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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Topic 2: Diagnosis and Treatment | 43% | - Treatment Planning
|
| Topic 3: Scientific Foundation | 19% | - Psychopathology
|
| Topic 4: Professional Role and Policy | 14% | - Ethical and Legal Standards
|
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NEW QUESTION # 1327
By the time they turn 18 years old, what percent of adolescents regularly smoke tobacco?
Answer: C
Explanation:
Most adolescents in the United States experiment with tobacco use. By the age of 18, at least 20% of individuals smoke tobacco regularly. More than 80% of these people attempt to quit, but only 5% will be successful. Daily smoking in the United States used to be rare; however, it has become more prevalent in the past decade, especially among teenagers.
NEW QUESTION # 1328
A patient with bipolar disorder recently suffered a myocardial infarction (MI). He was stabilized at the hospital and discharged on propranolol (Inderal, Hemangeol, InnoPran), losartan (Cozaar), and hydrochlorothiazide (Microzide). Prior to this MI, his lithium level was consistently around 0.8 mmol/L on 900 mg of lithium carbonate per day. He arrives at your office today, and his lithium level is now 1.3 mmol/L on the same dose.
What caused this change?
Answer: D
Explanation:
Thiazide diuretics like hydrochlorothiazide (Microzide) decrease lithium clearance, thus increasing the amount of lithium in the body. Other medications that may increase lithium levels include the following:
* Spironolactone (Aldactone)
* Ethacrynic acid (Edecrin)
* Triamterene (Dyrenium)
* Metronidazole (Metrogel, Flagyl)
* Tetracycline
* Angiotensin-converting enzyme (ACE) inhibitors
NEW QUESTION # 1329
During a mental status examination, a psychiatric mental health nurse practitioner assesses the speech of a patient diagnosed with schizophreni a. Which of the following assessment techniques is best for eliciting specific information from the patient while avoiding tangential speech and rambling?
Answer: C
Explanation:
Close-ended questions are useful in obtaining concise results that elicit specific information. These questions can help the nurse practitioner to direct the conversation and avoid tangential speech. When patients with schizophrenia are allowed to speak freely, their thoughts can become disordered and disconnected from the topic, leading to tangential speech. By using close-ended questions, the nurse practitioner can prompt the patient to provide more direct and concise responses.
Asking open-ended questions can elicit detailed information from the patient, but it can also allow them to ramble off-topic and lead to tangential speech.
NEW QUESTION # 1330
What lab value is most likely to be increased during treatment with lithium, thiazide diuretics, alkaline antacids, or vitamin D?
Answer: A
Explanation:
Calcium values can be increased during treatment with lithium, thiazide diuretics, alkaline antacids, or vitamin D. While magnesium, sodium, and potassium levels can be affected by some of these medications, calcium is the only electrolyte that is directly related to each of them.
NEW QUESTION # 1331
The term adult is used to describe who?
Answer: C
Explanation:
In discussing the term "adult," it is important to understand the specific criteria and definitions that classify someone as an adult. The term itself generally refers to post-pubescent individuals who have reached a stage in development where they are considered mature, both physically and psychologically. The correct definition of an adult, therefore, encompasses those who are post-pubescent and onwards in age.
Puberty marks a significant transition in human development, involving both biological growth and psychological changes, leading to sexual maturity. Once individuals pass through puberty, they begin to acquire the attributes typically associated with adulthood. These attributes include greater physical development, mature cognitive abilities, and more complex emotional capacities. Consequently, identifying post-pubescent individuals as adults aligns with recognizing these matured states of development.
Legally and culturally, the specific age at which a person is considered an adult can vary significantly by country, culture, and context. In many parts of the world, the age of 18 is commonly accepted as the threshold into legal adulthood. This age marks eligibility for certain civic responsibilities and rights such as voting, marriage without parental consent, and signing contracts. However, this legal definition may not fully align with the biological and psychological definition, which is more centered on developmental milestones such as the completion of puberty.
The other options provided in the question, such as "10 to 18 year olds" or "anyone that can form sentences," do not adequately capture the essence of being an adult. Individuals within the 10 to 18-year-old range are often still undergoing puberty and may not have fully developed the physical, cognitive, and emotional traits associated with adulthood. Similarly, the ability to form sentences is a linguistic milestone that can be achieved well before reaching adulthood, appearing as early as toddlerhood in many cases.
Therefore, defining adults as post-pubescent individuals and onwards in age is the most accurate and encompasses the transition from adolescence to full maturity. This definition recognizes the complex interplay of biological growth, psychological development, and social responsibilities that characterize adult life. As such, while the legal definitions of adulthood may vary, the biological and psychological thresholds provide a more universally applicable understanding of when a person transitions from youth into adulthood.
NEW QUESTION # 1332
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