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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Scientific Foundation | 19% | - Research and Evidence-Based Practice
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| Topic 2: Diagnosis and Treatment | 43% | - Special Populations
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| Topic 3: Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Topic 4: Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
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NEW QUESTION # 158
Why are older adults more sensitive to psychotropic medications?
Answer: D
Explanation:
Psychotropic medications are lipophilic and highly protein-bound. Older adults are more sensitive to psychotropic medications due to key changes:
* Decreased intracellular water
* Low muscle mass
* Decreased protein binding
* Increased body fat concentration
* Decreased rate of metabolism
NEW QUESTION # 159
Which of the following would be an unexpected outcome of using massage therapy for anxiety and tension?
Answer: D
Explanation:
Massage therapy may affect anxiety and tension by increasing lymph flow through the reduction of blood pressure and increased blood flow, thus improving muscle tone and mental relaxation.
NEW QUESTION # 160
A patient with schizophrenia is experiencing extrapyramidal symptoms (EPS) as a side effect of their medication. Which of the following interventions would be the most appropriate for the PMHNP to implement?
Answer: B
Explanation:
Extrapyramidal symptoms, such as akathisia, dystonia, and parkinsonism, are common side effects of antipsychotic medications. Anticholinergic medications, such as benztropine and trihexyphenidyl, can alleviate these symptoms.
Increasing the dosage of the patient's antipsychotic medication is incorrect; the medication may need to be discontinued depending on the situation. Administering a benzodiazepine to the patient is unlikely to resolve their symptoms. Extrapyramidal symptoms are typically unrelated to substance abuse.
NEW QUESTION # 161
Stevens-Johnson syndrome is a risk most associated with which of the following medications?
Answer: C
Explanation:
Stevens-Johnson syndrome is a serious, life-threatening side effect of lamotrigine in which a painful burning rash appears. The medication should be discontinued immediately, and the patient should report to the emergency room for stabilization.
NEW QUESTION # 162
A PMHNP is caring for a 17-year-old girl who is experiencing gradually worsening neuropsychiatric symptoms of apathy, irritability, and an inability to sleep. She reports she is also experiencing skin problems, tingling in her hands and feet, and diarrhe a. The patient reports a normal appetite and has followed a raw vegan diet for over a year. Which nutritional deficiency should the PMHNP first rule out based on the presenting symptoms and diet?
Answer: A
Explanation:
A nutritional deficiency of niacin (nicotinic acid) and its precursor tryptophan is sometimes seen in association with vegetarian or vegan diets. Niacin deficiency presents with both neuropsychiatric and medical symptoms, which can include irritability, apathy, diarrhea, and paresthesias.
Thiamine deficiency is most commonly associated with chronic alcohol abuse. Vitamin B12 or cobalamin deficiency has neurological symptoms, which include apathy, depression, and irritability, but without notable medical symptoms as the patient described. It is rare to have pantothenic acid or vitamin B5 deficiency in the United States.
NEW QUESTION # 163
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