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| Section | Objectives |
|---|---|
| Topic 1: Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Psychotic Disorders - Mood Disorders - Personality Disorders |
| Topic 3: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
| Topic 4: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Topic 5: Psychotherapeutic Modalities | - Individual Psychotherapy - Crisis Intervention - Group and Family Therapy |
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NEW QUESTION # 164
One of the side effects of the antipsychotic drug that your patient has been taking for a while is tardive dyskinesi a. Because of this, you test him every 3 to 6 months for tardive dyskinesia. This is done using which of the following?
Answer: A
Explanation:
The correct method for testing for tardive dyskinesia in your patient who is on antipsychotic medication is the Abnormal Involuntary Movement Scale (AIMS).
Tardive dyskinesia is a serious side effect of long-term use of antipsychotic medications, characterized by repetitive, involuntary, and purposeless movements. These can include grimacing, tongue movements, lip smacking, puckering of the lips, and rapid movement of the arms, legs, and body. The movements are often fluid and dance-like, but they can also be jerky.
The Abnormal Involuntary Movement Scale (AIMS) is specifically designed to assess the presence and severity of tardive dyskinesia. This scale is a clinician-administered tool that features 12 items. Each item is rated on a 5-point scale, where the clinician observes specific body areas for the presence of abnormal movements. The body areas assessed include the face, lips, jaw, tongue, upper extremities, lower extremities, and trunk.
For a diagnosis of tardive dyskinesia using the AIMS, the patient must exhibit movements that are rated as at least mildly abnormal (score of 2) in at least two different body areas, or movements that are rated as moderately abnormal (score of 3 or higher) in at least one body area. The scale also includes items to assess the patient's awareness of the movements and the associated distress.
Regular monitoring using the AIMS is crucial for patients taking antipsychotic medications, as early detection of tardive dyskinesia can lead to adjustments in medication or treatment strategies to help manage or mitigate the condition. Thus, testing every 3 to 6 months, as mentioned, is a prudent approach to managing the health of individuals on long-term antipsychotic therapy.
NEW QUESTION # 165
Understanding pharmacokinetics and the distribution of medication in the bloodstream, the PMHNP monitors which of the following patients for possible toxicity and a need for lowered dosing?
Answer: B
Explanation:
The principle of distribution requires that the medication binds to a protein for movement through the body. The chemicals are not active when they are protein-bound. The active form of medication is the unbound chemicals in the bloodstream. When a person is malnourished, they may be protein-deficient and have less protein for the medications to bind. This leaves more active medication in the bloodstream and increases the risk of toxicity. Extremely thin, malnourished, protein-deficient, or elderly patients are at risk for toxicity due to decreased muscle mass.
Crohn's disease impacts absorption, however, the presence of the disease is not as important of a consideration as malnourishment. A young person with a high fever is not routinely monitored for drug toxicity. An athletic body does not indicate malnourishment or protein deficiency.
NEW QUESTION # 166
During which phase of the therapeutic relationship would you anticipate patient resistance and regression?
Answer: A
Explanation:
There are three phases of a therapeutic relationship between a nurse practitioner and his or her patient:
1. Introduction
2. Working
3. Termination
During the termination phase, the patient may be resistant to ending the relationship and begin to regress. Some symptoms or problems may re-emerge as the patient unconsciously tries to prolong the relationship.
NEW QUESTION # 167
What disorder is characterized by a persistent regurgitation and chewing of food already eaten?
Answer: B
Explanation:
Rumination disorder is characterized by a persistent regurgitation and chewing of food already eaten.
Pica is a psychiatric condition occurring when a patient eats material that is not food, such as soap, chalk, plaster, or paper. Enuresis refers to the repeated voiding of urine (either voluntarily or involuntarily) into bedding or clothing when five years old or older. Selective mutism is characterized by a child who chooses not to talk except when alone or with select friends or family.
NEW QUESTION # 168
In which of the following situations would a risk assessment be used as opposed to a forensic risk assessment?
Answer: C
Explanation:
A risk assessment is completed in an emergency department after arrest and before confinement. A forensic risk assessment is intended to protect the public from persons with known mental disorders and dangerous, violent, and criminal histories.
NEW QUESTION # 169
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