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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q953-Q958):

NEW QUESTION # 953
Sara is a 22-year-old female in the inpatient psychiatric unit for acute paranoia and delusional thought processes. Upon admission, the psychiatric-mental health nurse practitioner orders 10 mg of Haldol and 25 mg of Benadryl to be given by mouth STAT. Two hours later, Sara presents to the nurses' station complaining of severe abdominal cramps and an elevated heart rate. You receive a call from the charge nurse explaining the patient's symptoms.
You determine that Sara is most likely suffering from acute dystonia and order which medication to be given immediately?

Answer: D

Explanation:
For acute dystonia, Cogentin 2 mg IM STAT is the best intervention, as Benadryl had previously been given without preventative effects.
Cogentin 1 mg PO is a good option but not the best for treating an acute presentation.
Klonopin 0.5 mg is appropriate for preventative measures but will not provide immediate relief from the acute presentation.


NEW QUESTION # 954
A forensic PMHNP should possess theoretical and practical knowledge of the criminal justice and mental health systems, with a good knowledge base of which of the following?

Answer: B

Explanation:
Each forensic PMHNP should possess theoretical and practical knowledge of the criminal justice and mental health systems. Forensically trained PMHNPs have a good knowledge base of the following:
* The functions of the court system
* Litigation procedures
* Workings of the criminal justice system
* Relevant case law and health litigation
* Mental health, distorted thinking patterns, and impaired cognition
* Safety, security, management, and risk assessment of individuals
The primary knowledge base of forensic PMHNPs does not include understanding the rights of the accused, nonverbal cues of the accused, or proper physical assessment of victims.


NEW QUESTION # 955
Mean, median, mode, and range are examples of descriptive statistics. Which statistic is defined as the average of all values?

Answer: A

Explanation:
Mean is the average of values.
The median is the middle value when the values are listed in numerical order. Mode is the value occurring most often. The range is the difference between the lowest and highest values.


NEW QUESTION # 956
You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment, stating, "My son's teacher is concerned because he is not able to finish his in-class schoolwork. I just don't know what to do." You suspect the client may have attention deficit hyperactivity disorder (ADHD), but you need more information. Per the mother, the patient often fidgets in his seat, gets distracted easily, is extremely disorganized, and has a difficult time remembering to turn in his classwork.
Which of the following symptoms is most indicative of hyperactivity?

Answer: D

Explanation:
Hyperactive and impulsive traits of ADHD are as follows:
* Fidgets
* Leaves seat
* Runs or climbs
* Is unable to engage in quiet activities
* Is always on the go
* Talks excessively
* Blurts out information
* Has a difficult time waiting their turn
* Interrupts others
Inattentive traits of ADHD include all of the following:
* Fails to give attention to details
* Has difficulty sustaining attention
* Does not listen when spoken to
* Does not follow through on instructions
* Is disorganized
* Avoids or dislikes tasks that require sustained mental effort
* Loses things
* Is distracted
* Is forgetful


NEW QUESTION # 957
In terms of communication, body motion is classified as which of the following?

Answer: B

Explanation:
The correct answer is "kinesics." Kinesics refers to the study and interpretation of body motions as a form of communication. These body motions include various physical expressions that convey messages without the use of words.
Kinesics encompasses a wide range of human movements, gestures, and expressions that are typically subconscious but immensely powerful in daily interactions. For example, facial expressions can communicate emotions such as happiness, sadness, anger, or confusion. They are universal across cultures, indicating their deep biological roots in human psychology.
Posture, another aspect of kinesics, involves how someone carries themselves and can indicate a person's confidence level, openness, or defensiveness. For instance, an open posture with uncrossed arms can signal openness and receptivity to communication, whereas crossed arms might suggest a person is closed off or defensive.
The positioning of arms and legs also plays a critical role in communication. These positions can be used to show agreement, disagreement, comfort levels, and even dominance or submission within a group setting. Additionally, eye contact is a powerful kinesic element that can express sincerity, interest, or aggression.
Touch is another facet of kinesics, varying significantly across different cultures and individual comfort levels. It can convey support, sympathy, or control, and it can also be a tool for non-verbal persuasion.
Overall, kinesics is a critical component of communication that complements verbal interactions. Understanding and interpreting body language can enhance interpersonal communication and facilitate better relationships both in personal and professional contexts.


NEW QUESTION # 958
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