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

1. A PMHNP is caring for a 17-year-old girl who is experiencing gradually worsening neuropsychiatric symptoms of apathy, irritability, and an inability to sleep. She reports she is also experiencing skin problems, tingling in her hands and feet, and diarrhe a. The patient reports a normal appetite and has followed a raw vegan diet for over a year. Which nutritional deficiency should the PMHNP first rule out based on the presenting symptoms and diet?

A) Thiamine
B) Cobalamin
C) Niacin
D) Pantothenic acid

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

3. A PMHNP is meeting with an adolescent male who was arrested for underage drinking for the second time. His license was suspended due to a DWI, and he subsequently lost his job as a pizza delivery driver. He has an upcoming court hearing. During the initial interview, the patient states, "I don't know what the big deal is! I'm almost 18 years old. My grandpa was fighting in Vietnam at my age. I had one too many. What's the big deal? Anyway, whatever. My record will be expunged at 18 anyway." Which of the following concepts of the Health Belief Model are being demonstrated?

A) Self-efficacy and perceived barriers
B) Perceived severity and perceived barriers
C) Perceived severity and cues to action
D) Perceived susceptibility and perceived barriers

4. A Psychiatric Mental Health Nurse Practitioner (PMHNP) is conducting a clinical interview with a patient who is seeking treatment for anxiety. The PMHNP uses open-ended questions to gather information about the patient's symptoms and experiences.
Which of the following statements about the use of open-ended questions in clinical interviewing is most accurate?

A) Open-ended questions should only be used to gather information about a patient's symptoms and should not be used to explore the patient's feelings or thoughts
B) Open-ended questions should only be used in the initial stages of the interview and should not be used throughout the interview process
C) Open-ended questions are useful in psychiatric interviews because they allow the patient to provide detailed, personal information about their experiences
D) Open-ended questions are not useful in psychiatric interviews because they do not provide specific information

5. What term best describes the process of neuronal membrane threshold sensitivity dysfunction?

A) Dependence
B) Kindling
C) Increased noradrenergic activity
D) GABA deregulation

Solutions: