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| Section | Objectives |
|---|---|
| Topic 1: Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Personality Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders |
| Topic 3: Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Topic 4: Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
| Topic 5: Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Ethical Decision-Making - Scope of Practice and Regulations |
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NEW QUESTION # 22
Which of the following considerations is most important when considering prescribing an antidepressant to an individual with known bipolar disorder?
Answer: C
Explanation:
Antidepressants are known to potentiate both manic and depressive episodes in patients suffering from bipolar disorder in the absence of a mood stabilizer or antipsychotic. The presence of mania symptoms or severity of depressive symptoms may be a consideration but is not as important as the consideration of whether the patient is taking a mood stabilizer.
The patient's allergies should be taken into consideration; however, the use of a mood-stabilizing agent should be considered first.
NEW QUESTION # 23
You are a new nurse practitioner opening a clinic specifically to treat children and adolescents. You have an initial evaluation appointment today with the mother of an eight-year-old female who is concerned about her daughter's odd movements. When you further assess and ask questions about the onset, the mother states that her daughter has been healthy up to this point without any issues at all. She is concerned and asks you what could be causing this.
Which of the following is least important when screening for Rett syndrome?
Answer: A
Explanation:
Tylenol (acetaminophen) will not cause these symptoms when given to children. Rett syndrome's etiology is unknown. However, it is believed that children suffering from Rett syndrome have
* A known, progressive, and deteriorating course of illness after an initial period without apparent disability
* A potential metabolic disorder
* Genetic mutation(s)
NEW QUESTION # 24
Which of the following laboratory findings would not suggest alcohol dependency is present?
Answer: C
Explanation:
In alcohol dependence, triglycerides are usually elevated.
While alcohol dependence and abuse cannot be diagnosed using laboratory testing, they tend to produce characteristic laboratory findings, including the following:
* Elevated mean corpuscular volume (MCV)
* Increased prothrombin time
* Aspartate aminotransferase (AST) elevation greater than 40%
* Alanine aminotransferase (ALT) elevation greater than 20%
* Elevated amylase
* Low white blood cell count
* Elevated uric acid
* Elevated triglycerides
NEW QUESTION # 25
A 25-year-old patient is evaluated for new, rapid-onset disorganized and pressured speech and disorganized thoughts. He presents with a flat affect and auditory hallucinations of the command type. Which of the following conditions does not need to be ruled out as part of the differential diagnosis of schizophrenia?
Answer: B
Explanation:
Dementia is a progressive decline of cognition. Although dementia patients can exhibit hallucinations, this is typically a disease of aging.
Wernicke-Korsakoff syndrome is a brain disorder caused by drinking too much alcohol and a lack of thiamine. Substance-induced psychosis can mimic symptoms of schizophrenia. Thyrotoxicosis encephalopathy is also a brain disorder related to nutrient deficiency of thiamine, which mimics schizophrenia.
NEW QUESTION # 26
A PMHNP evaluates a 67-year-old patient with new-onset stuttering and an inability to verbalize what they want to say. On assessment, the patient appears to have good receptive comprehension. The patient is accompanied by their daughter, who reports the patient has had long-standing hypertension and anxiety and frequently refuses to take medications.
The PMHNP suspects a possible stroke impacting which area of the brain?
Answer: C
Explanation:
Broca's area is associated with fluency of speech. Damage to this area can result in expressive aphasia.
Wernicke's area is associated with comprehension. The brain is divided into 52 subdivisions called Broadman's areas. The amygdala is located in the temporal lobe and processes memory and emotional responses.
NEW QUESTION # 27
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