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| Section | Weight | Objectives |
|---|---|---|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
| Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Diagnosis and Treatment | 43% | - Clinical Management
|
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NEW QUESTION # 954
During a mental status examination, the nurse evaluates the thought process of a client diagnosed with obsessive-compulsive disorder (OCD). Which of the following thought processes is commonly associated with OCD?
Answer: D
Explanation:
Obsessive rumination is a thought process commonly associated with OCD. Clients with OCD experience recurrent, intrusive, and distressing thoughts, images, or impulses (obsessions) that they attempt to neutralize through repetitive behaviors or mental acts (compulsions). Obsessive rumination involves a preoccupation with a particular thought or idea, leading to a persistent, intrusive, and distressing mental state that interferes with the client's ability to concentrate or perform daily activities.
Loosening of associations, flight of ideas, and circumstantiality are thought processes commonly associated with schizophrenia or manic episodes in bipolar disorder. Loosening of associations refers to a disordered pattern of thinking characterized by disconnected and fragmented thoughts. Flight of ideas is a rapid, continuous flow of thought that jumps from one idea to another without any logical connection. Circumstantiality refers to a thought process characterized by excessive and irrelevant detail in the client's speech, leading to difficulty in staying on topic.
NEW QUESTION # 955
Which of the following can a plaintiff fail to establish in a medical malpractice suit and still successfully win the case?
Answer: C
Explanation:
The burden of proof in medical malpractice suits is by a preponderance of evidence (greater than 50%). Medical malpractice suits are civil cases. Proof beyond a reasonable doubt applies to criminal cases.
To establish a medical malpractice suit, the plaintiff must establish that a dereliction of duty directly caused damage (also known as the four Ds of medical malpractice). The plaintiff must establish that:
* The nurse practitioner owed the plaintiff a duty
* The nurse practitioner's conduct fell below the standard of care
* The nurse practitioner's conduct caused the plaintiff injury
NEW QUESTION # 956
Which part of Medicare provides optional coverage for outpatient pharmaceuticals?
Answer: A
Explanation:
The Medicare program has four parts: Part A, Part B, Part C, and Part D.
* Part A: Coverage for hospitalizations (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to six months for terminally ill), and some home health care
* Part B: Coverage for ambulatory practitioner service; physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some preventative care
* Part C: Optional coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage plan
* Part D: Optional coverage for outpatient pharmaceuticals
NEW QUESTION # 957
According to Erik Erikson, which psychosocial stage will a four-year-old child be experiencing?
Answer: B
Explanation:
Failure to successfully resolve the psychosocial stage Initiative vs. Guilt is associated with the later development of conversion disorder.
Erik Erikson's stages of psychosocial development:
* Trust vs. Mistrust: birth to 12-18 months
* Autonomy vs. Shame and Doubt: 12-18 months to 3 years
* Initiative vs. Guilt: 3 to 5-6 years
* Industry vs. Inferiority: 5-6 years to adolescence
* Identity vs. Role Confusion: adolescence to adulthood
* Intimacy vs. Isolation: adulthood
* Generativity vs. Stagnation: middle adulthood
* Ego Integrity vs. Despair: late adulthood
Failure to resolve Trust vs. Mistrust is associated with psychosis, addictions, and depression. Failure to resolve Autonomy vs. Shame and Doubt is associated with paranoia, obsession, compulsions, and impulsivity. Failure to resolve Industry vs. Inferiority is associated with creative inhibition.
NEW QUESTION # 958
Autism spectrum disorder is described as being a persistent deficit in social communication and interaction across multiple settings. In the United States, autism spectrum disorder has a prevalence rate of about 1%, with a higher prevalence in which population of individuals?
Answer: D
Explanation:
Statistics show that autism spectrum disorder has a higher prevalence in boys due to higher rates of diagnosis.
Other important facts surrounding ASD are as follows:
* ASD is more common in children with a family history of pervasive developmental disorders
* The concordant rate for an identical twin with autism is 60%
* The incidence is 2 to 5 cases per 10,000 in the US
* The male to female ratio is 4:1
* Onset of symptoms is before age 3
* About 10% of people with autism also have a genetic or chromosomal condition such as Down syndrome or fragile X syndrome
NEW QUESTION # 959
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