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AANPC B – PMHNP-C Certification Board Exam 2024
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AANPC B – PMHNP-C Certification Board Exam 2024
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lOMoARcPSD| 45010774AANPCB – PMHNP-C Certification Board Exam 2024
Nursing
AANPCB-PMHNP-C
Academy of Nurse Practitioners Certification Board: Psychiatric-Mental Health Nurse
Practitioner-C
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Question: 1
According to Piaget, at what cognitive stage do children develop object permanence?
A. Formal operational
B. Concrete operational
C. Preoperational
D. Sensorimotor
Answer: D
Explanation:
Piaget's stages of cognitive development:
1. Infancy (birth to 2 years): Sensorimotor
2. Early Childhood (2 to 5 years): Preoperational
3. Middle Childhood (6 to 11 years): Concrete operational
, lOMoARcPSD| 45010774
4. Adolescence (11 to 19 years): Formal operational
During the sensorimotor stage, infants develop object permanence. Object permanence is the realization
that people and objects exist even when they cannot be seen.
Question: 2
Which of the following abnormal labs would most likely be related to a patient's prescription for
carbamazepine?
A. Potassium B.
Sodium
C. Calcium
D. Magnesium
Answer: B
Explanation:
Hyponatremia is the most common electrolyte abnormality associated with psychotropic medications.
Medications that are frequently associated with the drug-induced syndrome of inappropriate
antidiuretic hormone secretion (SIADH) are oxcarbazepine, carbamazepine, and serotonergic
antidepressants.
Question: 3
A woman is brought to the emergency department by her husband. She has insulin-dependent diabetes
with a history of medical noncompliance and missed medical appointments. The patient's husband is
attentive and hovers by her side. She presents as possibly malnourished and dehydrated. She is crying
and refusing to look at the provider, and her husband answers all the questions. When the provider asks
him to leave the room so the patient can be assessed, the husband becomes angry and refuses. What
must be considered as part of a differential diagnosis, in addition to diabetic management and
noncompliance?
A. Intimate partner violence (IPV)
B. Homelessness
C. Noninsured or underinsured D. Drug abuse
Answer: A
Explanation:
The PMH-BC should rule out IPV. Although the patient is a diabetic and some, if not all, of her symptoms
can be explained by a lack of self-care, they are also signs of IPV.
The husband's refusal to leave the patient alone and insistence on answering her questions are
suspicious. Victims of IPV often look unkempt and may present with signs of malnourishment and
dehydration. Missed medical appointments and lack of self-care are also signature signs.
Question: 4
Which of the following actions takes place during the working phase of a therapeutic patient
relationship?
A. Developing a long-term plan of care that the patient can follow to maintain their well-being
B. Creating a trusting environment
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