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| Section | Weight | Objectives |
|---|---|---|
| Scientific Foundation | 22% | - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes |
| Psychotherapy and Related Theories | 11% | - Therapeutic frameworks and modalities - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Group, family, and individual therapy principles |
| Ethics, Legal Principles, and Cultural Care | 17% | - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Legal regulations, confidentiality, informed consent |
| Advanced Practice Skills | 27% | - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning - Cultural competence, communication, and patient education |
| Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan |
1. A PMHNP completes a mental status exam on a patient that demonstrates findings consistent with anxiety. Some psychotic findings are noted when the patient is remembering certain events. These findings are most consistent with which of the following diagnoses?
A) Obsessive-compulsive disorder
B) Post-traumatic stress disorder
C) Adjustment disorder
D) Panic disorder
2. You are the nurse practitioner treating a 19-year-old female. During your initial assessment, the client complains of not sleeping well. Which of the following is least likely to be the etiology of the disruptions in sleep patterns for this client?
A) Excess neurochemical activity
B) The client's age
C) Brainstem abnormalities
D) Work-related stress and demands
3. If a 40 year old patient speaks a language that you do not understand, how do you interview the patient with a translator?
A) Ask for a family member to be present.
B) Ask the questions to the translator.
C) Ask the questions to the patient.
D) Refer the patient to another doctor.
4. Which statement accurately defines an unspecified intellectual disability?
A) A term describing a condition that begins in early childhood and results in impaired social interactions, difficulty communicating, and stereotyped behaviors.
B) A term used when a child is five years old or older and cannot be reliably assessed due to a physical or mental impairment.
C) A term used when a child under the age of five seems to be falling behind developmentally.
D) A term describing a person nominally ranked in the IQ rank of 71 to 84 who does not have the coping problems associated with an intellectual disability.
5. A 53-year-old menopausal woman presents with complaints of anhedonia, depressed mood, and vasomotor symptoms. What medication effectively treats both depression and vasomotor symptoms?
A) Bupropion
B) Paroxetine
C) Amitriptyline
D) Geodon
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |
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