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| Section | Objectives |
|---|---|
| Topic 1: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Anxiety and Trauma-Related Disorders - Mood Disorders - Substance Use Disorders - Personality Disorders - Psychotic Disorders |
| Topic 3: Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Patient Safety and Quality Improvement - Ethical Decision-Making |
| Topic 4: Psychotherapeutic Modalities | - Group and Family Therapy - Individual Psychotherapy - Crisis Intervention |
| Topic 5: Scientific Foundations | - Psychopharmacology - Pathophysiology and Psychopathology - Research and Evidence-Based Practice |
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NEW QUESTION # 243
A 24-year-old Caucasian male arrives at your office for a psychiatric evaluation. He has a body mass index of 30, fasting triglycerides of 230 mg/dL, and fasting blood glucose of 121 mg/dL. You diagnose him with schizophreni a.
Which medication is least likely to worsen his metabolic profile?
Answer: C
Explanation:
Ziprasidone, olanzapine, quetiapine, and risperidone are all atypical antipsychotics. Ziprasidone is the least likely to cause weight gain and has been shown to lower triglyceride levels. For patients at an increased risk for developing metabolic syndrome, ziprasidone is the antipsychotic of choice.
NEW QUESTION # 244
By graduation, all nurse practitioners are expected to have met a set of core competencies. Which of the following falls outside the core competencies of the management of a patient's health status?
Answer: D
Explanation:
Negotiating legislative change is an example of a professional role core competency.
Nurse practitioner core competencies include the following:
* Management of the patient's health status
* Maintenance of the nurse practitioner-patient relationship
* Teaching and coaching
* Professional role
* Negotiating healthcare delivery systems
* Monitoring quality of care
* Providing culturally sensitive care
Nurse practitioner core competencies in the management of a patient's health status are:
* Health assessment
* Health history
* Physical exam
* Screening and diagnostic testing
* Diagnosing
* Prescribing medications
* Prescribing other treatment modalities
* Evaluating care outcomes
NEW QUESTION # 245
Which of the following statements regarding Medicaid reimbursement for nurse practitioner (NP) services is accurate?
Answer: C
Explanation:
Nurse practitioners are reimbursed by Medicare and Medicaid in every state for providing the same services as physicians. In nearly every state, nurse practitioners are reimbursed at a rate of 85% of the allowable physician rate. However, in states that have high Medicaid reimbursement rates for NP services, there is greater participation of NPs in the provision of primary care services and hence an improvement in community access to healthcare.
In addition, in practices where NPs are employed, there is a greater likelihood that the practice would accept patients with Medicaid, again improving community access to quality healthcare. Physician practices are less likely to employ NPs in states where Medicaid reimbursement for NP services is low, limiting or restricting community access to health care.
NEW QUESTION # 246
A nurse is providing care to a patient who discloses that they are experiencing intimate partner violence. Which of the following actions is the priority in the nurse's response?
Answer: A
Explanation:
Intimate partner violence (IPV) is a serious public health issue that affects individuals of all ages, genders, and sexual orientations. Nurses have a critical role in identifying and responding to IPV, and the priority in their response should be to ensure the patient's safety and provide them with access to resources for support.
NEW QUESTION # 247
Which of the following is a diagnostic criterion for panic disorder?
Answer: B
Explanation:
Diagnostic criteria for panic disorder include the following:
* Paresthesia
* Chills or hot flushes
* Fear of losing control or of going crazy
* Fear of dying
* Shortness of breath or a smothering sensation
* Palpitations, pounding heart, or accelerated heart rate
* Chest pain, tightness, or discomfort
* Sweating, trembling, or shaking
* Nausea or abdominal distress
Bradycardia, vivid hallucinations, and excessive eye blinking are not criteria for panic disorder.
NEW QUESTION # 248
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