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| Section | Objectives |
|---|---|
| Topic 1: Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Anxiety and Trauma-Related Disorders - Mood Disorders - Substance Use Disorders - Personality Disorders - Psychotic Disorders |
| Topic 3: Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Topic 4: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Patient Safety and Quality Improvement - Scope of Practice and Regulations |
| Topic 5: Advanced Practice Skills | - Treatment Planning - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis |
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NEW QUESTION # 781
A 53-year-old Caucasian man presents with a diagnosis of schizoid personality disorder. According to Erik Erikson, failure to resolve which psychosocial stage is associated with the development of this psychopathology?
Answer: A
Explanation:
Failure to successfully resolve the psychosocial stage of Intimacy vs. Isolation is associated with the development of schizoid personality disorder.
Erik Erikson's stages of psychosocial development:
* Trust vs. Mistrust: birth to 12-18 months
* Autonomy vs. Shame and Doubt: 12-18 months to 3 years
* Initiative vs. Guilt: 3 to 5-6 years
* Industry vs. Inferiority: 5-6 years to adolescence
* Identity vs. Role Confusion: adolescence to adulthood
* Intimacy vs. Isolation: adulthood
* Generativity vs. Stagnation: middle adulthood
* Ego Integrity vs. Despair: late adulthood
Failure to resolve the Generativity vs. Stagnation stage is associated with the development of a mid-life crisis. Failure to resolve the Industry vs. Inferiority stage is associated with creative inhibition. Failure to resolve the Initiative vs. Guilt stage is associated with conversion disorder, phobias, and psychosomatic disorders.
NEW QUESTION # 782
Which of the following statements is incorrect regarding a person's culture?
Answer: B
Explanation:
Race, not culture, is a concept by which human beings are grouped primarily by physiognomy.
Culturally competent care includes the following concepts:
* Culture has learned beliefs and behaviors
* Culture includes inherited characteristics such as racial, social, ethnic, and religious beliefs
* Cultures have syndromes that are not necessarily linked to psychiatric illnesses
* Culture can be influenced by the following:
* Family
* Ethnicity
* Community
* Environment, such as:
* Climate
* Social contacts
* Housing and surroundings
* Altitude
* Temperature
* Air pollution
* Fluoride in the water
* Water quality
* Crime
* Poverty
* Transportation available
NEW QUESTION # 783
Rett syndrome is known as the development of specific deficits following a period of normal functioning after birth. You are a nurse practitioner assessing a new six-year-old female patient. You pay close attention to her mental status and perform a mental status exam. Which of the following findings is least expected with Rett syndrome?
Answer: C
Explanation:
Children with Rett syndrome present with the following:
* Flat or blunted affect
* Impairment of expressive and receptive language
* Stereotypic hand movements
Hyperactivity is a characteristic of children presenting with ADHD, not Rett syndrome.
NEW QUESTION # 784
Which of the following statements about the development and course of obsessive-compulsive disorder by a nursing student would require correction?
Answer: A
Explanation:
In obsessive-compulsive disorder (OCD), males have an earlier age of onset. Up to 25 percent of males with OCD are diagnosed before they turn 10 years old. Onset in childhood often indicates that it will be a lifelong illness.
For OCD, the mean age of onset is 19.5 years, and onset after the age of 35 is very rare. Overall, females are affected at a slightly higher rate than males. The 12-month prevalence of OCD in the United States is 1.2%.
NEW QUESTION # 785
The family of a young adult male who has been diagnosed with schizophrenia wants to know if he has a good prognosis for dealing with this disorder. The psychiatric mental health nurse practitioner tells them that each of the following is an indicator of a good prognosis except for:
Answer: A
Explanation:
When evaluating the prognosis for a young adult male diagnosed with schizophrenia, various factors can influence the likely outcome of his condition. A psychiatric mental health nurse practitioner may consider several indicators that suggest a more favorable prognosis. These include good educational attainment, a clear precipitant of the illness, and no family history of schizophrenia.
Good educational attainment is often correlated with better functional outcomes in schizophrenia. Higher education levels can be linked to higher cognitive functioning, which might enable the individual to better manage the symptoms of schizophrenia. Cognitive abilities can play a significant role in how well a person can adhere to treatment plans and engage in therapy effectively.
A clear precipitant of the illness means that the onset of schizophrenia can be linked to a specific event or set of circumstances. This can sometimes facilitate a more targeted treatment approach. For example, if the onset of psychosis was triggered by a highly stressful event, addressing this stressor could be crucial in the treatment and management of the illness. Understanding the triggers can also help in avoiding or managing them in the future to prevent relapses.
Having no family history of schizophrenia is generally considered a positive prognostic factor. Genetic factors play a significant role in schizophrenia, and a lack of family history might suggest a lower genetic loading, which could potentially translate to a milder form of the disease or a better response to treatment.
However, being single is generally not seen as a positive prognostic indicator in schizophrenia. Social support is crucial for managing schizophrenia. Being married or having a stable partner often provides emotional support, helps with adherence to treatment, and can offer a degree of social normalization and motivation for engagement in broader social contexts. In contrast, being single might limit these aspects of support, potentially leading to poorer outcomes.
Therefore, when the nurse practitioner assesses the prognosis of schizophrenia in this young adult, each of the factors mentioned - good educational attainment, a clear precipitant, and no family history of schizophrenia - are positive signs. However, being single might not contribute positively to his prognosis. Instead, enhancing his social support network, possibly through community engagement or therapeutic group activities, could be beneficial in improving his overall outcome.
NEW QUESTION # 786
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