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| Section | Weight | Objectives |
|---|
| Topic 1: Diagnosis and Treatment | 43% | - Treatment Planning
- 1. Crisis Intervention
- 2. Individualized Care Plans
- Special Populations
- 1. Older Adults
- 2. Children and Adolescents
- Clinical Management
- 1. Acute Psychiatric Conditions
- 2. Chronic Mental Illness Management
|
| Topic 2: Advanced Practice Skills | 24% | - Psychotherapy Modalities
- 1. Cognitive Behavioral Therapy
- 2. Supportive Therapy
- Psychopharmacology
- 1. Medication Management
- 2. Drug Interactions and Side Effects
- Assessment and Diagnosis
- 1. Mental Status Examination
- 2. Psychiatric Interviews
|
| Topic 3: Scientific Foundation | 19% | - Neuroscience and Neurobiology
- 1. Neurodevelopmental Concepts
- 2. Neurotransmitters and Brain Function
- Research and Evidence-Based Practice
- 1. Research Interpretation
- 2. Clinical Guidelines
- Psychopathology
- 1. Psychiatric Disorders Across Lifespan
- 2. Differential Diagnosis
|
| Topic 4: Professional Role and Policy | 14% | - Collaboration and Consultation
- 1. Interdisciplinary Practice
- 2. Care Coordination
- Healthcare Policy
- 1. Advocacy and Leadership
- 2. Healthcare Regulations
- Ethical and Legal Standards
- 1. Professional Accountability
- 2. Confidentiality and Consent
|
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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q869-Q874):
NEW QUESTION # 869
What standardized rating scale is typically used to assess for schizophrenia?
- A. Global deterioration scale
- B. Scale for assessment of negative symptoms
- C. Saint Louis University mental status examination
- D. Zung self-report inventory
Answer: B
Explanation:
Standardized rating scales are used as a guide when planning care and treatment. The scale for assessment of negative symptoms is an assessment tool for patients with schizophrenia.
The Zung self-report inventory is used to measure depression.
The global deterioration scale is used to measure cognitive function.
The Saint Louis University mental status examination is a tool to assess for mild cognitive impairment and dementia.
NEW QUESTION # 870
A PMHNP is working with a patient who has expressed interest in completing an advance directive. Which of the following statements best describes the purpose of an advance directive?
- A. It provides a legal document for the distribution of the patient's assets
- B. It is legally binding in all 50 states
- C. Its sole purpose is to designate a healthcare proxy to make decisions on the patient's behalf
- D. It documents the patient's psychiatric history and treatment preferences
Answer: B
Explanation:
An advance directive is a legal document that outlines a patient's medical treatment preferences if they cannot make decisions for themselves. This can include preferences for life-sustaining treatments, pain management, and other aspects of end-of-life care. It includes consideration as an aspect for clients with chronic psychiatric illnesses.
It does not address the distribution of the patient's assets or document the patient's psychiatric history and treatment preferences. While it can designate a healthcare proxy, this is not its sole purpose.
NEW QUESTION # 871
What does the term "sexual identity" typically describe?
- A. Sexual identity is an umbrella term describing people whose gender identity does not conform to gender norms associated with the sex they were assigned at birth
- B. Sexual identity refers to a person's perception of their masculinity or femininity
- C. Sexual identity is a formal diagnosis to describe persons who experience gender dysphoria
- D. Sexual identity refers to a person's perception of self in relation to who they are romantically or sexually attracted to
Answer: D
Explanation:
Sexual identity is typically used to refer to one's perception of self in terms of attraction. Sexual orientation can also refer to the direction of sexual attraction; however, many people prefer the term sexual identity because it allows people to determine their own identities. Sexual orientation or identity is not always used in a way that relates to gender identity.
Gender identity is typically used to refer to a person's identity along a continuum between normative constructs of masculinity and femininity. Gender identity disorder is a formal diagnosis to describe persons who experience significant gender dysphoria. Transgender is typically used as an umbrella term describing people whose gender identity does not conform to gender norms associated with the sex they were assigned at birth.
NEW QUESTION # 872
Which personality disorder is most likely to involve excessively scrupulous actions?
- A. Obsessive-compulsive
- B. Narcissistic
- C. Paranoid
- D. Dependent
Answer: A
Explanation:
Patients with obsessive-compulsive personality disorder are perfectionistic and rigid. They are often workaholics who are indecisive, excessively scrupulous, and preoccupied with detail.
Patients with paranoid personality disorder are suspicious, have few friends, and read hidden meanings into innocent remarks.
Patients with narcissistic personality disorder act self-important. They are preoccupied with envy, fantasies of success, and ruminations about the uniqueness of their problems. They reject criticism and need constant admiration from others.
Patients with dependent personality disorder fear abandonment, feel helpless when they are alone, and are miserable when relationships end. They desperately desire the approval of others, and they often volunteer for unpleasant tasks to gain the favor of others.
NEW QUESTION # 873
A 70-year-old female patient with a history of high blood pressure and cardiovascular disease is seen at the emergency room for rapid-onset cognitive decline that her daughter described as "happening in stages." The daughter says that Alzheimer's disease "runs in the family." What type of dementia should the PMNP consider in addition to other possible causes?
- A. Vascular dementia
- B. Pick's disease
- C. Lewy body dementia
- D. Huntington's disease
Answer: A
Explanation:
There are different kinds of dementia, and Alzheimer's disease is the most common. Based on the description of the rapid cognitive changes occurring in stages combined with a cardiovascular history, vascular dementia should be ruled out in addition to another pathology.
Vascular dementia is the second most common type in persons over 65 years of age, involving a progressive cognitive decline.
NEW QUESTION # 874
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