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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q210-Q215):

NEW QUESTION # 210
An orthopedic surgeon asks you to evaluate a 22-year-old female with a fractured ankle. She has been in the hospital for three days and complains of anxiety about her upcoming surgery. She is afebrile, her heart rate is 90, and her blood pressure is 100/75. She is not in pain and has no psychiatric history. Her medications include acetaminophen.
What is the most appropriate medication for this patient?

Answer: D

Explanation:
Lorazepam is an antianxiety medication in the class of benzodiazepines. This medication can help alleviate anxiousness prior to the surgery.
Clonidine would not be useful in this circumstance, especially because her blood pressure is already low. This patient does not exhibit signs of depression, and her anxiety seems to be related only to her upcoming surgery; therefore, an antidepressant medication like fluoxetine is unnecessary. Carbamazepine is a mood stabilizer and would not be useful in this situation.


NEW QUESTION # 211
Signs and symptoms of Stevens-Johnson syndrome (SJS) include which of the following?

Answer: C

Explanation:
Stevens-Johnson syndrome is a rare potentially life-threatening immune reaction to a foreign antigen that can occur with exposure to any anticonvulsant drug. Treatment includes stopping the offending agent with supportive measures, often in a hospital burn unit. Signs and symptoms of SJS include facial swelling, tongue swelling, macules, papules, burning confluent erythematic rash, skin sloughing, prodromal headaches, malaise, arthralgia, and painful mucous membranes that may occur before the rash appears.
Abnormal muscle movements, blurry vision, and muscle cramps are not cardinal signs of SJS.


NEW QUESTION # 212
Which of the following statements regarding a nurse practitioner's certification, if made by a nurse practitioner student, requires further education?

Answer: A

Explanation:
Certification is a process by which a professional organization certifies that an individual has met certain predetermined standards specified by that specialty practice. The nurse practitioner's certification determines their scope of practice, and it assures the public that they have mastered a body of knowledge in a particular medical specialty. This certification is not established by the government.


NEW QUESTION # 213
A patient with dementia is being started on cholinesterase inhibitors. These drugs work by which of the following?

Answer: A

Explanation:
Cholinesterase inhibitors, such as Donepezil, Rivastigmine, and Galantamine, are commonly used to treat dementia, including Alzheimer's. These drugs work by inhibiting the breakdown of acetylcholine, a neurotransmitter that plays a role in memory and cognitive function. By inhibiting the breakdown of acetylcholine, these drugs increase their availability and improve cognitive function in individuals with dementia.
Cholinesterase inhibitors do not affect the reuptake or release of acetylcholine and do not stimulate dopamine release.


NEW QUESTION # 214
You are the nurse practitioner treating a 19-year-old female. During your initial assessment, the client complains of not sleeping well. Which of the following is least likely to be the etiology of the disruptions in sleep patterns for this client?

Answer: A

Explanation:
The etiology of insomnia is found in the following:
* Dysfunction on sleep-wake circuits of the brainstem
* Neurochemical imbalances impinging on these circuits
* Potentially stress-related in brief episodic insomnia
While age-related changes may contribute to the development of these factors, age is not an important consideration for this client given her young age.


NEW QUESTION # 215
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