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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) |
| Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Genetics, epigenetics, and developmental processes - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry |
| Advanced Practice Skills | 27% | - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning |
| Psychotherapy and Related Theories | 11% | - Group, family, and individual therapy principles - Therapeutic frameworks and modalities - Evidence-based psychotherapy approaches - Crisis intervention and stabilization |
| Ethics, Legal Principles, and Cultural Care | 17% | - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Legal regulations, confidentiality, informed consent - Cultural, spiritual, and social determinants of health |
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NEW QUESTION # 627
A patient with a history of depression and hypertension presents with a sudden headache, increased blood pressure, and palpitations. The patient's medication regimen includes Marplan. The patient reports consuming a large amount of aged cheese before the onset of symptoms. The PMHNP's next action should be which of the following?
Answer: B
Explanation:
Marplan is a monoamine oxidase inhibitor (MAOI). The patient is likely experiencing a tyramine crisis, where ingesting tyramine-rich foods, such as aged cheese, can cause a sudden release of norepinephrine, leading to a hypertensive crisis. Propranolol is a beta-blocker that can help lower blood pressure and prevent the further release of norepinephrine.
Nifedipine is a calcium channel blocker that can lower blood pressure but may not be as effective as a beta-blocker. Epinephrine raises blood pressure, so it would not be appropriate to administer it in a hypertensive crisis. Meperidine may temporarily relieve headache pain but does not address the underlying cause of the crisis.
NEW QUESTION # 628
A psychiatric nurse practitioner (PNP) is interested in participating in policy-making related to mental health care. Which of the following actions would be most effective for the PNP to take?
Answer: B
Explanation:
Psychiatric nurse practitioners can have a significant impact on mental health care policy by participating in policy-making processes. Joining a professional nursing organization, such as the American Nurses Association (ANA) or the American Psychiatric Nurses Association (APNA), is an effective way for PNPs to get involved in policy advocacy efforts.
By joining a professional organization and becoming involved in policy advocacy efforts, the PNP can help shape mental health care policy and advocate for better access to care for their patients.
NEW QUESTION # 629
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: B
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 # 630
You are consulting on a patient in the ER with a history of major depression. The patient presents to the ER setting with complaints of altered level of consciousness, agitation, tremors, chills, ataxia, headaches, and insomni a. You perform a thorough history with the help of the family member present. When you perform a medication reconciliation, you suspect possible serotonin syndrome.
What finding is most likely to suggest serotonin syndrome?
Answer: C
Explanation:
Herbal supplements such as St. John's wort are contraindicated as adjunctive therapy when taking an SSRI. Prozac is an SSRI.
Surgery is not a likely cause of serotonin syndrome. Having a history of bipolar II disorder does not place the patient at risk for serotonin syndrome.
LSD is not directly linked to serotonin syndrome. Although this could be a culprit, it would require that the patient take LSD regularly and over a long period. In this situation, the patient tried LSD, and there is no indication that they chronically used it.
NEW QUESTION # 631
When considering the nurse-client relationship and treatment, what should the nurse practitioner should ensure?
Answer: C
Explanation:
Social interactions on a professional level are appropriate as long as the nurse practitioner maintains healthy boundaries.
Treating close friends or family members creates an ethical dilemma and should be avoided at all times. Depending on state licensure and scope of practice, the provider could be compromising certain regulations and statutes by treating family members; this is never advised and is a poor practice habit.
Although the client does have the right to see who they choose, the nurse-client relationship is a two-way relationship. The provider has a responsibility to ensure that the relationship is a good fit and that it meets certain standards of care required by each state.
NEW QUESTION # 632
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