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College Admission PMHNP Exam Syllabus Topics:

SectionWeightObjectives
Advanced Practice Skills24%- Assessment and Diagnosis
  • 1. Psychiatric Interviews
  • 2. Mental Status Examination
- Psychotherapy Modalities
  • 1. Cognitive Behavioral Therapy
  • 2. Supportive Therapy
- Psychopharmacology
  • 1. Drug Interactions and Side Effects
  • 2. Medication Management
Scientific Foundation19%- Psychopathology
  • 1. Differential Diagnosis
  • 2. Psychiatric Disorders Across Lifespan
- Research and Evidence-Based Practice
  • 1. Research Interpretation
  • 2. Clinical Guidelines
- Neuroscience and Neurobiology
  • 1. Neurodevelopmental Concepts
  • 2. Neurotransmitters and Brain Function
Diagnosis and Treatment43%- Clinical Management
  • 1. Chronic Mental Illness Management
  • 2. Acute Psychiatric Conditions
- Special Populations
  • 1. Children and Adolescents
  • 2. Older Adults
- Treatment Planning
  • 1. Crisis Intervention
  • 2. Individualized Care Plans
Professional Role and Policy14%- Healthcare Policy
  • 1. Healthcare Regulations
  • 2. Advocacy and Leadership
- Ethical and Legal Standards
  • 1. Professional Accountability
  • 2. Confidentiality and Consent
- Collaboration and Consultation
  • 1. Care Coordination
  • 2. Interdisciplinary Practice

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1250-Q1255):

NEW QUESTION # 1250
Mr. Smith is a 25-year-old sales associate. He has a strong family history of mental illness and is worried that he may experience similar problems in his life. He presented to his local primary care provider complaining of the following symptoms: extreme hyper-alertness, decreased appetite, insomnia, and paranoi a. Mr. Smith is worried that these symptoms might be the beginning of a mental illness and requests an X-ray of his brain. He says he has never seen a psychiatric provider or taken medication for his symptoms.
What would be an initial consideration in your assessment when meeting with Mr. Smith?

Answer: A

Explanation:
Patients often misunderstand and misinterpret diagnostic testing. Explaining this first is important in moving to the diagnostic phase so that all appropriate options for diagnosing his condition can be explored.
Prescribing Wellbutrin immediately is not an appropriate initial intervention, as Mr. Smith is most likely experiencing an increase in norepinephrine. Wellbutrin is an NDRI.
Although performing genetic testing may be necessary, it is often not approved by insurance after an initial visit and if the patient has not used psychotropics in the past.
Mr. Smith is not a danger to himself or others and is not gravely disabled and thus does not meet the criteria for inpatient admission.


NEW QUESTION # 1251
A 53-year-old Caucasian man presents with a diagnosis of schizoid personality disorder. According to Erik Erikson, failure to resolve which psychosocial stage is associated with the development of this psychopathology?

Answer: A

Explanation:
Failure to successfully resolve the psychosocial stage of Intimacy vs. Isolation is associated with the development of schizoid personality disorder.
Erik Erikson's stages of psychosocial development:
* Trust vs. Mistrust: birth to 12-18 months
* Autonomy vs. Shame and Doubt: 12-18 months to 3 years
* Initiative vs. Guilt: 3 to 5-6 years
* Industry vs. Inferiority: 5-6 years to adolescence
* Identity vs. Role Confusion: adolescence to adulthood
* Intimacy vs. Isolation: adulthood
* Generativity vs. Stagnation: middle adulthood
* Ego Integrity vs. Despair: late adulthood
Failure to resolve the Generativity vs. Stagnation stage is associated with the development of a mid-life crisis. Failure to resolve the Industry vs. Inferiority stage is associated with creative inhibition. Failure to resolve the Initiative vs. Guilt stage is associated with conversion disorder, phobias, and psychosomatic disorders.


NEW QUESTION # 1252
Which of the following psychotropic medications is associated with an increased risk of neural tube defects and cardiac anomalies when taken during pregnancy?

Answer: C

Explanation:
Teratogenic effects can cause harm to a developing fetus when a medication is taken during pregnancy. Valproic acid is a mood stabilizer that is used to treat bipolar disorder and is known to be associated with an increased risk of neural tube defects and cardiac anomalies when taken during pregnancy.
Lithium, an alternative mood stabilizer, is not typically associated with these specific teratogenic effects, although it may have other potential risks when taken during pregnancy. Fluoxetine is an antidepressant medication that is not generally associated with teratogenic effects, although it may be associated with some risks, such as a higher risk of persistent pulmonary hypertension in newborns. Alprazolam, a benzodiazepine medication used to treat anxiety, is not generally associated with teratogenic effects, although it may be associated with other risks, such as neonatal withdrawal symptoms.


NEW QUESTION # 1253
Research utilization involves what processes?

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 # 1254
Which term describes how genes account for the enzyme metabolization of drugs?

Answer: C

Explanation:
Pharmacokinetics describes what the body does to a drug when it's ingested and paired with the individual's enzyme profile.
Genetic testing or profiling helps identify the presence of gene variants that may determine medication dosing. Genetic counseling is for families who have familial psychiatric illnesses and are thinking of having a child. Genetic testing consists of bloodwork to determine the presence or absence of certain genes.


NEW QUESTION # 1255
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