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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q1321-Q1326):

NEW QUESTION # 1321
You are the nurse practitioner treating a 19-year-old female. During your initial assessment, the client complains of not sleeping well. Which of the following is least likely to be the etiology of the disruptions in sleep patterns for this client?

Answer: A

Explanation:
The etiology of insomnia is found in the following:
* Dysfunction on sleep-wake circuits of the brainstem
* Neurochemical imbalances impinging on these circuits
* Potentially stress-related in brief episodic insomnia
While age-related changes may contribute to the development of these factors, age is not an important consideration for this client given her young age.


NEW QUESTION # 1322
The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. Which study would appear in Level 1 of an evidence hierarchy?

Answer: C

Explanation:
Evidence-based practice demands the use of the best knowledge. The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. The best evidence comes from Level 1 of the evidence hierarchy, which includes meta-analyses. All levels are listed below.
* Level 1 (strongest): Systematic review of randomized controlled trials or systematic review of nonrandomized trials
* Level 2: Single randomized controlled trial or single nonrandomized trial
* Level 3: Systematic review of correlational or observational studies
* Level 4: Single correlational or observational study
* Level 5: Systematic review of descriptive, qualitative, or physiologic studies
* Level 6: Single descriptive, qualitative, or physiologic study
* Level 7 (weakest): Opinions of authorities and expert committees


NEW QUESTION # 1323
A patient has been diagnosed with seasonal affective disorder (SAD), a type of depression that occurs during specific times of the year. What is the most likely hormonal influence on the development of SAD?

Answer: C

Explanation:
Seasonal affective disorder is a type of depression that occurs during specific times of the year, typically in the winter. The exact cause of SAD is unknown, but it is believed to be related to changes in the amount of light exposure and the corresponding changes in circadian rhythm and hormone levels.
Melatonin is a hormone the pineal gland produces in response to darkness and regulates sleep and wakefulness. In individuals with SAD, it is thought that decreased melatonin levels may contribute to symptoms such as sleep disturbances, decreased energy, and low mood.
Elevated levels of cortisol, low levels of testosterone, and increased levels of estrogen are not typically associated with SAD, although these hormones may play a role in other types of depression. Understanding the hormonal influences on SAD is important for PMHNPs and other healthcare providers, as it can inform the development of effective treatment strategies for this condition.


NEW QUESTION # 1324
Which of the following is an example of a social preventative factor that protects someone from developing a psychiatric disorder?

Answer: D

Explanation:
Preventative factors protect a person from developing a psychiatric condition. They fall into three categories: biological, psychological, and social. A low-stress occupation is an example of a social preventative factor.
Biological preventative factors:
* Without a history of mental illness in the family
* Healthy nutritional status
* Good general health
Psychological preventative factors:
* Good self-esteem
* Good self-concept
* Internal locus of control
* Healthy ego defenses
Social preventative factors:
* Low-stress occupation
* Higher socioeconomic status
* Higher level of education


NEW QUESTION # 1325
In a family systems context, what is the definition of morphogenesis?

Answer: D

Explanation:
Morphogenesis refers to a family's tendency to adapt to changes when necessary.
Morphostasis is a family's tendency to remain stable amid change. Family homeostasis is a family's tendency to resist change and maintain a steady state. Boundaries are the barriers that protect and enhance the functional integrity of families.


NEW QUESTION # 1326
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