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| Section | Weight | Objectives |
|---|---|---|
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Group, family, and individual therapy principles - Therapeutic frameworks and modalities |
| Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Psychopharmacology, pharmacokinetics, pharmacodynamics - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry |
| Ethics, Legal Principles, and Cultural Care | 17% | - Professional ethics, scope of practice, standards of care - Legal regulations, confidentiality, informed consent - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement |
| Diagnosis and Treatment | 22% | - Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions |
| Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration |
1. A patient reports having difficulty falling asleep and staying asleep. The PMHNP determines that the patient's sleep difficulties are not due to a medical condition or medication. Which of the following is a nonpharmacological intervention that may be recommended to improve the patient's sleep?
A) Read or watch TV in bed before sleep
B) Suggest OTC melatonin
C) Drink a glass of wine before bed to relax
D) Limit caffeine intake
2. Which of the following drugs is NOT one of the "Z-hypnotics" that have sedative effects without the antianxiety, anticonvulsant, or muscle relaxant effects of benzodiazepines?
A) Sonata
B) Lunesta
C) Ambien
D) BuSpar
3. When doing the physical examination of a client, you are likely to check the cranial nerves. If you check the sense of smell you will be checking which of the cranial nerves?
A) oculomotor nerve
B) abducens nerve
C) olfactory nerve
D) trigeminal nerve
4. You are treating a 19-year-old female, who lives at home with her father and brother, for major depressive disorder. Her father calls asking for information about the patient's new prescription for fluoxetine. How do you respond?
A) You can speak openly with the father but only because the patient lives with him
B) You can speak openly with the father because he is a first-degree relative
C) You can disclose the patient's diagnosis and prognosis, but you cannot speak about medication
D) You cannot disclose any information about the patient to third parties without her consent
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
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: D |
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