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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Topic 2: Diagnosis and Treatment | 43% | - Treatment Planning
|
| Topic 3: Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
| Topic 4: Professional Role and Policy | 14% | - Collaboration and Consultation
|
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NEW QUESTION # 1230
Which statement most accurately describes an individual with antisocial personality disorder?
Answer: C
Explanation:
Patients with antisocial personality disorder exhibit criminal behavior beginning in childhood, such as truancy, fighting, destructiveness, and theft. They often default on debts, behave irresponsibly, and act recklessly. They show no remorse for their behavior.
Patients with schizoid personality disorder care little for social relationships, have a restricted emotional range, and appear indifferent to criticism or praise.
Patients with borderline personality disorder exhibit impulsivity, self-harm, inappropriate anger, and affective instability. They feel empty and bored, and they frantically try to avoid abandonment.
Patients with avoidant personality disorder are timid and easily wounded by criticism from others. They fear embarrassment and hesitate to form interpersonal relationships.
NEW QUESTION # 1231
Of the following, which is an inappropriate breach of patient confidentiality?
Answer: C
Explanation:
Patient confidentiality is protected by the Health Insurance Portability and Accountability Act (HIPAA). However, patient confidentiality can be broken in the following circumstances:
* The patient demonstrates increased potential for self-harm or harm to others
* There is suspected abuse of children, older adults, or people with disabilities
* The nurse practitioner determines that the patient needs to be hospitalized
* The patient requests that their information be shared with a third party It is inappropriate for the nurse practitioner to vent or complain about a patient to anyone, even a coworker.
NEW QUESTION # 1232
Which of the following is an example of the ethical principle of veracity in psychiatric nurse practitioner practice?
Answer: A
Explanation:
The ethical principle of veracity refers to the obligation of healthcare providers to communicate truthfully and honestly with their patients. This principle is important in psychiatric practice because patients rely on their healthcare providers to provide accurate information about their diagnosis and treatment options. Providing false or misleading information can damage the therapeutic relationship, compromise the patient's trust, and result in poor treatment outcomes.
In contrast, communicating truthfully and honestly with the patient can help establish trust and promote collaborative decision-making. It can also help ensure that the patient is fully informed about their diagnosis and treatment options, which is essential for them to make informed decisions about their care.
NEW QUESTION # 1233
During a mental status examination, the nurse evaluates the thought process of a client diagnosed with obsessive-compulsive disorder (OCD). Which of the following thought processes is commonly associated with OCD?
Answer: C
Explanation:
Obsessive rumination is a thought process commonly associated with OCD. Clients with OCD experience recurrent, intrusive, and distressing thoughts, images, or impulses (obsessions) that they attempt to neutralize through repetitive behaviors or mental acts (compulsions). Obsessive rumination involves a preoccupation with a particular thought or idea, leading to a persistent, intrusive, and distressing mental state that interferes with the client's ability to concentrate or perform daily activities.
Loosening of associations, flight of ideas, and circumstantiality are thought processes commonly associated with schizophrenia or manic episodes in bipolar disorder. Loosening of associations refers to a disordered pattern of thinking characterized by disconnected and fragmented thoughts. Flight of ideas is a rapid, continuous flow of thought that jumps from one idea to another without any logical connection. Circumstantiality refers to a thought process characterized by excessive and irrelevant detail in the client's speech, leading to difficulty in staying on topic.
NEW QUESTION # 1234
Which of the following is least likely to make someone eligible for Medicaid?
Answer: D
Explanation:
The Centers for Medicare and Medicaid Services (CMS) administer the two major public insurance programs, Medicaid and Medicare.
Medicaid is funded by both federal and state tax dollars. In 2011, Medicaid provided health care for 60 million eligible persons, 85% of whom were children. Those eligible for Medicaid include the following:
* Low-income children
* Low-income pregnant women
* Elderly and disabled individuals who qualify for the Supplemental Security Income Program Medicare is funded by federal tax dollars. In 2011, it provided health care for 47 million eligible people. Those eligible for Medicare include the following:
* Those age 65 and older having worked 40 quarters and paid Medicare taxes
* Certain younger individuals with disabilities
* Individuals with end-stage renal disease
* Individuals in need of a kidney transplant
* Individuals receiving Social Security Disability and who have amyotrophic lateral sclerosis The presence or absence of amyotrophic lateral sclerosis is unlikely to impact an individual's Medicaid eligibility.
NEW QUESTION # 1235
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Once you have practiced on our American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified test questions, the system will automatically memorize and analyze all your practice. You must finish the model test in limited time. There have a timer on the right of the interface. Once you begin to do the exercises of the PMHNP test guide, the timer will start to work and count down. If you don’t finish doing the exercises, all your exercises of the PMHNP Exam Questions will be delivered automatically. Then the system will generate a report according to your performance. You will clearly know where you are good at or not. Then you can make your own learning plans based on the report of the PMHNP test guide. Also, you will do more practices that you are not good at until you completely have no problem.
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