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| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Diagnosis and Treatment | 43% | - Special Populations
|
| Scientific Foundation | 19% | - Psychopathology
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
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NEW QUESTION # 261
Which of the following is least likely to be true regarding children with depression?
Answer: A
Explanation:
Children who suffer from major depression often experience separation anxiety. Children respond better to SSRIs and typically do not respond well to tricyclic antidepressants. They experience irritability and somatic complaints.
NEW QUESTION # 262
A PMHNP is working with an elderly patient diagnosed with early-stage Alzheimer's disease. The patient is accompanied by an adult child actively involved in their care. When discussing a new medication regimen, what is the most appropriate approach to ensure informed consent?
Answer: B
Explanation:
Ideally, if the patient's ability to provide consent is unclear, consent should be obtained from both the patient and their legal decision maker if possible. The PMHNP should respect patients' autonomy by involving them in the decision-making process to the fullest extent possible while also considering the practical role of the family in supporting the patient's care.
Assuming incapacity without assessment disrespects the patient's autonomy and may not be legally sound. Obtaining consent before assessing the patient can disregard cognitive limitations and result in the patient not fully understanding the treatment, compromising informed consent. Assuming that consent is implied is only a valid approach to informed consent if the patient is incapacitated, there is no other way to obtain consent, and delaying treatment to obtain consent is unsafe.
NEW QUESTION # 263
Which of the following would be incorrect as an example of a descriptive statistic?
Answer: B
Explanation:
Descriptive statistics are used to describe the basic features of the data in a study. They are numerical values that summarize, organize, and describe observations. Examples include mean, standard deviation, and variance.
Inferential statistics are numerical values that enable a researcher to draw conclusions that extend beyond the immediate data alone. Examples include t-test, analysis of variance, Pearson's r correlation, probability, and p-value.
NEW QUESTION # 264
A PMHNP is working with an individual who reports minimal stress at their job and no money concerns. What type of preventative factors are these descriptors?
Answer: A
Explanation:
Preventative factors describe factors that help prevent the risk of mental illness. Social preventative factors can include a low-stress occupation, higher socioeconomic status, or higher level of education. Biological factors may include no family history of mental illness or good general health. Psychological factors can include healthy self-esteem or an internal locus of control.
There is no category for environmental preventative factors, as these would most likely fall within the other categories.
NEW QUESTION # 265
A 73-year-old female presents at the emergency room with acute onset of mental and behavioral changes. The patient's daughter accompanies her and says, "This is just how her sister went," explaining that her aunt had severe Alzheimer's disease. A review of the patient's history reveals a disturbance in cognition that has developed over a short time with impaired memory, psychomotor agitation, and a reversal of sleep-wake cycles.
The nurse practitioner orders electrolytes, urine C/S, pulse oximetry, and an EEG to rule out which condition?
Answer: B
Explanation:
The nurse practitioner orders testing to rule out delirium, which is a syndrome and not a disease. Delirium has an acute onset, and the hallmark symptom is a disturbance of consciousness with changes in cognition.
This patient presents with memory confusion, psychoactive restlessness, and a reversal of sleep-wake cycles. These symptoms can be caused by low oxygen, a substance, an infection, or electrolyte disturbances. While dehydration is a potential cause of delirium, this is not the only condition the NP should attempt to rule out.
NEW QUESTION # 266
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