PMHNP exam prep 100% correct answers 2023

PMHNP exam prep 100% correct answers 2023 Conrad, a 26-year-old male, is being treated for cuts after being arrested for breaking the windows in the home of his girlfriend, who has just told him that they are through. He has a history of having been physically abused by his father, setting fires as a child, treatment for substance abuse, and arrest for stealing a car. Which of the following personality disorders might the clinician consider? Question 1 options:a) Narcissistic b) Paranoid c) Antisocial d) Histrionic - correct answer Antisocial In a biopsychosocial case formulation, social contributions would be considered to be: a) Genetic influences and adverse circumstances of birth b) Substance use and medical disorders c) Cognitive deficits and dysregulation of emotions d) Religious/cultural factors and living situations - correct answer Religious/cultural factors and living situations Which of the following criteria would preclude the use of brief dynamic therapy? a) Adequate ego strengths b) Psychological problems in multiple domains c) Use of mature defense mechanisms d) Adequate ability to process information - correct answer Use of mature defense mechanisms In treatment of the acute phase of mania, the focus is on:a) Protecting the patient's biopsychosocial safety b) Educating the patient about social rhythms theory c) Interventions that address impairment of vocational functioning d) Interventions for self-management of finance - correct answer Protecting the patient's biopsychosocial safety During an initial assessment, the relevant features of communication are its ability to: a) Promote a therapeutic alliance and increase understanding. b) Prompt a disclosure of past successes and failures. c) Bring about changes in behavior. d) Educate the patient about what is important to disclose. - correct answer Symptoms of anxiety and panic are associated with a low level of which neurotransmitter? a) Cortisol b) Dopamine c) Gamma-aminobutyric acid d) Glutamate - correct answer Gamma-aminobutyric acid Which class of antidepressants has the most anticholinergic side effects? a) Monoamine oxidase inhibitors (MAOIs) b) Selective serotonin reuptake inhibitors (SSRIs) c) Tricyclic antidepressants (TCAs) d) Serotonin norepinephrine reuptake inhibitors (SNRIs) - correct answer Tricyclic antidepressants (TCAs) A 16-year-old male patient is hospitalized for depression after attempting suicide by overdose. Several days later, the patient reports feeling less depressed and having fewer suicidal thoughts, but begins to threaten suicide "if things do not work out." Nursing staff members report feeling resentful and manipulated, but fear for the patient's safety. The adult psychiatric and mental health nurse practitioner's intervention is to a) :assist the staff in developing a treatment plan that limits contact with the patient to one person per shift. b) develop a "no suicide" pact with the patient to decrease his helplessness and increase his feelings of control. c) encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment. d) increase supervision and restrict milieu participation to decrease the secondary gain from manipulation. - correct answer encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment. A female client complains of an intense, overwhelming fear of driving a car. The fear has disrupted all elements of her life. She does not go to the grocery store unless someone transports her, has relinquished her job, and has few social contacts. Her treatment plan includes: assertiveness training. b) biofeedback. c) stress management assistance. d) systematic desensitization. - correct answer A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental health nurse practitioner goes on vacation. The best explanation for this reaction is that the patient: - correct answer has failed to develop clear ego boundaries. b) has failed to master object constancy. c) is employing primitive idealization. d) is employing projective identification. An outpatient mental health clinic-based adult psychiatric and mental health nurse practitioner treats a 32-year-old patient who has diabetes and a major depressive disorder. The patient reports an improved and stable mood on a trial of duloxetine (Cymbalta), but experiences continued neuropathic pain. The nurse practitioner's initial intervention is to: - correct answer add gabapentin (Neurontin) to the treatment regimen. b) conduct additional diagnostic tests. c) contact the patient's endocrinologist. d) increase the dosage of duloxetine (Cymbalta). Among the following statements, which best describes the action of older typical antipsychotic medications such as Haldol? - correct answer They block dopamine receptors in all four dopamine pathways. b) They decrease available amounts of serotonin and norepinephrine. c) They decrease the metabolism of dopamine in the synaptic cleft. d) They selectively block reuptake of dopamine. Which of the following structures provides for communication between the two hemispheres of the brain? - correct answer ) Lateral ventricle b) Basal ganglia c) Corpus callosum d) Hypothalamus On evaluation, the patient appears to be having difficulty with working memory, planning, and insight into his problems. The psychiatric advanced practice nurse recognizes that these symptoms are associated with problems with the:) Frontal lobe b) Temporal lobe c) Parietal lobe d) Occipital lobe - correct answer Frontal lobe n cognitive therapy, therapists focuses on patients':a) Use of immature defense mechanisms b) Learned behavior of helplessness c) Automatic negative thoughts d) Attachment patterns - correct answer Automatic negative thoughts With regard to the biological markers for schizotypal personality disorder, all of the following have been reported except: a) Increased ventricles b) Increased cerebrospinal fluid c) Impaired smooth pursuit eye movements d) Impaired of executive functioning - correct answer Impaired of executive functioning Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner responds by: a) advising the survivors to consider using a hypnotic medication for a brief period. b) educating the survivors about prodromal symptoms of posttraumatic stress disorder.