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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions |
| Ethics, Legal Principles, and Cultural Care | 17% | - Cultural, spiritual, and social determinants of health - Legal regulations, confidentiality, informed consent - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care |
| Advanced Practice Skills | 27% | - Cultural competence, communication, and patient education - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation |
| Scientific Foundation | 22% | - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes |
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Therapeutic frameworks and modalities - Group, family, and individual therapy principles - Crisis intervention and stabilization |
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NEW QUESTION # 135
A 17-year-old male patient who started an atypical antipsychotic one week ago arrives at the ED with high blood pressure, hyperactive reflexes, hyperthermia, and delirium. The patient appears stiff and rigid. He is accompanied by his mother, who is demanding a drug screen. The PMH-BC immediately focuses on emergent cardiopulmonary support, stops the medication, and orders dantrolene.
What does the PMH-BC suspect?
Answer: D
Explanation:
Neuroleptic malignant syndrome is rare but can occur at any time a patient is taking antipsychotic medications. It is most common with atypical antipsychotics within the initial two weeks of therapy.
Emergency treatment is focused on cardiopulmonary management and discontinuation of the medication. Dantrolene is used to reduce muscle rigidity.
NEW QUESTION # 136
Which of the following statements is least correct regarding evidence-based practice?
Answer: A
Explanation:
Evidence-based practice simply refers to combining research, clinical knowledge, and patient preferences to reach a health care decision. It emphasizes the use of the highest-quality information (both quantitative and qualitative) and de-emphasizes the use of customs, opinions, or rituals to make a clinical judgment. The goal of evidence-based practice is to provide care that is safe, effective, and compassionate.
NEW QUESTION # 137
The Health Belief model explains that healthy people may not partake in healthy activities or screening because of certain beliefs and variables. Which of the following variables impacts a patient's willingness to participate in care according to the Health Belief Model?
Answer: C
Explanation:
A patient may be resistant to treatment if they do not understand the benefits of treatment or feel that treatment won't help.
Financial concerns and the reputation of the clinic may all play a role in the patient's choice to receive care, but these variables are not meaningful influencers in the Health Belief Model. The perceived benefits of treatment, not the actual benefits of treatment, play a role in the Health Belief Model.
NEW QUESTION # 138
What term is used to describe patients who injure themselves by self-mutilation but do not wish to die?
Answer: B
Explanation:
The term parasuicide is used to describe patients who injure themselves by self-mutilation but who do not wish to die. Parasuicidal behavior is also known as deliberate self-harm. The incidence of parasuicidal behaviors is 50 times greater in psychiatric patients than in the general population. The female-to-male ratio of patients who engage in deliberate self-harm is 3:1.
Most patients cut their wrists, arms, or legs using a razor blade, knife, or broken glass. They are likely to have a personality disorder and to be introverted, neurotic, and hostile.
NEW QUESTION # 139
In order to assess a patient's desire to harm others in addition to themselves, a nurse practitioner might ask what question?
Answer: C
Explanation:
To assess a patient's desire to harm others in addition to themselves, nurse practitioners should ask the following questions:
* Are there others who you think may be responsible for what you are experiencing?
* Are you having thoughts of harming others? Who?
* Are there other people you want to die with you?
* Are there others who you think would be unable to go on without you?
For patients who present with thoughts about wanting to harm themselves, nurse practitioners could consider asking:
* How close have you come to acting on those thoughts?
* How likely do you think it is that you will act on them in the future?
* What do you envision happening if you actually killed yourself?
* Have you made a specific plan to harm yourself?
* Are guns or other weapons available to you?
* Have you made particular preparations for your death?
NEW QUESTION # 140
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