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

1. The psychiatric mental health nurse practitioner is examining, assessing, and evaluating a 17-year-old female who was at a college party and was raped by a male student who has a history of aggressive behavior. The patient remembers being at the party but she can recall only part of the traumatic event. She is experiencing:

A) selective amnesia
B) continuous amnesia
C) generalized amnesia
D) systematized amnesia

2. A patient with depression is expressing concerns about the side effects of their medication, but the PMHNP believes the medication is necessary for the management of the patient's condition. What should the PMHNP do to advocate for the patient's best interests?

A) Ignore the patient's concerns and continue the current medication regimen
B) Work with the patient to find an alternative treatment that addresses their concerns
C) Accept that the patient will stop taking their medication
D) Discharge the patient from care due to noncompliance with treatment recommendations

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

4. Which of the following is least accurate regarding competency?

A) A person is considered incompetent until a court rules them to be competent
B) Competency is a legal concept
C) A court-appointed guardian will make decisions for the individual if they are deemed incompetent
D) Competency is a determination that a client can make reasonable judgments regarding their health care

5. You are a nurse practitioner treating a two-year-old male. His mother says, "He did not start walking until he was almost two years old, he hardly ever looks at us when we talk to him, he has a limited vocabulary, and he seems to be in his own world." You suspect that the client may have autism. To better support a diagnosis of autism spectrum disorder, you perform a mental status exam. After performing the exam, you still suspect autism but need further diagnostic support.
Which of the following is least likely to be beneficial as a screening tool?

A) Modified Checklist for Autism in Toddlers (M-CHAT)
B) Autism Diagnostic Observation Schedule-Generic (ADOS-G)
C) Confusion Assessment Method (CAM)
D) Ages and Stages Questionnaires (ASQ)

Solutions: