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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Advanced Practice Skills | 24% | - Psychopharmacology
|
| Topic 2: Diagnosis and Treatment | 43% | - Special Populations
|
| Topic 3: Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Topic 4: Professional Role and Policy | 14% | - Healthcare Policy
|
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NEW QUESTION # 1340
A patient with schizophrenia presents at the emergency room with emotional blunting, increasing isolation, and withdrawal from his usual activities at the treatment residence where he resides. The group home staff said his schizophrenia has been well controlled, with few auditory or visual hallucinations reported in the past week.
What does the PMH-BC suspect regarding the patient's symptoms?
Answer: C
Explanation:
This patient is exhibiting negative symptoms of schizophrenia, which include apathy, minimal speech, and social isolation. These symptoms can be overlooked because they are not management issues or troublesome.
Negative symptoms include emotional shut-down, isolation, and withdrawal. They are a serious concern because they are a factor in worsening illness.
NEW QUESTION # 1341
Statistically, gambling disorder is most prevalent among which of the following ethnic/racial groups?
Answer: C
Explanation:
Gambling disorder is more prevalent in African Americans than in European, Asian, or Hispanic Americans. Indigenous populations also experience high rates of gambling disorder. Males are more likely to develop this disorder than females.
Males with gambling disorder:
* Are more likely to wager on cards, sports, and horse races
* Tend to begin gambling earlier in life
* Tend to develop the disorder over a quicker period
* Are less likely to seek treatment
Females with gambling disorder:
* Are more likely to gamble with slot machines and bingo games
* Are more likely to have a comorbid psychiatric condition such as depressive, bipolar, or anxiety disorder
* Tend to develop the disorder progressively over time
* Are more likely to seek treatment
NEW QUESTION # 1342
A patient is being prescribed a selective serotonin-norepinephrine reuptake inhibitor (SNRI) to treat depression. The PMHNP is aware of the mechanism of action of SNRIs. Which of the following best describes the mechanism of action of SNRIs?
Answer: A
Explanation:
Selective serotonin-norepinephrine reuptake inhibitors are a class of antidepressants that work by inhibiting the reuptake of both serotonin and norepinephrine in the brain. These neurotransmitters are involved in mood regulation; by inhibiting their reuptake, SNRIs increase their levels. Thus, they can help alleviate the symptoms of depression and anxiety.
NEW QUESTION # 1343
The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. Which study would appear in Level 1 of an evidence hierarchy?
Answer: C
Explanation:
Evidence-based practice demands the use of the best knowledge. The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. The best evidence comes from Level 1 of the evidence hierarchy, which includes meta-analyses. All levels are listed below.
* Level 1 (strongest): Systematic review of randomized controlled trials or systematic review of nonrandomized trials
* Level 2: Single randomized controlled trial or single nonrandomized trial
* Level 3: Systematic review of correlational or observational studies
* Level 4: Single correlational or observational study
* Level 5: Systematic review of descriptive, qualitative, or physiologic studies
* Level 6: Single descriptive, qualitative, or physiologic study
* Level 7 (weakest): Opinions of authorities and expert committees
NEW QUESTION # 1344
A psychiatric mental health nurse practitioner is providing care for a patient with a history of substance use disorder. The patient expresses interest in making positive changes in their health behaviors. Which health promotion and maintenance model would be most appropriate for the nurse practitioner to consider in this situation?
Answer: B
Explanation:
The Transtheoretical Model, also known as the Stages of Change Model, is a health promotion and maintenance model that describes the stages of behavior change individuals go through when attempting to make positive changes in their health behaviors. The model includes five stages: pre-contemplation, contemplation, preparation, action, and maintenance.
The Health Belief Model considers the likelihood of change as related to the patient's perceived threat of illness coupled with their belief in the effectiveness of a treatment. While it may be appropriate to consider this model, the patient has not expressed recognition of a threat of illness or a desire to understand the efficacy of treatment as a consideration for change, making the Transtheoretical Model more important to consider. Social Cognitive Theory and the Ecological Model are not as relevant as the Transtheoretical Model.
NEW QUESTION # 1345
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