順便提一下，可以從雲存儲中下載VCESoft PMHN-BC考試題庫的完整版：https://drive.google.com/open?id=1cESZkt8yX6Rh1KfIQZCorTBERpv9twHk
想要通過 PMHN-BC 考古題並不是僅僅依靠與考試相關的書籍就可以辦到的。與其盲目地學習考試要求的相關知識，不如做一些有價值的試題。一本高效率的 PMHN-BC 考古題是大家準備考試時必不可少的工具。所以，快點購買 Nursing 的 PMHN-BC 考古題吧。這是一本命中率很高的考古題，比其他任何學習方法都有效。這是可以保證你一次就成功的難得的資料。
| Section | Objectives |
|---|---|
| Therapeutic Interventions | - Psychopharmacology Principles
|
| Professional Role Development | - Interprofessional Collaboration
|
| Patient Safety and Ethical Practice | - Ethics and Legal Standards
|
| Psychiatric–Mental Health Nursing Foundations | - Assessment and Diagnostic Reasoning
|
人們相信需要一個標準化的、多國的、令人信服的考試來驗證個人在 Nursing上技能的等級。同時，這個考試必須有利於公司雇用 Nursing 方面專業人才。為了實現這壹目的，Nursing 專家機構聯合多方力量設計和完善了 PMHN-BC 認證考試。Nursing 專家機構通過全球的發展使之成為一個倍受公認和廣泛認可的 PMHN-BC 認證考試體系。用戶應該可以自由選擇，在認證 Nursing 最高級工程師這壹關鍵領域不應固定於一個廠商。
問題 #97
Which of the following phobias is not defined properly?
答案：B
解題說明：
The question provided lists several phobias with their definitions, and asks which one is not defined properly. Let's examine each option:
gynophobia - fear of women. This is correctly defined. Gynophobia is indeed an irrational fear of women.
nyctophobia - fear of smoke. This definition is incorrect. Nyctophobia actually refers to a fear of the dark or nighttime, not smoke. The correct term for fear of smoke would be capnophobia.
agoraphobia - fear of open spaces. This definition is accurate. Agoraphobia is an anxiety disorder where individuals fear being in places where escape might be difficult or that help wouldn't be available if things go wrong.
acrophobia - fear of heights. This is also correctly defined. Acrophobia is an intense fear of heights, often leading to significant anxiety.
Based on the definitions provided, the phobia that is not defined properly is nyctophobia. It should be defined as a fear of the dark or night, rather than a fear of smoke. Phobias are intense, irrational fears that lead to a strong desire to avoid the specific object or situation. In the case of nyctophobia, sufferers would experience heightened anxiety during nighttime or in dark conditions, and might take steps to avoid these situations altogether.
問題 #98
When your client is inducing an illness in order to receive attention this is called:
答案：A
解題說明：
Factitious disorder is a mental disorder in which a person acts as if they have an illness by deliberately producing, feigning, or exaggerating symptoms, purely to attain (often medical) attention or sympathy. This disorder is distinct from hypochondriasis as these individuals are aware that they are exaggerating, but do it for psychological reasons rather than for personal gain.
In contrast to malingering, where the individual pretends to be ill for material gain (such as financial compensation, avoidance of work, or access to drugs), those with factitious disorder are driven by a deep-seated need for attention and sympathy. The primary motivation is to assume the "sick role" to receive care and concern, not external incentives.
The behaviors in factitious disorder may involve falsifying medical history, tampering with medical tests (for example, contaminating a urine sample), harming oneself to produce symptoms, or by exacerbating existing medical problems. These actions are often very harmful to the person's health, yet driven by an uncontrollable psychological need.
Diagnosis and treatment of factitious disorder are challenging. Healthcare providers must carefully gather a patient's medical and psychological history for inconsistencies without damaging the trust in the therapeutic relationship. Treatment typically involves managing any underlying psychiatric conditions, such as depression or personality disorders, and addressing the relationship between the patient and healthcare providers to avoid unnecessary procedures.
Understanding factitious disorder and distinguishing it from other similar conditions, like malingering or somatic symptom disorder, is crucial for providing appropriate care and avoiding unnecessary medical interventions.
問題 #99
I won the Science Fair in the eighth grade biology category. I must have been the only who entered in that category. What example of common distortion is this?
答案：A
解題說明：
In the provided question, the individual won the Science Fair in the eighth grade biology category, which is a positive achievement. However, the individual then disqualifies this positive achievement by stating, "I must have been the only one who entered in that category." This is a clear example of the cognitive distortion known as "Disqualifying the Positive."
"Disqualifying the Positive" is a cognitive distortion where an individual invalidates or dismisses positive experiences, achievements or qualities, often by stating they are unimportant, irrelevant, or due to external factors. This distortion tends to reinforce negative beliefs or feelings by explaining away anything that could challenge these negative views. It is a form of all-or-nothing thinking, where any evidence that could contradict the negative self-view is filtered out.
