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PMHNP Boards Questions And Answers 100%Solved
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PMHNP Boards Questions And Answers100%Solved
A 14-year-
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old patient has nonspecific complaints about pain in his or her legs. The physical examinati
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on is unremarkable. Laboratory results are within normal limits except for a markedly elevat
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ed alkaline phosphatase level. The psychiatric-mental health nurse practitioner -
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correct answer...✔✔interprets the findings as normally occurring during a rapid adolesce
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nt growth spurt
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Laboratory findings for a patient with an alcohol use disorder indicate increased liver functio
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n values and: - correct answer...✔✔increased MCV and elevated triglyceride levels.
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A new patient arrives at the office for treatment for depression. The patient reports taking si
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mvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric
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-
mental health nurse practitioner eliminates fluoxetine (Prozac), based on the knowledge th
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at the combination can lead to increased plasma levels of the statin, resulting in an increase
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d risk of muscle damage and rhabdomyolysis. The nurse practitioner's reason is that: -
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correct answer...✔✔
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one medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
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A 28-year-
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old patient who is psychotic arrives at the clinic with family members but refuses to meet if th
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e family members are present. The psychiatric-mental health nurse practitioner -
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correct answer...✔✔asks the family members to leave for the appointment.
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The psychiatric- k
mental health nurse practitioner is responsible for initiating quality improvement at a comm
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unity mental health clinic. The effective strategy for evaluating the clinic's services is to: -
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correct answer...✔✔use a survey to elicit patient satisfaction responses.
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The psychiatric- k
mental health nurse practitioner evaluates a new adult patient via telemedicine. The patient
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has questions about a new medication that he or she recently started. The nurse practition
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er decides to provide psychoeducation and to: - correct answer...✔✔e-
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mail drug information and resources
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Any court of law that evaluates the standards of care provided by a psychiatric-
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mental health nurse practitioner - correct answer...✔✔
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considers what a reasonably prudent health care provider would do.
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The psychiatric- k
mental health nurse practitioner and a team of local mental health professionals are asked t
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AGRADESOLUTIONS
, o provide crisis counseling service, after a gunman recently took a class hostage at a local e
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lementary school, wounded several students, and then shot himself. In preparing for this as
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signment, the nurse practitioner recognizes that: - correct answer...✔✔
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a child's developmental stage will influence his or her response to catastrophic stress
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Which community-based program is a tertiary level intervention? - correct answer...✔✔
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Partial hospitalization program that provides intensive group therapy for rehabilitation.
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A 32-year-old female patient informs the psychiatric-
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mental health nurse practitioner that she is three months pregnant. She has been stable on
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fluoxetine (Prozac) for the last two years. The patient asks whether she may safely continu
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e this medication during her pregnancy. The nurse practitioner responds: -
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kcorrect answer...✔✔ k
"Let's review the risks and benefits of continuing or discontinuing Prozac for you and your b
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aby."
Established clinical guidelines suggest that suicidality is decreased by treating patients wh
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o have borderline personality disorder with: - correct answer...✔✔
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dialectical behavioral therapy. k k
A six-year-
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old patient with autistic spectrum disorder has not responded to six months of psychosocial
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interventions and continues to demonstrate aggressive tendencies toward a younger siblin
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g. The psychiatric-mental health nurse practitioner prescribes: - correct answer...✔✔
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risperidone (Risperdal) 0.25 mg once a day. k k k k k k
The psychiatric- k
mental health nurse practitioner working in a crisis stabilization unit evaluates a patient ver
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balizing suicidal thoughts after being sexually assaulted. Before processing through the tra
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umatic event, the nurse practitioner first attempts to - correct answer...✔✔
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provide an environment of safety. k k k k
The psychiatric-mental health nurse practitioner uses a cognitive-
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behavioral approach to help a patient address self- k k k k k k k
defeating behaviors. After identifying the stressor that causes the inappropriate behavior, t
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he initial strategy is to explore: - correct answer...✔✔
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rational and irrational beliefs about the stressor.
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A patient who has borderline personality disorder experiences intense anxiety when the ps
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ychiatric-
mental health nurse practitioner goes on vacation. The most appropriate explanation for thi
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s reaction is that the patient: - correct answer...✔✔has not developed object constancy.
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An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate
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behavior, despite a parent's reports of "disobedience, poor grades, and laziness." To furthe
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AGRADESOLUTIONS
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