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| Section | Objectives |
|---|---|
| Topic 1: Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Topic 2: Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Ethical Decision-Making - Scope of Practice and Regulations |
| Topic 3: Psychotherapeutic Modalities | - Group and Family Therapy - Individual Psychotherapy - Crisis Intervention |
| Topic 4: Scientific Foundations | - Psychopharmacology - Research and Evidence-Based Practice - Pathophysiology and Psychopathology |
| Topic 5: Diagnosis and Management of Psychiatric Disorders | - Anxiety and Trauma-Related Disorders - Psychotic Disorders - Personality Disorders - Mood Disorders - Substance Use Disorders |
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766. Frage
More patients are seeking complementary and alternative therapies, including guided imagery, meditation, yoga, biofeedback, and biological therapies. Which of these is based on raising awareness and learning somatic quieting with the most evidence of efficacy to date?
Antwort: B
Begründung:
Biofeedback has the most evidence of effectiveness to date and teaches people to control autonomic functions such as breathing, heart rate, and perception.
Yoga and meditation both draw on elements of biofeedback but have less evidence at present. Biologic therapies such as herbs and vitamins have little supporting evidence.
767. Frage
A person who is proficient in the use of software, hardware selection, and computer maintenance possesses which skill?
Antwort: B
Begründung:
Computer competency is the ability to demonstrate proficiency with software applications, such as Microsoft Word, Excel, and PowerPoint, and knowledge of computer terminology, hardware selection, and simple maintenance functions.
Biomedical engineering is developing new devices and technologies to improve human health. While those skilled in biomedical engineering often have computer competency, these terms are not related.
Information literacy involves recognizing when information is needed and being able to efficiently locate and use it. Information competency is often used as a synonym for information literacy.
768. Frage
Drug efficacy and safety are important parts of prescribing rights for nurse practitioners. Which superfamily of enzymes and their isoenzymes is mainly responsible for the metabolism of xenobiotics and drugs and can be assessed through genetic testing?
Antwort: C
Begründung:
Studying the body's response to medication is an important part of prescribing. One enzyme in a subfamily of this superfamily of enzymes, in particular, is responsible for processing many antidepressants and antipsychotic medications.
CYP450 tests can now be ordered to determine how a patient's body processes a particular medication. There are at least 25 FDA-approved medication labels that contain pharmacogenetic information related to CYP450 enzymes. CYP2D6 is an enzyme in the CYP450 superfamily, which processes many antipsychotic and antidepressant medications.
769. Frage
A psychiatric nurse practitioner is providing family therapy for a family in which a teenage daughter is struggling with depression. The mother believes that the daughter's depression is due to her poor academic performance, while the daughter feels that her poor academic performance is due to her depression.
This is an example of which of the following concepts in family therapy?
Antwort: D
Begründung:
Circular causality is a concept in family therapy that refers to the idea that events and behaviors within a family are interdependent and mutually reinforcing. In circular causality, each family member's behavior is both an effect of and a cause of the behavior of other family members.
Feedback loops refer to the process by which information about the effects of a family member's behavior is communicated to other family members and influences their behavior. Boundaries refer to the physical and psychological limits that define the extent of a family system and its relationships with the outside world. Triangulation refers to the process by which a third party is brought into a relationship or conflict between two other parties, often to relieve tension or resolve conflict.
770. Frage
Which of the following is a voluntary and confidential process in which a third party facilitates a discussion to reach an agreement?
Antwort: A
Begründung:
Mediation, arbitration, and negotiation are all examples of conflict-resolution strategies. Mediation is a voluntary and confidential process in which a third party facilitates discussion to reach an agreement.
Arbitration is where a third party reviews evidence from both sides and makes a decision. Negotiation involves a discussion between two or more people to reach an agreement.
771. Frage
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