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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified 認定 PMHNP 試験問題 (Q139-Q144):

質問 # 139
What is the term for milky nipple discharge that is unrelated to breastfeeding and is a possible side effect of certain psychotropic medications?

正解:D

解説:
Galactorrhea is a milky nipple discharge unrelated to the normal milk production of breastfeeding.
Hyperprolactinemia is an indication of elevated prolactin levels, which can cause galactorrhea and are a risk factor for those taking antipsychotics, especially second-generation antipsychotics such as Invega or Risperdal. Prolactinemia and estrogenemia are not terms associated with increased milky nipple discharge.


質問 # 140
A patient who has been smoking for the past 10 years expresses a desire to quit. According to the transtheoretical model of change, in which of the following stages is the patient?

正解:D

解説:
The transtheoretical model of change describes the process of behavior change. The model identifies five stages of change: precontemplation, contemplation, preparation, action, and maintenance.
In the precontemplation stage, individuals are not yet considering changing their behavior. In the contemplation stage, individuals are aware of the need to change and are actively considering their options. In the preparation stage, individuals have decided to change and are preparing to take action. In the action stage, individuals are actively engaged in changing their behavior; in the maintenance stage, individuals are working to maintain the behavior change over time.


質問 # 141
Which complementary therapy is a form of exercise that promotes mind-body connection using breathing and physical movements?

正解:A

解説:
Yoga is a form of therapy and exercise that originated in India.
It promotes a mind/body connection and uses breathing, physical movements, and meditation to aid in relaxation and healing. Massage, breathwork, and meditation do not use combinations of both breathing and physical movements.


質問 # 142
Which of the following describes a risk assessment as performed by a PMHNP?

正解:B

解説:
The practice of assessing individuals or groups for high-risk behaviors is a risk assessment intervention. Systems or activities in place to intervene and reduce the risks of injury to both individuals and the healthcare system are risk management interventions.


質問 # 143
There are four levels of systems: microsystems, macrosystems, megasystems, and metasystems. In health care, what is an example of a megasystem?

正解:A

解説:
Organizational knowledge and systems thinking add an imperative dimension to nursing science. Nurse practitioners understand that organizations are systems in motion with complex relationships between many different parts. There are four levels of systems: microsystems, macrosystems, megasystems, and metasystems.
* Microsystem: direct patient care
* Macrosystem: hospitals, skilled nursing facilities, clinics
* Megasystem: American healthcare system
* Metasystem: economic, political, and social level of society


質問 # 144
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