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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnosis and Treatment | 43% | - Treatment Planning
|
| Topic 2: Professional Role and Policy | 14% | - Collaboration and Consultation
|
| Topic 3: Scientific Foundation | 19% | - Psychopathology
|
| Topic 4: Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
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NEW QUESTION # 445
A PMHNP is working with a patient struggling with smoking addiction who tends to be pessimistic and sarcastic. In which of Freud's psychosexual stages of development is this patient likely stuck?
Answer: D
Explanation:
Sigmund Freud's psychosexual stages of development describe how personality and behavior are shaped during childhood. According to Freud, each stage is characterized by a primary erogenous zone that is associated with specific conflicts and experiences.
The oral stage is the first stage of development, which occurs from birth to 18 months, and is focused on the mouth and the act of sucking. Failure to resolve the conflicts of this stage can lead to fixation or a preoccupation with associated activities and behaviors.
NEW QUESTION # 446
Which of the following is considered a potential conflict of interest?
Answer: A
Explanation:
A conflict of interest is a situation in which a person's financial, professional, or personal situation may affect or appear to affect the person's judgment in professional responsibilities. This includes healthcare decisions, research, and other matters, with the potential for personal or professional gain or advantage or disadvantage.
NEW QUESTION # 447
For which reason do anxious patients initially seek treatment?
Answer: B
Explanation:
Patients often seek treatment when they experience nonspecific cardiac-related symptoms such as chest pain, numbness, tingling, or shortness of breath. An inability to sleep, worry, and anxiety over losing a job are all symptoms of anxiety but do not cause a patient to seek treatment as frequently as cardiac-related symptoms.
NEW QUESTION # 448
A PMHNP is caring for a 17-year-old girl who is experiencing gradually worsening neuropsychiatric symptoms of apathy, irritability, and an inability to sleep. She reports she is also experiencing skin problems, tingling in her hands and feet, and diarrhe a. The patient reports a normal appetite and has followed a raw vegan diet for over a year. Which nutritional deficiency should the PMHNP first rule out based on the presenting symptoms and diet?
Answer: A
Explanation:
A nutritional deficiency of niacin (nicotinic acid) and its precursor tryptophan is sometimes seen in association with vegetarian or vegan diets. Niacin deficiency presents with both neuropsychiatric and medical symptoms, which can include irritability, apathy, diarrhea, and paresthesias.
Thiamine deficiency is most commonly associated with chronic alcohol abuse. Vitamin B12 or cobalamin deficiency has neurological symptoms, which include apathy, depression, and irritability, but without notable medical symptoms as the patient described. It is rare to have pantothenic acid or vitamin B5 deficiency in the United States.
NEW QUESTION # 449
The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. Which of the following options provides the weakest evidence?
Answer: B
Explanation:
Evidence-based practice demands the use of the best knowledge. The evidence hierarchy ranks sources of knowledge according to the strength of the information they provide. The best evidence comes from Level 1 of the evidence hierarchy, and the weakest evidence comes from Level 7. Level 7 includes the opinions of authorities and expert committees.
* Level 1 (strongest): Systematic review of randomized controlled trials or systematic review of nonrandomized trials
* Level 2: Single randomized controlled trial or single nonrandomized trial
* Level 3: Systematic review of correlational or observational studies
* Level 4: Single correlational or observational study
* Level 5: Systematic review of descriptive, qualitative, or physiologic studies
* Level 6: Single descriptive, qualitative, or physiologic study
* Level 7 (weakest): Opinions of authorities and expert committees
NEW QUESTION # 450
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