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| Section | Objectives |
|---|---|
| Topic 1: Psychotherapeutic Modalities | - Crisis Intervention - Individual Psychotherapy - Group and Family Therapy |
| Topic 2: Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
| Topic 3: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Topic 4: Advanced Practice Skills | - Treatment Planning - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment |
| Topic 5: Diagnosis and Management of Psychiatric Disorders | - Psychotic Disorders - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders - Personality Disorders |
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NEW QUESTION # 220
A 17-year-old recently arrested male arrives at your office for a psychiatric evaluation. Based on his history of delinquent behavior, you suspect conduct disorder. According to Erik Erikson, failure to resolve which psychosocial stage is most associated with the development of this psychopathology?
Answer: D
Explanation:
Failure to successfully resolve the psychosocial stage of Identity vs. Role Confusion is linked to delinquent behavior, borderline psychotic episodes, and gender-related identity disorders.
Erik Erikson's stages of psychosocial development:
* Trust vs. Mistrust: birth to 12-18 months
* Autonomy vs. Shame and Doubt: 12-18 months to 3 years
* Initiative vs. Guilt: 3 to 5-6 years
* Industry vs. Inferiority: 5-6 years to adolescence
* Identity vs. Role Confusion: adolescence to adulthood
* Intimacy vs. Isolation: adulthood
* Generativity vs. Stagnation: middle adulthood
* Ego Integrity vs. Despair: late adulthood
Failure to resolve the Industry vs. Inferiority stage can contribute to creative inhibition. Failure to resolve the Initiative vs. Guilt stage can lead to the development of conversion disorder, phobias, and psychosomatic disorders. Failure to resolve the Autonomy vs. Shame and Doubt phase can lead to the development of paranoia, obsessions, and compulsions.
NEW QUESTION # 221
Which type of therapeutic interviewing method helps a patient discover discrepancies between their current behaviors and the behaviors they desire to have?
Answer: A
Explanation:
Socratic questioning is an existential therapeutic interviewing method of eliciting information with the goal of discovering the discrepancy between current behaviors and the desired outcome of the patient.
CBT focuses on the subconscious influencers of behavior. DBT builds on CBT with an emphasis on emotional regulation, increasing stress tolerance, and mindfulness. Psychoanalytic therapy and questioning focus on discovering unconscious thoughts and motivators.
NEW QUESTION # 222
When prescribing psychotropic medication to an elderly patient, the nurse practitioner understands and incorporates what information in patient education?
Answer: D
Explanation:
Elderly patients who are prescribed psychotropic medication have a higher risk of falls. Most of the fall risk is associated with the side effects of sedation, dizziness, and postural hypotension. New-generation medications produce fewer side effects and have less fall risk.
NEW QUESTION # 223
A patient with obsessive-compulsive disorder (OCD) is being prescribed Luvox (fluvoxamine). Which of the following adverse effects would the PMHNP need to be most concerned about?
Answer: A
Explanation:
Luvox (fluvoxamine) is a selective serotonin reuptake inhibitor (SSRI) used to treat OCD. One of the serious adverse effects of fluvoxamine is QT prolongation, which is an abnormal prolongation of the QT interval on an electrocardiogram (ECG). QT prolongation can lead to a potentially fatal heart rhythm disorder known as torsades de pointes. Therefore, PMHNP should be cautious about prescribing Luvox to patients with risk factors for QT prolongation.
Constipation, insomnia, and weight gain are common adverse effects of SSRIs but are not as serious as QT prolongation.
NEW QUESTION # 224
A PMHNP is caring for a patient who presents with depressive symptoms. What is the primary reason for the PMHNP to conduct a thorough medical screening as part of the patient's assessment?
Answer: A
Explanation:
Medical screening is an important aspect of the assessment of psychiatric patients, as medical conditions can often contribute to or exacerbate mental health symptoms. For example, hypothyroidism can cause symptoms of depression, while hyperthyroidism can cause symptoms of anxiety. Other medical conditions such as vitamin deficiencies, infections, and neurological disorders can also have an impact on mental health. Therefore, a thorough medical screening can help the PMHNP identify any underlying medical conditions that may be contributing to the patient's mental health symptoms and inform the development of an appropriate treatment plan.
NEW QUESTION # 225
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