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| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Diagnosis and Treatment | 43% | - Special Populations
|
| Scientific Foundation | 19% | - Psychopathology
|
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NEW QUESTION # 1221
Which statement accurately describes "with melancholic features," a specifier used in the diagnosis of mood disorders?
Answer: B
Explanation:
Specifiers are special descriptions added to a patient's diagnosis to provide more information. Specifiers help characterize the condition and describe its overall course. Specifiers used to describe mood disorders include the following:
* With atypical features: These patients eat a lot and gain weight, sleep excessively, and have a feeling of being sluggish or paralyzed. They are also sensitive to rejection.
* With melancholic features: These patients feel worse in the morning than in the afternoon, and they experience decreased appetite, weight loss, and agitation. They also tend to feel excessively guilty and have trouble making decisions.
* With anxious distress: These patients have high levels of tension, restlessness, worry, and fear.
* With catatonic features: These patients exhibit either motor hyperactivity or inactivity.
* With mixed features: These patients are experiencing a mixture of both manic and depressive symptoms.
* With peripartum onset: These patients develop a mood episode during pregnancy or within a month of having their baby.
* With psychotic features: These patients develop delusions or hallucinations along with their mood symptoms.
* With rapid cycling: These patients have experienced at least four mood episodes in the past year.
* With a seasonal pattern: These patients regularly become ill at a certain time of the year.
NEW QUESTION # 1222
What term describes a health plan that allows individuals to establish tax-free savings funds to finance their medical care?
Answer: D
Explanation:
A Medicare medical savings account plan allows individuals to establish tax-free savings funds to finance their medical care.
Medicare + Choice was part of the Balanced Budget Act of 1997, which significantly increased the number of managed care insurance plans available to Medicare recipients. This program was replaced with the Medicare Advantage plan in 2003.
The Medicare Advantage plan created regional Preferred Provider Organizations (PPO) and gave Medicare enrollees the option of enrolling in private insurance plans.
Medigap insurance policies are private policies purchased by elderly individuals to cover some or all of their medical expenses not paid for by Medicare.
NEW QUESTION # 1223
Risk factors for developing post-traumatic stress disorder (PTSD) are divided into three categories: pretraumatic, peritraumatic, and post-traumatic. Which of the following is a pretraumatic risk factor for developing PTSD?
Answer: D
Explanation:
Risk factors for developing posttraumatic stress disorder (PTSD) are divided into three categories: pretraumatic, peritraumatic, and post-traumatic.
Pretraumatic risk factors are:
* Female gender
* Emotional disturbances prior to age six
* Childhood mental illness
* Externalizing behaviors
* Lower socioeconomic status
* Low education
* Childhood adversity
* Fatalistic or self-blaming coping mechanisms
* Minority social/ethnic status
* Low intelligence
* Poor social support
* Family history of psychiatric disorders
Peritraumatic risk factors are:
* Severity of trauma
* Duration of trauma
* Perceived life threat
* Personal injury
* Trauma perpetrated by a loved one or caregiver
* Witnessing a threat directed toward a loved one or caregiver
* Dissociation during trauma
* For military personnel, witnessing atrocities or killing the enemy
Post-traumatic risk factors are:
* Negative appraisals
* Inappropriate coping strategies
* Development of an acute stress reaction
* Subsequent exposure to reminders
* Subsequent adverse life events and financial losses
* Lack of social support
NEW QUESTION # 1224
Which of the following, if identified as indications for the use of seclusion and restraint by a nurse, requires correction by the PMHNP?
Answer: B
Explanation:
Indications for seclusion and restraint are to:
* Prevent clear, imminent harm to the patient or others
* Prevent significant disruption to the treatment program or physical surroundings
* Assist in treatment as part of ongoing behavior therapy
* Decrease sensory overstimulation
* Answer a patient's voluntary reasonable request
Contraindications for seclusion and restraint are as follows:
* Extremely unstable medical or psychiatric condition
* Delirious or demented patients unable to tolerate decreased stimulation
* Overtly suicidal patients
* Patients with severe drug reactions or overdoses who require close monitoring of their drug dosages
* For punishment or convenience of staff
NEW QUESTION # 1225
What term was historically used to describe a person with a nominal IQ ranking of 71 to 84 who does not have the coping problems associated with an intellectual disability?
Answer: A
Explanation:
Borderline intellectual functioning was used to describe a person with a nominal IQ ranking of 71 to 84 who did not have the coping problems associated with an intellectual disability. This term is no longer used in the DSM-5.
Autism spectrum disorder forms in early childhood and results in impaired social interactions and communication. These patients usually demonstrate stereotyped behaviors and interests.
Global developmental delay describes a child under the age of five who seems to be falling behind developmentally, but the practitioner cannot reliably assess the degree.
Unspecified intellectual disability is a term used when a child is five years old or older and cannot be reliably assessed due to a physical or mental impairment.
NEW QUESTION # 1226
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