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College Admission PMHNP Exam Syllabus Topics:

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

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q119-Q124):

NEW QUESTION # 119
Which of the following is least accurate regarding competency?

Answer: A

Explanation:
Competency is a legal concept regarding the determination that a client can make reasonable judgments and decisions regarding treatment and other concerns. A person is considered to be competent unless a court rules them to be incompetent.


NEW QUESTION # 120
Which type of therapeutic interviewing method helps a patient discover discrepancies between their current behaviors and the behaviors they desire to have?

Answer: C

Explanation:
Socratic questioning is an existential therapeutic interviewing method of eliciting information with the goal of discovering the discrepancy between current behaviors and the desired outcome of the patient.
CBT focuses on the subconscious influencers of behavior. DBT builds on CBT with an emphasis on emotional regulation, increasing stress tolerance, and mindfulness. Psychoanalytic therapy and questioning focus on discovering unconscious thoughts and motivators.


NEW QUESTION # 121
A PMHNP works in a clinic at a military base. As part of her job duties, she frequently screens post-deployment veterans returning from combat for traumatic brain injury (TBI). Which of the following symptoms may indicate a brain injury?

Answer: D

Explanation:
Veterans should be assessed for problems with memory, sleep, light sensitivity, balance, and other symptoms that may signal a brain injury.
A lack of appetite, resistance to examination, and increased alcohol use may indicate depression or another coping issue but not brain trauma without other symptoms.


NEW QUESTION # 122
You are the nurse practitioner treating a 19-year-old female. During your initial assessment, the client complains of not sleeping well. Which of the following is least likely to be the etiology of the disruptions in sleep patterns for this client?

Answer: D

Explanation:
The etiology of insomnia is found in the following:
* Dysfunction on sleep-wake circuits of the brainstem
* Neurochemical imbalances impinging on these circuits
* Potentially stress-related in brief episodic insomnia
While age-related changes may contribute to the development of these factors, age is not an important consideration for this client given her young age.


NEW QUESTION # 123
Which of the following risk factors is most associated with an increased likelihood of developing depression in an adult patient?

Answer: D

Explanation:
Risk factors for the development of depression include genetic predisposition, a first-degree relative with MDD or dysthymia, or being female. Depression may be associated with life changes like stressors or incarceration, however, these are more peripheral risk factors.


NEW QUESTION # 124
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