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| Section |
Weight |
Objectives |
| Scientific Foundation |
19% |
- Research and Evidence-Based Practice
- 1. Research Interpretation
- 2. Clinical Guidelines
- Psychopathology
- 1. Differential Diagnosis
- 2. Psychiatric Disorders Across Lifespan
- Neuroscience and Neurobiology
- 1. Neurodevelopmental Concepts
- 2. Neurotransmitters and Brain Function
|
| Advanced Practice Skills |
24% |
- Psychotherapy Modalities
- 1. Cognitive Behavioral Therapy
- 2. Supportive Therapy
- Psychopharmacology
- 1. Drug Interactions and Side Effects
- 2. Medication Management
- Assessment and Diagnosis
- 1. Psychiatric Interviews
- 2. Mental Status Examination
|
| Professional Role and Policy |
14% |
- Ethical and Legal Standards
- 1. Confidentiality and Consent
- 2. Professional Accountability
- Healthcare Policy
- 1. Healthcare Regulations
- 2. Advocacy and Leadership
- Collaboration and Consultation
- 1. Care Coordination
- 2. Interdisciplinary Practice
|
| Diagnosis and Treatment |
43% |
- Clinical Management
- 1. Chronic Mental Illness Management
- 2. Acute Psychiatric Conditions
- Special Populations
- 1. Children and Adolescents
- 2. Older Adults
- 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 (Q396-Q401):
NEW QUESTION # 396
A teenage runaway is being seen for depression, anxiety, and verbalizations of low self-worth and extreme hopelessness. She has been homeless and stays in shelters when she can. She is thin, appears unkempt, and cannot remember the last time she ate. According to Maslow's Hierarchy of Needs, the failure to meet which needs usually warrants hospitalization?
- A. Physiological and safety needs
- B. Physiological and belonging needs
- C. Love, belonging, and self-esteem needs
- D. Safety and self-esteem needs
Answer: A
Explanation:
Basic physiological needs are the basis of Maslow's Hierarchy of Needs. These include food, water, air, shelter, and sleep.
Safety needs mean protection from physical and psychological harm. Patients are hospitalized to provide basic physiological and safety needs so that they can begin to work on higher-level needs.
NEW QUESTION # 397
Which of the following is a contraindication for the use of seclusion and restraint?
- A. Assisting in treatment as part of ongoing behavior therapy
- B. Delirious or demented patients unable to tolerate decreased stimulation
- C. Preventing clear, imminent harm to the patient or others
- D. Patient's voluntary and reasonable request
Answer: B
Explanation:
Indications for seclusion and restraint are to:
* Prevent clear, imminent harm to the patient or others
* Prevent significant disruption to the treatment program or physical surroundings
* Assist in treatment as part of ongoing behavior therapy
* Decrease sensory overstimulation
* Patient's voluntary reasonable request
Contraindications for seclusion and restraint are:
* Extremely unstable medical or psychiatric condition
* Delirious or demented patients unable to tolerate decreased stimulation
* Overtly suicidal patients
* Patients with severe drug reactions or overdoses who require close monitoring of their drug levels
* For punishment or convenience of staff
NEW QUESTION # 398
What term describes the tendency of families to resist change and maintain a steady state?
- A. Boundaries
- B. Homeostasis
- C. Circular causality
- D. Morphogenesis
Answer: B
Explanation:
Family homeostasis is the tendency of families to resist change and maintain a steady state.
Circular causality is an ongoing feedback loop, a series of actions and reactions that maintain a problem. Boundaries are barriers that protect and enhance the functional integrity of families and individuals. Morphogenesis is a family's tendency to adapt to change when changes are necessary.
NEW QUESTION # 399
Which statement accurately describes obsessive-compulsive disorder?
- A. These patients pull hair from various parts of their body
- B. These patients so persistently pick at their skin that they leave scars
- C. These physically normal patients believe that parts of their bodies are misshapen or ugly
- D. These patients are bothered by meaningless repeated thoughts or behaviors
Answer: D
Explanation:
Obsessive-compulsive disorder patients are bothered by senseless thoughts or behaviors that they cannot stop.
In body dysmorphic disorder, physically normal patients believe that parts of their bodies are misshapen or ugly. Trichotillomania patients compulsively pull hair from various parts of their body. Excoriation disorder patients so persistently pick at their skin that they leave scars.
NEW QUESTION # 400
When assessing for genetic influences, PHMNPs understand which of the following about single nucleotide polymorphisms (SNPs)?
- A. SNPs are synonymous with single-gene disorders.
- B. They are DNA sequence variations that occur when a single nucleotide is altered
- C. To be classified as an SNP, the variant must be found in 10% of the population
- D. SNPs are the rarest type of genetic variation among humans
Answer: B
Explanation:
The genetic variable most commonly studied is a single nucleotide polymorphism (SNP, pronounced "snip"); this is a DNA sequence variation that occurs when a single nucleotide (adenine, thymine, cytosine, or guanine) in the genome sequence is altered (a base pair change) and the particular alteration is present in at least 1% of the population.
SNPs are not clearly deleterious like mutations, which occur less frequently and generally hurt protein function.
SNPs are the most common gene variant in the population.
SNPs are a type of single-gene disorder; however, single-gene disorders can include other types of DNA sequence variations.
NEW QUESTION # 401
......
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