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College Admission PMHNP Exam Syllabus Topics:

SectionWeightObjectives
Professional Role and Policy14%- Healthcare Policy
  • 1. Advocacy and Leadership
  • 2. Healthcare Regulations
- Ethical and Legal Standards
  • 1. Confidentiality and Consent
  • 2. Professional Accountability
- Collaboration and Consultation
  • 1. Interdisciplinary Practice
  • 2. Care Coordination
Scientific Foundation19%- Psychopathology
  • 1. Psychiatric Disorders Across Lifespan
  • 2. Differential Diagnosis
- Research and Evidence-Based Practice
  • 1. Clinical Guidelines
  • 2. Research Interpretation
- Neuroscience and Neurobiology
  • 1. Neurotransmitters and Brain Function
  • 2. Neurodevelopmental Concepts
Advanced Practice Skills24%- Psychopharmacology
  • 1. Drug Interactions and Side Effects
  • 2. Medication Management
- Assessment and Diagnosis
  • 1. Mental Status Examination
  • 2. Psychiatric Interviews
- Psychotherapy Modalities
  • 1. Cognitive Behavioral Therapy
  • 2. Supportive Therapy
Diagnosis and Treatment43%- Treatment Planning
  • 1. Individualized Care Plans
  • 2. Crisis Intervention
- Special Populations
  • 1. Older Adults
  • 2. Children and Adolescents
- Clinical Management
  • 1. Acute Psychiatric Conditions
  • 2. Chronic Mental Illness Management

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1078-Q1083):

NEW QUESTION # 1078
Which of the following would be an appropriate early intervention strategy for a community mental health clinic to target personality disorders?

Answer: D

Explanation:
There are currently no agreed-upon prevention strategies for personality disorders. Community and parent education would focus on the importance of providing a stable home life during childhood and adolescence and role-modeling healthy moods, actions, and reactions to life events. Providing education to all new and expectant parents on the importance of stability and security in the home in all ways (e.g., emotional and mental health, finances, food, and housing) is a well-rounded strategy.


NEW QUESTION # 1079
Which of the following would be least likely to be recommended as a nonpharmacological method of managing ADHD?

Answer: C

Explanation:
Nonpharmacological management of ADHD includes all of the following:
* Behavior therapy
* Treatment for learning disorders
* Family therapy and education
* Psychoeducation
* Patient and parent cognitive behavioral training


NEW QUESTION # 1080
Which of the following services will need to be covered by something other than Medicaid?

Answer: A

Explanation:
The services covered under Medicaid are:
* Inpatient medical hospitalizations
* Outpatient services
* Family planning services
* Home health services when there is no local home health agency
* Home health aides
* Skill nursing facilities services for those age 21 and older
* Services rendered by nurse practitioners and nurse midwives
* Medical supplies for use in-home
* Pregnancy-related services up to 60 days postpartum
The services not covered under Medicaid are:
* Vision care
* Eyeglasses
* Dental care
* Dentures
* Hearing exams
* Hearing aids
* Routine physical exams
* Inpatient psychiatric hospitalizations


NEW QUESTION # 1081
A patient is prescribed memantine to treat moderate to severe Alzheimer's disease. Which of the following medications is frequently prescribed with memantine?

Answer: C

Explanation:
Memantine is an N-methyl-D-aspartate (NMDA) receptor antagonist that is FDA-approved for the treatment of moderate to severe Alzheimer's disease. It is believed to work by regulating the activity of a neurotransmitter called glutamate, which is involved in learning and memory. The prescribing guidelines for memantine include using it in combination with a cholinesterase inhibitor as it is more effective than monotherapy in treating moderate to severe Alzheimer's disease.
Memantine should not be used as monotherapy. It should not be used in combination with an antidepressant or antipsychotic, as these are not evidence-based treatment options for Alzheimer's disease.


NEW QUESTION # 1082
A patient asks if she can be tested for HIV. Before administering the test, what should the nurse practitioner do first?

Answer: C

Explanation:
The first thing a nurse practitioner should do is obtain informed consent by explaining the test to the patient, including the risk of false positives and false negatives. If the patient tests positive for HIV, some states require the nurse practitioner to notify the patient's sexual partners.
Contacting the patient's parents or sexual partners prior to the test violates confidentiality.


NEW QUESTION # 1083
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