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| Section | Objectives |
|---|---|
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations |
| Advanced Practice Skills | - Treatment Planning - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis |
| Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Psychotic Disorders - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders |
| Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
| Psychotherapeutic Modalities | - Crisis Intervention - Group and Family Therapy - Individual Psychotherapy |
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NEW QUESTION # 206
Which of the following is the greatest risk factor for the development of PTSD?
Answer: C
Explanation:
Risk factors for PTSD include having a first-degree relative with MDD.
Symptoms of PTSD cannot precede the traumatic event associated with the diagnosis. Although poor nutritional status and low educational levels may impact overall coping, they do not indicate the potential for PTSD.
NEW QUESTION # 207
A woman started 25 mg of Luvox yesterday for symptoms of OCD. She also takes Tegretol daily for migraine headaches but no other medication. Today, she is complaining of restlessness, a headache, chills, diaphoresis, and diarrhe a.
What should be the PMHNP's first consideration when addressing the etiology of this patient's symptoms?
Answer: B
Explanation:
All clients starting antidepressant therapy should be monitored for serotonin syndrome, which can start within hours or days of the initial dose. Tegretol and Luvox are known to cause drug-drug interactions, which can contribute to serotonin syndrome. Symptoms of restlessness, headaches, chills, diaphoresis, and diarrhea suggest serotonin syndrome.
NEW QUESTION # 208
A patient presents to the emergency room after being involved in a car accident. What is the most appropriate nursing intervention to provide trauma-informed care for this patient as a PMHNP?
Answer: C
Explanation:
Providing trauma-informed care involves recognizing and responding to the effects of traumatic events on a patient's mental health. This includes assessing the patient for signs of psychological distress, such as anxiety, depression, or post-traumatic stress disorder (PTSD). By identifying these symptoms early, the PMHNP can take appropriate steps to address them and support the patient's mental and emotional well-being.
While it is important to address physical pain and obtain a physical examination, assessing for psychological distress is more important in the context of trauma-informed care following a traumatic event. Obtaining a complete physical examination of the patient may be a higher priority that needs to be performed first, but it is not a higher priority in the area of trauma-informed care specifically.
NEW QUESTION # 209
You are a nurse practitioner treating a two-year-old male. His mother explains that their primary care provider referred him because "he did not start walking until he was almost two years old, he hardly ever looks at us when we talk to him, he has a limited vocabulary and seems to be in his own world." You suspect that the client may have autism. To better support a diagnosis of autism spectrum disorder, you perform a mental status exam.
Which of the following would least support a diagnosis of autism spectrum disorder?
Answer: A
Explanation:
Mental status exam findings of autism are as follows:
* Little or no eye contact
* Flat or blunted affect
* Lack of emotional reciprocity
* Stereotyped or repetitive motor mannerisms
* Expressive and receptive language impairment
NEW QUESTION # 210
In a macrobiotic diet, what is the term for specific foods classified as cold and wet?
Answer: C
Explanation:
Macrobiotics refers to specific foods classified as yin (cold and wet) and yang (hot and dry). Pitta and vata are terms used in Ayurvedic practice.
NEW QUESTION # 211
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