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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1338-Q1343):

NEW QUESTION # 1338
A patient with borderline personality disorder is receiving mentalization-based treatment (MBT). Which of the following best describes the goals of MBT?

Answer: A

Explanation:
Mentalization-based treatment is a psychotherapeutic approach designed to help patients improve their ability to understand their and others' mental states and intentions, especially in the context of interpersonal relationships. This is particularly important for patients with borderline personality disorder, who often struggle with emotional dysregulation and have difficulty understanding their emotions and the emotions of others. PMHNPs should be familiar with MBT to help patients improve their interpersonal relationships, emotional regulations, and overall functioning.
Psychoanalytic psychotherapy aims to provide insight into unconscious thoughts and feelings. Mindfulness-based cognitive therapy involves learning and practicing mindfulness techniques to manage emotions. Cognitive-behavioral therapy aims to challenge and change maladaptive patterns of behavior.


NEW QUESTION # 1339
A PMHNP is working with a patient who has expressed interest in completing an advance directive. Which of the following statements best describes the purpose of an advance directive?

Answer: D

Explanation:
An advance directive is a legal document that outlines a patient's medical treatment preferences if they cannot make decisions for themselves. This can include preferences for life-sustaining treatments, pain management, and other aspects of end-of-life care. It includes consideration as an aspect for clients with chronic psychiatric illnesses.
It does not address the distribution of the patient's assets or document the patient's psychiatric history and treatment preferences. While it can designate a healthcare proxy, this is not its sole purpose.


NEW QUESTION # 1340
A patient with bipolar disorder is being assessed using the Young Mania Rating Scale. Which of the following symptoms would a PMHNP least expect to assess when using the scale?

Answer: C

Explanation:
The Young Mania Rating Scale (YMRS) is a tool used to assess the severity of manic symptoms in patients with bipolar disorder. The scale includes 11 items that assess the patient's level of energy, activity, thought and speech patterns, mood, and behavior. Items on the YMRS include increased activity and energy levels, irritability and aggression, rapid speech and flight of ideas, and many others. PMHNPs should be familiar with the YMRS and other assessment tools to assess and manage manic symptoms in patients with bipolar disorder.
However, the scale does not include items related to suicidal ideation and self-harm behaviors, which are better assessed using other tools such as the Columbia-Suicide Severity Rating Scale (C-SSRS).


NEW QUESTION # 1341
What types of boundaries maintain an individual's separateness while emphasizing belonging?

Answer: D

Explanation:
Clearly defined boundaries maintain a person's separateness while emphasizing belongingness.
Rigid boundaries may lead to distant relationships and disengagement. Diffuse boundaries lead to enmeshment. Inflexible boundaries are the same as rigid boundaries.


NEW QUESTION # 1342
How does biofeedback produce its therapeutic effects?

Answer: C

Explanation:
Biofeedback teaches a patient to control their physiological responses.
Acupuncture and acupressure aid in the activity of endorphins by manipulating points of energy flow in the body. Aromatherapy stimulates the olfactory system to elicit feelings and memories. Massage increases blood circulation, improves lymph flow, and enhances musculoskeletal tone.


NEW QUESTION # 1343
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