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A 25-year-old male presents to the mental health clinic with complaints of gynecomastia following initiation of antipsychotic medication due to an acute psychotic episode and inpatient treatment. The nurse practitioner understands that this is likely caused by the medication's effect on which area of the brain?Nigrostriatal Mesolimbic pathway Tuberoinfundibular pathway Mesocortical pathway - Correct Answer - Tuberoinfundibular pathway
An office manager reads a recent patient satisfaction card. The patient reported that he felt comfortable being treated by the PMHNP and that she was respectful of his wishes and extremely knowledgeable about his condition and medication plan. Additionally, he spoke to her professional behavior and integrity. The manager reports to the PMHNP and congratulates her on successfully accomplishing which ethical principle?Justice Veracity Beneficence Role Fidelity - Correct Answer - Role Fidelity 1 / 4
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pg. 2 A psychiatric mental health nurse practitioner recently increased a 20- year-old male patient's olanzapine (Zyprexa) prescription from a 5 mg to 10 mg daily dose for symptoms related to schizophrenia. During his most recent appointment, he presented with increased delusions and incoherent speech patterns. Which of the following assessment findings is most concerning?Started 600 mg Ibuprofen for muscle pain Began eating grapefruit with breakfast every morning Started smoking again after recent break-up with his girlfriend Reported increased thoughts of suicide - Correct Answer - Reported increased thoughts of suicide
Which communication method focuses on specific goals and is fundamentally nonconfrontational with an overall objective of eliciting a behavioral change?Humanistic Therapy Cognitive Behavioral Therapy Dialectical Behavior Therapy Motivational Interviewing - Correct Answer - Motivational Interviewing
Following two months of psychotherapy, the provider, patient, and her parents decide it would be beneficial to initiate pharmacological adjunctive therapy. Which of the following medications would be appropriate for a 15-year-old female patient with a known history of depression?Duloxetine (Cymbalta) Bupropion (Wellbutrin) 2 / 4
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pg. 3 Fluoxetine (Prozac) Amitriptyline (Elavil) - Correct Answer - Fluoxetine (Prozac)
A psychiatric nurse practitioner works with a community outreach program to treat mental health disorders within the homeless population.Which of the following situations would the provider most likely
encounter within this group:
Schizophrenia Depression with comorbid substance use Generalized Anxiety Disorder Bipolar disorder Score0/1P - Correct Answer - Depression with comorbid substance use
It is important for the psychiatric nurse practitioner to understand the body's response to mental health conditions. Which system is involved in acute fear and/or anxiety?Parasympathetic nervous system Sympathetic nervous system Renin-angiotensin system Mesolimbic system - Correct Answer - Sympathetic nervous system
A patient presents with a two-year history of impulsive behavior with self-harm tendencies. The 23-year-old male exhibits inappropriate anger that is disproportionate to the severity of situations, leading to affective instability. He notes relationship concerns and a need to constantly be 3 / 4
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pg. 4 with his partner. The psychiatric nurse practitioner identifies which personality disorder as the most likely to cause these issues?Narcissistic Histrionic Borderline Antisocial - Correct Answer - Borderline
Becoming familiar with confidentiality standards is a priority for all psychiatric mental health nurse practitioners. Which of the following principles identifies a provider's "duty to warn" responsibility during an imminent danger involving a homicidal client?Respect for Autonomy Principle The Principle of Evidence Tarasoff Principle The Harm Principle - Correct Answer - Tarasoff Principle
A PMHNP that is actively engaged in strategies designed to reduce homelessness within the community by providing comprehensive inpatient discharge planning, discussing housing options, and scheduling a follow-up care appointment with a plan to contact the patient to check-
up on and remind of upcoming appointments is an example of:
Prevention Supportive housing services Autonomy Integrated care - Correct Answer - Prevention
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