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

1. While working in an outreach clinic for underserved and impoverished communities, a PMHNP initiated a maternal alcohol use reduction wellness initiative. Which of the following statements accurately reflects the necessity of this psychoeducational project?

A) Alcohol reduction in mothers improves other outcomes like financial stability
B) Alcohol reduction in mothers reduces the likelihood of child abuse
C) Alcohol reduction in mothers improves maternal health, which indirectly impacts fetal health
D) The most preventable cause of intellectual disability is fetal alcohol syndrome


2. Which pharmacological management is not recommended as a first-line treatment for persons with dementia?

A) Antipsychotic medications
B) Cholinesterase inhibitors
C) N-methyl D-aspartate glutamate receptor antagonists
D) Medical foods


3. You are the nurse practitioner treating a 19-year-old female. During your initial assessment, the client complains of not sleeping well. Which of the following is least likely to be the etiology of the disruptions in sleep patterns for this client?

A) Excess neurochemical activity
B) Brainstem abnormalities
C) Work-related stress and demands
D) The client's age


4. The Health Belief model explains that healthy people may not partake in healthy activities or screening because of certain beliefs and variables. Which of the following variables impacts a patient's willingness to participate in care according to the Health Belief Model?

A) Reputation of the clinic
B) Actual benefits of treatment
C) Perceived benefits of treatment
D) Financial


5. A 21-year-old married man came to the emergency room for evaluation of severe and persistent anxiety following a DUI arrest. Which of the following is a breach of confidentiality?

A) Releasing records to the insurance company for billing purposes
B) Releasing subpoenaed records
C) Releasing information to attorneys for litigation purposes
D) Informing the patient's wife of his diagnosis


Solutions:

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

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