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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q429-Q434):

NEW QUESTION # 429
A patient arrives for a follow-up for depressive symptoms. She has been taking Norpramin for years. Today, she reports not feeling well. She thinks she has had the flu for a couple of days. Prior to falling ill, she reports doing great. In fact, she felt cured of her depression and stopped her medication.
Which of the following should the PMHNP suspect and rule out as a contributor?

Answer: A

Explanation:
When certain medications are discontinued, particularly TCAs, flu-like symptoms can occur due to cholinergic rebound.
Pregnancy, worsening symptoms of depression, and flu are less likely for this patient than discontinuation syndrome.


NEW QUESTION # 430
Findings and traits suggestive that someone is experiencing abuse are least likely to include which of the following?

Answer: A

Explanation:
Those who are victims of abuse may present with the following mental status exam findings:
* Fearfulness
* Evasiveness
* Being guarded
* Depression
* Passiveness
* Dependence


NEW QUESTION # 431
What term is defined as tension between what one wants to do and what is morally right?

Answer: D

Explanation:
Ethical conflict is defined as the tension between what one wants to do and what is morally right.
Ethical dilemmas are conflicts between different ethical perspectives, not a conflict between the desire to not follow an ethical principle and the obligation to adhere to it. Ethics is the branch of knowledge that deals with moral principles. Professional ethics refers to the branch of knowledge that deals with moral behavior when in a professional role.


NEW QUESTION # 432
A PMHNP is identifying goals and establishing a timeline for therapy with the client. What term best describes the first of the three phases of therapy?

Answer: D

Explanation:
There are three phases of therapy, which are the orientation, working, and termination phases. The purpose of the orientation phase is to establish trust and identify goals with the client. The PMHNP establishes boundaries, sets expectations for treatment, and outlines a timeline for the completion of goals.


NEW QUESTION # 433
Which term describes the use of a software application for placing medical orders in both inpatient and outpatient settings?

Answer: D

Explanation:
Computerized provider order entry is the use of a software application for the ordering of medications, laboratory and radiology testing, consultation, and referral requests. The CPOE is a replacement for written orders in both inpatient and outpatient settings. It is an important tool in avoiding medical errors and improving patient safety.
Barcoding medication administration is the use of a scanner to identify medication ordered in an electronic medical record and administered to a patient.
Nursing informatics is the specialty that integrates nursing science with multiple information management and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice.
Health information technology is a broad concept that encompasses an array of technologies to store, share, and analyze health information.


NEW QUESTION # 434
......

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