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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1276-Q1281):

NEW QUESTION # 1276
Hyperthyroidism often mimics symptoms of bipolar affective mood disorders. A patient with hypothyroidism is most likely to present with which of the following symptoms?

A. Motor restlessness
B. Insomnia
C. Emotional lability
D. Decreased appetite

Answer: D

Explanation:
In hypothyroidism, T4 is decreased and TSH is increased, producing slowed processes and depressive-like symptomatology. Patients with hypothyroidism may present with the following symptoms:
* Confusion
* Decreased libido
* Impotence
* Decreased appetite
* Memory loss
* Lethargy
* Constipation
* Headaches
* Slow or clumsy movements
* Syncope
* Weight gain
* Fluid retention
* Muscle aching and stiffness
* Slowed reflexes
* Somatic discomfort including aching and joint stiffness
* Slowed speech and thinking
* Sensory disturbances, including hearing
* Cerebellar ataxia
* Loss of amplitude in ECG
In hyperthyroidism, T4 is increased and TSH is decreased, which produces excitatory and labile/anxious-like symptomatology.
Other presentations of hyperthyroidism include the following:
* Motor restlessness
* Emotional lability
* Tremors
* Insomnia
* Impotence
* Weight loss
* Increased appetite
* Abdominal pain
* Excessive sweating
* Flushing
* Elevated upper eyelid leading to decreased blinking, staring, and fine tremors of the eyelid
* Tachycardia
* Dysrhythmias

NEW QUESTION # 1277
Which of the following statements about neurotransmitters by a nursing student would require correction by the PMHNP?

A. Examples of neurotransmitters include monoamines, amino acids, cholinergics, and peptides.
B. Neurotransmitters are chemicals synthesized from dietary substrates.
C. Neurotransmitters communicate information from one cell to another.
D. Neurotransmitters convert an action potential into a chemical signal.

Answer: D

Explanation:
The synapse, not the neurotransmitter, converts the action potential in the presynaptic neuron into a chemical signal that is then transferred to the postsynaptic neuron.
Neurotransmitters are chemicals synthesized from dietary substrates that communicate information from one cell to another. They can be divided into four categories: monoamines, amino acids, cholinergics, and peptides.

NEW QUESTION # 1278
Lithium is considered the gold standard treatment for treating manic episodes. Lithium therapy requires which baseline labs prior to the initiation of therapy?

A. Thyroid panel, CBC with diff, LFTs
B. Thyroid panel, BUN/creatinine, pregnancy test
C. FBS, LFTs, CBC with diff
D. CBC with diff, HA1C, LFTs

Answer: B

Explanation:
Baseline lithium tests include a thyroid panel, BUN/creatinine, and a pregnancy test. It also includes EKG testing for patients over 50 years of age.

NEW QUESTION # 1279
During the initial assessment and follow-up appointments with mental health patients at a community health clinic, a PMHNP uses mental health screening tools such as the PHQ-9, MOCA, and mental status exam. The implementation of screening tools in a mental health clinic is an example of which type of prevention strategy?

A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Sentinel event prevention

Answer: C

Explanation:
Primary prevention is primarily healthy advice and education for the general public, focused on preventing the development of illness. Secondary prevention involves screening for disease in an at-risk group and treating disease to bring someone back to a state of wellness. Tertiary prevention is reducing disease progression in someone who has already been diagnosed and is not able to be cured; this can include interventions such as rehabilitation and support groups.
A sentinel event triggers a root-cause analysis for unexpected outcomes that are reportable to public health agencies.

NEW QUESTION # 1280
Which term describes treatments that are intended to enhance traditional medical practices?

A. Integrative therapies
B. Biological-based therapies
C. Complementary therapies
D. Alternative therapies

Answer: C

Explanation:
The National Institutes of Health (NIH) created the National Center for Complementary and Alternative Medicine (NCCAM) in 1998. The mission of NCCAM is to study therapies outside of traditional medicine. Complementary therapies are defined as treatments used in addition to traditional medical practices. Alternative therapies are used in place of traditional medical practice. Often complementary and alternative are combined to form the term "complementary and alternative medicine" (CAM).
Types of CAM are:
* Biological-based therapies: herbal products, vitamins, supplements, and aromatherapy
* Mind-body interactions: guided imagery, meditation, yoga, and biofeedback
* Manipulative and body-based therapies: acupressure, acupuncture, massage, reflexology

NEW QUESTION # 1281
......

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PMHNP Detailed Answers, PMHNP Training Courses

Hot PMHNP Detailed Answers Pass Certify | High-quality PMHNP Training Courses: American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified

College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1276-Q1281):

100% Pass College Admission - PMHNP - Authoritative American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Detailed Answers

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