College Admission PMHNP Exam Questions : American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified

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College Admission PMHNP Exam Syllabus Topics:

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

1. Which psychiatric medication possesses a low therapeutic index, creating a low margin of safety?

A) Bupropion
B) Lithium carbonate
C) Alprazolam
D) Divalproex

2. You are a PMHNP asked to consult on a 45-year-old male patient who is in a psychiatric crisis. The patient's urine drug screen was positive for methamphetamines. You learn that the patient has suffered from chronic schizophrenia since the age of 18 and had previously been stabilized on Abilify for psychosis and another medication for depression. The mother further endorses that her son refuses to take Abilify because he does not "feel" schizophrenic any longer. He has, however, continued to take his antidepressant medication for depression. Given the history provided, you suspect that the patient is in a psychotic crisis due to discontinuance of the Abilify and not methamphetamine intoxication.
What finding is most supportive of your diagnosis?

A) The mother states that he takes Valium (diazepam) when he has a panic attack
B) The mother states that he recently took Nyquil for the flu for one week
C) The mother states that he takes Wellbutrin (bupropion) for depression
D) The mother states that he takes Zoloft (sertraline) for depression

3. In a physical examination of a client with schizophrenia, you may find neurological hard signs and soft signs. Which of the following would be considered a hard sign?

A) decreased reflexes
B) tics
C) rapid eye blinking
D) left-right confusion

4. Oppositional defiant disorder (ODD) is an enduring pattern of angry or irritable mood and argumentative, defiant, or vindictive behavior that lasts at least six months. Which of the following is least likely to be associated with the etiology of ODD?

A) Having an abusive temperament
B) Having parents who are extremely emotional and labile
C) Surviving a sexual assault
D) Being social, personable, and an extrovert

5. What is an example of a factor constraining the growth of the nurse practitioner role?

A) Patient demand for services
B) Decreasing stigmatization of psychiatric illnesses
C) Patient satisfaction with nurse practitioners
D) Mandatory physician supervision

Solutions: