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College Admission PMHNP Exam Syllabus Topics:

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

1. Which of the following amino acids is implicated in bipolar disorder, seizures, and schizophrenia?

A) Aspartate
B) Glutamate
C) Glycine
D) GABA

2. In order to assess a patient's desire to harm others in addition to themselves, a nurse practitioner might ask what question?

A) What do you envision happening if you actually killed yourself?
B) Are there others who you think may be responsible for what you are experiencing?
C) Are guns or weapons available to you?
D) What things in your life would lead you to want to escape from life?

3. A patient with bipolar disorder recently suffered a myocardial infarction (MI). He was stabilized at the hospital and discharged on propranolol (Inderal, Hemangeol, InnoPran), losartan (Cozaar), and hydrochlorothiazide (Microzide). Prior to this MI, his lithium level was consistently around 0.8 mmol/L on 900 mg of lithium carbonate per day. He arrives at your office today, and his lithium level is now 1.3 mmol/L on the same dose.
What caused this change?

A) Decreased volume distribution post-MI
B) Losartan
C) Hydrochlorothiazide
D) Propranolol

4. What term best describes the process of neuronal membrane threshold sensitivity dysfunction?

A) Dependence
B) GABA deregulation
C) Increased noradrenergic activity
D) Kindling

5. A client presents to the ER after a suicide attempt by cutting his wrists. You show that you understand the importance of client safety by first doing which of the following?

A) Assessing the client for immediate self-harm ideation
B) Obtaining accurate vital signs
C) Restraining the client to prevent further self-harm
D) Assessing the client for potential self-harm instruments he may be hiding on his body

Solutions: