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

1. In 2010, the Institute of Medicine published The Future of Nursing: Leading Change, Advancing Health. Which of the following, if identified by a PMHNP student as being included this document, requires correction?

A) Nurses should seek higher levels of education through seamless academic progression
B) Nurses should be full and equal partners with physicians
C) Nurses should remain virtuous, modest, and ethical
D) Nurses should practice to the full extent of their education

2. Not all symptoms of MDD respond to pharmacological interventions, and non-pharmacological management is often used in conjunction with medication. Which of the following nonpharmacologic interventions can be indicated for treatment-resistant depression that involves implanting a pace-maker type device in the left side of the chest?

A) ECT
B) VNS
C) TMS
D) DBT

3. Which is not part of the brainstem?

A) amygdala
B) medulla
C) pons
D) midbrain

4. During an initial psychiatric interview, a patient makes frequent tangential references to certain issues, has peculiar speech mannerisms, and makes frequent "slips of the tongue." The nurse practitioner makes a note of these for exploration in future sessions.
Which cognitive process in the patient's presentation needs to be explored better to understand their needs?

A) Anxiety symptoms
B) Unconscious processes
C) Embarrassment
D) Cultural biases

5. A patient with bipolar disorder is prescribed aripiprazole (Abilify). What is the rationale for using this medication to treat bipolar disorder?

A) Aripiprazole is an antidepressant medication that can treat the depressive symptoms of bipolar disorder
B) Aripiprazole is an anxiolytic medication that can help manage the anxiety symptoms often associated with bipolar disorder
C) Aripiprazole is an antipsychotic medication that can treat the hallucinations and delusions that may occur in bipolar disorder
D) Aripiprazole is a second-generation or atypical antipsychotic that can help prevent both manic and depressive episodes in patients with bipolar disorder

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