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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Advanced Practice Skills | 24% | - Psychopharmacology
|
| Topic 2: Diagnosis and Treatment | 43% | - Treatment Planning
|
| Topic 3: Professional Role and Policy | 14% | - Healthcare Policy
|
| Topic 4: Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
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NEW QUESTION # 1346
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 # 1347
A 53-year-old Caucasian man presents with a diagnosis of schizoid personality disorder. According to Erik Erikson, failure to resolve which psychosocial stage is associated with the development of this psychopathology?
Answer: D
Explanation:
Failure to successfully resolve the psychosocial stage of Intimacy vs. Isolation is associated with the development of schizoid personality disorder.
Erik Erikson's stages of psychosocial development:
* 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
Failure to resolve the Generativity vs. Stagnation stage is associated with the development of a mid-life crisis. Failure to resolve the Industry vs. Inferiority stage is associated with creative inhibition. Failure to resolve the Initiative vs. Guilt stage is associated with conversion disorder, phobias, and psychosomatic disorders.
NEW QUESTION # 1348
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: D
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 # 1349
A psychiatric nurse practitioner is advocating for a patient who has been denied insurance coverage for mental health treatment to which the psychiatric nurse practitioner believes the patient should be entitled. Which of the following actions would be most appropriate for the nurse to take?
Answer: A
Explanation:
The most appropriate action for the PNP is to educate the patient on the appeal process and provide resources for filing an appeal. This may involve providing information on the appeals process, helping the patient gather documentation to support their case, and connecting them with resources such as patient advocacy groups or legal services. By actively advocating for the patient and supporting them through the appeal process, the PNP can help ensure that the patient receives the mental health treatment they need.
Advocacy is an important part of the role of the psychiatric nurse practitioner. In this scenario, the PNP should take steps to advocate for the patient and help them access the mental health treatment they need. Referring the patient to a different provider may not be the most appropriate solution if the patient has established a rapport with the current provider. Similarly, contacting the insurance company directly may not be effective, as the company may have specific processes in place for appeals.
NEW QUESTION # 1350
Decreased levels of calcium can cause which of the following?
Answer: D
Explanation:
Decreased levels of calcium can cause acute renal failure.
Increased levels of calcium can cause acidosis, Addison's disease, and hyperthyroidism.
NEW QUESTION # 1351
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