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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Therapeutic frameworks and modalities - Group, family, and individual therapy principles |
| Topic 2: Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care |
| Topic 3: Diagnosis and Treatment | 22% | - Biological, environmental, and lifestyle interventions - Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring - Differential diagnosis across lifespan |
| Topic 4: Scientific Foundation | 22% | - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders |
| Topic 5: Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation |
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NEW QUESTION # 750
The mother of a 16-year-old male adolescent patient presents to your clinic complaining of the behavior her son has been exhibiting for the past three months. She indicates that he has been losing his temper often, gets angry and resentful easily, and is spiteful toward her due to the divorce she and her husband went through four months ago. To rule out oppositional defiant disorder (ODD), what must be true?
Answer: A
Explanation:
ODD is an enduring pattern of angry or irritable mood and argumentative, defiant, or vindictive behavior lasting at least six months with at least four of the following associated symptoms:
* Loses temper
* Touchy or easily annoyed
* Angry or resentful
* Argues with authority
* Actively defies or refuses to comply with requests or rules from authority figures
* Blames others
* Deliberately annoys others
* Spiteful or vindictive
NEW QUESTION # 751
You are a nurse practitioner treating a seven-year-old male. His mother explains, "My son's teacher is concerned about him because he is not able to finish his in-class schoolwork. I just don't know what to do." The patient reportedly fails to give attention in class, gets distracted often, is disorganized with his assignments, constantly loses his homework, talks out of turn and distracts other students, and interrupts when other students answer a question. Given this information, you decide to order labs to ensure there is not another medical cause for his academic performance.
What lab findings would support a diagnosis of attention deficit hyperactivity disorder (ADHD)?
Answer: A
Explanation:
There are no specific diagnostic and laboratory findings supporting a diagnosis of ADHD. The presence of aplastic anemia, leukocytosis, or thrombocytopenia would not be anticipated with ADHD.
NEW QUESTION # 752
The goal of which type of therapy is to change the client's faulty conceptions, irrational beliefs, and negative cognitive distortions?
Answer: D
Explanation:
Cognitive therapy, originating with Aaron Beck, purports that external events do not cause anxiety or maladaptive behaviors but that a person's expectations, perceptions, and interpretations of events cause anxiety. The goal of therapy is to change the client's irrational beliefs.
Behavioral therapy focuses on changing maladaptive behaviors through exposure, relaxation, and problem-solving. Existential therapy is a philosophical approach based on life reflections. Psychoanalytic therapy addresses maladaptive behaviors by increasing insight and awareness.
NEW QUESTION # 753
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 # 754
What term describes the tendency of families to resist change and maintain a steady state?
Answer: C
Explanation:
Family homeostasis is the tendency of families to resist change and maintain a steady state.
Circular causality is an ongoing feedback loop, a series of actions and reactions that maintain a problem. Boundaries are barriers that protect and enhance the functional integrity of families and individuals. Morphogenesis is a family's tendency to adapt to change when changes are necessary.
NEW QUESTION # 755
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