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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 43% | - Clinical Management
|
| Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
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NEW QUESTION # 740
According to Piaget, at what cognitive stage do children develop object permanence?
Answer: D
Explanation:
Piaget's stages of cognitive development:
1. Infancy (birth to 2 years): Sensorimotor
2. Early Childhood (2 to 5 years): Preoperational
3. Middle Childhood (6 to 11 years): Concrete operational
4. Adolescence (11 to 19 years): Formal operational
During the sensorimotor stage, infants develop object permanence. Object permanence is the realization that people and objects exist even when they cannot be seen.
NEW QUESTION # 741
A 19-year-old female presents to your office because her parents urged her to seek treatment for depression. She is anxious because her parents expect her to earn straight A's in college. Upon examination, you notice she is very thin. She prides herself on being skinny, exercises three hours each day, and would like to lose more weight. She has not menstruated in the past eight months.
What test would be the most helpful in making a diagnosis?
Answer: C
Explanation:
This patient presents with symptoms indicative of anorexia nervosa. Height and weight will help establish the severity of her diagnosis. Individuals with anorexia nervosa achieve or maintain a significantly low weight. The severity of anorexia nervosa is characterized as mild, moderate, severe, or extreme, depending on the patient's BMI:
* Mild: BMI greater than or equal to 17
* Moderate: BMI between 16 and 16.99
* Severe: BMI between 15 and 15.99
* Extreme: BMI less than 15
NEW QUESTION # 742
Which of the following speech findings would be least expected during the mental status exam of an anxious patient?
Answer: C
Explanation:
Anxiety typically pairs with restlessness and overstimulation, which results in rapid and distractible speech. Monotonal speech is more likely associated with depression in a mental status exam.
NEW QUESTION # 743
Of the following antianxiety agents, which would be considered a nonsedating drug that is not related to either benzodiazepines, sedative hypnotics or barbiturates, but has been found to be comparable in the reduction of symptoms of anxiety?
Answer: B
Explanation:
Among the antianxiety agents listed, Buspirone stands out as a nonsedating medication that is not chemically related to benzodiazepines, sedative-hypnotics, or barbiturates. This unique characteristic positions Buspirone as an ideal choice for individuals seeking an effective treatment for anxiety without the common sedative side effects associated with other anxiety medications.
Buspirone operates differently from traditional sedative drugs. While benzodiazepines, for instance, enhance the neurotransmitter GABA and induce sedation, Buspirone primarily affects serotonin receptors, particularly the 5-HT1A receptor. Its mechanism involves modulating serotonin levels in the brain, which plays a crucial role in mood and anxiety regulation. By targeting serotonin, Buspirone can help alleviate anxiety symptoms without causing significant sedation, making it an excellent option for patients who need to maintain alertness and cognitive function in their daily activities.
Moreover, Buspirone's distinct pharmacological profile means it has a lower potential for abuse and dependence compared to benzodiazepines and other sedative drugs. This safety profile makes it a preferred choice for long-term management of anxiety, particularly in individuals with a history of substance abuse or those who require a medication that does not interfere with their day-to-day functioning.
In terms of efficacy, clinical studies have shown that Buspirone is comparable to other anxiolytics in reducing symptoms of anxiety. Patients typically observe improvement within two to four weeks of starting treatment, although the full benefits might take longer to manifest. This gradual onset of action is a stark contrast to the immediate relief often provided by benzodiazepines, but it is beneficial in preventing the quick tolerance build-up that can occur with such medications.
In summary, Buspirone is a valuable medication in the arsenal against anxiety, particularly for patients who are looking for a non-sedative option. Its unique action on serotonin receptors, minimal sedative effects, and lower abuse potential make it a safe and effective choice for many individuals suffering from anxiety, ensuring that they can receive treatment without compromising their alertness and overall quality of life.
NEW QUESTION # 744
A 71-year-old woman is accompanied by her son. He explains that his mother has become progressively more forgetful, withdrawn, and depressed over the past six months. After cognitive testing, you determine this patient is likely to be in the early stages of Alzheimer's disease.
What medication would you prescribe to treat her mood symptoms?
Answer: D
Explanation:
The onset of symptoms in Alzheimer's disease usually follows this progression: mood changes, cognitive impairment, decline in functional independence, and behavioral and motor symptoms. Mood changes are usually manifested as apathy; however, some patients experience depression.
Depression in the early stages of Alzheimer's disease is usually resistant to antidepressant medications (e.g., SSRIs) but responsive to cholinesterase inhibitors. Benzodiazepines would worsen this patient's confusion, and an atypical antipsychotic is unnecessary based on this patient's presentation.
NEW QUESTION # 745
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