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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnosis and Treatment | 43% | - Treatment Planning
|
| Topic 2: Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Topic 3: Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Topic 4: Professional Role and Policy | 14% | - Ethical and Legal Standards
|
Solutions is committed to ace your College Admission PMHNP exam preparation and enable you to pass the final PMHNP exam with flying colors. To achieve this objective Exams. Solutions is offering updated, real, and error-Free PMHNP Exam Questions in three easy-to-use and compatible formats. These PMHNP exam questions formats will help you in preparation.
NEW QUESTION # 83
What is the primary purpose of the corpus callosum?
Answer: B
Explanation:
The corpus callosum is a large bundle of white matter that connects the right and left hemispheres and provides an area of sensorimotor information exchange.
The corpus callosum's primary purpose is not to allow for multimodal sensory input and trigger memories; to control voluntary motor movement, working memory, and behavioral cueing; or to coordinate the movement of multiple muscles.
NEW QUESTION # 84
Increased levels of sodium can cause which of the following?
Answer: B
Explanation:
Decreased, not increased, levels of sodium can cause diuresis, renal disorders, and gastrointestinal fluid loss from vomiting and diarrhea.
NEW QUESTION # 85
A patient presents with psychosis, dry mouth, hyperpyrexia, mydriasis, restlessness, and tachycardi a. What possible psychiatric emergency would you suspect?
Answer: B
Explanation:
Psychosis, dry mouth, hyperpyrexia, mydriasis, restlessness, and tachycardia are symptoms of anticholinergic intoxication. The nurse practitioner should discontinue the offending medication or substance and consider IV physostigmine and benzodiazepines. Remember, antipsychotics are contraindicated in this situation.
Alcohol withdrawal would present with irritability, nausea, vomiting, insomnia, malaise, autonomic hyperactivity, and shakiness. Benzodiazepine intoxication would present with sedation, somnolence, and ataxia. Catatonic schizophrenia would present with marked psychomotor disturbance (either excitement or stupor) and exhaustion.
NEW QUESTION # 86
Your patient is a 4-year-old boy who when he was two years old was physically abused by his father. His father no longer lives with the family. The child has begun to inappropriately relate to others, especially his peers. He is not selective in his socialization tolerating familiar people and strangers alike. Of the following disorders, which one is the most likely?
Answer: B
Explanation:
The correct diagnosis for the described case is disinhibited social engagement disorder (DSED). DSED is a condition that often arises in children who have experienced extreme social neglect, such as inadequate caregiving or abuse, which is consistent with the history of physical abuse by the father in this scenario.
Children with DSED tend to exhibit inappropriate social behavior, which includes a lack of reticence in interacting with unfamiliar adults. Typically, children develop a natural wariness of strangers as they grow, but children with DSED might not show this normal cautiousness. They might approach and interact with strangers in a manner that is overly familiar or inappropriately friendly.
The key feature of DSED, which distinguishes it from other disorders like posttraumatic stress disorder (PTSD) or adjustment disorder, is this pattern of indiscriminate sociability. While PTSD might include symptoms of reliving the traumatic event and heightened alertness, and adjustment disorder generally pertains to difficulty in coping with a stressor leading to significant emotional or behavioral symptoms, neither of these conditions specifically includes the disinhibited social behavior seen in DSED.
Furthermore, acute stress disorder, which also involves a response to trauma, typically manifests with a variety of symptoms including numbing, dissociation, and anxiety, which are not central to the description of the child's behavior in this question. The lack of selectiveness in social interactions, particularly the equal ease with strangers and familiar individuals, is characteristic of DSED.
Therefore, based on the child's history of abuse and the specific symptoms of indiscriminate friendliness and lack of appropriate boundaries in social interactions, disinhibited social engagement disorder is the most likely diagnosis. This disorder directly addresses the abnormal social behaviors in response to the early negative experiences with primary caregivers. It is important for such children to receive appropriate intervention to help manage the disorder and to encourage healthier social interactions and attachments.
NEW QUESTION # 87
Understanding pharmacokinetics and the distribution of medication in the bloodstream, the PMHNP monitors which of the following patients for possible toxicity and a need for lowered dosing?
Answer: D
Explanation:
The principle of distribution requires that the medication binds to a protein for movement through the body. The chemicals are not active when they are protein-bound. The active form of medication is the unbound chemicals in the bloodstream. When a person is malnourished, they may be protein-deficient and have less protein for the medications to bind. This leaves more active medication in the bloodstream and increases the risk of toxicity. Extremely thin, malnourished, protein-deficient, or elderly patients are at risk for toxicity due to decreased muscle mass.
Crohn's disease impacts absorption, however, the presence of the disease is not as important of a consideration as malnourishment. A young person with a high fever is not routinely monitored for drug toxicity. An athletic body does not indicate malnourishment or protein deficiency.
NEW QUESTION # 88
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