In this case, the individual disqualifies their achievement of winning the Science Fair by suggesting that they were the only participant in the category, thereby discrediting the effort and skill that was involved in winning. They are dismissing the positive evidence of their achievement and focusing instead on potential negative aspects, reinforcing their negative feelings and beliefs.
"Jumping to Conclusions," "Magnification or Minimization," and "Emotional Reasoning" are other types of cognitive distortions, but they do not apply in this scenario. "Jumping to Conclusions" involves making negative assumptions without evidence, "Magnification or Minimization" involves exaggerating or downplaying the importance of events or qualities, and "Emotional Reasoning" involves basing your view of situations or yourself on the way you feel. Here, the individual is not making assumptions without evidence, exaggerating or downplaying anything, or basing their thoughts on their emotions. Instead, they are disqualifying a positive achievement, making "Disqualifying the Positive" the correct answer.
問題 #100
What drug with concomitant use of an SSRI would cause a patient to be at risk of developing arrhythmia?
答案：C
解題說明：
Pimozide is an antipsychotic medication primarily used to treat chronic psychosis, including schizophrenia. It works by blocking the dopamine receptors in the brain, which helps to reduce symptoms such as hallucinations and delusions. However, Pimozide can also disrupt the heart's normal rhythm, which is why it is contraindicated for patients with known cardiovascular disease.
When combined with certain other medications, the risk of developing arrhythmia can increase. One such class of medications is Selective Serotonin Reuptake Inhibitors (SSRIs), a common type of antidepressant. SSRIs work by increasing the amount of serotonin, a neurotransmitter associated with feelings of well-being and happiness, in the brain.
The concomitant use of an SSRI with Pimozide can lead to a potentially dangerous interaction. This is because SSRIs can inhibit the metabolism of Pimozide, leading to an increased concentration of Pimozide in the body. This can further disrupt the heart's normal rhythm, increasing the risk of developing an arrhythmia.
Therefore, patients who are taking an SSRI should not be prescribed Pimozide due to the increased risk of arrhythmia. If a patient is already taking Pimozide and needs treatment for depression, alternative antidepressant medications that do not interact with Pimozide should be considered. Conversely, if a patient is already taking an SSRI and needs treatment for psychosis, alternative antipsychotic medications that do not interact with SSRIs should be considered.
Other medications that were considered in this question, such as Calcium, Norepinephrine and Antibiotics, do not have the same level of interaction with SSRIs as Pimozide does. While they can have their own potential drug interactions, none of them specifically increase the risk of arrhythmia when taken with an SSRI. Therefore, the correct answer to the question is Pimozide.
問題 #101
What type of therapy uses interaction that is focused on the present to create empathy?
答案：C
解題說明：
The correct answer to the question of what type of therapy uses interaction that is focused on the present to create empathy is Supportive Psychotherapy.
Supportive psychotherapy is a therapeutic approach designed to improve, reinforce, or sustain a patient's psychological defenses, primarily in the face of stress, psychological distress, or dysfunction. This therapy is heavily influenced by psychodynamic and psychoanalytical traditions but differs significantly in its application and goals.
Unlike traditional psychoanalysis, which often delves into past experiences and the subconscious to uncover root causes of psychological issues, supportive psychotherapy concentrates on the present. The primary focus is on creating a supportive environment where the therapist actively helps the patient deal with their current feelings and problems. This approach is deemed particularly effective in helping individuals cope with immediate life challenges and mental health issues by fostering a sense of safety and understanding.
One of the critical elements of supportive psychotherapy is the development of empathy within the therapeutic relationship. Empathy in this context refers to the therapist's ability to understand and share the feelings of the patient, which is vital for providing emotional support and validation. By focusing on the present, the therapist can more directly address the immediate emotions and situations the patient is experiencing, which facilitates a more empathetic connection.
This therapy is often utilized in clinical settings where patients might not have the capacity or stability to engage in more intensive psychoanalytic treatment, such as those with severe mental health disorders, acute crises, or those in need of stabilization. The supportive nature of this therapy helps to strengthen the patient's existing coping mechanisms while preventing further psychological deterioration.
In summary, supportive psychotherapy is distinguished by its present-focused interaction aimed at bolstering the patient's current psychological defenses. It is characterized by the active role of the therapist in providing support, the emphasis on empathy within the therapeutic relationship, and its application in managing present symptoms and stressors rather than exploring historical causative factors.
問題 #102
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PMHN-BC考古題更新: https://www.vcesoft.com/PMHN-BC-pdf.html
P.S. VCESoft在Google Drive上分享了免費的、最新的PMHN-BC考試題庫：https://drive.google.com/open?id=1cESZkt8yX6Rh1KfIQZCorTBERpv9twHk