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| Section | Objectives |
|---|---|
| Topic 1: Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Personality Disorders - Mood Disorders - Psychotic Disorders |
| Topic 3: Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Topic 4: Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Topic 5: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations |
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NEW QUESTION # 368
A PMHNP is treating a woman of Asian descent for rapid cycling bipolar disorder. The PMHNP understands that patients with rapid cycling bipolar disorder rarely respond to lithium monotherapy and is considering the addition of Tegretol.
Which screening test needs to be completed before adding Tegretol to this patient's medication regimen?
Answer: D
Explanation:
Persons of Asian descent need to be screened for the HLA-B 1502 allele prior to the initiation of Tegretol therapy due to the risk of Stevens-Johnson syndrome. The patient would already have completed a thyroid panel, BUN/CREAT, and an ECG as part of the initial testing for lithium.
NEW QUESTION # 369
What term describes a psychiatric condition that forms in early childhood and results in impaired social interactions, difficulty communicating, and stereotyped behaviors?
Answer: A
Explanation:
Autism spectrum disorder forms in early childhood and results in impaired social interaction and communication. These patients usually demonstrate stereotyped behaviors and interests.
Global developmental delay describes a child under the age of five who seems to be falling behind developmentally, but the practitioner cannot reliably assess why. Unspecified intellectual disability is a term used when a child is five years old or older and cannot be reliably assessed due to a physical or mental impairment. Borderline intellectual functioning describes a person with a nominal IQ ranking of 71 to 84 who does not have the coping problems associated with an intellectual disability.
NEW QUESTION # 370
For an adolescent client, which alteration to the assessment process is incorrect?
Answer: D
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 # 371
Which part of the Medicare program covers allied health services such as physical, occupational, and speech therapy?
Answer: D
Explanation:
The Medicare program has four parts: Part A, Part B, Part C, and Part D.
* Part A: Coverage for hospitalizations (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to six months for terminally ill), and some home health care
* Part B: Coverage for ambulatory practitioner service; physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some preventative care
* Part C: Optional coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage plan
* Part D: Optional coverage for outpatient pharmaceuticals
NEW QUESTION # 372
Which of the following is a screening tool for phobias?
Answer: A
Explanation:
Direct inquiry is an appropriate way to determine a phobia. The Hamilton Anxiety Rating Scale and Overall Anxiety Rating Scale measure anxiety, and the PHQ-9 rates depressive symptoms.
NEW QUESTION # 373
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