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| Section | Objectives |
|---|---|
| Diagnosis and Management of Psychiatric Disorders | - Mood Disorders - Psychotic Disorders - Personality Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders |
| Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Psychotherapeutic Modalities | - Individual Psychotherapy - Crisis Intervention - Group and Family Therapy |
| Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Ethical Decision-Making - Scope of Practice and Regulations |
| Scientific Foundations | - Psychopharmacology - Pathophysiology and Psychopathology - Research and Evidence-Based Practice |
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NEW QUESTION # 1216
Delirium and dementia are often confused and misdiagnosed. Which of the following is most associated with dementia?
Answer: A
Explanation:
Patients with delirium can return to baseline with appropriate diagnosis and treatment of the delirium.Other findings of delirium are as follows:
* Acute onset of confusion
* Picking and random actions that are purposeless
* Acute reversal of sleep-wake cycle
* Disturbance that fluctuates, usually during the day
* Impaired recent and intermediate memory
* Psychomotor agitation
* Course of illness that may resolve within hours to days
Dementia is a group of disorders characterized by the gradual development of multiple cognitive deficits. Patients with dementia present with the following findings:
* Impaired executive functioning
* Impaired global intellect with preservation of level of consciousness
* Impaired problem-solving
* Impaired organizational skills
* Altered memory
NEW QUESTION # 1217
Problems with the frontal lobe are most likely to lead to which of the following?
Answer: B
Explanation:
Problems with the frontal lobe can lead to personality, emotional, and intellectual changes.
Problems with the temporal lobe can lead to aphasia and amnesia. Problems with the occipital lobe can lead to visual field defects. Problems with the parietal lobe can lead to sensory-perceptual disturbances and agnosia.
NEW QUESTION # 1218
Which of the following is least characteristic of a therapeutic relationship?
Answer: C
Explanation:
Characteristics of a therapeutic relationship are:
* Genuineness
* Acceptance
* Nonjudgmental attitude
* Authenticity
* Empathy
* Respect
* Professional boundaries
Transference occurs when a patient displaces their feelings for significant people in their past onto the nurse practitioner.
NEW QUESTION # 1219
A PMHNP is asked to provide a recommendation for a patient's request for an emotional support animal. The patient does not have a diagnosis that clearly supports the need for an emotional support animal. Which ethical principle should the PMHNP prioritize in making this decision?
Answer: D
Explanation:
Non-maleficence, the obligation to do no harm, guides the PMHNP to consider the potential consequences of providing an unsupported recommendation, which could include misleading the patient or others about the patient's needs.
Autonomy, while important, is not the primary concern when evaluating the clinical justification for an emotional support animal. Beneficence, the principle of acting in the best interest of the patient, must be balanced with the evidence supporting the request. Justice, related to fairness and distribution of resources, is less directly relevant to the individual clinical decision-making process in this case.
NEW QUESTION # 1220
The first step of psychiatric-mental health nursing includes which of the following?
Answer: A
Explanation:
The correct answer to the question "The first step of psychiatric-mental health nursing includes which of the following?" is Assessment. Specifically, in the context of psychiatric-mental health nursing, this involves a psychosocial assessment, which includes conducting a mental status examination.
Assessment is universally recognized as the foundational step in the nursing process across various specialties, including psychiatric-mental health nursing. This initial step is crucial as it involves a systematic collection of data about a patient's overall health status. In psychiatric-mental health, the focus is on understanding both psychological and social elements that affect the patient's mental health.
The mental status examination (MSE) is a vital component of the assessment in psychiatric-mental health nursing. The MSE is a structured way of observing and describing a patient's current state of mind under domains such as appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgement. This examination helps in identifying any disturbances in these areas, which could be indicative of a mental health disorder.
The significance of the mental status examination within the assessment phase cannot be overstated. It provides the mental health professional with the necessary insights into the patient's psychological functioning and baseline behavior. This information is critical for forming a preliminary understanding before moving on to the next steps of the nursing process, which include diagnosis, planning, intervention, and evaluation.
In summary, while the assessment phase may also involve physical examinations and gathering medical histories, in psychiatric-mental health nursing, the psychosocial assessment, and particularly the mental status examination, plays a central role. It is through this detailed assessment that psychiatric nurses can tailor their care to meet the specific mental health needs of their patients.
NEW QUESTION # 1221
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