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| Section | Weight | Objectives |
|---|---|---|
| Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Diagnosis and Treatment | 43% | - Special Populations
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
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NEW QUESTION # 1122
What nursing skill did the Technology Informatics Guiding Education Reform (TIGER) initiative seek to improve?
Answer: B
Explanation:
The Technology Informatics Guiding Education Reform (TIGER) initiative developed a 10-year plan for nursing's path toward computer and information literacy. It involved more than 1,100 nursing content experts, and it took three years to complete. This initiative successfully defined the basic technology competencies and required curriculum for nurse practitioner education.
The TIGER initiative declared that it is a nurse practitioner's responsibility to understand and shape the landscape of healthcare technology to improve access, quality, and patient experience.
NEW QUESTION # 1123
Which of the following amino acids is implicated in bipolar disorder, seizures, and schizophrenia?
Answer: C
Explanation:
Glutamate is also known as the universal excitatory neurotransmitter and has been connected to bipolar disorder, seizures, mood imbalance, and schizophrenia.
Aspartate is another excitatory neurotransmitter and works in conjunction with glutamate. GABA and glycine are inhibitory neurotransmitters.
NEW QUESTION # 1124
Research utilization involves what processes?
Answer: C
Explanation:
Research utilization and evidence-based practice are two models for reducing the gap between research findings and application to practice.
Research study and outcomes management are not part of research utilization.
Resolution of findings and critique of the team are not part of research utilization.
Team building is not part of research utilization.
NEW QUESTION # 1125
Your middle-aged female client who is dealing with major depressive disorder is relating what happened to her at work yesterday. She is worried that her job is in danger of being eliminated. It is just adding to her depressive feelings. All of a sudden, she stops and says, "Talking won't help." What is the best thing to reply to her so that you can keep the therapeutic communication going?
Answer: C
Explanation:
When faced with a situation where a client expresses skepticism about the efficacy of therapy, such as saying "Talking won't help," it is crucial to maintain open and supportive communication. In this scenario, the best response would be "Tell me more." This response serves several important functions in the context of therapeutic communication:
**"Tell me more."** This response is effective because it invites the client to continue sharing their thoughts and feelings. It signals to the client that you, as the therapist or counselor, are interested in understanding their experiences and perspectives fully. This can help in building trust and rapport, which are foundational elements of effective therapy.
By saying "Tell me more," you avoid dismissing the client's feelings or prematurely offering solutions, which might make them feel unheard or misunderstood. It's important to allow clients to explore and express their emotions and thoughts at their own pace. This approach respects the client's autonomy and acknowledges the complexity of their experiences.
The other responses, such as "There is really nothing to worry about" or "What I would do is," can be seen as minimizing or offering unsolicited advice. These types of responses might shut down communication rather than facilitate an open dialogue. They can also create a power imbalance, where the therapist is seen as the expert who knows best, potentially making the client feel inferior or passive in their therapy process.
"Tell me more" is a neutral and open-ended invitation that places the client at the center of the conversation. It encourages a deeper exploration of their issues and reinforces the therapeutic alliance. It shows empathy and validates the client's need to talk things through, even if they initially doubt the usefulness of discussing their problems.
In conclusion, using "Tell me more" as a response helps to keep the communication channels open, encourages client engagement, and fosters a supportive and empathetic therapeutic environment. This approach is crucial, especially when dealing with sensitive issues such as job insecurity and its impact on mental health, as in the case of a client with major depressive disorder.
NEW QUESTION # 1126
A 76-year-old male is admitted to the hospital due to community-acquired pneumonia and dehydration. On day three of his hospitalization, he becomes withdrawn, stops eating, and exhibits a fluctuating level of consciousness. He has no previous psychiatric history. During your examination, he is drowsy and oriented to person only. His vital signs are normal.
What is the most likely diagnosis?
Answer: D
Explanation:
This man is exhibiting the usual signs of delirium, including impaired consciousness, difficulty with cognition, and disorientation. Some patients with delirium appear depressed and withdrawn, and others appear agitated and hyperactive.
The patient's acute onset and fluctuating level of consciousness rule out major depressive disorder, generalized anxiety disorder, and dementia.
NEW QUESTION # 1127
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