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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1129-Q1134):
NEW QUESTION # 1129
The use of herbal substances in treating mental disorders is becoming more and more popular. Which herbal substance targets insomnia?
Answer: B
Explanation:
Common herbals with psychoactive effects used to treat insomnia are:
* Valerian
* Catnip
* Chamomile, which also helps with anxiety
Other herbals with psychoactive effects include:
* Ginkgo, which helps with delirium, dementia, and sexual dysfunction
* Black cohosh, which is used to treat menopausal symptoms, premenstrual syndrome, and dysmenorrhea
* Belladonna, which is used to treat anxiety
* Ginseng, which helps with depression and fatigue
NEW QUESTION # 1130
A 24-year-old female presents with complaints of "episodes of utter terror" that seem to begin without cause. During these episodes, she feels extremely anxious with heart palpitations and shortness of breath. These episodes usually last 5 to 10 minutes and have occurred about 15 times over the past six months. She often worries about when she might have another episode.
What medical condition should be considered in this patient's differential diagnosis?
Answer: D
Explanation:
Pheochromocytoma should be considered in the differential diagnosis of panic disorder. Pheochromocytomas produce symptoms often seen in panic disorder, such as flushing, trembling, and tachycardia. Other medical conditions that mimic panic disorder include the following:
* Hyperthyroidism
* Hyperparathyroidism
* Cardiac arrhythmias
Hypertension, folate deficiency, and hypothyroidism do not usually cause panic-like symptoms.
NEW QUESTION # 1131
In the relapse prevention model, both immediate determinants and covert antecedents increase the risk of lapse and relapse. Which of the following is an example of an immediate determinant?
Answer: C
Explanation:
Coping skills are considered an immediate determinant. Coping skills can be strong or weak, and their presence or absence can be a determinant of relapse.
Accessibility to substance, rationalization, and minimizing consequences are all antecedents to lapse and relapse.
NEW QUESTION # 1132
Psychosis and schizophrenia are diagnoses of exclusion. Which of the following should be ruled out as part of a differential diagnosis?
Answer: B
Explanation:
Since psychosis and schizophrenia are characterized by behavioral and cognitive symptoms, including hallucinations, an acute reaction to a substance should be ruled out, particularly if the symptoms are new-onset and acute.
Anxiety and OCD are characterized by cognitive and behavioral symptoms paired with other physical manifestations and patterns of illness. They are much less likely to present as disorganization of thought with hallucinations. Antisocial personality disorder is not associated with hallucinations.
NEW QUESTION # 1133
The term adult is used to describe who?
Answer: D
Explanation:
In discussing the term "adult," it is important to understand the specific criteria and definitions that classify someone as an adult. The term itself generally refers to post-pubescent individuals who have reached a stage in development where they are considered mature, both physically and psychologically. The correct definition of an adult, therefore, encompasses those who are post-pubescent and onwards in age.
Puberty marks a significant transition in human development, involving both biological growth and psychological changes, leading to sexual maturity. Once individuals pass through puberty, they begin to acquire the attributes typically associated with adulthood. These attributes include greater physical development, mature cognitive abilities, and more complex emotional capacities. Consequently, identifying post-pubescent individuals as adults aligns with recognizing these matured states of development.
Legally and culturally, the specific age at which a person is considered an adult can vary significantly by country, culture, and context. In many parts of the world, the age of 18 is commonly accepted as the threshold into legal adulthood. This age marks eligibility for certain civic responsibilities and rights such as voting, marriage without parental consent, and signing contracts. However, this legal definition may not fully align with the biological and psychological definition, which is more centered on developmental milestones such as the completion of puberty.
The other options provided in the question, such as "10 to 18 year olds" or "anyone that can form sentences," do not adequately capture the essence of being an adult. Individuals within the 10 to 18-year-old range are often still undergoing puberty and may not have fully developed the physical, cognitive, and emotional traits associated with adulthood. Similarly, the ability to form sentences is a linguistic milestone that can be achieved well before reaching adulthood, appearing as early as toddlerhood in many cases.
Therefore, defining adults as post-pubescent individuals and onwards in age is the most accurate and encompasses the transition from adolescence to full maturity. This definition recognizes the complex interplay of biological growth, psychological development, and social responsibilities that characterize adult life. As such, while the legal definitions of adulthood may vary, the biological and psychological thresholds provide a more universally applicable understanding of when a person transitions from youth into adulthood.
NEW QUESTION # 1134
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