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| Section | Objectives |
|---|---|
| Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Patient Safety and Quality Improvement - Ethical Decision-Making |
| Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Diagnosis and Management of Psychiatric Disorders | - Mood Disorders - Personality Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders |
| Psychotherapeutic Modalities | - Individual Psychotherapy - Crisis Intervention - Group and Family Therapy |
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NEW QUESTION # 428
What psychiatric disorder is characterized by at least one psychotic symptom present for less than one month?
Answer: D
Explanation:
Brief psychotic disorder is characterized by at least one psychotic symptom present for less than one month.
Delusional disorder is a psychotic disorder characterized by the presence of delusions but no other symptoms of schizophrenia. Schizophreniform disorder is characterized by symptoms of schizophrenia for only one to six months. Schizoaffective disorder is characterized by symptoms of schizophrenia with either depression or mania.
NEW QUESTION # 429
Why are older adults more sensitive to psychotropic medications?
Answer: C
Explanation:
Psychotropic medications are lipophilic and highly protein-bound. Older adults are more sensitive to psychotropic medications due to key changes:
* Decreased intracellular water
* Low muscle mass
* Decreased protein binding
* Increased body fat concentration
* Decreased rate of metabolism
NEW QUESTION # 430
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: A
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 # 431
A PMHNP is called to assess a patient who is experiencing a psychiatric emergency and is exhibiting aggressive behavior toward others. Which of the following techniques is the PMHNP most likely to use to manage the patient's behavior in this situation?
Answer: B
Explanation:
De-escalation involves verbal and nonverbal techniques to reduce a patient's agitation and distress. This can include active listening, a calm demeanor, and creating a safe environment.
Restraint may be necessary in some cases as a last resort after other efforts to de-escalate the situation have been unsuccessful. Reality therapy and aversion therapy are inappropriate for managing an acutely agitated patient and may further escalate the situation.
NEW QUESTION # 432
Which of the following medications puts a patient most at risk for possible electrocardiogram changes?
Answer: C
Explanation:
Tricyclic antidepressants can put a patient at risk for possible electrocardiogram changes.
While many different medications can increase the risk of ECG changes, such as prolonged QT syndrome, tricyclic antidepressants carry the greatest risk of the options provided.
NEW QUESTION # 433
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