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PMHNP Boards

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4. Consumed consumers: Consumed consumers are people who are used or exploited, willingly or not, for commercial gain in the marketplace. Examples - prostitutes, selling babies, blood, organ and hair donors. Consumer Terrorism: - answer-Is the use of computers and information technology to caus...

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  • September 12, 2024
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  • 2024/2025
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A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination
is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline
phosphatase level. The psychiatric-mental health nurse practitioner - answer-interprets the findings as
normally occurring during a rapid adolescent growth spurt

Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values and:
- answer-increased MCV and elevated triglyceride levels.

A new patient arrives at the office for treatment for depression. The patient reports taking simvastatin
(Zocor) and lisinopril (Zestril). When selecting an antidepressant, the psychiatric-mental health nurse
practitioner eliminates fluoxetine (Prozac), based on the knowledge that the combination can lead to
increased plasma levels of the statin, resulting in an increased risk of muscle damage and rhabdomyolysis.
The nurse practitioner's reason is that: - answer-one medication is a CYP450 3A4 substrate and one is a
CYP450 3A4 inhibitor.

A 28-year-old patient who is psychotic arrives at the clinic with family members but refuses to meet if the
family members are present. The psychiatric-mental health nurse practitioner - answer-asks the family
members to leave for the appointment.

The psychiatric-mental health nurse practitioner is responsible for initiating quality improvement at a
community mental health clinic. The effective strategy for evaluating the clinic's services is to: - answer-
use a survey to elicit patient satisfaction responses.

The psychiatric-mental health nurse practitioner evaluates a new adult patient via telemedicine. The
patient has questions about a new medication that he or she recently started. The nurse practitioner
decides to provide psychoeducation and to: - answer-e-mail drug information and resources

Any court of law that evaluates the standards of care provided by a psychiatric-mental health nurse
practitioner - answer-considers what a reasonably prudent health care provider would do.

The psychiatric-mental health nurse practitioner and a team of local mental health professionals are asked
to provide crisis counseling service, after a gunman recently took a class hostage at a local elementary
school, wounded several students, and then shot himself. In preparing for this assignment, the nurse
practitioner recognizes that: - answer-a child's developmental stage will influence his or her response to
catastrophic stress

Which community-based program is a tertiary level intervention? - answer-Partial hospitalization
program that provides intensive group therapy for rehabilitation.

A 32-year-old female patient informs the psychiatric-mental health nurse practitioner that she is three
months pregnant. She has been stable on fluoxetine (Prozac) for the last two years. The patient asks
whether she may safely continue this medication during her pregnancy. The nurse practitioner responds: -
answer-"Let's review the risks and benefits of continuing or discontinuing Prozac for you and your baby."

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