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

1. A patient presents to the clinic with symptoms of depression and reports feeling hopeless and helpless. Which of the following therapeutic communication techniques should a PMHNP use during the clinical interview to help the patient feel more comfortable?

A) Advising
B) Interpreting
C) Judging
D) Reflection

2. Which of the following is an issue outside of the four key issues contributing to the poor quality of care in the United States healthcare system, as identified in the Institute of Medicine's Crossing the Quality Chasm?

A) A lack of physician leadership
B) An increase in chronic conditions
C) An inefficient and disorganized delivery system
D) Challenges to the implementation of healthcare technology

3. `A PMHNP is working with a patient who has a history of substance abuse and has begun to confide in the PMHNP about their personal life. Which of the following actions by the PMHNP would be a violation of professional boundaries?

A) Providing the patient with their work cell phone number in case of emergencies
B) Meeting the patient outside of scheduled appointments for coffee to discuss their progress
C) Maintaining a therapeutic relationship with the patient
D) Referring them to a support group run by a close colleague

4. According to Erik Erikson, which psychosocial stage will a four-year-old child be experiencing?

A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Industry vs. Inferiority
D) Initiative vs. Guilt

5. Which neurotransmitter is matched correctly with its general function?

A) Serotonin: reduced arousal, aggression, and anxiety
B) Dopamine: sleep, pain, mood states, and temperature
C) Norepinephrine: alertness, focused attention, learning, and memory
D) GABA: thinking, fine muscle action, and reward-seeking behavior

Solutions: