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

1. A patient with a history of depression and hypertension presents with a sudden headache, increased blood pressure, and palpitations. The patient's medication regimen includes Marplan. The patient reports consuming a large amount of aged cheese before the onset of symptoms. The PMHNP's next action should be which of the following?

A) Administer epinephrine to raise blood pressure
B) Administer meperidine for headache pain management
C) Administer propranolol to lower blood pressure
D) Administer nifedipine to lower blood pressure

2. A 21-year-old married man came to the emergency room for evaluation of severe and persistent anxiety following a DUI arrest. Which of the following is a breach of confidentiality?

A) Releasing records to the insurance company for billing purposes
B) Informing the patient's wife of his diagnosis
C) Releasing information to attorneys for litigation purposes
D) Releasing subpoenaed records

3. You are a new nurse practitioner opening a solo practice. You understand that you are expected to be competent in your role of treating and diagnosing patients. As a nurse practitioner, which of the following relates to something other than a core competency area?

A) Independent practice
B) Health delivery systems
C) Ethics
D) Organizational by-laws

4. A PMHNP is providing care to a patient who has been diagnosed with a terminal illness. The patient has recently entered the bargaining phase of death and dying. Which of the following best describes the goal of the bargaining phase?

A) To help the patient negotiate a compromise with a higher power or fate in an attempt to postpone their death
B) To help the patient find meaning and purpose in their life and to make sense of their illness and impending death
C) To help the patient accept their terminal diagnosis and prepare for their impending death
D) To help the patient express their feelings of sadness, anger, and fear related to their illness and death

5. A 27-year-old male has a bad day at work. He comes home, and his girlfriend asks, "How was your day?" He responds angrily by saying, "If you loved me, you wouldn't be so nosy." This is an example of which defense mechanism?

A) Denial
B) Displacement
C) Intellectualization
D) Isolation of affect

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