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| Section | Objectives |
|---|---|
| Topic 1: Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
| Topic 2: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
| Topic 3: Psychotherapeutic Modalities | - Group and Family Therapy - Individual Psychotherapy - Crisis Intervention |
| Topic 4: Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Ethical Decision-Making - Scope of Practice and Regulations |
| Topic 5: Diagnosis and Management of Psychiatric Disorders | - Anxiety and Trauma-Related Disorders - Personality Disorders - Psychotic Disorders - Mood Disorders - Substance Use Disorders |
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NEW QUESTION # 214
Which of the following takes place during the installation phase of eye movement desensitization and reprocessing (EMDR)?
Answer: B
Explanation:
Eye movement desensitization and reprocessing (EMDR) is a form of behavioral therapy that was developed by Francine Shapiro. It is most commonly used in post-traumatic stress disorder, and its goal is adaptive resolution.
There are three phases in EMDR: desensitization, installation, and body scan.
1. Desensitization: The patient visualizes the trauma, verbalizes negative or maladaptive beliefs, and remains attentive to physical sensations. The patient also blocks negative thoughts, breathes deeply, and verbalizes.
2. Installation: The patient installs and strengthens the positive thought declared as a replacement for the original negative thought.
3. Body scan: The patient visualizes the trauma along with the positive thoughts and then scans their body mentally to identify any tension within.
NEW QUESTION # 215
You are a nurse practitioner treating a two-year-old male. His mother explains that their primary care provider referred him because "he did not start walking until he was almost two years old, he hardly ever looks at us when we talk to him, he has a limited vocabulary and seems to be in his own world." You suspect that the client may have autism. To better support a diagnosis of autism spectrum disorder, you perform a mental status exam.
Which of the following would least support a diagnosis of autism spectrum disorder?
Answer: C
Explanation:
Mental status exam findings of autism are as follows:
* Little or no eye contact
* Flat or blunted affect
* Lack of emotional reciprocity
* Stereotyped or repetitive motor mannerisms
* Expressive and receptive language impairment
NEW QUESTION # 216
Mr. Smith is a 25-year-old sales associate. He has a strong family history of mental illness and is worried that he may experience similar problems in his life. He presented to his local primary care provider complaining of the following symptoms: extreme hyper-alertness, decreased appetite, insomnia, and paranoi a. Mr. Smith is worried that these symptoms might be the beginning of a mental illness and requests an X-ray of his brain. He says he has never seen a psychiatric provider or taken medication for his symptoms.
What would be an initial consideration in your assessment when meeting with Mr. Smith?
Answer: D
Explanation:
Patients often misunderstand and misinterpret diagnostic testing. Explaining this first is important in moving to the diagnostic phase so that all appropriate options for diagnosing his condition can be explored.
Prescribing Wellbutrin immediately is not an appropriate initial intervention, as Mr. Smith is most likely experiencing an increase in norepinephrine. Wellbutrin is an NDRI.
Although performing genetic testing may be necessary, it is often not approved by insurance after an initial visit and if the patient has not used psychotropics in the past.
Mr. Smith is not a danger to himself or others and is not gravely disabled and thus does not meet the criteria for inpatient admission.
NEW QUESTION # 217
A patient with schizophrenia is experiencing auditory hallucinations. What is the most likely pathophysiology behind this symptom?
A) A dysfunction in the dorsal lateral prefrontal cortex
B) An overactivity of the parasympathetic nervous system
C) An imbalance of dopamine and serotonin in the brain
D) An inflammation in the hippocampus
Answer: D
Explanation:
Imbalances in the neurotransmitters dopamine and serotonin are thought to play a role in the development of auditory hallucinations in schizophrenia. Abnormalities in the GABA neurotransmitter system's functioning may also contribute to auditory hallucinations.
NEW QUESTION # 218
Which of the following is an untrue statement regarding the peripheral nervous system?
Answer: A
Explanation:
The central nervous system is composed of the spinal cord and the brain, not the peripheral nervous system.
The peripheral nervous system is composed of the peripheral nerves that connect the central nervous system to receptors, muscles, and glands. It also includes the cranial nerves just outside the brainstem and both the somatic and autonomic nervous systems.
NEW QUESTION # 219
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