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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Ethics, Legal Principles, and Cultural Care | 17% | - Legal regulations, confidentiality, informed consent - Cultural, spiritual, and social determinants of health - Advocacy, policy, and quality improvement - Professional ethics, scope of practice, standards of care |
| Topic 2: Diagnosis and Treatment | 22% | - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions |
| Topic 3: Psychotherapy and Related Theories | 11% | - Crisis intervention and stabilization - Evidence-based psychotherapy approaches - Therapeutic frameworks and modalities - Group, family, and individual therapy principles |
| Topic 4: Scientific Foundation | 22% | - Psychopharmacology, pharmacokinetics, pharmacodynamics - Neuroanatomy, neurophysiology, neurochemistry - Genetics, epigenetics, and developmental processes - Pathophysiology of mental health disorders |
| Topic 5: Advanced Practice Skills | 27% | - Care coordination, interprofessional collaboration - Cultural competence, communication, and patient education - Screening, risk assessment, and safety evaluation - Health assessment, history taking, diagnostic reasoning |
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NEW QUESTION # 1248
Bipolar disorder is believed to be related to an increase in what neurotransmitter?
Answer: B
Explanation:
Bipolar disorder is believed to be related to an increase in glutamate. Glutamate is an excitatory amino acid neurotransmitter. While the exact connection between glutamate and bipolar disorder remains unclear, proton magnetic resonance spectroscopy studies have found increased glutamate in those with bipolar disorder compared with healthy controls. Glutamate is also implicated in seizure disorders and schizophrenia.
NEW QUESTION # 1249
A patient with bipolar disorder is admitted to a medical hospital. The internist contacts your office and asks whether the lithium you prescribed is affecting his electrocardiogram (ECG) results. How do you respond?
Answer: B
Explanation:
Lithium carbonate can cause T-wave flattening or inversion on an ECG; however, these changes are rarely clinically significant. Lithium is not likely to prolong the QT interval or shorten the PR interval.
NEW QUESTION # 1250
A PMHNP is most likely to observe client behaviors of provocation and regression in which stage of therapy?
Answer: B
Explanation:
The termination phase may be difficult for a client, and they may begin to exhibit a return of symptoms previously resolved. The client may also exhibit provocation and regression in an attempt to continue therapy. These are examples of resistance to termination of therapy.
NEW QUESTION # 1251
What term describes the interactions among individual professionals who bring their unique educational backgrounds, experiences, values, roles, and identities to a process?
Answer: D
Explanation:
Interprofessional collaboration describes the interactions among individual professionals who bring their unique educational backgrounds, experiences, values, roles, and identities to a process.
Health alliance typically refers to specific, structured organizational collaboration. A healthcare team is a group of providers in which collaboration should occur. Interdependent practice refers to a practice where providers rely on other providers but does not necessarily indicate collaboration.
NEW QUESTION # 1252
A 17-year-old male patient with autism and bipolar disorder has been prescribed Depakote for the management of severe aggression toward himself and others. Since he started Depakote, these behaviors have decreased, but the patient now presents with daytime fatigue and lethargy. Blood work reveals therapeutic Depakote levels but high ammoni a. Adding the Depakote resulted in a significant decrease in aggression and was thought to be overall helpful.
What action could be taken to mitigate the elevated ammonia and retain the benefits of the Depakote?
Answer: C
Explanation:
Valproic acid can create elevated ammonia levels, which can provoke symptoms ranging from fatigue to coma. When valproic acid levels are therapeutic and thought to be helpful for prescribed symptoms, the addition of l-carnitine can help lower ammonia levels. If this intervention is not effective, the dose may need to be reduced, or the medication may need to be stopped.
NEW QUESTION # 1253
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