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| Section | Weight | Objectives |
|---|---|---|
| Professional Role and Policy | 14% | - Collaboration and Consultation
|
| Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Diagnosis and Treatment | 43% | - Treatment Planning
|
| Advanced Practice Skills | 24% | - Psychopharmacology
|
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NEW QUESTION # 58
A 51-year-old Malaysian man with depression is in an inpatient psychiatric unit for being a danger to himself and others. He argues with another male patient and immediately retreats to his room, becomes depressed and withdrawn, and then bursts into anger and runs out of his room toward the other patient, threatening the patient's life.
What is the most likely culturally related explanation for this man's sudden changes in behavior?
Answer: D
Explanation:
In Malaysian culture, amok is a culture-bound syndrome mostly affecting males. Amok can be described as a period of depression that is followed by angry outbursts that can be homicidal. It is usually caused by a perceived insult.
NEW QUESTION # 59
Which of the following is a non-stimulant that is FDA-approved for the treatment of ADHD in children?
Answer: A
Explanation:
The FDA has approved both stimulants and non-stimulants for the treatment of ADHD in children.
The following medications are FDA-approved but are not classified as stimulants:
* Strattera (atomoxetine)
* Intuniv (guanfacine)
* Kapvay (clonidine)
The following are stimulants:
* Adderall (amphetamine salts)
* Dexedrine (dextroamphetamine)
Wellbutrin XL (bupropion) is an NDRI (norepinephrine and dopamine reuptake inhibitor) but is indicated in the treatment of ADHD in adults.
NEW QUESTION # 60
A patient with bipolar disorder is prescribed aripiprazole (Abilify). What is the rationale for using this medication to treat bipolar disorder?
Answer: B
Explanation:
Abilify (aripiprazole) is classified as an atypical or second-generation antipsychotic medication. Atypical antipsychotics are a class of drugs that are primarily used to treat psychiatric conditions such as schizophrenia, bipolar disorder, and major depressive disorder. They are called "atypical" because they have a different pharmacological profile compared to older, typical antipsychotics.
Aripiprazole is an atypical antipsychotic medication that is effective in the treatment of bipolar disorder. It works by modulating the activity of dopamine and serotonin in the brain, which can help stabilize mood and prevent manic and depressive episodes.
NEW QUESTION # 61
If evidence based practice suggests that a GPS can help keep track of patients with dementia and your unit spends time every day looking for patients who wander away from their rooms, what might be considered before implementing the program?
Answer: A
Explanation:
**Resource Stewardship** Resource stewardship refers to the responsible management and use of resources. In a healthcare setting, this encompasses efficiently using resources such as time, staff, equipment, and technology to improve patient care while minimizing waste. When considering the implementation of a GPS tracking system for patients with dementia, it is crucial to evaluate whether this technology aligns with effective resource use. Does the program maximize patient safety and staff efficiency without excessively drawing on hospital resources? These questions relate to resource stewardship but are distinct from conducting a thorough cost benefit analysis, which quantifies these considerations in financial terms.
**Cost Benefit Analysis** The correct answer, cost benefit analysis, directly addresses the need to evaluate the financial implications of implementing a GPS system for dementia patients. This analysis involves calculating the total costs associated with the purchase, implementation, and ongoing maintenance of the GPS systems against the potential savings from reduced staff time spent searching for wandering patients, potential reduction in incidents or accidents involving patients, and possible improvement in regulatory compliance or patient satisfaction scores. The goal is to determine whether the financial benefits (savings and value created) exceed the costs incurred. If the benefits outweigh the costs, then it would be financially justifiable to proceed with the program.
**Marketing** Marketing considerations involve the promotion and communication strategies within and possibly outside the healthcare facility. For the GPS tracking system, marketing might involve internal campaigns to educate staff and patients' families about the new system and its benefits, thereby ensuring smooth adoption and optimal usage. While important for the success of the program, marketing does not directly address the financial analysis of costs versus benefits, which is central to the decision-making process in this scenario.
**Anticipatory Planning** Anticipatory planning involves preparing for future needs and potential scenarios to ensure sustainable operations. In the context of implementing a GPS system for patients with dementia, anticipatory planning would look at the long-term impacts of this technology, such as the need for upgrades, scalability of the solution as patient numbers grow, and integration with other systems. This type of planning is crucial for the success and longevity of the program but, similar to resource stewardship, is more about strategic alignment and less about the immediate financial evaluation that a cost benefit analysis provides.
In conclusion, while resource stewardship, marketing, and anticipatory planning are all important aspects to consider when implementing a new program, the decision to proceed with a GPS tracking system for patients with dementia primarily rests on a detailed cost benefit analysis. This analysis provides a clear financial perspective on whether the anticipated benefits justify the investment, making it the most direct and relevant approach to answering the question.
NEW QUESTION # 62
Which of the following is not a pre-trauma risk factor for a child developing PTSD?
Answer: D
Explanation:
Common pre-trauma risk factors include instability at home (through divorce, separation, or parental death), race, and education level. All genders are equally susceptible to experiencing trauma.
NEW QUESTION # 63
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