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| Section | Weight | Objectives |
|---|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
- 1. Cognitive Behavioral Therapy
- 2. Supportive Therapy
- Psychopharmacology
- 1. Drug Interactions and Side Effects
- 2. Medication Management
- Assessment and Diagnosis
- 1. Psychiatric Interviews
- 2. Mental Status Examination
|
| Professional Role and Policy | 14% | - Collaboration and Consultation
- 1. Care Coordination
- 2. Interdisciplinary Practice
- Healthcare Policy
- 1. Healthcare Regulations
- 2. Advocacy and Leadership
- Ethical and Legal Standards
- 1. Professional Accountability
- 2. Confidentiality and Consent
|
| Diagnosis and Treatment | 43% | - Clinical Management
- 1. Chronic Mental Illness Management
- 2. Acute Psychiatric Conditions
- Special Populations
- 1. Children and Adolescents
- 2. Older Adults
- Treatment Planning
- 1. Individualized Care Plans
- 2. Crisis Intervention
|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
- 1. Neurodevelopmental Concepts
- 2. Neurotransmitters and Brain Function
- Psychopathology
- 1. Differential Diagnosis
- 2. Psychiatric Disorders Across Lifespan
- Research and Evidence-Based Practice
- 1. Clinical Guidelines
- 2. Research Interpretation
|
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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1040-Q1045):
NEW QUESTION # 1040
Decreased levels of potassium are seen in which of the following conditions?
- A. Insulin deficiency
- B. Laxative abuse
- C. Dehydration
- D. Acute renal failure
Answer: B
Explanation:
Decreased levels of potassium are seen in laxative abuse. They are also seen in the following:
* Alkalosis
* Excessive insulin
* Burns
* Trauma
* Surgery
* Cushing's syndrome
* Hyperaldosteronism
* Thyrotoxicosis
* Anorexia nervosa
* Diet deficient in meat and vegetables
Increased levels of potassium are seen in the following:
* Acidosis
* Insulin deficiency
* Addison's disease
* Acute renal failure
* Hypoaldosteronism
* Infection
* Dehydration
NEW QUESTION # 1041
You have been treating a patient for major depressive disorder. At the end of the patient's treatment, he tells you that he finds you attractive and asks to take you to dinner. Which statement is accurate regarding romantic relationships with psychiatric patients?
- A. A romantic relationship with a former patient is permissible
- B. A romantic relationship with a former patient is unethical and never permissible
- C. A romantic relationship with a former patient is permissible as long as both parties are consenting adults
- D. A romantic relationship is only permissible if the nurse practitioner does not exploit her past position of authority
Answer: B
Explanation:
A romantic or sexual relationship with any former patient is considered unethical and never permissible. There are not typically any exceptions to this principle, and PMHNPS should avoid romantic relationships with patients.
NEW QUESTION # 1042
You are treating a 45-year-old patient who has been diagnosed with schizophrenia and treated with thioridazine (Mellaril) for the past 15 years. You decide to switch the patient to a different antipsychotic due to what serious long-term consequence that is specific to high-dose thioridazine?
- A. Tardive dyskinesia
- B. Hyperprolactinemia
- C. Retinal pigmentation
- D. Priapism
Answer: C
Explanation:
Retinal pigmentation can occur in patients prescribed >1,000 mg of thioridazine. Even when thioridazine is stopped, this side effect may persist and lead to blindness.
Hyperprolactinemia, priapism, and tardive dyskinesia can occur as side effects of any antipsychotic medication.
NEW QUESTION # 1043
What is a person's culture?
- A. A group of adults and children who are usually related and participate in and carry out the essential functions of life
- B. A group of families often sharing the same race or tribe
- C. The learned beliefs and behaviors that are common among all members of the person's social group
- D. The self-identified race, tribe, or nation to which a person or group belongs
Answer: C
Explanation:
Culture is the learned beliefs and behaviors or the socially inherited characteristics that are common among all members of a group.
A family is a group of adults and children who are usually related and participate in and carry out the essential functions of life. Ethnicity is the self-identified race, tribe, or nation with which a person or group identifies. A community is a group of families often sharing the same race, tribe, or culture and who have beliefs or behaviors not shared by others.
NEW QUESTION # 1044
A PMHNP is conducting an assessment of a patient with a history of schizophreni a. Which of the following assessment tools would be most appropriate for the PMHNP to use to specifically assess the patient's level of functioning with their condition?
- A. Positive and Negative Syndrome Scale (PANSS)
- B. World Health Organization Disability Assessment Schedule (WHODAS)
- C. Hamilton Rating Scale for Depression (HAM-D)
- D. Clinical Global Impression (CGI) scale
Answer: B
Explanation:
The World Health Organization Disability Assessment Schedule (WHODAS) is a tool used to assess a patient's level of functioning across six domains: cognition, mobility, self-care, getting along with people, life activities, and participation in society. The WHODAS is a comprehensive tool that provides a broad picture of the patient's functioning and can be used to identify areas where the patient may need support or interventions to improve their overall functioning.
The Clinical Global Impression (CGI) scale is used to assess the severity of illness and treatment response, while the HAM-D is specifically designed to assess depressive symptoms. The PANSS is a tool used to assess positive and negative symptoms of schizophrenia, but it does not provide a comprehensive assessment of functioning.
NEW QUESTION # 1045
......
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