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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q88-Q93):

NEW QUESTION # 88
Which of the five phases of group dynamics is marked by participants frequently exhibiting resistance and sabotaging behaviors?

Answer: B

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 # 89
You are advising a new nurse practitioner opening a solo practice. You understand that they are expected to be competent in their role of treating and diagnosing patients. Which of the following, if identified as a core competency area by the new nurse practitioner, requires you to provide them with further information?

Answer: C

Explanation:
Although nurse practitioners are expected to know these diagnostic codes, it is not expected that they memorize them but rather that they use up-to-date resources for accuracy in diagnosis coding.
Nurse practitioner core competencies include the following:
* Scientific foundations
* Leadership
* Quality
* Practice inquiry
* Technology and information literacy
* Policy
* Health delivery systems
* Ethics
* Independent practice


NEW QUESTION # 90
Which of the following is least accurate regarding competency?

Answer: B

Explanation:
Competency is a legal concept regarding the determination that a client can make reasonable judgments and decisions regarding treatment and other concerns. A person is considered to be competent unless a court rules them to be incompetent.


NEW QUESTION # 91
Which part of the Medicare program covers allied health services such as physical, occupational, and speech therapy?

Answer: B

Explanation:
The Medicare program has four parts: Part A, Part B, Part C, and Part D.
* Part A: Coverage for hospitalizations (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to six months for terminally ill), and some home health care
* Part B: Coverage for ambulatory practitioner service; physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some preventative care
* Part C: Optional coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage plan
* Part D: Optional coverage for outpatient pharmaceuticals


NEW QUESTION # 92
A PMHNP is caring for a 45-year-old woman who was seen in the emergency room with symptoms of mani a. She has not previously experienced mania. The patient's medical history includes treatment for hyperthyroidism and Cushing's syndrome.
Which of the following considerations should be factored into the PMHNP's differential diagnosis?

Answer: C

Explanation:
Certain medical conditions mimic mania, such as hyperthyroidism and endocrine disorders. Initial manic symptoms that occur after age 40 are most often associated with a medical condition such as thyroid and endocrine disorders. This patient is over 40, is experiencing manic symptoms for the first time, and has both thyroid and endocrine disorders.
A brain tumor would not be an initial consideration for mania alone. Although drug abuse could cause symptoms of mania, the combination of medical conditions present would be the most appropriate starting point.


NEW QUESTION # 93
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