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College Admission PMHNP Exam Syllabus Topics:

Section	Weight	Objectives
Advanced Practice Skills	27%	- Cultural competence, communication, and patient education - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning - Screening, risk assessment, and safety evaluation
Scientific Foundation	22%	- Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders
Diagnosis and Treatment	22%	- Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions
Ethics, Legal Principles, and Cultural Care	17%	- Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent
Psychotherapy and Related Theories	11%	- Crisis intervention and stabilization - Group, family, and individual therapy principles - Evidence-based psychotherapy approaches - Therapeutic frameworks and modalities

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q741-Q746):

NEW QUESTION # 741
What is a use of biofeedback?

A. When hypersomnia is a major factor
B. When a client has stress-related symptoms such as anxiety
C. When a client has depressive symptoms
D. When a client is suffering from neurological problems such as a seizure disorder

Answer: B

Explanation:
Biofeedback is a process providing a person with visual or auditory information about the autonomic physiological functions of their body, such as blood pressure, muscle tension, and brain wave activity.
Biofeedback is used in the following situations:
* Stress-related symptoms such as anxiety
* Pain
* Insomnia
* Neuromuscular problems such as migraines or muscular tension
* Neurobehavioral disorders
* Enhancement of healing
* Athletic and work performance

NEW QUESTION # 742
An elevated temperature in a patient taking mood stabilizers and antipsychotics such as clozapine may be most concerning for which of the following?

A. Agranulocytosis
B. Dehydration
C. Infection
D. Increased metabolic rate

Answer: A

Explanation:
Agranulocytosis is a potentially serious risk when prescribing patients mood stabilizers such as carbamazepine and antipsychotics such as clozapine. The patient should be assessed for this condition if presenting with an elevated temperature.
Increased metabolic rate, dehydration, and infection can all be related to an elevated temperature, however, agranulocytosis would be the most pertinent and most serious condition to consider.

NEW QUESTION # 743
Commonly seen in Japan and Korea, the syndrome of taijin kyofusho is a form of what mental illness?

A. Social phobia
B. Cyclothymic disorder
C. Major depressive disorder
D. Schizophrenia

Answer: A

Explanation:
Commonly seen in Japan and Korea, the syndrome of taijin kyofusho is a form of social phobia. It is characterized by a fear of social evaluation. The patient often reports that they believe they are making other people uncomfortable. For example, a patient might state, "My gaze upsets people, so they avoid me." This fear also has some traits of body dysmorphic disorder (in that the patient may believe they possess an offensive body odor) and it can accelerate to a delusional intensity.

NEW QUESTION # 744
Who originally developed existential therapy?

A. Carl Rogers
B. Aaron Beck
C. Viktor Frankl
D. Sigmund Freud

Answer: C

Explanation:
Existential therapy was proposed by Viktor Frankl. Existential psychotherapy is a philosophical method that operates on the belief that inner conflict within a person is due to that individual's confrontation with the givens of existence.
Psychoanalytic therapy was proposed by Sigmund Freud. Cognitive therapy was proposed by Aaron Beck. Humanistic therapy was proposed by Carl Rogers.

NEW QUESTION # 745
During a therapy session, a PMHNP learns that their Muslim patient feels uncomfortable with the gender of their therapist due to religious and cultural reasons. What is the most appropriate action for the PMHNP to take?

A. Explain that changing therapists could disrupt their care and advise against it.
B. Recognize that this objection is resistance to therapy and explore the issue further.
C. Explain that in Westernized societies, therapy transcends cultural and religious boundaries.
D. Refer the patient to a therapist of the gender they are comfortable with.

Answer: D

Explanation:
Referring the patient to a therapist of the gender they are comfortable with respects their cultural and religious needs, likely facilitating a more comfortable and effective therapeutic environment.
Taking the patient's objection as resistance to therapy dismisses a legitimate religious and cultural concern. Prioritizing logistical concerns over the patient's expressed needs and comfort could impair therapeutic outcomes. While Islam does not have Western origins, assuming the patient is not part of a Westernized society is incorrect. Additionally, therapy should consider cultural and religious boundaries.

NEW QUESTION # 746
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