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| Section | Objectives |
|---|---|
| Topic 1: Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Scope of Practice and Regulations - Ethical Decision-Making |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Psychotic Disorders - Substance Use Disorders - Mood Disorders - Anxiety and Trauma-Related Disorders |
| Topic 3: Scientific Foundations | - Research and Evidence-Based Practice - Pathophysiology and Psychopathology - Psychopharmacology |
| Topic 4: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
| Topic 5: Psychotherapeutic Modalities | - Crisis Intervention - Group and Family Therapy - Individual Psychotherapy |
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質問 # 67
A 29-year-old intellectually disabled female patient presents to the emergency room with staff members from her residential care facility. Last week, her antipsychotic medication was switched from thioridazine to haloperidol. Upon examination, she is disoriented to time and place, is diaphoretic, and has a temperature of 105.3 °F, a heart rate of 126 beats/minute, and a respiratory rate of 22 breaths/minute. The patient's extremities are stiff and rigid. Her labs reveal a white blood cell count of 14,000 and creatinine phosphokinase of 2,600 U/L.
What is the most serious potential complication associated with this syndrome?
正解:B
解説:
This patient presents with traditional indications of neuroleptic malignant syndrome (NMS). NMS is a life-threatening complication that can occur at any time during antipsychotic treatment. Rhabdomyolysis (a breakdown of muscle tissue that releases a damaging protein into the blood) is the most common serious complication of NMS, and dialysis may be required to protect her from renal failure.
High-potency antipsychotic medications, such as haloperidol, pose the greatest risk for NMS.
質問 # 68
What should be consulted when determining the legal duties of a nurse practitioner?
正解:C
解説:
Nursing practice is regulated by state laws and mandates. The State Nurse Practice Act explains the legal duties outlined by the state. The other answer choices are national standards that are used to judge nursing behavior.
質問 # 69
What complementary medicine originated in China and is the oldest system of medicine?
正解:C
解説:
The practice of herbal medicine originated in China and is the oldest system of medicine.
Homeopathy and Bach flower remedies are much more modern in their origins than herbal medicine. Ayurveda is an ancient system of medicine that originated in India.
質問 # 70
You are treating a 22-year-old male for his first episode of major depression. Two months after starting his antidepressant medication, he reports feeling "back to normal," and he asks to stop his medication. When can he safely stop his medication?
正解:C
解説:
Stopping an antidepressant medication within the first three months is associated with a high risk of relapse. The recommended length of treatment for the first episode of major depression is at least six months.
質問 # 71
According to Sigmund Freud, which of the following statements is least likely to be true regarding the oral stage of psychosexual development?
正解:D
解説:
Freud's stages of psychosexual development:
* Oral: birth to 12-18 months
* Anal: 12-18 months to 3 years
* Phallic: 3 to 5-6 years
* Latency: 5-6 years to adolescence
* Genital: adolescence to adulthood
Gratification is attained through withholding feces during the anal stage, not the oral stage, of psychosexual development.
The oral stage is the earliest stage of psychosexual development. During the oral stage, gratification is sought through sucking, eating, biting, and mouthing objects. Successful resolution of this stage results in the capacity to give and receive from others without excessive dependence or envy. This stage coincides with Erik Erikson's psychosocial stage of development called Trust vs. Mistrust.
質問 # 72
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