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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 43% | - Treatment Planning
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
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NEW QUESTION # 1134
A patient presents with confusion, a fever, and hyper-reflexes after an increase in her long-term typical antipsychotic. The PMHNP suspects early neuroleptic malignant syndrome (NMS). Which screening labs would the PMHNP order?
Answer: A
Explanation:
Neuroleptic malignant syndrome can happen at any time during treatment. The first symptoms to occur are altered sensorium, a fever, and hyper-reflexia. Screening labs should assess for elevated CPK, an elevated WBC count, and elevated liver function levels.
NEW QUESTION # 1135
According to systems thinking, a system is perfectly designed to do what?
Answer: C
Explanation:
In systems thinking, a system is perfectly designed to produce what it produces. The belief is that whatever comes from a system is what the system was designed to produce, regardless of whether the design of the system was planned or unplanned and whether the results were intended or unintended.
NEW QUESTION # 1136
What should be consulted when determining the legal duties of a nurse practitioner?
Answer: A
Explanation:
Nursing practice is regulated by state laws and mandates. The State Nurse Practice Act explains the legal duties outlined by the state. The other answer choices are national standards that are used to judge nursing behavior.
NEW QUESTION # 1137
What focused method of therapy is being used when a provider seeks to view symptoms as metaphors in the hierarchal structure of the family unit?
Answer: D
Explanation:
Strategic therapy, originated by Jay Haley, is a method in which interventions are both symptom- and problem-focused.
Symptoms are viewed as metaphors and reflect problems in the hierarchal structure. Symptoms are a way to communicate metaphorically within the family.
Solution-focused therapy, originated by Steve DeShazer, Bill O'Hanlon, and Insoo Berg, is a method where the provider focuses on the effective resolution of problems through cognitive problem-solving and the use of personal resources as strengths.
Structural family therapy, originated by Salvador Minuchin, is a model that places emphasis on how, when, and to whom family members relate in order to understand and then change the family's structure.
Family systems therapy, originated by Murray Bowen, is used to increase the family's awareness of each member's function within the family and to increase levels of self-differentiation.
NEW QUESTION # 1138
A patient with obsessive-compulsive disorder (OCD) is undergoing behavioral therapy. Which of the following techniques would a PMHNP least anticipate being used in behavioral therapy for OCD?
Answer: C
Explanation:
Behavioral therapy is a type of psychotherapy that focuses on changing maladaptive behaviors through techniques such as exposure and response prevention, systematic desensitization, and thought restructuring. Exposure and response prevention involves exposing the patient to feared situations or objects and preventing them from performing compulsive behaviors. Systematic desensitization involves gradually exposing the patient to feared stimuli while teaching relaxation techniques to reduce anxiety. Thought restructuring involves identifying and challenging negative or distorted thoughts that contribute to maladaptive behaviors.
Body scanning is a technique that is used with eye movement desensitization and reprocessing (DMR), not with behavioral therapy.
NEW QUESTION # 1139
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