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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q134-Q139):

NEW QUESTION # 134
A nurse practitioner helps a local school district implement a new Drug Abuse Resistance Education (D.A.R.E.) program. This is an example of what type of prevention strategy?

Answer: C

Explanation:
Primary prevention is aimed at decreasing the number of new cases of mental disorders. An example of primary prevention is D.A.R.E. programs in elementary and middle schools.
Tertiary prevention is aimed at decreasing the disability and severity of a mental health disorder. Providing social skills education for a group of intellectually disabled teenagers is an example of tertiary prevention.
Secondary prevention is aimed at decreasing the number of existing cases of a mental disorder. Examples of secondary prevention include telephone hotlines, crisis intervention, and disaster response.


NEW QUESTION # 135
A Malayan man develops a dissociative episode that leads to an outburst of homicidal behavior toward his friend. Which condition most accurately describes this situation?

Answer: D

Explanation:
Amok is a culture-bound syndrome of Malayan origin that refers to violent or homicidal dissociative outbursts.
Ganser syndrome occurs when a patient responds to questions with approximate or outright ridiculous answers. This patient's presentation is not consistent with heroin intoxication or factitious disorder.


NEW QUESTION # 136
Which of the following is considered an environmental risk factor?

Answer: B

Explanation:
Environmental risk factors include prenatal insults, stress, infections, poor nutrition, exposure to toxins, and physical or sexual abuse.
Vaccinations are not considered environmental risk factors, as they are meant to provide supportive prevention of a disease process.
Medication management is not considered an environmental risk factor, as they are meant to provide supportive treatment of illnesses and diseases.
Exercise regimens are not considered environmental risk factors, because exercise improves health.


NEW QUESTION # 137
Who authored the report Crossing the Quality Chasm, which emphasized the need for interprofessional collaboration in order to improve the quality of health care?

Answer: A

Explanation:
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the 21st Century. This report identified four key issues contributing to poor quality of care and undesirable patient outcomes:
* The complexity of knowledge, skills, interventions, and treatment required to deliver care
* The increase in chronic conditions
* The inefficient, disorganized delivery system
* Challenges to greater implementation of information technology
In this report, the Institute of Medicine emphasized the need for healthcare providers to collaborate, exchange information, and make provisions for care coordination because the needs of any person or population are beyond the expertise of any single health profession.


NEW QUESTION # 138
A PMHNP is seeing a client for the first time for suspected MDD. The client reports fatigue, low energy, a lack of interest in things normally enjoyed, and increasing irritability. She does not have a history of depression or other psychiatric treatment. She had been prescribed Synthroid for hypothyroidism but reports, "I stopped taking it months ago because I felt fine and it's not cheap." The PMHNP suspects low thyroid hormone as a causative factor in the current symptoms, and initial blood work reveals elevated TSH. The client denies suicidal ideation, has a supportive family, and is still working as a store clerk.
What is the PHMNP's best course of action once they are confident the cause is medical?

Answer: B

Explanation:
For non-psychiatric disorders, the PMHNP should refer the client to a primary care provider. Although the PMHNP is legally able to provide some primary care, the standard of care is to make a referral.


NEW QUESTION # 139
......

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