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

1. What might be a response to an RN on the healthcare team who is questioning the medication that has been prescribed?

A) Ignore concerns
B) Delegate to someone else
C) Tell the RN the concerns are inappropriate.
D) Actively listen to the concerns.

2. You have diagnosed your 15-year-old female patient with bipolar disorder. You know that lithium therapy is the first-line agent for adolescent bipolar disorder. You also know that it does not have an immediate effect. You will tell the girl and her parents that it will take how long for the onset of action?

A) 10 - 30 days
B) 5 to 14 days
C) at least one month
D) 48 hours

3. Your patient is a 4-year-old boy who when he was two years old was physically abused by his father. His father no longer lives with the family. The child has begun to inappropriately relate to others, especially his peers. He is not selective in his socialization tolerating familiar people and strangers alike. Of the following disorders, which one is the most likely?

A) acute stress disorder
B) disinhibited social engagement disorder
C) adjustment disorder
D) posttraumatic stress disorder

4. In forensic nursing, which of the following is the basis of the nurse-client relationship?

A) Crime committed and investigational aspects of the interaction
B) Severity of the offense and past history of aggression toward others
C) Psychiatric diagnoses
D) Psychiatric and comorbid diagnoses

5. You are a nurse practitioner treating a Native American patient on the inpatient unit. When you arrive on the unit, you learn that the patient was placed in five-point seclusion and restraints for being a danger to others. When you read the chart and collaborate with the charge nurse, you learn that the patient became angry and aggressive when a mental health technician removed his personal items from his room without cause.
What is needed for culturally competent care in this case?

A) Discuss the incident with the patient in a group setting and remind the group of the unit guidelines
B) Educate the patient on what is and is not allowed on the inpatient psychiatric unit, regardless of cultural disposition
C) Congratulate the staff on discovering a near miss
D) Educate the staff on the significance of personal items and the importance of having a plan of communication

Solutions: