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

1. A PMHNP is treating a patient who has expressed suicidal thoughts but has not made any specific plans. The patient has requested that this information remain confidential. Which ethical principle is most important for the PMHNP to consider in deciding whether to keep the information confidential?

A) Autonomy
B) Fidelity
C) Justice
D) Beneficence

2. A PMHNP provides care for a patient who reports experiencing "Latah," a culture-bound syndrome characterized by involuntary obedience, echolalia, and echopraxia after a startling event. How should the PMHNP proceed with the treatment plan?

A) Treat the symptoms as purely psychiatric, focusing on medications for symptom management.
B) Refer the patient to a neurologist, understanding the patient is providing a culture-specific explanation for known neurological symptoms.
C) Incorporating an understanding of Latah into the diagnostic assessment and treatment planning.
D) Explain that these symptoms are of a cultural origin and are not a clinical concern.

3. A patient is scheduled to undergo a dexamethasone suppression test (DST). For which of the following conditions would a DST most likely screen?

A) Schizophrenia
B) Major depressive disorder
C) Bipolar disorder
D) Post-traumatic stress disorder

4. 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 antipsychotic medication that can treat the hallucinations and delusions that may occur in bipolar disorder
B) Aripiprazole is an anxiolytic medication that can help manage the anxiety symptoms often associated with bipolar disorder
C) Aripiprazole is an antidepressant medication that can treat the depressive symptoms of 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

5. A 45-year-old man presents with a long history of social isolation, emotional detachment, and difficulty forming close relationships with others. The nurse considers schizoid personality disorder as a possible diagnosis. Which of the following is an underlying risk factor for this condition?

A) Abnormal brain development during childhood
B) Inherited genetic predisposition
C) Imbalance of neurotransmitters in the brain
D) Chronic stress and traumatic events

Solutions: