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

1. A person presents in the ER with their elderly mother with concerns that she is having a medication reaction after recently starting a new blood pressure pill. The patient does not appear to understand what is being said to her, although she appears to be able to speak normally. They also describe auditory and visual hallucinations, and the patient seems overly emotional.
Based on PMHNP's understanding of neuroanatomy, which of the following would be the most probable cause?

A) Frontal lobe stroke symptoms
B) Acute delirium related to new medication
C) Temporal lobe stroke symptoms
D) Concussion

2. You have diagnosed your 15-year-old female patient with bipolar disorder. You know that lithium therapy is the first-line agent for adolescent bipolar disorder. You also know that it does not have an immediate effect. You will tell the girl and her parents that it will take how long for the onset of action?

A) 5 to 14 days
B) 48 hours
C) at least one month
D) 10 - 30 days

3. By graduation, all nurse practitioners are expected to have met a set of core competencies. Which of the following falls outside the core competencies of the management of a patient's health status?

A) Negotiating legislative change
B) Completing a physical exam and ordering appropriate diagnostic tests
C) Diagnosing medical conditions and prescribing medications
D) Conducting a health assessment and taking a patient's health history

4. According to Sullivan's stages of interpersonal development, which stage is characterized by a focus on self-actualization and the development of satisfying relationships with others?

A) Pre-adolescence
B) Late adolescence
C) Infancy
D) Juvenile

5. A patient presents with classic signs and symptoms of panic disorder. The patient is interested in trying therapy instead of medication. Which of the following therapies is most effective in treating panic disorder?

A) Psychodynamic psychotherapy
B) Family therapy
C) Paradoxical therapy
D) Cognitive-behavioral therapy

Solutions: