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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 childhood abuse is seeing a PMHNP for therapy. During a session, the patient becomes angry and accuses the PMHNP of being "just like" their abuser. What is the term for this phenomenon?

A) Countertransference
B) Splitting
C) Transference
D) Projection

2. You are the nurse practitioner treating a 19-year-old female. During your initial assessment, the client complains of not sleeping well. Which of the following is least likely to play a role in her sleep pattern disruptions?

A) Drinking coffee late at night to stay awake while studying for exams
B) Female gender predisposing her to insomnia
C) Bipolar I disorder with recent manic episode requiring inpatient hospitalization and stabilization
D) Pituitary disorders such as a pituitary tumor

3. A PMHNP is working with an individual who has been diagnosed with a Cluster A personality disorder. The patient has had long-standing maladaptive and pervasive personality traits such as suspiciousness and general mistrust of others. The patient blames others and is described as hostile, irritable, and angry.
Which of the following personality disorders best fits the patient's symptoms?

A) Avoidant personality disorder
B) Borderline personality disorder
C) Antisocial personality disorder
D) Paranoid personality disorder

4. Which of the following statements made by an NP student regarding a PMHNP's role in an interdisciplinary treatment team requires correction?

A) "A nurse practitioner can translate research into practice."
B) "A nurse practitioner has equal input in evaluating and advocating for the redesign of the healthcare system."
C) "A nurse practitioner is not considered a full partner in health care."
D) "A nurse practitioner is educated to lead interdisciplinary teams."

5. A patient has been prescribed lithium for the treatment of bipolar disorder. Which adverse effect is most important to consider with this medication?

A) Nephrogenic diabetes insipidus
B) Increased risk of osteoporosis
C) Increased risk of seizures
D) Anemia

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