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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnosis and Treatment | 22% | - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions - Pharmacological management and monitoring |
| Topic 2: Psychotherapy and Related Theories | 11% | - Group, family, and individual therapy principles - Crisis intervention and stabilization - Therapeutic frameworks and modalities - Evidence-based psychotherapy approaches |
| Topic 3: Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics |
| Topic 4: Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration - Cultural competence, communication, and patient education |
| Topic 5: Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health |
>> PMHNP New Study Questions <<
We present our College Admission PMHNP real questions in PDF format. It is beneficial for those applicants who are busy in daily routines. The PMHNP PDF QUESTIONS contains all the exam questions which will appear in the real test. You can easily get ready for the examination in a short time by just memorizing PMHNP Actual Questions.
NEW QUESTION # 1074
A PMHNP recently prescribed psychotropic medication to a patient with anxiety symptoms. During the clinic visit, the patient reports worse anxiety after two weeks of medication. They cannot stop pacing and shaking their legs. Which of the following neuropsychological tests can assess the presence of akathisia related to the new medication?
Answer: B
Explanation:
The Barnes Akathisia Rating Scale (BARS) is a clinician-administered assessment tool used to rate both subjective and objective symptoms of motor restlessness in patients receiving psychotropic medications.
The Clinical Opiate Withdrawal Scale (COWS) measures symptoms of withdrawal from opiates. The CAGE-AID is a screening tool for alcohol withdrawal symptoms. The Mini Mental State Examination (MMSE) assesses cognition.
NEW QUESTION # 1075
What term is used to describe patients who injure themselves by self-mutilation but do not wish to die?
Answer: C
Explanation:
The term parasuicide is used to describe patients who injure themselves by self-mutilation but who do not wish to die. Parasuicidal behavior is also known as deliberate self-harm. The incidence of parasuicidal behaviors is 50 times greater in psychiatric patients than in the general population. The female-to-male ratio of patients who engage in deliberate self-harm is 3:1.
Most patients cut their wrists, arms, or legs using a razor blade, knife, or broken glass. They are likely to have a personality disorder and to be introverted, neurotic, and hostile.
NEW QUESTION # 1076
You are the nurse practitioner treating an 11-year-old adolescent female. She arrives at your office and has a chief complaint of "pain in my legs." She states, "I don't know how to describe it; it just hurts." After you obtain a full history and perform a physical examination, you cannot find anything specific that might lead to a possible diagnosis. Her laboratory panel, for the most part, is normal and indicates no acute illness.
What is the next step in the treatment plan for this patient?
Answer: D
Explanation:
During growth, adolescents will experience pain in their extremities. This is considered a normal part of the development process. Adolescent growth spurts for females are generally between the ages of 10 and 12. By the age of 12, most female adolescents are much taller than males of the same age.
It is not appropriate to refer the patient, as this is not a situation that would merit treatment. In addition, it is within your scope and practice to educate and treat this patient.
This is not an emergency illness, so an ER visit is not appropriate. NSAIDs are not appropriate for treating the pain in this situation.
NEW QUESTION # 1077
In family systems therapy, what is the term for parents transmitting their level of differentiation to the most susceptible child?
Answer: A
Explanation:
In family systems therapy, the family projection process refers to parents transmitting their level of differentiation to the most susceptible child.
The projection process follows three steps:
1. The parent focuses on a child out of fear that something is wrong with the child;
2. The parent interprets the child's behavior as confirming the fear; and
3. The parent treats the child as if something is really wrong with them.
In a nuclear family emotional system, the level of differentiation of the parents is usually equal to the level of differentiation for the entire family. The multitransmission process refers to family dysfunction that is present in several generations. Triangles are groups of three family members that form to decrease stress. The presence of triangles indicates a lower level of family adaptation.
NEW QUESTION # 1078
You are a PMHNP asked to consult on a 45-year-old male patient who is in a psychiatric crisis. The patient's urine drug screen was positive for methamphetamines. You learn that the patient has suffered from chronic schizophrenia since the age of 18 and had previously been stabilized on Abilify for psychosis and another medication for depression. The mother further endorses that her son refuses to take Abilify because he does not "feel" schizophrenic any longer. He has, however, continued to take his antidepressant medication for depression. Given the history provided, you suspect that the patient is in a psychotic crisis due to discontinuance of the Abilify and not methamphetamine intoxication.
What finding is most supportive of your diagnosis?
Answer: D
Explanation:
Wellbutrin (bupropion) is an NDRI (norepinephrine and dopamine reuptake inhibitor) antidepressant and can produce a false positive for methamphetamine.
The other answers are not correct for the following reasons:
* Zoloft (sertraline) can produce a false positive for benzodiazepines
* Nyquil can produce a false positive for methadone
* Valium can produce a false positive for alcohol
NEW QUESTION # 1079
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