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College Admission PMHNP Exam Syllabus Topics:

SectionObjectives
Topic 1: Scientific Foundations- Pathophysiology and Psychopathology
- Research and Evidence-Based Practice
- Psychopharmacology
Topic 2: Diagnosis and Management of Psychiatric Disorders- Anxiety and Trauma-Related Disorders
- Personality Disorders
- Mood Disorders
- Psychotic Disorders
- Substance Use Disorders
Topic 3: Advanced Practice Skills- Diagnosis and Differential Diagnosis
- Treatment Planning
- Advanced Psychiatric Assessment
Topic 4: Ethics, Legal, and Professional Practice- Patient Safety and Quality Improvement
- Scope of Practice and Regulations
- Ethical Decision-Making
Topic 5: Psychotherapeutic Modalities- Individual Psychotherapy
- Group and Family Therapy
- Crisis Intervention

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1139-Q1144):

NEW QUESTION # 1139
As a nurse practitioner, you will be responsible for assessing physical signs of child abuse. Which of the following is least indicative of abuse?

Answer: C

Explanation:
Inattention and distraction could be age-appropriate or a sign of ADD/ADHD, but it is not a sign of child abuse.
Common indicators of child abuse:
* History of unexplained multiple fractures
* Burns, hand or bite marks
* Injuries at various stages of healing
* Evidence of neglect
* Bruising on padded parts of the body


NEW QUESTION # 1140
The daughter of a patient with dementia expresses frustration that her mother no longer appears to enjoy the television programs that once kept her occupied while the daughter worked from home. "I know I shouldn't get mad, but it's super frustrating. It's like her favorite TV programs agitate her now. I just don't understand!" Which information regarding dementia may increase the daughter's understanding of the patient's experience?

Answer: A

Explanation:
As dementia progresses, TV and radio programs can cause agitation and can be disorienting when the patient cannot distinguish between reality and whatever they see on television. The daughter did not report that the patient had hearing issues at any other time, and the agitation seemed specifically related to TV time previously enjoyed.
Pairing TV time with socialization or moving the TV closer is not a good management tool for agitation related to TV content.


NEW QUESTION # 1141
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: D

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 # 1142
Which anxiety disorder is characterized by a fear of embarrassment while speaking, writing, or eating in public?

Answer: A

Explanation:
Social anxiety disorder patients fear embarrassment when they speak, write, or eat in public.
Panic disorder patients experience brief episodes of intense dread accompanied by physical symptoms like chest pain, chills, shortness of breath, and an irregular heartbeat. Generalized anxiety disorder patients feel tense or anxious a majority of the time and worry about many different issues. Agoraphobia patients fear situations or places where they might have trouble obtaining help if they become scared.


NEW QUESTION # 1143
Which of the following is a behavioral tool for children with attention-deficit hyperactivity disorder (ADHD)?

Answer: C

Explanation:
A behavior report card is a behavioral tool commonly used to treat ADHD. This tool often bridges the gap between school, therapy, and home as an attempt to incentivize certain behaviors.
Methylphenidate (Ritalin, Daytrana, Concerta) is an effective medication for treating ADHD, but it is not a behavioral tool. Reframing negative experiences and interpreting maladaptive behaviors are not useful in treating ADHD.


NEW QUESTION # 1144
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