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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions |
| Topic 2: Psychotherapy and Related Theories | 11% | - Therapeutic frameworks and modalities - Crisis intervention and stabilization - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles |
| Topic 3: Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Health assessment, history taking, diagnostic reasoning - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration |
| Topic 4: Scientific Foundation | 22% | - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry - Pathophysiology of mental health disorders - Psychopharmacology, pharmacokinetics, pharmacodynamics |
| Topic 5: Ethics, Legal Principles, and Cultural Care | 17% | - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health |
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NEW QUESTION # 451
What was the original name of the Centers for Medicaid and Medicare Services (CMS)?
Answer: B
Explanation:
The Health Care Financing Administration (HCFA) was an agency of the United States Department of Health and Human Services that was created to oversee the financing and quality-control programs for Medicare and the federal portion of Medicaid. The agency has since been renamed Centers for Medicaid and Medicare Services (CMS).
NEW QUESTION # 452
Oppositional defiant disorder is often misdiagnosed in adolescents. Which of the following is least likely to be a characteristic of ODD?
Answer: B
Explanation:
Clients with ODD are the opposite of attention-seeking; they present as avoidant, argumentative, and defiant. Clients with BPD (borderline personality disorder) are needy and attention-seeking.
Oppositional defiant disorder is an enduring pattern of angry or irritable mood and argumentative, defiant, or vindictive behavior lasting at least six months with at least four 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 # 453
A 75-year-old female is admitted to the hospital for complications related to a terminal cancer diagnosis. You are asked to do a psychological assessment of her mental state. She reports that although her family is very good to her and takes excellent care of her, she feels that she is a burden and so she just wants to die. You recognize this as a sign of
Answer: C
Explanation:
The correct answer to the question is "problem with Erikson's developmental stage of integrity vs. despair." To understand why this is the case, it's important to delve into the specifics of Erik Erikson's stages of psychosocial development, particularly focusing on the final stage: integrity vs. despair.
Erikson's theory posits that human development consists of eight stages across the lifespan, each characterized by a specific conflict that must be resolved. The successful resolution of each conflict results in psychological strengths that contribute to overall well-being. The final stage, which typically occurs in old age (65 years and older), confronts individuals with the conflict between integrity and despair.
In this stage, individuals reflect on their life and its events. If they view their life as a series of missed opportunities and failures, they might fall into despair, feeling a sense of bitterness and regret, and possibly questioning the value of their life. In contrast, if they see their life as meaningful and fulfilling, they achieve a sense of integrity, which leads to feelings of satisfaction and peace.
The 75-year-old female patient mentioned in the query is exhibiting signs that she might be struggling with this developmental stage. Her feelings of being a burden and her wish to die suggest she may be experiencing despair. She could be reflecting on her life and feeling unfulfilled or regretful, which is causing her psychological distress. Her perception of being a burden despite her family's supportive nature further indicates a negative self-assessment and dissatisfaction with how her life events have unfolded.
Erikson believed that achieving a sense of integrity means accepting both one's past and one's mortality. A positive resolution in this stage would involve the patient finding a way to view her life with a sense of completeness and wholeness, even in the face of terminal illness. This could include recognizing the value in her relationships, accomplishments, and even her struggles.
Thus, the signs shown by the patient are indicative of a problem with Erikson's developmental stage of integrity vs. despair. The goal for healthcare providers, including psychologists, would be to support her in moving towards a resolution of integrity, perhaps through therapeutic conversations that help her reflect on her life positively, recognize her worth, and accept her life's course with peace. This therapeutic approach would aim to alleviate her feelings of despair and enhance her psychological comfort in her remaining time.
NEW QUESTION # 454
As a nurse practitioner, you will be responsible for assessing physical signs of child abuse. Which of the following is least indicative of abuse?
Answer: B
Explanation:
Inattention and distraction could be age-appropriate or a sign of ADD/ADHD, but it is not a sign of child abuse.
Common indicators of child abuse:
* History of unexplained multiple fractures
* Burns, hand or bite marks
* Injuries at various stages of healing
* Evidence of neglect
* Bruising on padded parts of the body
NEW QUESTION # 455
Which classification of psychiatric medications requires routine lab work for metabolic monitoring?
Answer: B
Explanation:
Patients being prescribed and treated with second-generation antipsychotics and/or most mood stabilizers should have routine laboratory testing to monitor their baseline and help prevent metabolic syndrome.
SSRIs, anxiolytics, and tricyclic antidepressants all carry a very low risk or no risk of metabolic syndrome.
NEW QUESTION # 456
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