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| Section | Objectives |
|---|---|
| Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Scope of Practice and Regulations - Ethical Decision-Making |
| Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Advanced Practice Skills | - Advanced Psychiatric Assessment - Treatment Planning - Diagnosis and Differential Diagnosis |
| Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
| Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Psychotic Disorders - Mood Disorders - Substance Use Disorders - Anxiety and Trauma-Related Disorders |
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問題 #466
A 17-year-old male patient was voluntarily admitted to the facility for depressive symptoms following the death of his best friend by suicide. He reports feelings of despair and hopelessness. He verbalized to his parents that he "doesn't know how to live" without this friend, which his parents interpreted as a passive death wish. The psychiatrist prescribed antidepressant medication, and the young man refused it. The parents insist that he must take the medication.
Which ethical principle supports the patient's right to choose not to take the medication?
答案：A
解題說明：
Autonomy is the right to self-govern free from external control or influence. This means that a patient has the right to refuse treatment unless ruled incompetent by a civil authority who can mandate retention and treatment over objection. The patient's parents are not civil authorities.
問題 #467
Which of the following is an appropriate use of seclusion and restraint?
答案：B
解題說明：
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
* Patient's voluntary reasonable request
Contraindications for seclusion and restraint include:
* 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
問題 #468
How are Cluster C personality disorder characteristics best described?
答案：C
解題說明：
Cluster C personality disorder characteristics are best described as anxious.
Cluster A personality disorder characteristics are described as odd, unusual, eccentric, and asocial. Cluster B personality disorder characteristics are described as dramatic or having affective instability.
問題 #469
What statement accurately defines excoriation disorder?
答案：C
解題說明：
Excoriation disorder patients so persistently pick at their skin that they leave scars.
Obsessive-compulsive disorder patients are bothered by repeated thoughts or behaviors. Trichotillomania patients pull hair from various parts of their body. Hoarding disorder patients accumulate so many objects that it interferes with their ability to function.
問題 #470
All the following words describe someone with a Cluster C personality disorder except:
答案：C
解題說明：
Cold more accurately describes a trait of someone with Cluster A personality disorder.
Personality disorders are chronically maladaptive patterns of behavior that result in functional impairment in work, school, or relationships. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition defines 10 specific personality disorders divided into three clusters: Cluster A, Cluster B, and Cluster C.
Patients with Cluster A personality disorders are characterized as withdrawn, cold, suspicious, and irrational. Cluster A includes paranoid, schizoid, and schizotypal personality disorders.
Patients with Cluster B personality disorders are characterized as theatrical, emotional, and attention-seeking. They often experience intense interpersonal conflicts and exhibit an extremely labile mood. Cluster B includes antisocial, borderline, histrionic, and narcissistic personality disorders.
Patients with Cluster C personality disorders tend to be anxious, fearful, tense, and overcontrolled. Cluster C includes avoidant, dependent, and obsessive-compulsive personality disorders.
問題 #471
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