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College Admission PMHNP Exam Syllabus Topics:

Section	Objectives
Scientific Foundations	- Psychopharmacology - Pathophysiology and Psychopathology - Research and Evidence-Based Practice
Psychotherapeutic Modalities	- Crisis Intervention - Individual Psychotherapy - Group and Family Therapy
Diagnosis and Management of Psychiatric Disorders	- Psychotic Disorders - Personality Disorders - Mood Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders
Ethics, Legal, and Professional Practice	- Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations
Advanced Practice Skills	- Advanced Psychiatric Assessment - Treatment Planning - Diagnosis and Differential Diagnosis

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q77-Q82):

NEW QUESTION # 77
A PMHNP is providing care to a patient who has been diagnosed with a terminal illness. The patient has recently entered the bargaining phase of death and dying. Which of the following best describes the goal of the bargaining phase?

A. To help the patient negotiate a compromise with a higher power or fate in an attempt to postpone their death
B. To help the patient find meaning and purpose in their life and to make sense of their illness and impending death
C. To help the patient accept their terminal diagnosis and prepare for their impending death
D. To help the patient express their feelings of sadness, anger, and fear related to their illness and death

Answer: A

Explanation:
The bargaining phase is a stage of the Kubler-Ross model of grief and dying, in which patients may try to negotiate a compromise with a higher power or fate in an attempt to postpone their death. This can involve making promises or deals in exchange for more time or attempting to find a way to avoid or delay the inevitable.
The goal of the bargaining phase is not to help the patient accept their terminal diagnosis or to find meaning and purpose in their life, although these may be important factors in other stages of the dying process.

NEW QUESTION # 78
Which of the following would be least likely to be a potential barrier to interprofessional collaboration?

A. Lack of a payment structure that rewards collaboration
B. Gender, power, and socialization
C. Turf protection
D. No support for interprofessional collaboration by any national organizations

Answer: D

Explanation:
The Institute of Medicine, the Robert Wood Johnson Foundation, the American Nurses Association, and The Joint Commission all support interprofessional collaboration.
Barriers preventing interprofessional collaboration include the following:
* Gender, power, socialization, education, status, cultural differences
* Lack of a payment system and structure that rewards collaboration
* Misunderstanding of the scope and contribution of each profession
* Turf protection

NEW QUESTION # 79
The two phases of the action potential are depolarization and repolarization. What causes depolarization?

A. Influx of sodium and calcium ions
B. Potassium leaving the cell or chloride entering the cell
C. The restoration phase
D. An inhibitory response

Answer: A

Explanation:
The two phases of the action potential are depolarization and repolarization.
Depolarization is characterized by:
* The initial phase of the action potential;
* An excitatory response; and
* An influx of sodium and calcium ions into the cell.
Repolarization is characterized by:
* The restoration phase;
* An inhibitory response; and
* Potassium leaving the cell or chloride entering the cell.

NEW QUESTION # 80
`A PMHNP is working with a patient who has a history of substance abuse and has begun to confide in the PMHNP about their personal life. Which of the following actions by the PMHNP would be a violation of professional boundaries?

A. Providing the patient with their work cell phone number in case of emergencies
B. Referring them to a support group run by a close colleague
C. Meeting the patient outside of scheduled appointments for coffee to discuss their progress
D. Maintaining a therapeutic relationship with the patient

Answer: C

Explanation:
Professional boundaries are the limits and expectations that define the appropriate relationship between healthcare professionals and their patients. Maintaining professional boundaries is critical to ensuring the safety and well-being of patients and protecting the integrity of the healthcare professional.
Violating professional boundaries can harm the therapeutic relationship, put the patient at risk, and damage the reputation of the healthcare professional.

NEW QUESTION # 81
What term refers to the nurse practitioner's responsibility not to release patient information learned in the course of treatment to third parties?

A. Nonmaleficence
B. Beneficence
C. Confidentiality
D. Privilege

Answer: C

Explanation:
Confidentiality refers to the nurse practitioner's responsibility not to release patient information learned in the course of treatment to third parties.
Privilege refers to the patient's right to prevent disclosure of confidential information in judicial hearings. Nonmaleficence refers to the principle of bioethics that asserts an obligation not to inflict harm intentionally. Beneficence refers to an action done for the benefit of others.

NEW QUESTION # 82
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