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

1. Which of the following is a persistent symptom of mania associated with bipolar disorder?

A) Inflated self-esteem
B) Loss of interest in goal-directed activities
C) Increased need for sleep
D) Sexual restraint


2. A PMHNP is working with an elderly patient diagnosed with early-stage Alzheimer's disease. The patient is accompanied by an adult child actively involved in their care. When discussing a new medication regimen, what is the most appropriate approach to ensure informed consent?

A) Provide information to the patient and the adult child, assess the patient's understanding, and attempt to obtain consent from both.
B) Obtain consent from the patient at the beginning of the patient interaction.
C) Given the patient's potential incapacitation, understand that consent is implied and provide treatment accordingly.
D) Assume the patient is incapable of understanding and obtain consent from the adult child.


3. Which statement accurately describes "with mixed features," a specifier used in the diagnosis of mood disorders?

A) These patients exhibit either motor hyperactivity or inactivity
B) These patients have experienced at least four mood episodes in the past year
C) These patients experience a combination of both manic and depressive symptoms
D) These patients have high levels of tension, restlessness, worry, and fear


4. A PMHNP conducts a mental health assessment on a patient from a specific ethnic background. The patient's cultural background is most likely to impact which of the following?

A) The patient's ability to understand teaching about mental health and illness
B) The patient's religious perspective on seeking help for mental health issues
C) The patient's physical ability to communicate symptoms and concerns
D) The patient's preferred methods of treatment for mental health issues


5. Outcomes management uses variance data to change a system of healthcare practice. Which of the following is least likely to be a source of variance?

A) Severity of patient illness
B) Practice patterns of care delivery
C) Practitioner behavior
D) Patient survey


Solutions:

Question # 1
Answer: A
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: D

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