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

1. A patient with schizophrenia presents at the emergency room with emotional blunting, increasing isolation, and withdrawal from his usual activities at the treatment residence where he resides. The group home staff said his schizophrenia has been well controlled, with few auditory or visual hallucinations reported in the past week.
What does the PMH-BC suspect regarding the patient's symptoms?

A) The patient is experiencing negative symptoms of schizophrenia
B) Without the presence of auditory and visual hallucinations, the patient does not have the functional skills to interact and would benefit from cognitive therapy
C) The patient's hallucinations are well-controlled
D) The patient is experiencing positive symptoms of schizophrenia

2. What did the Technology Informatics Guiding Education Reform (TIGER) initiative successfully define for nurse practitioners?

A) Appropriate use of computers in clinical practice
B) Technology-related code of ethics
C) Computer hardware and software requirements for colleges
D) Required technology curriculum for colleges

3. You are a nurse practitioner treating a 15-year-old male with a diagnosis of oppositional defiant disorder. He has been stable on Adderall for his ADHD for the past year. However, his mother is concerned because his aggression has been getting worse over the past three months, and she does not understand the sudden change in her son's behavior.
Which of the following actions is the most appropriate for you to take?

A) Ask the patient if he was sexually abused three months ago
B) Ask the patient if he is angry about something
C) Refer the patient to a psychotherapist for behavior modification
D) Ask the mother if the patient is being seen concurrently by his primary care provider for his ADHD

4. A patient with bipolar disorder recently suffered a myocardial infarction (MI). He was stabilized at the hospital and discharged on propranolol (Inderal, Hemangeol, InnoPran), losartan (Cozaar), and hydrochlorothiazide (Microzide). Prior to this MI, his lithium level was consistently around 0.8 mmol/L on 900 mg of lithium carbonate per day. He arrives at your office today, and his lithium level is now 1.3 mmol/L on the same dose.
What caused this change?

A) Propranolol
B) Hydrochlorothiazide
C) Losartan
D) Decreased volume distribution post-MI

5. What physical characteristic of the mouth is frequently found during a physical assessment of a schizophrenic patient?

A) Hypersalivation
B) High-arched palate
C) Teeth rotated on an axis
D) Ankyloglossia

Solutions: