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

1. Negative symptom clusters of schizophrenia include which of the following?

A) Disorganized behaviors
B) Delusions
C) Attention deficits
D) High anxiety

2. Which of the following statements is incorrect regarding a patient's right to communication while psychiatrically hospitalized?

A) Patients have the right to private telephone calls
B) Patients' incoming mail should not be opened by hospital staff
C) Patients' outgoing mail should not be opened by hospital staff
D) Patients are not allowed access to telephone calls or mail

3. A patient presents to your clinic feeling as if she cannot leave the house unless she washes her hands 7 times for 5 minutes each time. The patient further explains that her anxiety keeps her from completing these tasks with enough time to get to work by her start time. You give this patient a diagnosis of obsessive-compulsive disorder (OCD) and prescribe fluoxetine (Prozac) to help with her illness. Four weeks later, the patient reports that the anxiety is better, and she is not performing these tasks as much but still finds herself needing to perform the handwashing at least 2 to 3 times a week. You talk to the patient about adjunct treatment and offer to prescribe a second medication.
What medication is best as adjunctive therapy with Prozac?

A) Fluphenazine (Prolixin)
B) Clozapine (Clozaril)
C) Chlorpromazine (Thorazine)
D) Risperidone (Risperdal)

4. There are four levels of systems: microsystems, macrosystems, megasystems, and metasystems. In health care, what is an example of a metasystem?

A) A health insurance company
B) The economic, political, and social levels of society
C) The family member of a hospitalized patient
D) A nursing home or long-term care facility

5. A patient presents to the clinic with symptoms of depression and reports feeling hopeless and helpless. Which of the following therapeutic communication techniques should a PMHNP use during the clinical interview to help the patient feel more comfortable?

A) Judging
B) Reflection
C) Interpreting
D) Advising

Solutions: