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PMHNP exam prep with complete solution Latest 2023
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PMHNP exam prep with completesolution Latest 2023
Conrad, a 26-year-old male, is being treated for cuts after being arrested for
breaking the
windows in the home of his girlfriend, who has just told him that they are
through. He has a
history of having been physically abused by his father, setting fires as a
child, treatment for
substance abuse, and arrest for stealing a car. Which of the following
personality disorders
might the clinician consider?
Question 1 options:a)
Narcissistic
b)
Paranoid
c)
Antisocial
d)
Histrionic - -Antisocial
-In a biopsychosocial case formulation, social contributions would be
considered to be:
a)
Genetic influences and adverse circumstances of birth
b)
Substance use and medical disorders
c)
Cognitive deficits and dysregulation of emotions
d)
,Religious/cultural factors and living situations - -Religious/cultural factors
and living situations
-Which of the following criteria would preclude the use of brief dynamic
therapy?
a)
Adequate ego strengths
b)
Psychological problems in multiple domains
c)
Use of mature defense mechanisms
d)
Adequate ability to process information - -Use of mature defense
mechanisms
-In treatment of the acute phase of mania, the focus is on:a)
Protecting the patient's biopsychosocial safety
b)
Educating the patient about social rhythms theory
c)
Interventions that address impairment of vocational functioning
d)
Interventions for self-management of finance - -Protecting the patient's
biopsychosocial safety
-During an initial assessment, the relevant features of communication are its
ability to:
a)
Promote a therapeutic alliance and increase understanding.
b)
,Prompt a disclosure of past successes and failures.
c)
Bring about changes in behavior.
d)
Educate the patient about what is important to disclose. - -
-Symptoms of anxiety and panic are associated with a low level of which
neurotransmitter?
a)
Cortisol
b)
Dopamine
c)
Gamma-aminobutyric acid
d)
Glutamate - -Gamma-aminobutyric acid
-Which class of antidepressants has the most anticholinergic side effects?
a)
Monoamine oxidase inhibitors (MAOIs)
b)
Selective serotonin reuptake inhibitors (SSRIs)
c)
Tricyclic antidepressants (TCAs)
d)
Serotonin norepinephrine reuptake inhibitors (SNRIs) - -Tricyclic
antidepressants (TCAs)
, -A 16-year-old male patient is hospitalized for depression after attempting
suicide by overdose. Several days later, the patient reports feeling less
depressed and having fewer suicidal thoughts, but begins to threaten suicide
"if things do not work out." Nursing staff members report feeling resentful
and manipulated, but fear for the patient's safety. The adult psychiatric and
mental health nurse practitioner's intervention is to
a)
:assist the staff in developing a treatment plan that limits contact with the
patient to one person
per shift.
b)
develop a "no suicide" pact with the patient to decrease his helplessness and
increase his
feelings of control.
c)
encourage the patient to express his fears of improving and being
abandoned or of leaving the
safe environment.
d)
increase supervision and restrict milieu participation to decrease the
secondary gain from
manipulation. - -encourage the patient to express his fears of improving
and being abandoned or of leaving the
safe environment.
-A female client complains of an intense, overwhelming fear of driving a car.
The fear has
disrupted all elements of her life. She does not go to the grocery store
unless someone
transports her, has relinquished her job, and has few social contacts. Her
treatment plan
includes:
assertiveness training.
b)
biofeedback.
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