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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Role and Policy | 14% | - Collaboration and Consultation
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| Topic 2: Advanced Practice Skills | 24% | - Psychopharmacology
|
| Topic 3: Scientific Foundation | 19% | - Psychopathology
|
| Topic 4: Diagnosis and Treatment | 43% | - Treatment Planning
|
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NEW QUESTION # 689
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 # 690
Which personality disorder is most likely to cause one to feel helpless when alone?
Answer: D
Explanation:
Patients with dependent personality disorder fear abandonment, feel helpless when they are alone, and are miserable when relationships end. They desperately desire the approval of others, and they often volunteer for unpleasant tasks to gain the favor of others.
Patients with obsessive-compulsive personality disorder are perfectionistic and rigid. They are often workaholics who are indecisive, excessively scrupulous, and preoccupied with detail.
Patients with paranoid personality disorder are suspicious, have few friends, and read hidden meanings into innocent remarks.
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 # 691
Which of the following correctly pairs a pharmacodynamic effect with its definition?
Answer: C
Explanation:
Psychiatric medications can cause four different pharmacodynamic effects on cell receptors:
* Agonist effect: drug binds to receptors and activates a biological response
* Inverse agonist effect: drug causes the opposite effect of agonist
* Partial agonist effect: drug does not fully activate the receptors
* Antagonist effect: drug binds to the receptor but does not activate a biological response
NEW QUESTION # 692
Complementary and alternative therapies (CATS) are becoming more and more acceptable and embraced in the United States. Which of the following is an example of a mind-body intervention in the category of CATS?
Answer: C
Explanation:
Mind-body interventions under the umbrella of complementary and alternative therapies (CATS) include the following:
* Guided imagery
* Meditation
* Yoga
* Biofeedback
Aromatherapy is a biological-based therapy. Acupuncture and reflexology are manipulative body-based therapies.
NEW QUESTION # 693
A 75-year-old female is admitted to the hospital for complications related to a terminal cancer diagnosis. You are asked to do a psychological assessment of her mental state. She reports that although her family is very good to her and takes excellent care of her, she feels that she is a burden and so she just wants to die. You recognize this as a sign of
Answer: A
Explanation:
The correct answer to the question is "problem with Erikson's developmental stage of integrity vs. despair." To understand why this is the case, it's important to delve into the specifics of Erik Erikson's stages of psychosocial development, particularly focusing on the final stage: integrity vs. despair.
Erikson's theory posits that human development consists of eight stages across the lifespan, each characterized by a specific conflict that must be resolved. The successful resolution of each conflict results in psychological strengths that contribute to overall well-being. The final stage, which typically occurs in old age (65 years and older), confronts individuals with the conflict between integrity and despair.
In this stage, individuals reflect on their life and its events. If they view their life as a series of missed opportunities and failures, they might fall into despair, feeling a sense of bitterness and regret, and possibly questioning the value of their life. In contrast, if they see their life as meaningful and fulfilling, they achieve a sense of integrity, which leads to feelings of satisfaction and peace.
The 75-year-old female patient mentioned in the query is exhibiting signs that she might be struggling with this developmental stage. Her feelings of being a burden and her wish to die suggest she may be experiencing despair. She could be reflecting on her life and feeling unfulfilled or regretful, which is causing her psychological distress. Her perception of being a burden despite her family's supportive nature further indicates a negative self-assessment and dissatisfaction with how her life events have unfolded.
Erikson believed that achieving a sense of integrity means accepting both one's past and one's mortality. A positive resolution in this stage would involve the patient finding a way to view her life with a sense of completeness and wholeness, even in the face of terminal illness. This could include recognizing the value in her relationships, accomplishments, and even her struggles.
Thus, the signs shown by the patient are indicative of a problem with Erikson's developmental stage of integrity vs. despair. The goal for healthcare providers, including psychologists, would be to support her in moving towards a resolution of integrity, perhaps through therapeutic conversations that help her reflect on her life positively, recognize her worth, and accept her life's course with peace. This therapeutic approach would aim to alleviate her feelings of despair and enhance her psychological comfort in her remaining time.
NEW QUESTION # 694
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