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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Genetics, epigenetics, and developmental processes - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry |
| Topic 2: Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation - Cultural competence, communication, and patient education |
| Topic 3: Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions |
| Topic 4: Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Therapeutic frameworks and modalities - Group, family, and individual therapy principles - Crisis intervention and stabilization |
| Topic 5: Ethics, Legal Principles, and Cultural Care | 17% | - Professional ethics, scope of practice, standards of care - Advocacy, policy, and quality improvement - Cultural, spiritual, and social determinants of health - Legal regulations, confidentiality, informed consent |
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NEW QUESTION # 360
A 41-year-old Caucasian man was diagnosed with schizophrenia 15 years ago. You have stabilized him on olanzapine 20 mg/day and aripiprazole 10 mg/day for the past four years. He arrives today with complaints of breakthrough auditory hallucinations. During your evaluation, you learn that he recently began smoking cigarettes.
How does smoking cigarettes affect the level of medication in his body?
Answer: D
Explanation:
Cigarette smoking induces the cytochrome p450 1A2 enzyme. Olanzapine is metabolized by cytochrome P450 1A2; therefore, its plasma levels would decrease if an individual began taking a p450 1A2 inducer.
Aripiprazole is not metabolized by this same enzyme and is thus unaffected.
NEW QUESTION # 361
Which publication from the Institute of Medicine identified the key issues contributing to poor quality of care and undesirable patient outcomes?
Answer: A
Explanation:
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the 21st Century. This report identified four key issues contributing to poor quality of care and undesirable patient outcomes:
* The complexity of knowledge, skills, interventions, and treatment required to deliver care
* The increase in chronic conditions
* Inefficient, disorganized delivery systems
* Challenges to greater implementation of information technology
In this report, the Institute of Medicine emphasized the need for healthcare providers to collaborate, exchange information, and make provisions for care coordination because the needs of any person or population are beyond the expertise of any single health profession.
NEW QUESTION # 362
For an adolescent client, which alteration to the assessment process is incorrect?
Answer: B
Explanation:
Adolescent client assessments take much longer, and the nurse practitioner needs to allow for extra time when performing evaluations.
Furthermore,
* The PMHNP must develop a trusting relationship with the child to them at ease.
* Interviews with the child and the parent should be separate so that the child can provide information on internal symptoms and family or care providers on external signs.
* The PMHNP must attend to the developmental needs and interests of the child.
* The PMHNP must attend to the cognitive and language abilities of the child.
NEW QUESTION # 363
Which of the following medications is the only agent approved for treatment-resistant schizophrenia, requiring the patient to be enrolled in a risk evaluation and management program?
Answer: A
Explanation:
Individuals prescribed Clozapine (Clozaril) must be enrolled in a clozapine risk evaluation and management strategy program (REMS) while receiving this therapy. Monitoring involves frequent bloodwork because of the significant risk of neutropenia, in addition to monitoring for serum lipid and glucose changes. The patient is monitored for myocarditis and seizures.
Seroquel, risperidone, and olanzapine require serum lipid and glucose monitoring in addition to BMI monitoring. Risperidone requires monitoring of prolactin levels.
NEW QUESTION # 364
In forensic nursing, which of the following is the basis of the nurse-client relationship?
Answer: D
Explanation:
In forensics, the nurse-client relationship is based on the crime committed and the investigational aspects of the interaction. This basis of the relationship is not focused on diagnosing or providing care for the patient outside of the investigation of the crime.
NEW QUESTION # 365
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