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College Admission PMHNP Exam Syllabus Topics:

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

1. A patient with schizophrenia is experiencing symptoms consistent with neuroleptic malignant syndrome (NMS). Which of the following interventions would be the most appropriate for the PMHNP to implement?

A) Continue the patient's current antipsychotic medication regimen
B) Increase the dosage of the patient's antipsychotic medication
C) Discontinue the patient's antipsychotic medication and administer dantrolene
D) Discontinue the patient's antipsychotic medication and administer haloperidol

2. According to Freud, during what psychosexual stage of development are sexual concerns largely unimportant?

A) Latency stage
B) Phallic stage
C) Genital stage
D) Oral stage

3. Which of the following could be considered childhood issues which might cause a child to require group therapy?

A) Both A and B
B) Accidents
C) None of the above
D) Natural disasters

4. There is a tool that is useful in learning more about oneself by creating a word portrait of a person in four areas to indicate how well that person know himself. This tool is which of the following?

A) Johari window
B) orientation
C) patterns of unknowing
D) patterns of knowing

5. You are a PMHNP asked to consult on a 45-year-old male patient who is in a psychiatric crisis. The patient's urine drug screen was positive for methamphetamines. You learn that the patient has suffered from chronic schizophrenia since the age of 18 and had previously been stabilized on Abilify for psychosis and another medication for depression. The mother further endorses that her son refuses to take Abilify because he does not "feel" schizophrenic any longer. He has, however, continued to take his antidepressant medication for depression. Given the history provided, you suspect that the patient is in a psychotic crisis due to discontinuance of the Abilify and not methamphetamine intoxication.
What finding is most supportive of your diagnosis?

A) The mother states that he takes Zoloft (sertraline) for depression
B) The mother states that he takes Valium (diazepam) when he has a panic attack
C) The mother states that he takes Wellbutrin (bupropion) for depression
D) The mother states that he recently took Nyquil for the flu for one week

Solutions: