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| Section | Weight | Objectives |
|---|
| Scientific Foundation | 19% | - Research and Evidence-Based Practice
- 1. Research Interpretation
- 2. Clinical Guidelines
- Neuroscience and Neurobiology
- 1. Neurodevelopmental Concepts
- 2. Neurotransmitters and Brain Function
- Psychopathology
- 1. Psychiatric Disorders Across Lifespan
- 2. Differential Diagnosis
|
| Professional Role and Policy | 14% | - Collaboration and Consultation
- 1. Interdisciplinary Practice
- 2. Care Coordination
- Healthcare Policy
- 1. Healthcare Regulations
- 2. Advocacy and Leadership
- Ethical and Legal Standards
- 1. Confidentiality and Consent
- 2. Professional Accountability
|
| Diagnosis and Treatment | 43% | - Special Populations
- 1. Older Adults
- 2. Children and Adolescents
- Clinical Management
- 1. Acute Psychiatric Conditions
- 2. Chronic Mental Illness Management
- Treatment Planning
- 1. Crisis Intervention
- 2. Individualized Care Plans
|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
- 1. Supportive Therapy
- 2. Cognitive Behavioral Therapy
- Assessment and Diagnosis
- 1. Psychiatric Interviews
- 2. Mental Status Examination
- Psychopharmacology
- 1. Medication Management
- 2. Drug Interactions and Side Effects
|
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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q698-Q703):
NEW QUESTION # 698
What is the preferred treatment for anxiety?
- A. Electroconvulsive therapy (ECT)
- B. Anxiolytics
- C. Nonpharmacological treatments
- D. Vagal nerve stimulation (VNS)
Answer: C
Explanation:
Nonpharmacological treatments for anxiety offer the longest relief from symptoms. Options include CBT, mindfulness, and meditation. Anxiolytics are short-term and sometimes result in rebound anxiety when the medication wears off.
ECT and VNS are treatments for catatonia and depression.
NEW QUESTION # 699
When building rapport and interviewing patients, the PMHNP is careful not to use obstructive interventions. Which type of obstructive intervention slows the interview and prompts the patient to give one-word answers with no elaboration?
- A. Compound questions
- B. Closed-ended questions
- C. "Why" questions
- D. Nonverbal communication
Answer: B
Explanation:
A patient can and should be a partner in the interview, but closed-ended questions can prohibit them from elaborating on the details of the problem.
Compound questions are confusing since they lead to more than one answer and can contribute to a lack of clarity in the response. "Why" questions are intimidating and nonproductive. Non-verbal communication may provoke uneasy feelings for the client.
NEW QUESTION # 700
According to the psychodynamic theory, which of the following concepts is associated with the development of personality disorders?
- A. Classical conditioning
- B. Observational learning
- C. Defense mechanisms
- D. Genetic mutations
Answer: C
Explanation:
Psychodynamic theory is a theoretical framework that emphasizes the importance of unconscious mental processes and early childhood experiences in the development of personality. One of the key concepts in psychodynamic theory is defense mechanisms, which are unconscious strategies that individuals use to manage anxiety and protect themselves from emotional pain.
Classical conditioning and observational learning are concepts associated with other theoretical frameworks, such as behaviorism and cognitive-behavioral therapy. Genetic mutations are an example of biological theory, not psychodynamic theory.
NEW QUESTION # 701
Which of the following, if identified as indications for the use of seclusion and restraint by a nurse, requires correction by the PMHNP?
- A. To prevent clear, imminent harm to others
- B. To punish patients for acting out
- C. At the patient's voluntary and reasonable request
- D. To decrease sensory overstimulation
Answer: B
Explanation:
Indications for seclusion and restraint are to:
* Prevent clear, imminent harm to the patient or others
* Prevent significant disruption to the treatment program or physical surroundings
* Assist in treatment as part of ongoing behavior therapy
* Decrease sensory overstimulation
* Answer a patient's voluntary reasonable request
Contraindications for seclusion and restraint are as follows:
* Extremely unstable medical or psychiatric condition
* Delirious or demented patients unable to tolerate decreased stimulation
* Overtly suicidal patients
* Patients with severe drug reactions or overdoses who require close monitoring of their drug dosages
* For punishment or convenience of staff
NEW QUESTION # 702
During which phase of the therapeutic relationship would you anticipate patient resistance and regression?
- A. Working
- B. Orientation
- C. Termination
- D. Introduction
Answer: C
Explanation:
There are three phases of a therapeutic relationship between a nurse practitioner and his or her patient:
1. Introduction
2. Working
3. Termination
During the termination phase, the patient may be resistant to ending the relationship and begin to regress. Some symptoms or problems may re-emerge as the patient unconsciously tries to prolong the relationship.
NEW QUESTION # 703
......
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