. Low motivation
Answer: A
Explanation:
Parkinson's disease results from a disruption of the nigrostriatal dopaminergic pathway.
When the transmission of dopamine is disrupted in the mesocorticolimbic pathway, disorders such as ADHD, addiction, and schizophrenia can result.
A disruption in the tuberoinfundibular pathway results in hyperprolactinemia. Disruptions in the caudate nucleus dopaminergic pathway can create low motivation.
NEW QUESTION # 235
You are treating a 22-year-old male for his first episode of major depression. Two months after starting his antidepressant medication, he reports feeling "back to normal," and he asks to stop his medication. When can he safely stop his medication?
- A. No sooner than two years after beginning treatment
- B. At least six months after beginning treatment
- C. Immediately
- D. Three months after initiating treatment
Answer: B
Explanation:
Stopping an antidepressant medication within the first three months is associated with a high risk of relapse. The recommended length of treatment for the first episode of major depression is at least six months.
NEW QUESTION # 236
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