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| Section | Objectives |
|---|---|
| Diagnosis and Management of Psychiatric Disorders | - Mood Disorders - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Personality Disorders - Psychotic Disorders |
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
| Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Scientific Foundations | - Research and Evidence-Based Practice - Pathophysiology and Psychopathology - Psychopharmacology |
| Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Patient Safety and Quality Improvement - Ethical Decision-Making |
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NEW QUESTION # 821
All family systems operate with a set of overt or covert rules, and different types of boundaries can exist within a family in therapy. Which type of family boundary creates enmeshment and parentification of the children when present?
Answer: C
Explanation:
Boundaries within a family system that are not clearly defined are considered diffuse. Ideally, the family system has clearly defined boundaries that allow individuals to feel unique, belong, and loved.
Diffuse boundaries occur when expectations are not clear. Enmeshment and parentification of children are the results of diffuse boundaries in a family's configuration.
NEW QUESTION # 822
During the initial assessment for risk factors for an individual seeking mental health treatment, a PMHNP notes that the patient has a stressful occupation and poor nutrition. Which of the following risk factors should be documented?
Answer: C
Explanation:
Risk factors make it more likely that a person will develop a disorder and can be biological, social, or psychological. This individual has a social risk factor with a stressful occupation and a biological risk factor with poor nutrition.
A psychological risk factor could be a poor self-concept or an external locus of control.
NEW QUESTION # 823
A PMHNP is assigned an initial admission intake for a 17-year-old female with symptoms of disordered eating. She admits to recurrent episodes of binge eating over the past six months accompanied by feelings of distress, self-loathing, and distorted body perception. The PMHNP understands that the etiology of eating disorders is multi-factorial with biological, social, and psychological factors all playing a role.
In addition to social and psychological contributors, which of the following neurobiological factors should be ruled out to pinpoint causation?
Answer: D
Explanation:
Alterations of 5-hydroxytryptamine (5-HT) function may contribute to some aspects of eating disorders, such as binge eating, perfectionism, impulsivity, and mood regulation. As part of the physical exam, other medical conditions will be ruled out.
Hyperthyroidism, Crohn's disease, and substance abuse may contribute to the severity of symptoms, but they do not fit this patient's presentation.
NEW QUESTION # 824
Which of the following is an appropriate use of seclusion and restraint?
Answer: C
Explanation:
Indications for seclusion and restraint are to:
* Prevent clear, imminent harm to the patient or others
* Prevent significant disruption to the treatment program or physical surroundings
* Assist in treatment as part of ongoing behavior therapy
* Decrease sensory overstimulation
* Patient's voluntary reasonable request
Contraindications for seclusion and restraint include:
* Extremely unstable medical or psychiatric condition
* Delirious or demented patients unable to tolerate decreased stimulation
* Overtly suicidal patients
* Patients with severe drug reactions or overdoses who require close monitoring of their drug dosages
* For punishment or convenience of staff
NEW QUESTION # 825
A patient diagnosed with major depressive disorder is prescribed cognitive-behavioral therapy (CBT). Which statement by the patient indicates an understanding of CBT?
Answer: A
Explanation:
Cognitive-behavioral therapy is a type of psychotherapy that focuses on identifying and changing negative thinking patterns and behaviors contributing to mental health conditions, such as depression. CBT does not involve medication or relaxation techniques but instead uses structured and goal-oriented techniques to help individuals recognize and challenge negative thoughts and beliefs.
NEW QUESTION # 826
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