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| Section | Objectives |
|---|---|
| Advanced Practice Skills | - Treatment Planning - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis |
| Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
| Diagnosis and Management of Psychiatric Disorders | - Psychotic Disorders - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Personality Disorders - Mood Disorders |
| Psychotherapeutic Modalities | - Group and Family Therapy - Individual Psychotherapy - Crisis Intervention |
| Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Patient Safety and Quality Improvement - Ethical Decision-Making |
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NEW QUESTION # 252
Which of the following is an example of a functional imaging technique?
Answer: C
Explanation:
Functional imaging measures the functioning of areas of the brain and bases the resulting assessment on blood flow. In functional imaging, radioactive pharmaceuticals are used to cross the blood-brain barrier.
Common functional imaging testing includes EEG and evoked potentials testing, magnetoencephalography (MEG), single-photon emission computed tomography (SPECT), and positron emission tomography (PET).
X-ray, CT, and MRI are examples of structural imaging.
NEW QUESTION # 253
In order to assess a patient's desire to harm others in addition to themselves, a nurse practitioner might ask what question?
Answer: C
Explanation:
To assess a patient's desire to harm others in addition to themselves, nurse practitioners should ask the following questions:
* Are there others who you think may be responsible for what you are experiencing?
* Are you having thoughts of harming others? Who?
* Are there other people you want to die with you?
* Are there others who you think would be unable to go on without you?
For patients who present with thoughts about wanting to harm themselves, nurse practitioners could consider asking:
* How close have you come to acting on those thoughts?
* How likely do you think it is that you will act on them in the future?
* What do you envision happening if you actually killed yourself?
* Have you made a specific plan to harm yourself?
* Are guns or other weapons available to you?
* Have you made particular preparations for your death?
NEW QUESTION # 254
A 71-year-old woman is accompanied by her son. He explains that his mother has become progressively more forgetful, withdrawn, and depressed over the past six months. After cognitive testing, you determine this patient is likely to be in the early stages of Alzheimer's disease.
What medication would you prescribe to treat her mood symptoms?
Answer: B
Explanation:
The onset of symptoms in Alzheimer's disease usually follows this progression: mood changes, cognitive impairment, decline in functional independence, and behavioral and motor symptoms. Mood changes are usually manifested as apathy; however, some patients experience depression.
Depression in the early stages of Alzheimer's disease is usually resistant to antidepressant medications (e.g., SSRIs) but responsive to cholinesterase inhibitors. Benzodiazepines would worsen this patient's confusion, and an atypical antipsychotic is unnecessary based on this patient's presentation.
NEW QUESTION # 255
A parent brings her three-year-old daughter for an assessment of possible autism spectrum disorder (ASD). The mother describes her daughter's symptoms as developing after a period of normal growth and development and involving loss of skills and social impairment. She describes her daughter's atypical interests along with perceptual disturbances, stating, "She seems to hear things that aren't there." As part of a differential diagnosis, which of the following needs to be ruled out?
Answer: D
Explanation:
ASD and childhood-onset schizophrenia are similar, but autism is not characterized by auditory hallucinations.
Rett syndrome also involves impaired physical growth, a loss of hand movements, and poor physical coordination but also typically does not involve hallucinations. Intellectual disability is not characterized by auditory hallucinations.
NEW QUESTION # 256
A 29-year-old Caucasian male presents with complaints of auditory hallucinations that have been worsening over the past three months. He explains that he hears the devil telling him that he is "filthy trash." He also complains of depressive symptoms including sadness and anhedoni a. Even when his mood improves, he continues to hear the devil's voice.
What combination of medications would best treat his symptoms?
Answer: B
Explanation:
The most likely diagnosis for this patient is schizoaffective disorder. He has prominent psychotic symptoms and concurrent mood symptoms. Because the patient's psychotic symptoms continue even in the absence of depression, you can rule out major depressive disorder with psychotic features. In schizoaffective disorder, it is important to treat both the mood and the psychotic symptoms; therefore, you should choose a combination of an antipsychotic and an antidepressant.
Ziprasidone and sertraline are the only answer choice that combines these two classes of medication.
NEW QUESTION # 257
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