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

1. A PMHNP is working with a patient who has a history of severe mental illness and is experiencing ongoing symptoms. Which of the following best describes the concept of recovery as it relates to the transformation of mental health care?

A) The goal of replacing traditional mental health treatment with alternative therapies
B) The goal of ensuring that patients have access to all available mental health services
C) The goal of eliminating all symptoms of mental illness in the patient
D) The goal of reducing the severity and impact of mental illness on the patient's life

2. A nurse is caring for a patient who has been diagnosed with post-traumatic stress disorder (PTSD) and is receiving treatment with eye movement desensitization and reprocessing (EMDR). What is the primary goal of EMDR in the treatment of PTSD?

A) To help the patient desensitize to traumatic memories and reduce the intensity of associated emotions
B) To help the patient identify triggers and develop coping strategies to manage symptoms
C) To help the patient reframe negative thoughts and beliefs related to the traumatic event
D) To help the patient integrate the traumatic memory into their personal narrative

3. The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. Which of the following options provides the weakest evidence?

A) Opinions of expert committees
B) Systematic review of observational studies
C) Single descriptive study
D) Randomized controlled trial

4. An Asian woman is brought to the emergency room by her husband with flu-like symptoms and a purplish rash "that is spreading." The patient reports having a fever, a sore throat, and burning eyes for the past two days, and the rash has just started and appears to be getting worse. The emergency room is full of patients with flu-like symptoms.
During the triage intake and review of current medications and medical history, which of the following medications and diagnoses would immediately be a priority?

A) The patient has been shaking and losing her balance for several months and was seen by a neurologist
B) The patient has taken Tylenol every six hours for the last two days
C) The purplish and painful rash may be bruising of some kind
D) The patient has recently been prescribed carbamazepine for a suspected seizure disorder

5. Which of the following neurological soft signs presents as an inability to perform rapid alternating movements?

A) Choreiform movements
B) Asteriognosis
C) Tics
D) Dysdiadocchokinesia

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