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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q453-Q458):

NEW QUESTION # 453
The reticular formation primarily regulates which body functions?

Answer: B

Explanation:
The reticular formation is the part of the brainstem that regulates involuntary movement, muscle tone, blood pressure, and respiratory rate.
The parietal lobe is the primary sensory area and is responsible for regulating taste, reading, and writing. The limbic system's amygdala regulates mood, fear, emotion, and aggression. The limbic system's hypothalamus regulates appetite, water balance, body temperature, and libido.


NEW QUESTION # 454
Which of the following least points to a medical cause of a mental disorder?

Answer: D

Explanation:
If the patient develops psychiatric symptoms that have slowly worsened over time, the cause is more likely to be related to a mental disorder than a medical condition. If their symptoms develop acutely, over minutes or hours, the cause is likely to be medical.
The most important question for an emergency psychiatric nurse practitioner to address is whether the presenting problem is medical, psychiatric, or both. Features that point to a medical cause of a mental disorder include the following:
* Acute onset (within hours or minutes)
* First episode
* Geriatric age
* Current medical illness
* Significant substance abuse
* Nonauditory disturbances of perception
* Neurological symptoms such as loss of consciousness, seizures, or head injury
* Mental status changes such as disorientation or diminished alertness
* Constructional apraxia (difficulties drawing a clock, cube, or intersecting pentagon)


NEW QUESTION # 455
Which of the following would be incorrect as an example of a descriptive statistic?

Answer: C

Explanation:
Descriptive statistics are used to describe the basic features of the data in a study. They are numerical values that summarize, organize, and describe observations. Examples include mean, standard deviation, and variance.
Inferential statistics are numerical values that enable a researcher to draw conclusions that extend beyond the immediate data alone. Examples include t-test, analysis of variance, Pearson's r correlation, probability, and p-value.


NEW QUESTION # 456
A nurse practitioner helps a local school district implement a new Drug Abuse Resistance Education (D.A.R.E.) program. This is an example of what type of prevention strategy?

Answer: D

Explanation:
Primary prevention is aimed at decreasing the number of new cases of mental disorders. An example of primary prevention is D.A.R.E. programs in elementary and middle schools.
Tertiary prevention is aimed at decreasing the disability and severity of a mental health disorder. Providing social skills education for a group of intellectually disabled teenagers is an example of tertiary prevention.
Secondary prevention is aimed at decreasing the number of existing cases of a mental disorder. Examples of secondary prevention include telephone hotlines, crisis intervention, and disaster response.


NEW QUESTION # 457
A patient presents to your clinic feeling as if she cannot leave the house unless she washes her hands 7 times for 5 minutes each time. The patient further explains that her anxiety keeps her from completing these tasks with enough time to get to work by her start time. You give this patient a diagnosis of obsessive-compulsive disorder (OCD) and prescribe fluoxetine (Prozac) to help with her illness. Four weeks later, the patient reports that the anxiety is better, and she is not performing these tasks as much but still finds herself needing to perform the handwashing at least 2 to 3 times a week. You talk to the patient about adjunct treatment and offer to prescribe a second medication.
What medication is best as adjunctive therapy with Prozac?

Answer: C

Explanation:
With many patients experiencing a partial response to a serotonergic antidepressant, there is considerable interest in strategies to augment these medications for OCD. One common approach to augmentation includes adding risperidone (Risperdal); this drug is a second-generation atypical antipsychotic and is recommended as adjunctive therapy in the treatment of OCD.
Other approaches to augmentation include cognitive-behavioral therapy (CBT) and/or a low dose of clomipramine ((to a selective serotonin reuptake inhibitor [SSRI] or serotonin-norepinephrine reuptake inhibitor).
Thorazine and Prolixin are both first-generation antipsychotics and are not recommended as adjunctive therapy for OCD. Clozaril is not recommended as adjunctive therapy for OCD.


NEW QUESTION # 458
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