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| Section | Objectives |
|---|---|
| Topic 1: Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Patient Safety and Quality Improvement - Ethical Decision-Making |
| Topic 2: Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Topic 3: Diagnosis and Management of Psychiatric Disorders | - Mood Disorders - Psychotic Disorders - Personality Disorders - Substance Use Disorders - Anxiety and Trauma-Related Disorders |
| Topic 4: Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Topic 5: Scientific Foundations | - Research and Evidence-Based Practice - Psychopharmacology - Pathophysiology and Psychopathology |
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NEW QUESTION # 103
A person presents in the ER with their elderly mother with concerns that she is having a medication reaction after recently starting a new blood pressure pill. The patient does not appear to understand what is being said to her, although she appears to be able to speak normally. They also describe auditory and visual hallucinations, and the patient seems overly emotional.
Based on PMHNP's understanding of neuroanatomy, which of the following would be the most probable cause?
Answer: A
Explanation:
A stroke in the temporal lobe of the cerebral cortex could impact Wernicke's area, which functions as receptive speech and language comprehension. Problems in the temporal lobe can impact emotions and lead to auditory and visual hallucinations.
A stroke in the frontal lobe and Broca's area would more likely result in speech difficulty and not receptive understanding.
A concussion or acute delirium would be unlikely to affect language comprehension, and acute delirium is not likely to develop due to a new antihypertensive medication.
NEW QUESTION # 104
Which phase of therapy involves health monitoring and symptom management as prominent goals?
Answer: B
Explanation:
There are three phases of therapy: orientation, working/treatment, and termination.
The working phase includes prioritizing goals, health monitoring, symptom management, and learning coping skills. Orientation involves identifying goals, establishing boundaries, and setting expectations. Termination consists of summarizing progress and care, identifying signs of relapse, and referrals for follow-up care.
NEW QUESTION # 105
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: C
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 # 106
When prescribing psychotropic medication to an elderly patient, the nurse practitioner understands and incorporates what information in patient education?
Answer: B
Explanation:
Elderly patients who are prescribed psychotropic medication have a higher risk of falls. Most of the fall risk is associated with the side effects of sedation, dizziness, and postural hypotension. New-generation medications produce fewer side effects and have less fall risk.
NEW QUESTION # 107
Which of the following has been removed from the DSM-5 as a circadian rhythm sleep-wake disorder?
Answer: C
Explanation:
Circadian rhythm sleep-wake disorders are characterized by a mismatch between a person's biological clock and the environment. There are five subtypes:
* Delayed sleep phase type: falling asleep and waking later than desired
* Advanced sleep phase type: falling asleep and waking earlier than desired
* Irregular sleep-wake type: falling asleep and waking at random times
* Non-24-hour sleep-wake type: falling asleep and usually waking progressively later than desired
* Shift work type: sleepiness associated with changes in work schedule
Jet lag refers to feeling sleepy or "hungover" after crossing time zones. It is no longer considered a sleep disorder by the DSM-5.
NEW QUESTION # 108
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