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College Admission PMHNP Exam Syllabus Topics:

Section	Objectives
Advanced Practice Skills	- Treatment Planning - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment
Psychotherapeutic Modalities	- Individual Psychotherapy - Crisis Intervention - Group and Family Therapy
Diagnosis and Management of Psychiatric Disorders	- Mood Disorders - Substance Use Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders - Personality Disorders
Scientific Foundations	- Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology
Ethics, Legal, and Professional Practice	- Scope of Practice and Regulations - Ethical Decision-Making - Patient Safety and Quality Improvement

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q937-Q942):

NEW QUESTION # 937
Which of the following statements is most likely to be a goal of existential therapy?

A. To understand how past development impacts a person's behavior
B. To increase accurate communication of emotions
C. To solve interpersonal distress
D. To live authentically

Answer: D

Explanation:
Existential therapy was originated by Viktor Frankl. The approach encourages reflection on life and self-confrontation. This therapy emphasizes accepting freedom and making responsible choices. Existential therapy purports that the basic dimension of humans includes finding meaning and purpose in life. The goals of this therapy are to live authentically and focus on personal responsibility.
The primary goal of interpersonal therapy is to solve interpersonal or relationship distress. A goal of dialectical behavioral therapy is to increase accurate communication of emotions. The main goal of psychoanalytic therapy is to understand how past development impacts one's behavior.

NEW QUESTION # 938
Which individual therapy technique would be most beneficial for a patient with borderline or narcissistic personality traits?

A. Psychoanalytic therapy
B. Existential therapy
C. Cognitive-behavioral therapy (CBT)
D. Dialectical behavior therapy (DBT)

Answer: D

Explanation:
Dialectical behavior therapy expands on the behavioral activation principles of CBT to increase distress tolerance, improve emotional regulation, and promote mindfulness.
CBT is a foundational piece of DBT but focuses on present events and current maladaptive responses to those events. Psychoanalytic theory and therapy work on uncovering childhood influences on behavior and subconscious motivations. Existential therapy focuses on accepting reality and making responsible decisions.

NEW QUESTION # 939
A 73-year-old Caucasian male with a diagnosis of Alzheimer's disease presents to your clinic. He currently smokes two packs of cigarettes per day and declines help with smoking cessation. Which medication for Alzheimer's disease is contraindicated due to his smoking habit?

A. Donepezil
B. There are no contraindications due to smoking for these medications
C. Galantamine
D. Rivastigmine

Answer: B

Explanation:
You can choose any cholinesterase inhibitor to prescribe to this patient. There are no contraindications due to smoking for these medications. Galantamine might be the best choice because of its dual actions of (1) inhibiting acetylcholinesterase and (2) positive allosteric modulation of nicotinic cholinergic receptors.

NEW QUESTION # 940
Which of the following statements is not true regarding managed care?

A. The insurer only pays a flat fee for each patient, regardless of what services are rendered
B. The insurer pays all of the bills submitted by healthcare providers
C. The provider of care shares in the financial risk
D. The insurer is both the payer and the provider

Answer: B

Explanation:
Managed care is a system where the insurer is not only the payer but also the provider of health care. Prior to managed care, insurance companies paid bills submitted by health care providers, and the insurer had no control over the quality or quantity of care being given. In a managed care system, the insurer monitors how the healthcare services are utilized and the cost of those services. The insurer agrees to only pay a flat fee for each patient regardless of what services are required, and thus the provider shares in the financial risk. This system is supposed to incentivize insurers and clinicians to provide the highest-quality care.

NEW QUESTION # 941
Which of the following statements is incorrect regarding interpersonal therapy?

A. It was originally developed by Gerald Klerman and Myrna Weissman
B. It is time-limited, active, and focused on the present
C. It has been applied to treating relationship distress experienced by those with bipolar and eating disorders
D. Its concepts focus on self-directed growth and self-actualization

Answer: D

Explanation:
Interpersonal therapy was developed by Gerald Klerman and Myrna Weissman. It is an evidence-based therapy that focuses on interpersonal issues and distress. This therapy is time-limited, active, and focused on the present. It was initially developed to treat depression in adults and adolescents, but it has been more recently adapted to treat relationship distress seen in bipolar and eating disorders.
Humanistic therapy, or person-centered therapy, includes concepts of self-directed growth and self-actualization. Humanistic therapy was proposed by Carl Rogers, and it teaches that each individual has the potential to actualize and find meaning.

NEW QUESTION # 942
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