Exam College Admission PMHNP Pattern | PMHNP Exam Tests
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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q230-Q235):
NEW QUESTION # 230
Which of the following is a disadvantage to prescribing benzodiazepines with short half-lives?
- A. Less drug accumulation
- B. Less daytime sedation
- C. Increased risk of addiction
- D. Rapid onset of action
Answer: C
Explanation:
A disadvantage of benzodiazepines with short half-lives is an increased risk of addiction. Rapid onset of action, less drug accumulation, and less daytime sedation are all advantages of benzodiazepines with short half-lives.
NEW QUESTION # 231
Which of the following questions is an example of clarification?
- A. "What do you mean when you say...?"
- B. "What would your life be like if you woke up tomorrow and the problem was gone?"
- C. "What surprised you today?"
- D. "Why do you think that you do...?"
Answer: A
Explanation:
Clarification questions are asked to help the patient examine their beliefs at a deeper level.
It is not appropriate to ask a "why" question in therapy. Asking a person what their life would look like if the problem miraculously disappeared is an example of a miracle question. Questions such as "What surprised you today?" are often used in humanistic therapy to elicit positive emotions.
NEW QUESTION # 232
You are a nurse practitioner treating a seven-year-old male. His mother explains, "My son's teacher is concerned because he is not able to finish his in-class schoolwork. I just don't know what to do." The patient fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, is always talking out of turn and distracting other students, and interrupts when other students answer a question. Given this information, you decide to perform a mental status exam on the client.
What findings would you expect when performing this assessment that would support a diagnosis of attention deficit hyperactivity disorder (ADHD)?
- A. Poor concentration and memory
- B. Paying close attention to questions being asked
- C. Childlike play activities
- D. Hyperfocus
Answer: A
Explanation:
Mental status exam findings of ADHD include all of the following:
* Restlessness
* Inattention
* Distractible speech patterns
* Overproductive speech patterns
* Affective lability
* Poor memory
* Poor concentration
NEW QUESTION # 233
What percentage of adolescents who complete suicide have had previous psychiatric treatment?
- A. 40%
- B. 90%
- C. 10%
- D. 1%
Answer: A
Explanation:
Approximately 40 percent of all completed suicides by adolescents follow previous psychiatric treatment. These individuals are more likely to complete suicide if they have a history of suicide attempts and if they have spent the majority of the past year in a depressed state.
NEW QUESTION # 234
Which of the following applies to a nurse practitioner's standards of practice?
- A. It has broad variations from state to state due to outdated legislation
- B. It offers a way to judge the nature of care provided
- C. It identifies competencies assumed to be held by all nurse practitioners who function in a particular role
- D. It defines the nurse practitioner's roles and actions
Answer: B
Explanation:
Nurse practitioner standards of practice are as follows:
* Give authoritative statements regarding the quality and type of practice that should be provided
* Offer a way to judge the nature of care provided
* Reflect the expectation for the care that should be provided to patients
* Reflect professional agreement focused on the minimum levels of acceptable performance
* Can be used to legally describe the standard of care
* May be either precise or general guidelines
Nurse practitioner scope of practice:
* Defines the nurse practitioner's roles and actions
* Identifies competencies assumed to be held by all nurse practitioners who function in a particular role
* Has broad variations from state to state due to outdated legislation
NEW QUESTION # 235
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