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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
| Topic 2: Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Topic 3: Diagnosis and Treatment | 43% | - Special Populations
|
| Topic 4: Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
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NEW QUESTION # 1151
A patient with severe bipolar disorder is experiencing a manic episode with psychotic features and is brought to the emergency department. The patient is agitated and unable to participate in a discussion about treatment options. Which of the following actions is most appropriate?
Answer: C
Explanation:
When a patient cannot consent due to incapacity, seeking consent from a legally authorized representative, such as their next of kin or healthcare POA, is the best course to ensure the patient's safety while respecting legal and ethical standards.
Administering medication without consent should be a last resort, even in emergencies, unless all other options are unavailable and the patient is in immediate danger. Administering medication to calm the patient is not advisable if there is a good alternative. Waiting for the patient to calm down may delay treatment and pose significant risks to their safety and well-being.
NEW QUESTION # 1152
You are a nurse practitioner treating a Native American patient on the inpatient unit. When you arrive on the unit, you learn that the patient was placed in five-point seclusion and restraints for being a danger to others. When you read the chart and collaborate with the charge nurse, you learn that the patient became angry and aggressive when a mental health technician removed his personal items from his room without cause.
What is needed for culturally competent care in this case?
Answer: C
Explanation:
The process of educating staff is within the scope of practice of the nurse practitioner. This is an important collaborative approach when building continuity of care. Clients of different cultures often have sacred or personal items that they believe help them in their journey and healing process. Having a plan of care in place and a plan of communication with the patient and family prior to making decisions on care is important to ensure patient and staff safety, as well as to prevent patient behavior from escalating and creating an unsafe scenario.
The other options are not interventions that promote culturally competent care.
NEW QUESTION # 1153
A patient with a diagnosis of Prader-Willi syndrome has been admitted to the children's inpatient psychiatric unit. For this neurodevelopmental disorder, which of the following dietary considerations are an important part of treatment?
Answer: B
Explanation:
Prader-Willi syndrome is a neurodevelopmental and genetic disease characterized by compulsive eating, intellectual disability, hypogonadism, small stature, low muscle, and low muscle tone. Due to their hypotonic and compulsive eating, these patients are prone to obesity and must maintain a low-calorie diet.
NEW QUESTION # 1154
A conflict of interest is a situation in which a person's financial, professional, or personal situation may affect or appear to affect their judgment in professional responsibilities-including healthcare decisions, research, and other matters-with the potential for personal or professional gain or advantage.
Which of the following is not a conflict of interest?
Answer: D
Explanation:
Potential conflicts of interest should be disclosed at least annually or whenever new significant financial interests are received.
Disclosure must be reported to employers, boards, and professional agencies wherever there is a potential for a conflict of interest. Action should be taken to resolve potential or actual conflicts of interest and reduce bias. Working part-time within the scope of PMHNP practice is not a conflict of interest.
NEW QUESTION # 1155
Borderline personality disorder falls under which cluster of personality disorder traits?
Answer: A
Explanation:
Cluster B disorders are:
* Antisocial personality disorder
* Borderline personality disorder
* Histrionic personality disorder
* Narcissistic personality disorder
Cluster A disorders are:
* Paranoid personality disorder
* Schizoid personality disorder
* Schizotypal personality disorder
Cluster C disorders are:
* Avoidant personality disorder
* Dependent personality disorder
* Obsessive-compulsive personality disorder
There is no cluster D disorder category.
NEW QUESTION # 1156
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