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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Ethics, Legal Principles, and Cultural Care | 17% | - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care - Cultural, spiritual, and social determinants of health - Legal regulations, confidentiality, informed consent |
| Topic 2: Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes |
| Topic 3: Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions - Diagnostic classification systems (DSM-5, ICD-10) |
| Topic 4: Advanced Practice Skills | 27% | - Screening, risk assessment, and safety evaluation - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Cultural competence, communication, and patient education |
| Topic 5: Psychotherapy and Related Theories | 11% | - Crisis intervention and stabilization - Evidence-based psychotherapy approaches - Therapeutic frameworks and modalities - Group, family, and individual therapy principles |
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NEW QUESTION # 1069
Which of the following patient characteristics would suggest that their psychiatric symptoms are actually due to a physical illness?
Answer: A
Explanation:
Signs, symptoms, and historical information can suggest an underlying physical condition. A physical cause for psychiatric symptoms is most likely if the patient is having their first apparent episode of mental illness or is more than 40 years old.
Persons younger than 20 can develop psychiatric conditions, and estimates suggest that 1 in 5 people will experience a mental illness. A decreased appetite or early morning waking could indicate major depression.
NEW QUESTION # 1070
What term describes the amount that people spend before their health insurance pays for the cost of healthcare services?
Answer: C
Explanation:
The deductible is the amount that people spend before their health insurance pays for the cost of health care services.
The copayment is the amount that people pay each time they use a particular healthcare service. The insurance premium is the amount charged for insurance coverage, usually paid every month by both the employer and the employee. The loading charge is the amount charged by the health insurance company on a person's renewal premium when they make claims on their policy.
NEW QUESTION # 1071
A 25-year-old patient is evaluated for new, rapid-onset disorganized and pressured speech and disorganized thoughts. He presents with a flat affect and auditory hallucinations of the command type. Which of the following conditions does not need to be ruled out as part of the differential diagnosis of schizophrenia?
Answer: A
Explanation:
Dementia is a progressive decline of cognition. Although dementia patients can exhibit hallucinations, this is typically a disease of aging.
Wernicke-Korsakoff syndrome is a brain disorder caused by drinking too much alcohol and a lack of thiamine. Substance-induced psychosis can mimic symptoms of schizophrenia. Thyrotoxicosis encephalopathy is also a brain disorder related to nutrient deficiency of thiamine, which mimics schizophrenia.
NEW QUESTION # 1072
Which of the following is a non-stimulant that is FDA-approved for the treatment of ADHD in children?
Answer: C
Explanation:
The FDA has approved both stimulants and non-stimulants for the treatment of ADHD in children.
The following medications are FDA-approved but are not classified as stimulants:
* Strattera (atomoxetine)
* Intuniv (guanfacine)
* Kapvay (clonidine)
The following are stimulants:
* Adderall (amphetamine salts)
* Dexedrine (dextroamphetamine)
Wellbutrin XL (bupropion) is an NDRI (norepinephrine and dopamine reuptake inhibitor) but is indicated in the treatment of ADHD in adults.
NEW QUESTION # 1073
Sara is a 22-year-old female in the inpatient psychiatric unit for acute paranoia and delusional thought processes. Upon admission, the psychiatric-mental health nurse practitioner orders 10 mg of Haldol and 25 mg of Benadryl to be given by mouth STAT. Two hours later, Sara presents to the nurses' station complaining of severe abdominal cramps and an elevated heart rate. You receive a call from the charge nurse explaining the patient's symptoms.
You determine that Sara is most likely suffering from acute dystonia and order which medication to be given immediately?
Answer: B
Explanation:
For acute dystonia, Cogentin 2 mg IM STAT is the best intervention, as Benadryl had previously been given without preventative effects.
Cogentin 1 mg PO is a good option but not the best for treating an acute presentation.
Klonopin 0.5 mg is appropriate for preventative measures but will not provide immediate relief from the acute presentation.
NEW QUESTION # 1074
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