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| Section | Objectives |
|---|---|
| Topic 1: Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders - Psychotic Disorders - Substance Use Disorders |
| Topic 2: Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Topic 3: Scientific Foundations | - Research and Evidence-Based Practice - Pathophysiology and Psychopathology - Psychopharmacology |
| Topic 4: Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Ethical Decision-Making - Patient Safety and Quality Improvement |
| Topic 5: Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
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NEW QUESTION # 516
When building rapport and interviewing patients, the PMHNP is careful not to use obstructive interventions. Which type of obstructive intervention slows the interview and prompts the patient to give one-word answers with no elaboration?
Answer: A
Explanation:
A patient can and should be a partner in the interview, but closed-ended questions can prohibit them from elaborating on the details of the problem.
Compound questions are confusing since they lead to more than one answer and can contribute to a lack of clarity in the response. "Why" questions are intimidating and nonproductive. Non-verbal communication may provoke uneasy feelings for the client.
NEW QUESTION # 517
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: C
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 # 518
Risk factors for suicide include which of the following?
Answer: A
Explanation:
Risk factors for suicide include being a male aged 45 or older or a female aged 55 or older; being divorced, single or separated; being Caucasian; living alone; having a psychiatric disorder or a physical illness; engaging in substance abuse; having a previous suicide attempt; having a family history of suicide; and experiencing a recent loss.
NEW QUESTION # 519
Which of the following is least likely to be a comorbidity of ADHD?
Answer: C
Explanation:
Common comorbidities of ADHD include:
* Major depression
* Bipolar I and/or II disorder
* Tic disorders
* Anxiety disorders
* Oppositional defiant disorder
* Substance abuse disorders
* Learning disorders
NEW QUESTION # 520
Not all symptoms of MDD respond to pharmacological interventions, and non-pharmacological management is often used in conjunction with medication. Which of the following nonpharmacologic interventions can be indicated for treatment-resistant depression that involves implanting a pace-maker type device in the left side of the chest?
Answer: A
Explanation:
VNS (vagal nerve stimulation) is the implanting of a pacemaker type device in the left chest wall to stimulate the left branch of the vagus nerve.
ECT is electroconvulsive therapy. DBT is dialectal behavioral therapy, which is a form of talk therapy. TMS (transcranial magnetic stimulation) involves creating a magnetic field in the scalp for 40-minute sessions.
NEW QUESTION # 521
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