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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Scientific Foundation | 19% | - Psychopathology
|
| Topic 2: Professional Role and Policy | 14% | - Healthcare Policy
|
| Topic 3: Diagnosis and Treatment | 43% | - Special Populations
|
| Topic 4: Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
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NEW QUESTION # 367
A man has been involuntarily committed to an inpatient psychiatric unit for suicidal ideation with a plan. He admits to long-standing feelings of depression and hopelessness since the death of his wife last year. He has been prescribed antidepressant medication, which he is refusing to take.
Which of the following actions is appropriate?
Answer: B
Explanation:
Clients have the right to refuse treatment unless a legal process resulting in a mandatory court order for treatment has been obtained. The patient still retains his civil rights even though he has been involuntarily committed. The PMH-BC should meet with the patient and explain the situation to encourage compliance, but the patient retains the right to refuse treatment.
Petitioning for an extended stay is not the first course of action, as the patient does not currently appear suicidal, which would be necessary to make this decision.
NEW QUESTION # 368
The psychiatric mental health nurse practitioner has a 43-year-old female patient who suffers from depression. She has struggled with it since she was a teenager. She asks you why her and not someone else. You know that there are two categories of theories about the etiology of depression. Psychological and neurobiological. You mention the four theories listed below. The one that is a neurobiological theory is:
Answer: D
Explanation:
In response to the patient's question about why she specifically suffers from depression, the psychiatric mental health nurse practitioner can explain that there are various theories regarding the etiology of depression, broadly categorized into psychological and neurobiological theories.
Psychological theories suggest that depression is influenced by an individual's thoughts, emotions, and behavior. These include: 1. **Aggression-turned-inward theory**: This theory posits that depression results when anger directed at others is turned inward, leading to self-criticism and depression. 2. **Cognitive theory**: This approach argues that negative and irrational patterns of thought lead to depression. Individuals who interpret their experiences negatively are more prone to depression. 3. **Object loss theory**: This theory suggests that experiences of loss, particularly during critical developmental periods, can predispose individuals to depression.
On the other hand, neurobiological theories focus on the biological and genetic aspects that contribute to the development of depression. These include: 1. **Genetic predisposition**: This is a neurobiological theory that identifies genetics as a significant factor in the risk of developing depression. Research indicates that having a depressed parent or close relative significantly increases the likelihood of an individual experiencing depression. This theory is supported by studies showing that children of depressed parents are up to three times more likely to suffer from major depressive disorder during their lifetimes.
In the context of the theories presented, the genetic predisposition theory falls under the category of neurobiological theories. It emphasizes the role of inherited genetic factors in the development of depression, distinguishing it from the psychological theories that focus more on emotional and cognitive processes. Understanding these distinctions can help in addressing the patient's question about the personal experience of depression, attributing it not just to individual or situational factors, but also to underlying biological predispositions. This holistic view can aid in comprehensive treatment planning and patient education about the nature of their condition.
NEW QUESTION # 369
A 3-year-old girl was brought to the clinic for evaluation of possible developmental delays. During the initial assessment, the PMHNP notes that the child does not look for a dropped item or when a preferred item is removed and held out of view. According to Piaget, the child should have been able to notice that the object still existed after being removed from the visual field.
Object permanence is a critical step in which of Piaget's stages of cognitive development?
Answer: D
Explanation:
The sensorimotor stage is from birth to two years. During this critical developmental time, one of the key developmental tasks for a child to accomplish is learning that objects exist independent of their relationship with the object.
The preoperational stage is from 2-7 years old and is characterized by magical thinking. The concrete operations stage is from 7-12 years old and involves the early use of logic. The formal operational stage is when abstract thinking begins, and this stage continues into adulthood.
NEW QUESTION # 370
A male patient on the unit with mixed bipolar disorder has recently been prescribed aripiprazole. The nursing staff reported he was complaining of a headache and sleep disruption. They describe him as being restless and ask whether he could be cycling due to his bipolar diagnosis.
The nurse practitioner reviews the aripiprazole and makes which change?
Answer: C
Explanation:
Aripiprazole can cause restless agitation such as akathisia-like activation. It is not typically known to cause extrapyramidal symptoms (EPS). The restlessness is stressful and is frequently the reason for discontinuing aripiprazole.
NEW QUESTION # 371
When building rapport and interviewing patients, the PMHNP is careful not to use obstructive interventions. Which type of obstructive intervention slows the interview and prompts the patient to give one-word answers with no elaboration?
Answer: D
Explanation:
A patient can and should be a partner in the interview, but closed-ended questions can prohibit them from elaborating on the details of the problem.
Compound questions are confusing since they lead to more than one answer and can contribute to a lack of clarity in the response. "Why" questions are intimidating and nonproductive. Non-verbal communication may provoke uneasy feelings for the client.
NEW QUESTION # 372
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