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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:

Question 1

Mr. Smith is a 25-year-old sales associate. He has a strong family history of mental illness and is worried that he may experience similar problems in his life. He presented to his local primary care provider complaining of the following symptoms: extreme hyper-alertness, decreased appetite, insomnia, and paranoi a. Mr. Smith is worried that these symptoms might be the beginning of a mental illness and requests an X-ray of his brain. He says he has never seen a psychiatric provider or taken medication for his symptoms.
What would be an initial consideration in your assessment when meeting with Mr. Smith?

A. Assessing Mr. Smith for the need for voluntary inpatient admission
B. Ensuring that Mr. Smith understands appropriate diagnostics and testing for determining a mental illness
C. Educating Mr. Smith on his need for Wellbutrin immediately
D. Performing genetic testing prior to moving forward with the evaluation

Question 2

A PMHNP is conducting a therapy session with a patient who has a history of negative self-attributions. The PMHNP has decided to use attribution theory as part of the therapy. Which of the following best describes the goal of attribution theory in the treatment of negative self-attributions?

A. To help the patient recognize that their negative self-attributions are inaccurate and unfounded
B. To help the patient identify and change their attributional style to more positive and adaptive patterns
C. To help the patient identify and challenge negative behaviors that contribute to their negative self-attributions
D. To help the patient learn coping skills to manage their negative self-attributions

Question 3

A patient with bipolar disorder is refusing to take their medication even though it is necessary for the management of their condition. How should the PMHNP assess the patient's decision-making capacity?

A. Assess the patient's ability to understand the consequences of refusing medication
B. Accept that the patient has a decision-making capacity because they are refusing medication
C. Assess the patient's ability to identify other treatment options
D. Assess the patient's ability to comply with their treatment plan

Question 4

Drug efficacy and safety are important parts of prescribing rights for nurse practitioners. Which superfamily of enzymes and their isoenzymes is mainly responsible for the metabolism of xenobiotics and drugs and can be assessed through genetic testing?

A. Cytochrome P450
B. Alkaline phosphatase
C. Aspartate aminotransferase
D. Gamma-glutamyltranspeptidase

Question 5

The family of a young adult male who has been diagnosed with schizophrenia wants to know if he has a good prognosis for dealing with this disorder. The psychiatric mental health nurse practitioner tells them that each of the following is an indicator of a good prognosis except for:

A. His level of educational attainment is good.
B. There is no family history of schizophrenia.
C. He is single.
D. There is a clear precipitant.

Solutions: