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| Section | Weight | Objectives |
|---|---|---|
| Ethics, Legal Principles, and Cultural Care | 17% | - Professional ethics, scope of practice, standards of care - Legal regulations, confidentiality, informed consent - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement |
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Group, family, and individual therapy principles - Crisis intervention and stabilization - Therapeutic frameworks and modalities |
| Advanced Practice Skills | 27% | - Screening, risk assessment, and safety evaluation - Care coordination, interprofessional collaboration - Cultural competence, communication, and patient education - Health assessment, history taking, diagnostic reasoning |
| Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Psychopharmacology, pharmacokinetics, pharmacodynamics - Genetics, epigenetics, and developmental processes - Neuroanatomy, neurophysiology, neurochemistry |
| Diagnosis and Treatment | 22% | - Diagnostic classification systems (DSM-5, ICD-10) - Pharmacological management and monitoring - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan |
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NEW QUESTION # 726
What physical disease would you include in a differential diagnosis of major depressive disorder?
Answer: B
Explanation:
Many of the symptoms of hypothyroidism overlap with the symptoms of major depressive disorder, including changes in sleep, appetite, weight, mood, and libido.
Altitude sickness might be included in the differential diagnosis of panic disorder. Mitral valve prolapse might be included in the differential diagnosis of mania and severe anxiety. Myasthenia gravis might be included in the differential diagnosis of anxiety.
NEW QUESTION # 727
You are working in an ER setting as a psychiatric-mental health nurse practitioner. You are asked to consult on a 45-year-old male patient in a psychiatric crisis. The ER physician believes the patient is in a psychotic state due to methamphetamine abuse, as his urine drug screen was positive for methamphetamines. You speak with the patient's mother and learn that the patient has suffered from chronic schizophrenia since the age of 18 and had previously been stabilized on Abilify for his psychosis and another medication for his depression. The mother further endorses that her son refuses to take the Abilify because he does not "feel" schizophrenic any longer. He has, however, continued to take his antidepressant medication for depression. You suspect that the patient is in a psychotic crisis due to the discontinuation of Abilify and not due to methamphetamine intoxication.
Which of the following findings are supportive of your diagnosis?
Answer: A
Explanation:
Prozac (fluoxetine) is an SSRI antidepressant and can produce a false positive for methamphetamine.
Zoloft (sertraline) can produce a false positive for benzodiazepines. Motrin can produce a false positive for cocaine. Poppy seeds can produce a false positive for heroin or morphine.
NEW QUESTION # 728
What is the name of the paired structures of DNA in the nucleus of the cell?
Answer: D
Explanation:
Chromosomes are structures of DNA in the nucleus of the cell. There are normally 46 total (23 pairs) in humans. RNA describes copies of DNA from which proteins are made. Alleles are variations of genes. Nucleotide bases are the chemical components of DNA in which information is stored.
NEW QUESTION # 729
A 33-year-old woman diagnosed with borderline personality disorder believes her nurse practitioner is "the best person in the universe." The next week, the nurse practitioner explains that she is going on vacation. The patient becomes angry and shouts, "You are the worst person I have ever met!" What defense mechanism is this patient using?
Answer: D
Explanation:
Splitting occurs when a patient is unable to see others as sometimes good and sometimes bad. Instead, some patients use splitting as a defense mechanism, which causes them to view other people as either all good or all evil. Splitting is commonly seen in patients with borderline personality disorder.
Devaluation is a defense mechanism that attributes excessive negative qualities to another. Idealization is a defense mechanism that attributes excessive positive qualities to another. Repression is a defense mechanism that expels disturbing wishes from conscious awareness.
NEW QUESTION # 730
A 17-year-old recently arrested male arrives at your office for a psychiatric evaluation. Based on his history of delinquent behavior, you suspect conduct disorder. According to Erik Erikson, failure to resolve which psychosocial stage is most associated with the development of this psychopathology?
Answer: C
Explanation:
Failure to successfully resolve the psychosocial stage of Identity vs. Role Confusion is linked to delinquent behavior, borderline psychotic episodes, and gender-related identity disorders.
Erik Erikson's stages of psychosocial development:
* Trust vs. Mistrust: birth to 12-18 months
* Autonomy vs. Shame and Doubt: 12-18 months to 3 years
* Initiative vs. Guilt: 3 to 5-6 years
* Industry vs. Inferiority: 5-6 years to adolescence
* Identity vs. Role Confusion: adolescence to adulthood
* Intimacy vs. Isolation: adulthood
* Generativity vs. Stagnation: middle adulthood
* Ego Integrity vs. Despair: late adulthood
Failure to resolve the Industry vs. Inferiority stage can contribute to creative inhibition. Failure to resolve the Initiative vs. Guilt stage can lead to the development of conversion disorder, phobias, and psychosomatic disorders. Failure to resolve the Autonomy vs. Shame and Doubt phase can lead to the development of paranoia, obsessions, and compulsions.
NEW QUESTION # 731
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