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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q839-Q844):

NEW QUESTION # 839
Which strategy is the best option for the PMHNP when dealing with a patient who is treatment-resistant to a specific medication?

Answer: D

Explanation:
Sometimes patients do not respond typically to medications normally used for their diagnosis. In these situations, the NP can implement different strategies, such as drug combinations, unconventional drugs, or high doses. Exploring alternative treatment methods is indicated prior to reevaluating the diagnosis.


NEW QUESTION # 840
You are a nurse practitioner treating a two-year-old male. His mother explains that their primary care provider referred him because "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 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.
Which of the following would least support a diagnosis of autism spectrum disorder?

Answer: C

Explanation:
Mental status exam findings of autism are as follows:
* Little or no eye contact
* Flat or blunted affect
* Lack of emotional reciprocity
* Stereotyped or repetitive motor mannerisms
* Expressive and receptive language impairment


NEW QUESTION # 841
If a psychiatric nurse practitioner must have an understanding of pharmacokinetics, then what is the term used for the method and rate at which a drug leaves the site of administration?

Answer: C

Explanation:
Pharmacokinetics involves absorption, distribution, metabolism, and excretion of a drug. Absorption is the method and rate at which drugs leave the site of administration. With oral medications, absorption normally occurs in the small intestine and then is ultimately metabolized by the liver.


NEW QUESTION # 842
A PMHNP is called to assess a patient who is experiencing a psychiatric emergency and is exhibiting aggressive behavior toward others. Which of the following techniques is the PMHNP most likely to use to manage the patient's behavior in this situation?

Answer: C

Explanation:
De-escalation involves verbal and nonverbal techniques to reduce a patient's agitation and distress. This can include active listening, a calm demeanor, and creating a safe environment.
Restraint may be necessary in some cases as a last resort after other efforts to de-escalate the situation have been unsuccessful. Reality therapy and aversion therapy are inappropriate for managing an acutely agitated patient and may further escalate the situation.


NEW QUESTION # 843
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the 21st Century. This report identified six goals for quality improvement in health care: safe, effective, patient-centered, timely, efficient, and equitable. Which goal can be described as providing services based on scientific knowledge to all who could benefit while refraining from providing services to those not likely to benefit?

Answer: B

Explanation:
Crossing the Quality Chasm: A New Health System for the 21st Century identified six goals for quality improvement in health care:
* Safe: Avoiding injuries to patients from the care intended to help them
* Effective: Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit
* Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions
* Timely: Reducing waits and sometimes harmful delays for both those who receive and those who provide care
* Efficient: Avoiding the waste of equipment, supplies, ideas, and energy
* Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status


NEW QUESTION # 844
......

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