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1. A patient comes into your office inn a full manic episode. This patient has a diagnosis of Bipolar and Alcohol Use Disorder, moderate. You have a report from the patient's chemical dependency counselor indicating that inpatient chemical dependency counseling is needed. Your patient has been on the fence about inpatient chemical dependency treatment in the past. You assess the patient and find a strong odor of alcohol, auditory and visual hallucinations, flight of ideas, lack of sleep for ...

1. As a PMHNP, you are aware of antipsychotic medication side effects. Which of the following side effects of antipsychotic medications has an insidious, delayed-onset typically 1 to 2 years after initiation of the medication? a. Dry mouth b. Tardive dyskinesia c. Sedation d. Weight gain - B 2. In evaluating a 4-year-old, one would expect which of the following delays in Asperger's Disorder? a. Language development b. Cognitive development c. Motor skills coordination d. So...

Established clinical guidelines suggest that suicidality is decreased by treating patients who have borderline personality disorder with: cognitive behavior therapy. dialectical behavioral therapy. eye movement desensitization reprocessing. interpersonal therapy. - dialectical behavioral therapy. Prostate, mammogram, lung, colorectal, and cervical cancer screenings are all listed under which medical coverage: Medicare Part B Medicare Part C Medicare Part A Medicare Part D - Medicare P...

Treatment of viral conjunctivitis includes the use of: (a) antihistamine/decongestant drops. (b) antihistamine/mast cell stabilizer drops. (c) cold compresses. (d) steroid eyedrops. - (c) cold compresses. In the early stages of iron deficient anemias, blood studies show: (a) macrocytic normochromic (b) microcytic hypochromic (c) normochromic normocytic (d) pancytopenic hypocytic - (a) normochromic normocytic A 14-year-old, male patient has some general concerns about eczema, as his twi...

An 18-year-old patient diagnosed with bipolar disorder wants to enter a research study that will test an experimental drug. The psychiatric-mental health nurse practitioner's initial response is: A: "All drug treatments are too risky for you at this time in your illness." B: "Let's discuss the risks of potentially changing your medications." C: "We will have to see if you meet the inclusion criteria for this research study." D: "You will have only a small chance ...

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: A. interprets the findings as normally occurring during a rapid adolescent growth spurt. B. obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early rheumatic fever. C. orders a repeat blo...

DBT (dialectical behavior therapy) - relaxation muscle prior to DBT Greatest patient at risk for Violence - Substance abuse EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and reprocessing What is dissemination? - Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean

ANCC PMHNP Exam Questions and Answers (2024 / 2025) (Verified Answers)

Mesocortical pathway - executive function: attention, focus, depression Nigrostriatal pathway - from substantia nigra (brainstem) to striatum (muscles): Parkinson's Mesolimbic pathway - projects to nucleus accumbens (part of limbic system). Pleasure, reward, positive symptoms of schizophrenia: Addiction, gambling Tuberoinfundibular pathway - regulation of prolactin (acts on pituitary). Hypersexuality in mania Dopamine - produced in substania nigra and VTA. D2 & D4 receptors most important...

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 - 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: - increased MCV and elev...