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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Topic 2: Scientific Foundation | 19% | - Psychopathology
|
| Topic 3: Professional Role and Policy | 14% | - Collaboration and Consultation
|
| Topic 4: Diagnosis and Treatment | 43% | - Treatment Planning
|
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NEW QUESTION # 539
A person presents in the ER with their elderly mother with concerns that she is having a medication reaction after recently starting a new blood pressure pill. The patient does not appear to understand what is being said to her, although she appears to be able to speak normally. They also describe auditory and visual hallucinations, and the patient seems overly emotional.
Based on PMHNP's understanding of neuroanatomy, which of the following would be the most probable cause?
Answer: D
Explanation:
A stroke in the temporal lobe of the cerebral cortex could impact Wernicke's area, which functions as receptive speech and language comprehension. Problems in the temporal lobe can impact emotions and lead to auditory and visual hallucinations.
A stroke in the frontal lobe and Broca's area would more likely result in speech difficulty and not receptive understanding.
A concussion or acute delirium would be unlikely to affect language comprehension, and acute delirium is not likely to develop due to a new antihypertensive medication.
NEW QUESTION # 540
Research demonstrates that nurse practitioners are as effective as physicians in diagnosing and treating healthcare problems. They are also more cost-effective. Compared with physicians, nurse practitioners save the consumer and the insurance company what percent of costs?
Answer: A
Explanation:
Research demonstrates that nurse practitioners are as effective as physicians in diagnosing and treating health care problems. Nurse practitioners are also 20% less costly to both consumers and insurance companies compared with physicians.
NEW QUESTION # 541
Your 55-year-old female client has been diagnosed with a delusional disorder that involves the client thinking that a particular famous actor is in love with her. You understand that this is which of the following types of delusional disorder?
Answer: A
Explanation:
The correct type of delusional disorder in this scenario is "erotomanic." In an erotomanic delusional disorder, the individual firmly believes that another person, often someone of a higher status or a public figure, is in love with them. This belief persists despite clear evidence to the contrary and is not influenced by any real interaction or relationship that might justify such a conviction.
Erotomanic delusions typically involve idealized romantic love and spiritual union rather than sexual attraction. The object of the delusion is often unattainable due to their social status, their marital status, or their complete lack of personal acquaintance with the deluded person. The person with the delusion may believe that the object of their affection is communicating their love through subtle cues or secret messages.
This type of delusional disorder can lead to significant distress and problematic behaviors. For example, the individual may attempt to contact the object of their delusion through letters, phone calls, or even personal visits. In more severe cases, this can escalate to stalking, which can be perceived as threatening and can lead to legal consequences.
Treatment for erotomanic delusional disorder primarily involves psychotherapy. Cognitive-behavioral therapy (CBT) is often used to challenge and modify the delusional beliefs and reduce any resultant distress or dysfunction. Antipsychotic medications might also be prescribed depending on the severity and persistence of the delusions. Creating a supportive therapeutic environment is crucial to help the individual discuss their beliefs without judgment, fostering insight, and promoting healthier and more adaptive perspectives and behaviors.
In summary, the 55-year-old female client who believes a famous actor is in love with her, despite no reciprocal or realistic basis for this belief, is experiencing an erotomanic type of delusional disorder. This condition requires a careful and empathetic approach to treatment, focusing on psychotherapy and possibly pharmacological support to manage symptoms effectively.
NEW QUESTION # 542
A patient is prescribed memantine to treat moderate to severe Alzheimer's disease. Which of the following medications is frequently prescribed with memantine?
Answer: C
Explanation:
Memantine is an N-methyl-D-aspartate (NMDA) receptor antagonist that is FDA-approved for the treatment of moderate to severe Alzheimer's disease. It is believed to work by regulating the activity of a neurotransmitter called glutamate, which is involved in learning and memory. The prescribing guidelines for memantine include using it in combination with a cholinesterase inhibitor as it is more effective than monotherapy in treating moderate to severe Alzheimer's disease.
Memantine should not be used as monotherapy. It should not be used in combination with an antidepressant or antipsychotic, as these are not evidence-based treatment options for Alzheimer's disease.
NEW QUESTION # 543
Which of the following considerations is important when comparing manic episodes and behaviors of adolescent clients to adults?
Answer: D
Explanation:
Manic episodes in adolescents manifest differently than in adults. There are more psychotic features and antisocial behaviors. There is often a prodromal period of significant behavioral problems.
NEW QUESTION # 544
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