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| Section | Objectives |
|---|---|
| Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
| Scientific Foundations | - Research and Evidence-Based Practice - Pathophysiology and Psychopathology - Psychopharmacology |
| Advanced Practice Skills | - Treatment Planning - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment |
| Diagnosis and Management of Psychiatric Disorders | - Psychotic Disorders - Substance Use Disorders - Mood Disorders - Personality Disorders - Anxiety and Trauma-Related Disorders |
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
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NEW QUESTION # 697
Which personality disorder is best treated by combining individual and group psychotherapy due to the intense transferences and countertransferences that are likely to develop?
Answer: D
Explanation:
Patients diagnosed with borderline personality disorder often develop transferences themselves and elicit countertransferences from others. This can greatly impede psychotherapeutic treatment. Group therapy combined with individual therapy benefits these patients by diluting the effects of both transference and countertransference.
NEW QUESTION # 698
A skilled psychiatric interviewer should use person-centered communication. The focus should be on understanding the person and helping them tell their story. Which of the following is an essential component of excellent care?
Answer: C
Explanation:
Psychiatric interviews should be person-centered and not disorder-based. The focus should be on understanding the person and helping them tell their story. The resulting treatment plan should reflect the patient's goals. The patient should be explicitly encouraged to identify their goals and aspirations in their own words.
NEW QUESTION # 699
Which pharmacological management is not recommended as a first-line treatment for persons with dementia?
Answer: B
Explanation:
The use of antipsychotic medication should only occur if the benefit outweighs the risks. Cholinesterase inhibitors slow the loss of function and reduce agitation but do not slow progression.
N-methyl D-aspartate glutamate receptor antagonists prevent overexciting glutamate receptors, stalling the neurodegenerative process. Medical food products provide medium-chain fatty acids by introducing ketones to cross the blood-brain barrier.
NEW QUESTION # 700
A PMHNP is providing care to a family with a 16-year-old daughter experiencing behavioral issues. The nurse suspects structural family therapy may be beneficial in addressing the family's problems. Which of the following is a key concept of structural family therapy?
Answer: A
Explanation:
Structural family therapy is a therapeutic approach focusing on the family system's interactions and patterns. The goal is to help families identify and change negative communication patterns contributing to their problems. It does not focus solely on the individual's thoughts and behaviors but takes a more systemic approach.
NEW QUESTION # 701
You have diagnosed your 15-year-old female patient with bipolar disorder. You know that lithium therapy is the first-line agent for adolescent bipolar disorder. You also know that it does not have an immediate effect. You will tell the girl and her parents that it will take how long for the onset of action?
Answer: D
Explanation:
The correct answer is that the onset of action of lithium in treating bipolar disorder in adolescents is typically 5 to 14 days. This means that while some effects may start to become noticeable within this timeframe, the full therapeutic effects of lithium, including substantial symptom resolution, might take longer-potentially several months.
Lithium is considered a first-line treatment for bipolar disorder in adolescents due to its effectiveness in stabilizing mood and reducing the risk of suicide, a critical concern in this demographic. It's important to communicate to both the patient and her parents that while lithium does start to work within one to two weeks, they should not expect immediate changes, and patience is necessary as the medication gradually exerts its effects.
During this initial period, monitoring is crucial due to the potential side effects of lithium, which can include thyroid and kidney issues, among others. Regular follow-up appointments should be scheduled to assess the patient's response to the medication and to adjust the dosage if necessary. It's also vital to educate the patient and family about the importance of maintaining a consistent treatment regimen, including regular medication intake and avoidance of substances that can interfere with lithium's effectiveness, such as non-steroidal anti-inflammatory drugs (NSAIDs).
Moreover, while lithium is starting to take effect, additional support measures, such as psychotherapy or other supportive interventions, may be beneficial to help manage symptoms and provide further stability. These combined approaches can help in achieving better overall management of bipolar disorder in adolescents.
NEW QUESTION # 702
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2026 Latest BraindumpsVCE PMHNP PDF Dumps and PMHNP Exam Engine Free Share: https://drive.google.com/open?id=1SRWUnz2Q79x8zDwrXHHMHaiBaSGQuW9r