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| Section | Objectives |
|---|---|
| Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Mood Disorders - Anxiety and Trauma-Related Disorders - Personality Disorders - Psychotic Disorders |
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
| 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 # 185
Regarding assessment skills and advanced health and physical assessments, a PMHNP has a supportive role and ensures which of the following?
Answer: C
Explanation:
A PMHNP specifically focuses on assessing for disorders or conditions that explain client presentations of psychiatric disorders and those that may mimic a psychiatric illness.
Although each PMHNP has been trained in advanced assessment skills, it is advised that intrusive exams be avoided.
Although psychiatric patients are more prone not to visit primary care providers, a PMHNP should always refer the client out for non-psychiatric treatment and always support the necessity of establishing care with a primary care provider.
All PMHNP providers should be competent in performing in-depth neurological exams.
NEW QUESTION # 186
According to Piaget's stages of cognitive development, which of the following statements is more likely to be true during middle childhood, not adolescence?
Answer: B
Explanation:
According to Piaget, the cognitive-spatial concept of reversibility develops during middle childhood, not adolescence.
Piaget's stages of cognitive development are:
1. Infancy (birth to 2 years): Sensorimotor
2. Early Childhood (2 to 5 years): Preoperational
3. Middle Childhood (6 to 11 years): Concrete operational
4. Adolescence (11 to 19 years): Formal operational
During the formal operational stage, adolescents develop the following cognitive-spatial concepts:
* Hypothetical-deductive reasoning: quick to think of excuses
* Imaginary audience: feel as though everyone is looking at them
* Personal fable: inflated opinion of themselves
* Propositional thinking: can think of many possibilities
NEW QUESTION # 187
You are a nurse practitioner treating a victim of intimate partner violence. Your client had been in an abusive relationship for over 10 years prior to the perpetrator being arrested and jailed. To better establish a diagnosis, you need more information and decide to perform a mental status exam on the client.
Which of the following findings is least likely to be indicative of abuse?
Answer: B
Explanation:
Clients who have been abused typically do not have aggressive traits and behaviors.
Mental status exam findings and the traits and behaviors suggestive of experiencing abuse are as follows:
* Fearfulness
* Evasiveness
* Being guarded
* Depression
* Passiveness
* Dependence
NEW QUESTION # 188
A nurse practitioner is caring for a young female patient who is presenting with symptoms of disorganized perception and heightened motor responses. The patient is accompanied by her parents, who are extremely concerned that "she's on something." A brief interview reveals the patient is usually quiet and a "good girl." She is studying for midterms at school and is working toward a music scholarship. What does the nurse practitioner need to understand about anxiety to determine the best course of action for this patient?
Answer: A
Explanation:
Patients with anxiety can have disorganized perception, impaired judgment, and memory issues. They can also have physical and motor symptoms such as twitches and generalized restlessness.
Anxiety can be normal, but severe anxiety is suggested when the patient's reaction is disproportionate to the event and significantly impairs the individual's ability to function in their normal life. When anxiety is severe, it can affect the autonomic nervous system, causing physical symptoms. Pathological anxiety requires professional mental health intervention. The recommendations for improved self-care and outpatient treatment are valid, but at this point, they would not be the first course of action for the nurse practitioner.
NEW QUESTION # 189
Which medication might cause a false-positive urine drug screen for benzodiazepines?
Answer: B
Explanation:
Some medications can cause a false urinary drug screen result. If a patient is taking sertraline at the time of a drug screen, they may falsely test positive for benzodiazepines.
If the patient is taking amoxicillin or NSAIDs, they may falsely test positive for cocaine. If a patient is taking codeine, they may falsely test positive for methadone or PCP.
NEW QUESTION # 190
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