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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q547-Q552):

NEW QUESTION # 547
Which of the five phases of group dynamics is marked by participants frequently exhibiting resistance and sabotaging behaviors?

Answer: A

Explanation:
The stages of group dynamics are similar to the three phases of individual therapy in that the early phases are characterized by hesitancy and resistance until a therapeutic alliance is established. The second phase of the formation of groups is called "storming," as clique formation and loss of control behaviors may surface. These behaviors include hesitancy and sabotage.


NEW QUESTION # 548
Many patients are now implementing complementary and alternative therapies (CATS) with traditional treatment. Melatonin is commonly used for sleep enhancement. A PMHMP should provide which of the following patient teaching instructions regarding the dosing of melatonin for a young woman?

Answer: A

Explanation:
Melatonin can inhibit ovulation at larger doses. It is not commonly associated with breast tenderness, heavier periods, or increased premenstrual tension.


NEW QUESTION # 549
A PMHNP working in a psychiatric hospital is considering using seclusion and restraint for a patient exhibiting violent, aggressive behavior. Which of the following best describes an appropriate indication of the use of seclusion and restraint in this situation?

Answer: C

Explanation:
The use of seclusion and restraint is a controversial practice in mental health care and should only be used when necessary. An appropriate indication for using seclusion and restraint is when the patient poses an immediate danger of harm to themselves or others and alternative interventions have failed or are not feasible.
The use of seclusion and restraint is not intended as a punishment or a means of encouraging compliance with treatment or hospital rules). While seclusion and restraint may limit the patient's mobility and access to dangerous objects, the primary goal is to protect staff and other patients from harm.


NEW QUESTION # 550
What is the most commonly used therapy modality for clients suffering from post-traumatic stress disorder?

Answer: D

Explanation:
EMDR, proposed by Francine Shapiro, is a form of exposure therapy meant to help the patient address past trauma and work through it for long-term stabilization.
CBT, DBT, and interpersonal therapy are all less likely to be used as a therapy modality for those suffering from posttraumatic stress disorder.


NEW QUESTION # 551
A PMHNP evaluates a 77-year-old man with the rapid onset of cognition with inattentiveness and disturbances in consciousness. On assessment, the patient presents with episodes of psychomotor agitation and retardation. Based on the patient's presentation and symptoms, the PMHNP should assess them for which of the following diagnoses?

Answer: B

Explanation:
Delirium presents with a constellation of acute-onset symptoms, including rapid cognitive decline with disturbances of attention and consciousness. Of the three types of delirium, the patient's cycling between states of agitation and retardation indicates mixed delirium as opposed to hypoactive or hyperactive delirium.


NEW QUESTION # 552
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