Test College Admission PMHNP Preparation, Valid PMHNP Test Notes

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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q598-Q603):

NEW QUESTION # 598
Lithium is considered the gold standard treatment for treating manic episodes. Lithium therapy requires which baseline labs prior to the initiation of therapy?

Answer: B

Explanation:
Baseline lithium tests include a thyroid panel, BUN/creatinine, and a pregnancy test. It also includes EKG testing for patients over 50 years of age.


NEW QUESTION # 599
Which of the following is an example of a primary prevention strategy?

Answer: C

Explanation:
Primary prevention is aimed at decreasing the number of new cases of mental health or substance abuse disorders. Nurse practitioners can engage in primary prevention strategies by helping people avoid stressors or cope with them more adaptively.
Examples of primary prevention strategies:
* Stress management classes for graduate students
* Smoking prevention classes
* Drug Abuse Resistance Education (DARE) programs
Participating on a disaster response team and volunteering for a suicide hotline are examples of secondary prevention. Providing case management for intellectually disabled teenagers is an example of tertiary prevention.


NEW QUESTION # 600
You are a new nurse practitioner treating a recently paroled convict. This patient has a history of violent abuse of partners. Which of the following least describes the goals characteristic of an abuser toward their intimate partners?

Answer: A

Explanation:
Abusers' goals are the exact opposite of relinquishing self-control. They look to gain control over their partner so that they can inflict physical, emotional, economic, or sexual pain and injury on them.
Intimate partner violence (IPV) is physical, emotional, economic, or sexual pain and injury that is intentionally inflicted by a person's intimate partner. The following are the goals of the abuser:
* Establish power
* Manipulate the other person
* Intimidate the other person
* Control the other person


NEW QUESTION # 601
A 49-year-old female arrives in the emergency room. She has a long history of IV drug use. Over the past year, the patient's personality has changed, and she is more withdrawn and subdued. Her memory has deteriorated, and she has lost 45 pounds in the past five months. She complains of weakness and difficulty maintaining her balance. During your examination, she scores 21/30 on the mini-mental status exam.
What is the most likely diagnosis?

Answer: C

Explanation:
Human immunodeficiency virus (HIV) results in a wide spectrum of neuropsychiatric symptoms due to opportunistic infections, neoplasms, or direct infiltration of the central nervous system. HIV-associated dementia presents with motor abnormalities, cognitive impairment and decline, apathy, and social withdrawal. Neurologic findings might include weakness, imbalance, or ataxia. This patient's history of IV drug use and recent rapid weight loss are also indicative of HIV.


NEW QUESTION # 602
A 21-year-old married man came to the emergency room for evaluation of severe and persistent anxiety following a DUI arrest. Which of the following is a breach of confidentiality?

Answer: A

Explanation:
Informing the patient's wife of his diagnosis was a breach of confidentiality. Exceptions to guaranteed confidentiality include releasing records for billing, in response to a subpoena, or for litigation purposes.


NEW QUESTION # 603
......

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