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| Section | Weight | Objectives |
|---|---|---|
| Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes |
| Ethics, Legal Principles, and Cultural Care | 17% | - Advocacy, policy, and quality improvement - Cultural, spiritual, and social determinants of health - Legal regulations, confidentiality, informed consent - Professional ethics, scope of practice, standards of care |
| Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Biological, environmental, and lifestyle interventions - Differential diagnosis across lifespan |
| Psychotherapy and Related Theories | 11% | - Evidence-based psychotherapy approaches - Crisis intervention and stabilization - Therapeutic frameworks and modalities - Group, family, and individual therapy principles |
| Advanced Practice Skills | 27% | - Health assessment, history taking, diagnostic reasoning - Cultural competence, communication, and patient education - Care coordination, interprofessional collaboration - Screening, risk assessment, and safety evaluation |
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NEW QUESTION # 356
Who created the family systems therapy model?
Answer: C
Explanation:
Murray Bowen believed that a person's problematic behaviors may serve a function or purpose for the family or be a symptom of dysfunctional patterns. The family systems therapy model focuses on chronic anxiety within families.
Salvador Minuchin created the structural family therapy model. Virginia Satir created the experiential therapy model. Jay Haley created the strategic therapy model.
NEW QUESTION # 357
A client admits herself to the inpatient psychiatric unit voluntarily. Once she arrives, she looks around, begins to verbalize that she is uncomfortable, and demands to leave the unit immediately. You are the PMHNP on call, and you receive a call from the charge nurse, who explains the situation and asks how to proceed.
What instructions do you give the charge nurse?
Answer: D
Explanation:
In this scenario, even though the client is there voluntarily, it is the responsibility of staff and the provider to ensure the client is safe from harm, not a danger to themselves or others, and not gravely disabled.
Allowing the client to leave without a risk assessment puts the client at risk and makes the clinical staff liable.
Although it is appropriate for clinical staff to perform the risk assessment, the provider is responsible for providing appropriate disposition orders.
It is not appropriate to make the client wait until morning to be assessed, since clinical staff are licensed and trained to perform risk assessments and interpret the findings.
NEW QUESTION # 358
Which of the following is incorrect regarding females with bipolar disorder?
Answer: A
Explanation:
Gender does not appear to be related to the likelihood that someone with bipolar disorder will develop psychotic features.
Females with bipolar disorder are more likely to experience rapid cycling and mixed states and are more likely to experience depressive episodes. They also have higher rates of comorbid alcohol use disorders and eating disorders.
NEW QUESTION # 359
Violence in school is on the rise. When warning signs indicate that danger is imminent, safety must always be the first and foremost consideration. Immediate intervention by school authorities and possibly law enforcement officers is needed when a child does what?
Answer: A
Explanation:
Having a firearm at school is a likely sign of imminent danger.
Talking about firearms within societal norms and contexts does not indicate imminent danger. Talking about a new or existing firearm in the house is not an immediate cause for concern unless the child is also verbalizing an intent to use it for malicious purposes. Engaging in video games that glorify violence does not indicate the need for law enforcement involvement unless the child verbalizes an intent to act out these behaviors in real life.
NEW QUESTION # 360
What is the female-to-male ratio of anorexia nervosa in clinical populations?
Answer: A
Explanation:
The female-to-male ratio of anorexia nervosa in clinical populations is 10:1. The 12-month prevalence of anorexia nervosa among females is 0.4%. It is most prevalent in high-income countries such as the United States, Australia, New Zealand, Japan, and some European countries.
Risk factors for developing this disorder include the following:
* Obsessional personality traits in childhood
* Comorbid anxiety disorders
* Living in a culture or society that highly values thinness
* Having an occupation that values thinness, such as modeling or elite athletics
* Having a first-degree biological relative with an eating disorder
NEW QUESTION # 361
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