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College Admission PMHNP Exam Syllabus Topics:
| Section | Objectives |
|---|
| Topic 1: Advanced Practice Skills | - Advanced Psychiatric Assessment - Treatment Planning - Diagnosis and Differential Diagnosis
|
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Psychotic Disorders - Mood Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders
|
| Topic 3: Psychotherapeutic Modalities | - Crisis Intervention - Group and Family Therapy - Individual Psychotherapy
|
| Topic 4: Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology
|
| Topic 5: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations
|
>> PMHNP的中問題集 <<
実用的なPMHNP的中問題集 & 合格スムーズPMHNP模試エンジン | 実際的なPMHNP資格受験料
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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 (Q759-Q764):
質問 # 759
Which of the following is incorrect regarding females with bipolar disorder?
- A. Females are more likely to develop psychotic features
- B. Females are more likely to experience rapid cycling and mixed states
- C. Females have higher rates of eating disorders
- D. Females are more likely to experience depressive episodes
正解:A
解説:
Gender does not appear to be related to the likelihood that someone with bipolar disorder will develop psychotic features.
Females with bipolar disorder are more likely to experience rapid cycling and mixed states and are more likely to experience depressive episodes. They also have higher rates of comorbid alcohol use disorders and eating disorders.
質問 # 760
Which classification of psychiatric medications requires routine lab work for metabolic monitoring?
- A. Anxiolytics
- B. Second-generation antipsychotics
- C. SSRIs
- D. Tricyclic antidepressants
正解:B
解説:
Patients being prescribed and treated with second-generation antipsychotics and/or most mood stabilizers should have routine laboratory testing to monitor their baseline and help prevent metabolic syndrome.
SSRIs, anxiolytics, and tricyclic antidepressants all carry a very low risk or no risk of metabolic syndrome.
質問 # 761
There is a tool that is useful in learning more about oneself by creating a word portrait of a person in four areas to indicate how well that person know himself. This tool is which of the following?
- A. patterns of knowing
- B. Johari window
- C. orientation
- D. patterns of unknowing
正解:B
解説:
The correct answer to the question is the Johari Window. The Johari Window is a psychological tool that was created by Joseph Luft and Harrington Ingham in 1955. It is designed to help individuals better understand their interpersonal relationships and themselves. The tool is particularly useful in self-discovery and group dynamics. It offers a simple yet profound way to illustrate and improve self-awareness, which is crucial in personal development.
The Johari Window is structured around four quadrants, each representing a different aspect of self-awareness: 1. **Open/Public Area**: This quadrant includes traits that are known both to the individual and to others. This is the area of free and open communication, where behaviors and motives are clear to everyone. 2. **Blind/Unaware Area**: This area contains things about ourselves that others can see but of which we are unaware. Feedback from others can help to reduce this area by making us aware of things we do not see in ourselves. 3. **Hidden/Private Area**: This quadrant represents things we know about ourselves but choose to keep hidden from others. This can include sensitive information or insecurities that we are not comfortable sharing. 4. **Unknown Area**: This area includes aspects of ourselves that neither we nor others know about. This can involve latent abilities or experiences that have never been activated or realized.
The goal of using the Johari Window in personal development or group settings is to expand the Open Area. This expansion can be achieved through soliciting feedback from others, which reduces the Blind Area, and by disclosing personal information, which decreases the Hidden Area. As these areas are minimized, self-awareness and mutual understanding can increase, leading to more effective communication and interpersonal relationships.
In summary, the Johari Window serves as a valuable tool for anyone looking to gain deeper insights into their personal traits and behaviors, how others perceive them, and areas where they may be blind to their own actions or motivations. By working on expanding the Open quadrant, individuals can foster greater openness and trust within themselves and in their interactions with others.
質問 # 762
A PMHNP is providing care for a patient admitted to a psychiatric hospital. The PMHNP has decided to use milieu therapy as part of the treatment plan. Which of the following best describes the main goal of milieu therapy in a psychiatric hospital setting?
- A. To help the patient identify and challenge negative thoughts and beliefs that contribute to their mental health symptoms
- B. To create a therapeutic environment that promotes safety, structure, and socialization, which can help the patient improve their mental health
- C. To provide the patient with psychopharmacological interventions to manage their symptoms
- D. To provide the patient with individualized treatment and therapy to help them recover from their mental illness
正解:B
解説:
Milieu therapy is used in a psychiatric hospital setting to create a therapeutic environment that promotes safety, structure, and socialization, which can help the patient improve their mental health. The goal of milieu therapy is to create a supportive and structured environment that is conducive to recovery and to provide the patient with opportunities to learn and practice new coping skills and behaviors.
質問 # 763
A PMHNP is called to assess a patient who is experiencing a psychiatric emergency and is exhibiting aggressive behavior toward others. Which of the following techniques is the PMHNP most likely to use to manage the patient's behavior in this situation?
- A. Restraint
- B. Reality therapy
- C. De-escalation
- D. Aversion therapy
正解:C
解説:
De-escalation involves verbal and nonverbal techniques to reduce a patient's agitation and distress. This can include active listening, a calm demeanor, and creating a safe environment.
Restraint may be necessary in some cases as a last resort after other efforts to de-escalate the situation have been unsuccessful. Reality therapy and aversion therapy are inappropriate for managing an acutely agitated patient and may further escalate the situation.
質問 # 764
......
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