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| Section | Objectives |
|---|---|
| Topic 1: Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Ethical Decision-Making - Scope of Practice and Regulations |
| Topic 2: Scientific Foundations | - Psychopharmacology - Research and Evidence-Based Practice - Pathophysiology and Psychopathology |
| Topic 3: Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Topic 4: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
| Topic 5: Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Psychotic Disorders - Personality Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders |
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NEW QUESTION # 733
What is an example of a factor facilitating the growth of the nurse practitioner role?
Answer: B
Explanation:
Factors facilitating the growth of the nurse practitioner role include:
* Patient demand for services
* Patient acceptance of and satisfaction with nurse practitioners
* Decreasing stigmatization of psychiatric illnesses
* Emphasis on the need for integrated healthcare services
Factors constraining the growth of the nurse practitioner role include:
* Growing competition in the job market
* Reduction in salary due to nurse practitioner oversupply
* Reimbursement struggles with Medicare and private insurance companies
* Legislative battles for independent practice
* Mandatory physician supervision
* Resistance from powerful medical organizations
NEW QUESTION # 734
A 17-year-old male patient was voluntarily admitted to the facility for depressive symptoms following the death of his best friend by suicide. He reports feelings of despair and hopelessness. He verbalized to his parents that he "doesn't know how to live" without this friend, which his parents interpreted as a passive death wish. The psychiatrist prescribed antidepressant medication, and the young man refused it. The parents insist that he must take the medication.
Which ethical principle supports the patient's right to choose not to take the medication?
Answer: A
Explanation:
Autonomy is the right to self-govern free from external control or influence. This means that a patient has the right to refuse treatment unless ruled incompetent by a civil authority who can mandate retention and treatment over objection. The patient's parents are not civil authorities.
NEW QUESTION # 735
According to Freud, during what psychosexual stage of development do children identify with the same-sex parent?
Answer: D
Explanation:
Freud's stages of psychosexual development include the following:
1. Oral: birth to 12-18 months
2. Anal: 12-18 months to 3 years
3. Phallic: 3 to 5-6 years
4. Latency: 5-6 years to adolescence
5. Genital: adolescence to adulthood
According to Freud, during the phallic stage of psychosexual development, children identify with their same-sex parent as they come to terms with the oedipal conflict. Freud believed that the penis is the organ of principal interest to both males and females during this phase. This phase is also associated with unconscious fantasies of sexual involvement with the opposite-sex parent and guilt over oedipal wishes.
NEW QUESTION # 736
As a nurse practitioner, you will be responsible for assessing physical signs of child abuse. Which of the following is least indicative of physical child abuse?
Answer: C
Explanation:
This presentation is most likely indicative of a tic disorder such as Tourette syndrome.
Common indicators of child abuse are:
* History of unexplained multiple fractures
* Burns, hand or bite marks
* Injuries at various stages of healing
* Evidence of neglect
* Bruising on padded parts of the body
NEW QUESTION # 737
A patient who is trying to quit smoking experiences a strong urge to smoke after seeing a friend smoking. The PMHNP recognizes this phenomenon as which of the following?
Answer: D
Explanation:
Craving refers to a strong desire or urge to use a substance. In this scenario, the patient has a craving triggered by seeing their friend smoking.
Tolerance refers to the need for increased amounts of a substance to achieve the desired effect. Withdrawal refers to the symptoms that occur when an individual stops using a substance they have become dependent on. AVE refers to the negative emotional and psychological response that occurs when an individual who is trying to quit a behavior, such as smoking, violates their commitment to abstinence. AVE would only be present if the patient gave in to their cravings and smoked with their friend.
NEW QUESTION # 738
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