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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. Which specifier would you use to characterize a patient diagnosed with a mood disorder whose symptoms begin at the same time each year?

A) With mixed features
B) With rapid cycling
C) With peripartum onset
D) With seasonal pattern

2. Calcium is a major cation in the body. Which of the following is functions is least related to a function of calcium in the body?

A) Plays a critical role in the Krebs cycle
B) Acts as an enzymatic cofactor for blood clotting
C) Is essential for hormone secretion
D) Allows contraction of muscles

3. You are making rounds at a nursing home. One of the patients, a 75-year-old male, has terminal cancer and is expected to live only a month or two more. When you ask him how he is doing, he tells you that he is resigned to his eventual death and is taking the time he has left to evaluate his life for meaning. You understand that this is the final stage of development throughout one's life. This stage is Erikson's stage of

A) intimacy versus isolation
B) generativity versus stagnation
C) integrity versus despair
D) identity versus role confusion

4. Which coalition lobbies against the American Medical Association's Scope of Practice Partnership (SOPP) initiative?

A) Health Security Coalition
B) Patients' Access to Responsible Care Alliance (PARCA)
C) Affordable and Diverse Care Initiative
D) The Affordable Care Act

5. A PMHNP is seeing a client for the first time for suspected MDD. The client reports fatigue, low energy, a lack of interest in things normally enjoyed, and increasing irritability. She does not have a history of depression or other psychiatric treatment. She had been prescribed Synthroid for hypothyroidism but reports, "I stopped taking it months ago because I felt fine and it's not cheap." The PMHNP suspects low thyroid hormone as a causative factor in the current symptoms, and initial blood work reveals elevated TSH. The client denies suicidal ideation, has a supportive family, and is still working as a store clerk.
What is the PHMNP's best course of action once they are confident the cause is medical?

A) Refer the patient to the primary care provider
B) Refer to inpatient hospitalization for stabilization of mood and medications
C) Restart Synthroid at the previous dose and monitor; schedule the patient for a follow-up visit in 2 weeks
D) Restart Synthroid and manage both the thyroid disorder and depression as an outpatient

Solutions: