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| Section | Objectives |
|---|---|
| Diagnosis and Management of Psychiatric Disorders | - Psychotic Disorders - Mood Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders - Personality Disorders |
| Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations |
| Psychotherapeutic Modalities | - Individual Psychotherapy - Crisis Intervention - Group and Family Therapy |
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
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NEW QUESTION # 1301
A 21-year-old female presents to your office at the request of her parents. Her family is concerned because she has not been eating or sleeping and has been talking nonstop for the past few weeks. The patient states that she has never felt better in her life, and she is painting ten new "masterpieces" every day. She does not have any previous psychiatric history, and she denies using any substances.
What initial laboratory data will you obtain before beginning treatment?
Answer: D
Explanation:
This patient presents with manic symptoms, which should be treated with lithium carbonate. The minimum initial laboratory studies required before starting lithium include serum creatinine, BUN and electrolytes, thyroid studies, and urinalysis.
Ninety-five percent of lithium is excreted through the kidneys; therefore, you should check the patient's kidney function by ordering electrolytes, creatinine, BUN, and a urinalysis. Lithium also inhibits the synthesis of thyroid hormone, so you should always check thyroid studies as well.
Ordering a complete blood count is optional. Serum ammonia and prothrombin and partial thromboplastin times are unnecessary.
NEW QUESTION # 1302
A PMHNP is assessing a patient who reports symptoms of an eating disorder. Which of the following assessment tools would be most appropriate for the PMHNP to use to evaluate the severity of binging and purging?
Answer: B
Explanation:
The Bulimia Test - Revised is an assessment tool to evaluate the presence of bulimia and the severity of bulimia symptoms, such as binging and purging, that may be present The Eating Attitudes Test (EAT-26) is a screening tool used to evaluate an individual's attitudes and behaviors related to food, weight, and eating, but it does not specifically assess bulimia and bulimia symptoms. The Beck Depression Inventory (BDI) and Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) are used to assess depression and obsessive-compulsive symptoms, respectively, and do not specifically assess bulimia and bulimia symptoms.
NEW QUESTION # 1303
Which of the following is least likely to help prevent medical malpractice suits?
Answer: B
Explanation:
If a nurse practitioner advises anyone on any occasion, they are effectively establishing a patient-provider relationship. In these instances, nurse practitioners must exercise all of the cautions and standards that they would in an office or hospital setting.
To prevent medical malpractice suits, nurse practitioners should follow these guidelines:
1. Be careful about establishing a patient-provider relationship
2. Know the standard of care and practice within it
3. Follow the practice guidelines and protocols adopted by the office or agency and follow them
4. When in doubt, take a conservative approach
5. Rule out the worst diagnosis early
6. Know the limits of training and expertise
7. Follow up
NEW QUESTION # 1304
Which of the following medications is the only agent approved for treatment-resistant schizophrenia, requiring the patient to be enrolled in a risk evaluation and management program?
Answer: B
Explanation:
Individuals prescribed Clozapine (Clozaril) must be enrolled in a clozapine risk evaluation and management strategy program (REMS) while receiving this therapy. Monitoring involves frequent bloodwork because of the significant risk of neutropenia, in addition to monitoring for serum lipid and glucose changes. The patient is monitored for myocarditis and seizures.
Seroquel, risperidone, and olanzapine require serum lipid and glucose monitoring in addition to BMI monitoring. Risperidone requires monitoring of prolactin levels.
NEW QUESTION # 1305
A patient arrives for a follow-up for depressive symptoms. She has been taking Norpramin for years. Today, she reports not feeling well. She thinks she has had the flu for a couple of days. Prior to falling ill, she reports doing great. In fact, she felt cured of her depression and stopped her medication.
Which of the following should the PMHNP suspect and rule out as a contributor?
Answer: B
Explanation:
When certain medications are discontinued, particularly TCAs, flu-like symptoms can occur due to cholinergic rebound.
Pregnancy, worsening symptoms of depression, and flu are less likely for this patient than discontinuation syndrome.
NEW QUESTION # 1306
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