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| Section | Weight | Objectives |
|---|---|---|
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Group, family, and individual therapy principles - Therapeutic frameworks and modalities |
| Diagnosis and Treatment | 22% | - Biological, environmental, and lifestyle interventions - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan |
| Scientific Foundation | 22% | - Pathophysiology of mental health disorders - Psychopharmacology, pharmacokinetics, pharmacodynamics - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes |
| Advanced Practice Skills | 27% | - Care coordination, interprofessional collaboration - Health assessment, history taking, diagnostic reasoning - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education |
| Ethics, Legal Principles, and Cultural Care | 17% | - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Legal regulations, confidentiality, informed consent |
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NEW QUESTION # 645
A 28-year-old male being treated for symptoms of depression presents at the ER today complaining of nausea, vomiting, confusion, muscle weakness, and cramping. He is concerned that he has food poisoning. During the clinical interview and initial assessment, the PMH-NP noted that he started on fluoxetine 10 days ago for major depressive disorder. The PMH-NP orders blood work with electrolytes.
Which side effect of SSRI therapy should the nurse practitioner suspect?
Answer: A
Explanation:
Fluoxetine and other psychotropics can cause SIADH within the first two weeks. Patients who start psychotropics should be monitored for hyponatremia in the first two weeks, although it can happen anytime. Symptoms include nausea, vomiting, muscle weakness, and cramping.
Hypernatremia, hypokalemia, and hyperkalemia are not associated with psychotropic medications.
NEW QUESTION # 646
Which curative factor of group therapy occurs when an individual shares previously suppressed feelings, thoughts, and insights?
Answer: C
Explanation:
Group therapy provides a safe opportunity for individuals to share thoughts they have previously suppressed, and this is hypothesized to provide catharsis or "relief" through the action of openly sharing with others who are nonjudgmental.
Imitative behaviors are when the participants imitate or copy the behaviors or others' actions in the group, which can be healthy or unhealthy. Altruism allows the individual to feel that, by sharing, they are helping others. Interpersonal learning provides opportunities for participants to learn about relationships and intimacy.
NEW QUESTION # 647
Which personality disorder is most likely to involve a person acting seductively and demanding reassurance about their appearance?
Answer: A
Explanation:
Histrionic, antisocial, borderline, and narcissistic personality disorders all fall under Cluster B. Patients with histrionic personality disorder are most likely to act overly emotional and seductive. They often demand constant reassurance about their appearance.
Patients with antisocial personality disorder exhibit criminal behavior beginning in childhood, such as truancy, fighting, destructiveness, and theft. They often default on debts, behave irresponsibly, and act recklessly. They show no remorse for their behavior.
Patients with borderline personality disorder exhibit impulsivity, self-harm, inappropriate anger, and affective instability. They feel empty and bored, and they frantically try to avoid abandonment.
Patients with narcissistic personality disorder act self-important. They are preoccupied with envy, fantasies of success, and ruminations about the uniqueness of their problems. They reject criticism and need constant admiration from others.
NEW QUESTION # 648
Which of the following is an example of the ethical principle of veracity in psychiatric nurse practitioner practice?
Answer: A
Explanation:
The ethical principle of veracity refers to the obligation of healthcare providers to communicate truthfully and honestly with their patients. This principle is important in psychiatric practice because patients rely on their healthcare providers to provide accurate information about their diagnosis and treatment options. Providing false or misleading information can damage the therapeutic relationship, compromise the patient's trust, and result in poor treatment outcomes.
In contrast, communicating truthfully and honestly with the patient can help establish trust and promote collaborative decision-making. It can also help ensure that the patient is fully informed about their diagnosis and treatment options, which is essential for them to make informed decisions about their care.
NEW QUESTION # 649
Which of the following thyroid function levels can be increased during treatment with propranolol?
Answer: A
Explanation:
Propranolol, heparin, and aspirin are known interfering factors in T4 testing and cause values to be increased. Propanolol can inhibit the conversion of T4 to T3, increasing these levels artificially.
Tyrosine is an amino acid that binds to circulation iodine in the bloodstream for conversion to T3 and T4.
NEW QUESTION # 650
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