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| Section | Objectives |
|---|---|
| Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Personality Disorders - Mood Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders |
| Advanced Practice Skills | - Treatment Planning - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis |
| Psychotherapeutic Modalities | - Group and Family Therapy - Individual Psychotherapy - Crisis Intervention |
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
Our College Admission PMHNP exam questions are designed to provide you with the most realistic PMHNP Exam experience possible. Each question is accompanied by an accurate answer, prepared by our team of experts. We also offer free College Admission PMHNP Exam Questions updates for 1 year after purchase, as well as a free PMHNP practice exam questions demo before purchase.
NEW QUESTION # 492
A PMHNP is caring for a 17-year-old girl who is experiencing gradually worsening neuropsychiatric symptoms of apathy, irritability, and an inability to sleep. She reports she is also experiencing skin problems, tingling in her hands and feet, and diarrhe a. The patient reports a normal appetite and has followed a raw vegan diet for over a year. Which nutritional deficiency should the PMHNP first rule out based on the presenting symptoms and diet?
Answer: D
Explanation:
A nutritional deficiency of niacin (nicotinic acid) and its precursor tryptophan is sometimes seen in association with vegetarian or vegan diets. Niacin deficiency presents with both neuropsychiatric and medical symptoms, which can include irritability, apathy, diarrhea, and paresthesias.
Thiamine deficiency is most commonly associated with chronic alcohol abuse. Vitamin B12 or cobalamin deficiency has neurological symptoms, which include apathy, depression, and irritability, but without notable medical symptoms as the patient described. It is rare to have pantothenic acid or vitamin B5 deficiency in the United States.
NEW QUESTION # 493
Which of the following findings is least likely to be associated with marijuana use during pregnancy?
Answer: C
Explanation:
Marijuana is used by 3% of all pregnant women. Chronic marijuana use is associated with the following symptoms in neonates:
* Low infant birth weight
* Prematurity
* Withdrawal-like symptoms
* Excessive crying
* Tremors
* Hyperemesis (severe vomiting)
NEW QUESTION # 494
Using the team decision model, which of the following actions would be least associated with a leader's decision to either continue to monitor the team or to take action?
Answer: C
Explanation:
When a leader is deciding to either continue to monitor the team or to take action, they should seek information, analyze and interpret the information, and decide how to act. Assigning task functions would follow the decision to either intervene or not intervene.
NEW QUESTION # 495
In people 65 years of age and older that need hospitalization due to a general medical condition, what percent of them will show signs of delirium?
Answer: C
Explanation:
Delirium is a serious disturbance in mental abilities that results in confused thinking and reduced awareness of the environment. In the elderly population, particularly those aged 65 and above, delirium is a common complication during hospital stays for general medical conditions. According to research, about 10% of this demographic will already exhibit signs of delirium at the time they are admitted to the hospital.
Delirium in elderly patients can be precipitated by several factors related to hospitalization, including the stress of illness, surgery, the unfamiliar environment, and the use of multiple medications. The symptoms can range from mild changes in consciousness and cognition to severe disturbances in attention, memory, orientation, and perception.
Following admission to the hospital, an additional 10-15% of these older patients are likely to develop delirium. This indicates that the hospital environment itself, along with the necessary medical interventions, can contribute to or exacerbate the onset of delirium. This secondary development of delirium post-admission is particularly concerning as it can lead to longer hospital stays, increased healthcare costs, and a higher risk of severe outcomes including long-term cognitive decline and mortality.
It's important for healthcare providers to be aware of these risks and to implement strategies aimed at preventing the onset of delirium in hospitalized elderly patients. This can include using non-pharmacological approaches such as ensuring proper hydration, optimizing sleep, managing pain, and providing orientation cues to help mitigate confusion. Additionally, minimizing the use of delirium-inducing medications and conducting regular assessments for early signs of delirium can be crucial in managing and preventing this condition effectively.
Thus, awareness and preventive measures are key in managing the risk of delirium in elderly patients undergoing hospitalization for general medical conditions. With proper care and attention, the incidence of delirium can be significantly reduced, thereby improving the overall health outcomes for this vulnerable population group.
NEW QUESTION # 496
Which of the following is an example of a functional imaging technique?
Answer: A
Explanation:
Functional imaging measures the functioning of areas of the brain and bases the resulting assessment on blood flow. In functional imaging, radioactive pharmaceuticals are used to cross the blood-brain barrier.
Common functional imaging testing includes EEG and evoked potentials testing, magnetoencephalography (MEG), single-photon emission computed tomography (SPECT), and positron emission tomography (PET).
X-ray, CT, and MRI are examples of structural imaging.
NEW QUESTION # 497
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