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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan - Diagnostic classification systems (DSM-5, ICD-10) |
| Topic 2: Ethics, Legal Principles, and Cultural Care | 17% | - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health |
| Topic 3: Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics |
| Topic 4: Psychotherapy and Related Theories | 11% | - Group, family, and individual therapy principles - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Therapeutic frameworks and modalities |
| Topic 5: Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration |
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NEW QUESTION # 705
Which theoretical approach to ethical decision-making views an action as good or bad based on the outcome?
Answer: A
Explanation:
In teleological theory, an action is determined to be good or bad based on the consequences.
Deontological theory judges the action as good or bad without factoring in whether the outcome is desirable. Virtue ethics considers the morality of the character deciding determining whether that decision was good or bad. Nonmaleficence is an ethical principle in nursing but not a theoretical approach.
NEW QUESTION # 706
Which of the following family therapy techniques, created by Salvador Minuchin, is designed to provide structural change to manage problems more effectively?
Answer: A
Explanation:
Structural family therapy emphasizes how, when, and to whom family members relate and proposes that individuals' symptoms are rooted in the patterns of family interactions.
Family systems therapy is based on the theory that an individual's problem behaviors may serve a function or purpose for the family. Experiential therapy focuses on individual experience, authenticity, and human validation. Solution-focused therapy focuses on reworking the present situation in the family with solutions that worked previously for them.
NEW QUESTION # 707
Because chronic confusion is not likely to improve, it is essential to measure outcomes against cerebral pathology. Which of the following would NOT be an outcome that the NP would identify for a person with chronic confusion?
Answer: A
Explanation:
The question is asking for the outcome that a nurse practitioner (NP) would not identify for a person who has chronic confusion. Chronic confusion is a long-term state of disorientation and can be a symptom of various mental and physical diseases such as dementia, Alzheimer's, or brain injury. It is considered irreversible and unlikely to improve, thus the healthcare provider measures outcomes against cerebral pathology, which refers to any disease or disorder in the brain that causes a change in the person's behavior or function.
Among the options given, progression to a functional psychosis is not an expected outcome for chronic confusion. Functional psychosis refers to a severe mental disorder in which thought and emotions are so impaired that contact is lost with external reality. It is typically an outcome for acute confusion which is a temporary state of confusion that can result from various causes such as drug intoxication, sleep deprivation, or severe metabolic disturbances. Acute confusion can have different outcomes such as full recovery, death, progression to an irreversible organic brain syndrome, or progression to a functional psychosis.
On the other hand, an increase in the degree of socialization, elimination of episodes of combative behavior, and a decrease in the need for sedatives are all potential outcomes that the NP might identify for a person with chronic confusion. These outcomes reflect improvements in the person's behaviour and mental state, which might be achieved through various interventions such as medication, cognitive therapy, and social engagement.
In summary, the answer to the question is "progression to a functional psychosis" as it is not a likely outcome for a person with chronic confusion, but rather is associated more with acute confusion.
NEW QUESTION # 708
Which term describes private insurance policies purchased by elderly individuals to cover some or all of their medical expenses not paid for by Medicare?
Answer: D
Explanation:
Medigap insurance policies are private policies purchased by elderly individuals to cover some or all of their medical expenses not paid for by Medicare.
A medical savings account plan allows individuals to establish tax-free savings funds to finance their medical care.
Medicare + Choice was part of the Balanced Budget Act of 1997, which significantly increased the number of managed care insurance plans available to Medicare recipients. This program was replaced with the Medicare Advantage plan in 2003. The Medicare Advantage plan is a type of health insurance plan in the United States that provides Medicare benefits through private-sector health insurers.
NEW QUESTION # 709
Which statement accurately defines an unspecified intellectual disability?
Answer: B
Explanation:
Global developmental delay describes a child under the age of five who seems to be falling behind developmentally, but the practitioner cannot reliably assess the degree of impairment.
Borderline intellectual functioning describes a person nominally ranked in the IQ rank of 71 to 84 who does not have the coping problems associated with an intellectual disability.
Autism spectrum disorder forms in early childhood and results in impaired social interactions and communication. These patients usually demonstrate stereotyped behaviors and interests.
Unspecified intellectual disability is a term used when a child is five years old or older and cannot be reliably assessed due to a physical or mental impairment.
NEW QUESTION # 710
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