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| Section | Objectives |
|---|---|
| Topic 1: Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders - Psychotic Disorders - Personality Disorders |
| Topic 2: Psychotherapeutic Modalities | - Crisis Intervention - Group and Family Therapy - Individual Psychotherapy |
| Topic 3: Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
| Topic 4: Advanced Practice Skills | - Treatment Planning - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment |
| Topic 5: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
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NEW QUESTION # 760
Substance use screening tool interpretation is an important part of an advanced assessment and of the role of the psychiatric-mental health nurse practitioner. What is the most common tool used to assess for alcoholism specifically in geriatric populations?
Answer: C
Explanation:
The S-MAST, also known as the Michigan Alcoholism Screening Test for Geriatrics, is a clinical assessment tool used to assess and screen for alcoholism in geriatric populations.
The COWS (Clinical Opiate Withdrawal Scale) assessment is used to assess the withdrawal severity of opiates.
The CIWA assessment is used to assess the withdrawal severity of alcohol and/or benzodiazepines.
The AUDIT assessment is also an alcohol use assessment tool but is not specific to geriatric populations.
NEW QUESTION # 761
Hyperthyroidism often mimics symptoms of bipolar affective mood disorders. A patient with hypothyroidism is most likely to present with which of the following symptoms?
Answer: B
Explanation:
In hypothyroidism, T4 is decreased and TSH is increased, producing slowed processes and depressive-like symptomatology. Patients with hypothyroidism may present with the following symptoms:
* Confusion
* Decreased libido
* Impotence
* Decreased appetite
* Memory loss
* Lethargy
* Constipation
* Headaches
* Slow or clumsy movements
* Syncope
* Weight gain
* Fluid retention
* Muscle aching and stiffness
* Slowed reflexes
* Somatic discomfort including aching and joint stiffness
* Slowed speech and thinking
* Sensory disturbances, including hearing
* Cerebellar ataxia
* Loss of amplitude in ECG
In hyperthyroidism, T4 is increased and TSH is decreased, which produces excitatory and labile/anxious-like symptomatology.
Other presentations of hyperthyroidism include the following:
* Motor restlessness
* Emotional lability
* Tremors
* Insomnia
* Impotence
* Weight loss
* Increased appetite
* Abdominal pain
* Excessive sweating
* Flushing
* Elevated upper eyelid leading to decreased blinking, staring, and fine tremors of the eyelid
* Tachycardia
* Dysrhythmias
NEW QUESTION # 762
Which of the following is a systemic effect of hypernatremia?
Answer: A
Explanation:
Presentations of hyponatremia include the following:
* Apprehension
* Seizures
* Coma
* Hypotension
* Tachycardia
* Decreased urine output
* Weight gain
* Edema
* Ascites
* Jugular vein distension
Presentations of hypernatremia include:
* Convulsions
* Pulmonary edema
* Thirst
* Fever
* Dry mucous membranes
* Hypotension
* Tachycardia
* Low jugular venous pressure
* Restlessness
NEW QUESTION # 763
Based on Erik Erikson's stages of psychosocial development, what indicates a successful resolution of the Industry vs. Inferiority stage?
Answer: C
Explanation:
Erik Erikson's stages of psychosocial development are:
* Trust vs. Mistrust: birth to 12-18 months
* Autonomy vs. Shame and Doubt: 12-18 months to 3 years
* Initiative vs. Guilt: 3 to 5-6 years
* Industry vs. Inferiority: 5-6 years to adolescence
* Identity vs. Role Confusion: adolescence to adulthood
* Intimacy vs. Isolation: adulthood
* Generativity vs. Stagnation: middle adulthood
* Ego Integrity vs. Despair: late adulthood
A successful resolution of the Industry vs. Inferiority stage includes the development of a sense of competence.
Awareness of the uniqueness of self indicates a successful resolution of the Identity vs. Role Confusion stage. The Trust vs. Mistrust stage is successfully resolved by developing feelings of trust in one's environmental support. The Intimacy vs. Isolation stage is successfully resolved by the development of loving relationships.
NEW QUESTION # 764
A PMHNP is working with a patient who is being treated in a psychiatric hospital. The patient has expressed a desire to refuse their prescribed medication. Which of the following best describes the patient's right to refuse treatment?
Answer: A
Explanation:
In the United States, patients in psychiatric hospitals have the same right to refuse treatment as patients in other healthcare settings. However, if the treating team believes that the patient's safety or the safety of others is at risk, they may override it and provide treatment anyway in some situations. This decision must be based on carefully considering the patient's condition, the risks and benefits of treatment, and the potential consequences of not treating the patient.
Competence is a factor that may be considered in determining a patient's ability to refuse treatment, but it is not the only factor. Involuntary commitment does not automatically negate a patient's right to refuse treatment, such as in situations that require immediate intervention to prevent death or serious injury.
NEW QUESTION # 765
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