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| Section | Objectives |
|---|---|
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
| Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Diagnosis and Management of Psychiatric Disorders | - Mood Disorders - Psychotic Disorders - Substance Use Disorders - Personality Disorders - Anxiety and Trauma-Related Disorders |
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質問 # 740
A PMHNP is treating a patient who has expressed suicidal thoughts but has not made any specific plans. The patient has requested that this information remain confidential. Which ethical principle is most important for the PMHNP to consider in deciding whether to keep the information confidential?
正解：B
解説：
Beneficence, the duty to help others by doing what is best for the patient, may require breaching confidentiality to prevent potential harm to the patient.
While autonomy supports respecting the patient's wishes for confidentiality, it must be balanced with the need to prevent harm. Fidelity involves remaining true to one's word, and while considering how the PMHNP answers the patient, it is not a consideration regarding deciding whether to keep the information confidential. Justice, the principle of treating individuals equitably, is not particularly relevant to the immediate need to ensure the patient's safety.
質問 # 741
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?
正解：D
解説：
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.
質問 # 742
Which of the following is a common non-psychoactive supplement that is most likely to be used for either depression, osteoarthritis, or liver disease?
正解：D
解説：
SAM-e is a dietary supplement used to treat depression, osteoarthritis, and liver disease.
Other common non-psychoactive dietary supplements with physiological (not psychological) effects used to cure illnesses and maintain health are as follows:
* Omega-3 fatty acids
* Tryptophan
* Vitamin E
* Melatonin
* Fish oil
Omega-3 fatty acids are important in the treatment and prevention of heart disease but are not typically used for depression, osteoarthritis, or liver disease.
Tryptophan is a dietary supplement aiding in nitrogen balance in adults and growth in infants. Tryptophan also aids in the creation of niacin, which is essential in creating the neurotransmitter serotonin. It may be used for depression but is not likely to be used for osteoarthritis or liver disease.
Fish oil is a dietary supplement known to reduce inflammation and improve hypertriglyceridemia but is not typically used for depression, osteoarthritis, or liver disease.
質問 # 743
Which of the following benefits would be least anticipated to result from the use of group therapy?
正解：D
解説：
The benefits of group therapy include the following:
* It increases insight about oneself
* It increases social skills
* It is cost-effective
* It promotes a sense of community
Individual counseling provides a set time for patients to attend exclusively to their needs.
質問 # 744
A known patient with a diagnosis of PTSD presents to your clinic for a refill of medication. You determine that he is stable and does not need any medication adjustments at this time. Which of the following medications is likely involved in this case?
正解：C
解説：
Paxil is an SSRI and is FDA-approved for the treatment of PTSD. Another SSRI medication that is FDA-approved and often used in the treatment of PTSD is Zoloft (sertraline).
Haldol is a first-generation antipsychotic and is not recommended for the treatment of PTSD. Lithium is a mood stabilizer and the gold standard for the treatment of bipolar I disorder; it is not FDA-approved for the treatment of PTSD. Ativan is not FDA-approved and not recommended for the treatment of PTSD.
質問 # 745
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