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PMHNP EXAM PREP KIT WITH COMPLETE QUESTIONS AND CORRECT ANSWERS 90% ANSWERED QUESTIONS
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PMHNP EXAM PREP KIT WITH COMPLETE QUESTIONS AND CORRECT ANSWERS 90% ANSWERED QUESTIONS
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PMHNP EXAM PREP KIT WITHCOMPLETE QUESTIONS AND CORRECT
ANSWERS 90% ANSWERED
QUESTIONS
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 a) Promote a therapeutic alliance and increase
understanding.
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:
a) assertiveness training.
b) biofeedback.
c) stress management assistance.
, d) systematic desensitization. Correct Answer d) systematic
desensitization
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:
a) has failed to develop clear ego boundaries.
b) has failed to master object constancy.
c) is employing primitive idealization.
d) is employing projective identification. Correct Answer has failed
to develop clear ego boundaries.
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:.
a) add gabapentin (Neurontin) to the treatment regimen
b)
conduct additional diagnostic tests.
c)
contact the patient's endocrinologist.
d)
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