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| Section | Weight | Objectives |
|---|---|---|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
| Advanced Practice Skills | 24% | - Psychopharmacology
|
| Diagnosis and Treatment | 43% | - Treatment Planning
|
| Professional Role and Policy | 14% | - Healthcare Policy
|
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NEW QUESTION # 939
A PMHNP should use which of the following screening tools when alcohol abuse is suspected?
Answer: B
Explanation:
All the answers are alcohol screening tools, but the most commonly used screening tool is the CAGE assessment. The mnemonic stands for cut, annoyed, guilty, and eye-opener.
In this screening test, the practitioner asks the patient if they have ever tried to cut back on drinking, if they become annoyed when someone mentions their drinking, if they ever felt guilty about drinking, and if they ever used a drink first thing in the morning as an "eye-opener."
NEW QUESTION # 940
At what age would you expect a child to sit alone with good coordination, imitate scribble, develop mild separation anxiety, and respond to social play such as peek-a-boo?
Answer: B
Explanation:
At 12 months of age, landmarks of normal behavioral development include the following:
* Sits alone with good coordination
* Creeps
* Pulls self to standing position
* Points with index finger
* Matches two objects at midline
* Attempts to imitate scribble
* Develops separation anxiety when away from mother
* Responds to social play such as peek-a-boo
* Feeds self a cracker and holds own bottle
NEW QUESTION # 941
A patient with schizophrenia is experiencing symptoms consistent with neuroleptic malignant syndrome (NMS). Which of the following interventions would be the most appropriate for the PMHNP to implement?
Answer: D
Explanation:
Neuroleptic malignant syndrome is a rare but potentially fatal side effect of antipsychotic medication characterized by fever, muscle rigidity, and altered mental status. The most important intervention in the management of NMS is the immediate discontinuation of the offending medication and supportive care. Dantrolene, a muscle relaxant, can be used to reduce muscle rigidity.
NEW QUESTION # 942
Which medication might cause a false-positive urine drug screen for benzodiazepines?
Answer: D
Explanation:
Some medications can cause a false urinary drug screen result. If a patient is taking sertraline at the time of a drug screen, they may falsely test positive for benzodiazepines.
If the patient is taking amoxicillin or NSAIDs, they may falsely test positive for cocaine. If a patient is taking codeine, they may falsely test positive for methadone or PCP.
NEW QUESTION # 943
All of the following would be important components of good inpatient care of the psychiatric patient except?
Answer: C
Explanation:
In considering the essential components of good inpatient care for psychiatric patients, it is critical to understand which practices support both the safety and the therapeutic goals of the care environment. Below, I will expand on each component listed in the question to clarify why one of these is not suitable for promoting optimal care.
**Provide for their safety:** Ensuring the safety of psychiatric inpatients is a foundational aspect of care. This involves both physical safety measures, such as securing the environment to prevent self-harm or harm to others, and psychological safety, such as protecting the patient from bullying or abuse by others. Safety provisions also include careful monitoring of the patient's mental state and potential for suicidal ideation or aggressive behavior.
**Monitoring of their environment:** This component is closely related to providing for safety but focuses more on the continuous assessment and management of the physical and social environment within the hospital. This includes controlling access to potentially harmful objects, ensuring that the environment is calm and therapeutic, and monitoring interactions among patients to prevent conflicts and ensure a supportive community atmosphere.
**Visitors should not be allowed to bring the patients medications from the outside:** This rule is critical to maintain control over the patient's medication regimen. In a psychiatric setting, the precise administration of medication is crucial for the patient's stability and recovery. Allowing outside medications could lead to errors in dosage, potential drug interactions, or the introduction of contraband substances. This rule ensures that all medications are dispensed and monitored by the hospital's pharmacy and medical staff to maintain treatment integrity and patient safety.
**Allow visitors to bring them extra medications:** This is the component that does not belong in the framework of good inpatient psychiatric care. Allowing visitors to bring extra medications can severely disrupt the carefully controlled therapeutic environment. It creates opportunities for medication errors, overdose, interactions with other prescribed treatments, and the smuggling of non-prescribed or illicit drugs. This practice would undermine the safety protocols and medicinal control that are essential in psychiatric care, potentially endangering the patient's health and recovery.
In summary, while providing for safety, monitoring the environment, and controlling medication strictly within the hospital are all crucial components of effective inpatient psychiatric care, allowing visitors to bring extra medications contradicts these principles and could compromise patient safety and treatment efficacy. Hence, it should be excluded from the practices of good inpatient care for psychiatric patients.
NEW QUESTION # 944
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