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| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Scientific Foundation | 19% | - Psychopathology
|
| Diagnosis and Treatment | 43% | - Clinical Management
|
1. A PMHNP is reviewing their practice's HEDIS measures for behavioral health. Which of the following measures would be used to assess the percentage of patients with major depressive disorder who receive appropriate follow-up care after a new diagnosis?
A) Antidepressant medication management
B) Follow-up after hospitalization for mental illness
C) Diabetes screening for people with schizophrenia or bipolar disorder who are using antipsychotic medications
D) Depression remission or response for adolescents and adults
2. A PMH-NP is caring for a 52-year-old man with a 30-year PPD smoking habit and a significant history of alcohol use. He has been employed at a landfill for 25 years. The patient presents with symptoms of depression and irritability. "I think I'm going crazy. I can't see right; my brain's messed up, I can't think. I can't walk right. I can't even talk right. I think I sometimes hear people's voices that aren't even there!" A review of medical symptoms reveals an ataxic gait, dysarthria, and peripheral neuropathy.
Based on the patient's biopsychosocial history, which of the following environmental toxins should be ruled out as a contributing factor first?
A) Lead
B) Mercury
C) Manganese
D) Arsenic
3. What percent of the incarcerated population in the United States has a severe mental illness?
A) 33% to 40%
B) 15% to 24%
C) 1% to 5%
D) 50% to 63%
4. Under which standard does the psychiatric nurse practitioner need to determine the patient's level of risk?
A) Diagnosis
B) Outcomes evaluation
C) Implementation
D) Assessment
5. Which of the following is a common non-psychoactive supplement that is most likely to be used for either depression, osteoarthritis, or liver disease?
A) Tryptophan
B) Fish oil
C) Omega-3 fatty acids
D) SAM-e
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: D |
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