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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

Your middle-aged female client who is dealing with major depressive disorder is relating what happened to her at work yesterday. She is worried that her job is in danger of being eliminated. It is just adding to her depressive feelings. All of a sudden, she stops and says, "Talking won't help." What is the best thing to reply to her so that you can keep the therapeutic communication going?

A. "Tell me more."
B. "What I would do is . . ."
C. " In my opinion . . ."
D. "There is really nothing to worry about."

Question 2

If a 40 year old patient speaks a language that you do not understand, how do you interview the patient with a translator?

A. Refer the patient to another doctor.
B. Ask for a family member to be present.
C. Ask the questions to the patient.
D. Ask the questions to the translator.

Question 3

The psychiatric mental health nurse practitioner is meeting an adult male patient for the first time. She tries to get to know the patient first, but the patient seems to be extremely concerned about all of the questions she is asking and how she is going to use the information she elicits. The best way to diffuse this situation is to:

A. tell the patient that these questions are part of every patient's interview
B. ask the patient what he would like you to do
C. move on to another phase of the interview
D. address the patient's concerns directly

Question 4

A 29-year-old intellectually disabled female patient presents to the emergency room with staff members from her residential care facility. Last week, her antipsychotic medication was switched from thioridazine to haloperidol. Upon examination, she is disoriented to time and place, is diaphoretic, and has a temperature of 105.3 °F, a heart rate of 126 beats/minute, and a respiratory rate of 22 breaths/minute. The patient's extremities are stiff and rigid. Her labs reveal a white blood cell count of 14,000 and creatinine phosphokinase of 2,600 U/L.
What is the most serious potential complication associated with this syndrome?

A. Pulmonary embolism
B. Myocardial infarction
C. Rhabdomyolysis
D. Respiratory failure

Question 5

A parent brings her three-year-old daughter for an assessment of possible autism spectrum disorder (ASD). The mother describes her daughter's symptoms as developing after a period of normal growth and development and involving loss of skills and social impairment. She describes her daughter's atypical interests along with perceptual disturbances, stating, "She seems to hear things that aren't there." As part of a differential diagnosis, which of the following needs to be ruled out?

A. Autism spectrum disorder
B. Intellectual disability
C. Rett syndrome
D. Childhood-onset schizophrenia

Solutions: