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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q113-Q118):

NEW QUESTION # 113
Mr. Smith is a 25-year-old sales associate. He has a strong family history of mental illness and is worried that he may experience similar problems in his life. He presented to his local primary care provider complaining of the following symptoms: extreme hyper-alertness, decreased appetite, insomnia, and paranoi a. Mr. Smith is worried that these symptoms might be the beginning of a mental illness and requests an X-ray of his brain. He says he has never seen a psychiatric provider or taken medication for his symptoms.
What would be an initial consideration in your assessment when meeting with Mr. Smith?

Answer: C

Explanation:
Patients often misunderstand and misinterpret diagnostic testing. Explaining this first is important in moving to the diagnostic phase so that all appropriate options for diagnosing his condition can be explored.
Prescribing Wellbutrin immediately is not an appropriate initial intervention, as Mr. Smith is most likely experiencing an increase in norepinephrine. Wellbutrin is an NDRI.
Although performing genetic testing may be necessary, it is often not approved by insurance after an initial visit and if the patient has not used psychotropics in the past.
Mr. Smith is not a danger to himself or others and is not gravely disabled and thus does not meet the criteria for inpatient admission.


NEW QUESTION # 114
What is the basic cellular unit of the nervous system?

Answer: B

Explanation:
The neuron is the basic cellular unit of the nervous system. It has been called the "microprocessor" of the brain and is responsible for conducting impulses from one part of the body to another.
Dendrites collect incoming signals from other neurons and send the signals toward the neuron's cell body. The axon transmits signals away from the neuron's cell body to connect with other cells. White matter is a type of brain tissue that contains myelinated axons.


NEW QUESTION # 115
Which part of the brain controls involuntary functions?

Answer: B

Explanation:
The brainstem includes the reticular formation system, which controls involuntary functions in the body, such as breathing.
The basal ganglia, also called the corpus striatum, supports learning and automatic actions like walking and driving a car. The hypothalamus regulates appetite, water balance, circadian rhythm, body temperature, and libido.


NEW QUESTION # 116
A 15-year-old female with a history of attention deficit hyperactitivity disorder (ADHD) arrives at your clinic with odd behavior, confusion, a blood pressure of 133/90, and a heart rate of 72. Her parents explain that, over the past few weeks, they have noticed her repetitively touching her abdomen and quickly blinking her eyes. During your examination, she appears confused and has trouble focusing on your questions.
What is the most likely explanation for her symptoms?

Answer: D

Explanation:
This patient is exhibiting symptoms consistent with complex partial seizures. This type of seizure usually includes sensory auras and automatic behaviors. Prior to the seizure, this patient might complain of a bad smell or a weird taste in her mouth. During the seizure, she may smack her lips, blink her eyes, or fiddle with her clothing. Complex partial seizures also usually result in impaired consciousness.
These symptoms are not indicative of hypoglycemia, and neither obsessive-compulsive nor major depressive disorder would present with impaired consciousness.


NEW QUESTION # 117
Decreased levels of calcium can cause which of the following?

Answer: B

Explanation:
Decreased levels of calcium can cause acute renal failure.
Increased levels of calcium can cause acidosis, Addison's disease, and hyperthyroidism.


NEW QUESTION # 118
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