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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions:

1. The daughter of a patient with dementia expresses frustration that her mother no longer appears to enjoy the television programs that once kept her occupied while the daughter worked from home. "I know I shouldn't get mad, but it's super frustrating. It's like her favorite TV programs agitate her now. I just don't understand!" Which information regarding dementia may increase the daughter's understanding of the patient's experience?

A) Television and radio programs can be overstimulating
B) Sit with the patient during TV and radio times to pair the activity with socialization
C) The patient should be scheduled for a hearing exam
D) Move the TV closer to the parent to reduce the field of vision

2. The federal government offered financial awards to encourage hospitals to implement meaningful use. Which of the following is least likely to be the outcome of this incentive program?

A) Adoption of a government-designed electronic health record
B) Effective data-capturing and sharing
C) Improved patient outcomes
D) Technologically advanced clinical processes

3. A PMHNP is using a mental health screening tool for secondary prevention for an adult patient who reports feeling sad and experiencing a loss of interest in previously enjoyed activities. Which of the following screening tools is commonly used for this purpose?

A) Patient Health Questionnaire-9 (PHQ-9)
B) Hamilton Rating Scale for Depression (HAM-D)
C) Beck Anxiety Inventory (BAI)
D) Geriatric Depression Scale (GDS)

4. All family systems operate with a set of overt or covert rules, and different types of boundaries can exist within a family in therapy. Which type of family boundary creates enmeshment and parentification of the children when present?

A) Rigid boundaries
B) Nonexistent boundaries
C) Diffuse boundaries
D) Clearly defined boundaries

5. A 17-year-old recently arrested male arrives at your office for a psychiatric evaluation. Based on his history of delinquent behavior, you suspect conduct disorder. According to Erik Erikson, failure to resolve which psychosocial stage is most associated with the development of this psychopathology?

A) Initiative vs. Guilt
B) Autonomy vs. Shame and Doubt
C) Identity vs. Role Confusion
D) Industry vs. Inferiority

Solutions: