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

2. An older female patient with long-term use of neuroleptic medication is seen at the clinic for abnormal muscle twitching. Which of the following rating scales would be an appropriate assessment tool for abnormal movements associated with neuroleptic medications?

A) Y-BOCS
B) Conners Scale
C) HAM-A
D) AIMS

3. Research utilization involves what processes?

A) Research study and outcomes management
B) Research critique, synthesizing and applying the findings, and measuring the outcomes
C) Resolution of findings and critique of the team
D) Team building, measuring the outcomes, and applying the findings

4. Which of the following statements made by a patient regarding visitation rights during an inpatient psychiatric hospitalization should be addressed by the PHMNP?

A) "If a visitor is turned away, the reason should be documented in the patient's chart."
B) "Attorneys and members of the clergy have unrestricted visitation rights."
C) "A patient has the right to receive visitors during reasonable hours while hospitalized."
D) "First-degree relatives are granted unrestricted visitation rights."

5. A 63-year-old female with a long history of generalized anxiety disorder was shopping two days ago when she suddenly felt dizzy, experienced heart palpitations and pressure on her chest, and felt a sense of impending doom. Shortly after, she "passed out" and woke up minutes later with a crowd of people surrounding her. She then felt better and decided to keep shopping.
What diagnosis should be evaluated first?

A) Panic disorder
B) Acute stress reaction
C) Social anxiety
D) Cardiovascular disease

Solutions: