Brilliant PMHNP Exam Dumps Get PMHNP Dumps PDF [Q774-Q796]

QUESTION 774
According to Irvin Yalom, which of the following is a responsibility of a group leader during the pre-group phase?

Allow expression of both positive and negative feelings

Consider the direction and framework of the group

Assist the group in understanding the underlying conflict

Examine the group’s nonproductive behaviors

QUESTION 775
Which technique used in family therapy allows for the visual representation of hierarchies and relationships in the family setting?

Family journaling

Genogram

Individual journaling

Maslow’s hierarchy of needs

QUESTION 776
While assessing a patient’s thought processes during the initial mental status exam, the PMHNP notes that they avoid getting to the point by including irrelevant and trivial details. Which term describes this speech pattern that often appears in patients with schizophrenia and obsessive-compulsive disorders?

Neologism

Tangentiality

Perseveration

Circumstantiality

QUESTION 777
A 63-year-old female with a long history of generalized anxiety disorder was shopping two days ago when she suddenly felt dizzy, experienced heart palpitations and pressure on her chest, and felt a sense of impending doom. Shortly after, she “passed out” and woke up minutes later with a crowd of people surrounding her. She then felt better and decided to keep shopping.
What diagnosis should be evaluated first?

Panic disorder

Cardiovascular disease

Social anxiety

Acute stress reaction

QUESTION 778
Which of the following statements is incorrect regarding psychoanalytic theory?

It attends to past developmental factors that shape present behaviors

Change occurs by developing greater personal insight and awareness of maladaptive defenses

It allows patients to view reality more clearly by examining their distorted cognitions

Behavior is believed to be determined by unconscious motivations and instinctual drives

QUESTION 779
Which of the following factors constrains the growth of the nurse practitioner role?

Growing emphasis on the need for integrated healthcare services

Reimbursement struggles with Medicare

Patient acceptance of nurse practitioners

Patient demand for nurse practitioner services

QUESTION 780
A PMHNP is working with a family experiencing conflict related to a child’s mental health diagnosis. Which of the following mediation strategies would be most effective for the PMHNP to use in this situation?

Ignore the family’s conflict and focus on the child’s treatment plan

Encourage each family member to voice their concerns without interruption

Take a directive approach and tell the family what they should do

Refer the family to individual therapy to address their conflicts

QUESTION 781
A 32-year-old patient has been diagnosed with borderline personality disorder (BPD). Which treatment approach has the most evidence for reducing symptoms of BPD?

Cognitive behavioral therapy

Antidepressant medication

Electroconvulsive therapy

Dialectical behavior therapy

QUESTION 782
What term is defined as tension between what one wants to do and what is morally right?

Professional ethics

Ethics

Ethical dilemma

Ethical conflict

QUESTION 783
A patient presents with classic signs and symptoms of panic disorder. The patient is interested in trying therapy instead of medication. Which of the following therapies is most effective in treating panic disorder?

Family therapy

Paradoxical therapy

Psychodynamic psychotherapy

Cognitive-behavioral therapy

QUESTION 784
Which strategy is the best option for the PMHNP when dealing with a patient who is treatment-resistant to a specific medication?

Refer to genetic testing to assess glutamine transmitters

Reevaluate the diagnosis since the patient is not responding to conventional treatment

Consider ECT for drug-resistant patients

Implement a combination of medications

QUESTION 785
Which term describes the rate at which a disease is present in a population?

Disease hazard rate

Morbidity rate

Illness hazard rate

Mortality rate

QUESTION 786
The purpose of which model or framework is to “make sense” of each experience systematically?

Conflict resolution

Professional civility

Critical thinking

Reflective practice

QUESTION 787
Which term best describes the use of aggregate variance data to change a system of healthcare practice?

Informatics

Outcomes management

Database management system

Information technology

QUESTION 788
What type of systematic review analyzes a collection of qualitative studies?

Observational study

Randomized controlled trial

Meta-synthesis

Meta-system review

QUESTION 789
A 17-year-old recently arrested male arrives at your office for a psychiatric evaluation. Based on his history of delinquent behavior, you suspect conduct disorder. According to Erik Erikson, failure to resolve which psychosocial stage is most associated with the development of this psychopathology?

Autonomy vs. Shame and Doubt

Identity vs. Role Confusion

Initiative vs. Guilt

Industry vs. Inferiority

QUESTION 790
A patient is presenting to your clinic with reports of excessive hand washing and feeling as if she cannot leave the house unless she washes her hands seven times for five minutes each time. The patient often shows up for work late because her anxiety keeps her from completing the washing with enough time to get to work by her start time. You obtain further history and learn that the patient’s mother had similar issues with cleaning the house.
What is the preliminary diagnosis that you will give this patient?

Acute panic disorder with anxious traits

Generalized anxiety disorder (acute, single episode)

Conduct disorder

Obsessive-compulsive disorder (OCD)

QUESTION 791
Which of the following correctly pairs a pharmacodynamic effect with its definition?

Partial agonist effect: drug does not fully activate the receptors

Agonist effect: drug binds to the receptor but does not activate a biological response

Antagonist effect: drug causes the opposite effect of agonist

Inverse agonist effect: drug binds to receptors and activates a biological response

QUESTION 792
Which term describes the use of a scanner to identify medication ordered in an electronic medical record and administered to a patient?

Electronic prescribing

Barcoding medication administration

Wireless order form

Computerized provider order entry

QUESTION 793
Which statement accurately describes an individual with avoidant personality disorder?

These patients exhibit impulsivity, self-harm, inappropriate anger, and affective instability

These patients have restricted emotional range and appear indifferent to criticism or praise

These patients are timid and easily wounded by criticism from others

These patients exhibit criminal behavior beginning in childhood, such as truancy and theft

QUESTION 794
A known patient with a diagnosis of PTSD presents to your clinic for a refill of his medication. Today, he complains of nightmares. What medication will you choose as adjunctive therapy?

Wellbutrin (bupropion)

Ativan (lorazepam)

Minipress (prazosin)

Risperdal (risperidone)

QUESTION 795
An orthopedic surgeon asks you to evaluate a 22-year-old female with a fractured ankle. She has been in the hospital for three days and complains of anxiety about her upcoming surgery. She is afebrile, her heart rate is 90, and her blood pressure is 100/75. She is not in pain and has no psychiatric history. Her medications include acetaminophen.
What is the most appropriate medication for this patient?

Carbamazepine

Clonidine

Fluoxetine

Lorazepam

QUESTION 796
The standards of practice for implementation for the psychiatric mental health nurse practitioner include several tasks. These tasks include each of the following except:

coordination of care

consultation

prescriptive authority and treatment

synthesis of evaluation results

The standards of practice for implementation for the psychiatric mental health nurse practitioner encompass a variety of responsibilities aimed at providing comprehensive care. These include coordination of care, consultation, and prescriptive authority and treatment. However, one task that does not fall under the standards of practice for implementation is the synthesis of evaluation results.
Coordination of care involves the organization and management of multiple aspects of patient care, collaborating with other healthcare professionals to ensure the delivery of effective, timely, and appropriate care. This might include arranging for specialist consultations, managing transitions between different types of care (such as from hospital to home), and ensuring that all members of the healthcare team are informed of the patient’s status and care plan.
Consultation refers to the process by which the psychiatric mental health nurse practitioner provides expert advice to other healthcare providers. This could involve advising on specific psychiatric medications, providing insights on psychosocial interventions, or contributing to the development of a comprehensive treatment plan for complex cases.
Prescriptive authority and treatment denote the nurse practitioner’s capacity to prescribe medications and manage the overall therapeutic approach for psychiatric conditions. This includes selecting appropriate pharmacological treatments, monitoring side effects and interactions, and adjusting prescriptions based on patient response.
However, the synthesis of evaluation results, which involves integrating and interpreting data collected during patient assessments to form a comprehensive understanding of the patient’s condition, primarily falls under the standards of care for evaluation. This process is crucial for accurate diagnosis and the development of an effective treatment plan but is categorized differently from implementation tasks.
Other aspects of the standards of care for implementation that the psychiatric mental health nurse practitioner may engage in include pharmacological, biological, and integrative therapies, which involve the use of medications, physical interventions, and complementary approaches respectively. Milieu therapy, the therapeutic use of the environment to treat psychiatric conditions, is also a key component. Psychotherapy, involving various therapeutic communication techniques to improve mental health, and health teaching and promotion, aimed at educating patients and communities about mental health, also play significant roles.
In summary, while the psychiatric mental health nurse practitioner is involved in a broad spectrum of tasks that facilitate the implementation of psychiatric care, the synthesis of evaluation results is not typically included in these implementation standards, but rather, it is part of the evaluation process necessary for forming the basis of effective treatment plans.

Brilliant PMHNP Exam Dumps Get PMHNP Dumps PDF [Q774-Q796]

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