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| Section | Objectives |
|---|---|
| Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
| Diagnosis and Management of Psychiatric Disorders | - Mood Disorders - Personality Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders |
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations |
| Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
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NEW QUESTION # 970
A known patient with a diagnosis of PTSD presents to your clinic for a refill of his medication. Today, he complains of nightmares. What medication will you choose as adjunctive therapy?
Answer: D
Explanation:
Minipress (prazosin) is FDA-approved for the treatment of nightmares associated with PTSD.
Ativan (lorazepam) is not recommended as a treatment for PTSD. Wellbutrin (bupropion) is an SNRI and is not used as a treatment for PTSD. Risperdal (risperidone) is a second-generation antipsychotic and is not used in the treatment of nightmares associated with PTSD.
NEW QUESTION # 971
There are four levels of systems: microsystems, macrosystems, megasystems, and metasystems. In health care, what is an example of a metasystem?
Answer: D
Explanation:
Organizational knowledge and systems thinking add an imperative dimension to nursing science. Nurse practitioners understand that organizations are systems in motion with complex relationships between many different parts. There are four levels of systems: microsystems, macrosystems, megasystems, and metasystems.
* Microsystem: direct patient care
* Macrosystem: hospitals, skilled nursing facilities, clinics
* Megasystem: American healthcare system
* Metasystem: economic, political, and social levels of society
NEW QUESTION # 972
Selective serotonin reuptake inhibitors (SSRIs) are the gold standard in the treatment of major depressive disorders. They elevate serotonin and norepinephrine levels by inhibiting their presynaptic reuptake. Which SSRI is FDA-approved for the treatment of adolescents?
Answer: A
Explanation:
Of the options given, fluoxetine (Prozac) is the only selective serotonin reuptake inhibitor and the only drug FDA-approved for the treatment of depression in adolescents.
Vilazodone (Viibryd) is not an SSRI but rather a SPARI (serotonin partial agonist reuptake inhibitor) and a serotonin multimodal (S-MM). It is not FDA-approved for adolescents.
Vortioxetine (Trintellix) is not an SSRI but rather a serotonin multimodal (S-MM) and is not FDA-approved for adolescents.
Buproprion (Wellbutrin) is not an SSRI but rather an NDRI (norepinephrine dopamine reuptake inhibitor). It is not FDA-approved for adolescents.
NEW QUESTION # 973
A 45-year-old man presents with a long history of social isolation, emotional detachment, and difficulty forming close relationships with others. The nurse considers schizoid personality disorder as a possible diagnosis. Which of the following is an underlying risk factor for this condition?
Answer: A
Explanation:
Schizoid personality disorder is characterized by a lifelong pattern of emotional detachment, lack of interest in forming close relationships, and social isolation. Research suggests that genetic, environmental, and psychological factors may cause it. A family history of the disorder and studies of twins suggest that there may be a genetic component to the development of schizoid personality disorder.
Abnormal brain development during childhood, chronic stress, traumatic events, and the imbalance of neurotransmitters in the brain are not considered primary causes of schizoid personality disorder.
NEW QUESTION # 974
A PMHNP is caring for a patient who is experiencing severe depression and has a history of substance abuse. Which of the following interventions would be the priority according to Maslow's Hierarchy of Needs?
Answer: D
Explanation:
According to Maslow's Hierarchy of Needs, physiological needs, including food, water, and shelter, are the most basic needs that must be met before any other needs can be addressed. In this case, the patient's severe depression and history of substance abuse suggest that their basic physiological needs may not be adequately met. Therefore, ensuring the patient has access to food and water is the priority intervention.
While attending group therapy sessions and administering antidepressant medication are important interventions, they are not as critical as ensuring the patient's basic physiological needs are met. Additionally, monitoring for withdrawal symptoms from substance abuse is important, but it falls under the physiological needs category, which is already addressed by ensuring access to basic needs.
NEW QUESTION # 975
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