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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 43% | - Treatment Planning
|
| Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
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NEW QUESTION # 749
A 33-year-old female is diagnosed with panic disorder and started on clonazepam. What is the recommended dose?
Answer: B
Explanation:
The correct way to prescribe clonazepam for panic disorder is to start with 0.25 mg/day and titrate up to 1 mg/day after three days.
NEW QUESTION # 750
A 60-year-old patient with schizophrenia arrives in your office for a routine medication check. He has been treated with haloperidol (Haldol) and benztropine (Cogentin) for the past 25 years. About one and a half years ago, he developed some lip-smacking and tongue protrusions that did not bother him. Today, he presents with odd, irregular arm movements.
What syndrome accurately describes these symptoms?
Answer: C
Explanation:
This patient's presentation is most likely tardive dyskinesia, a movement disorder that can occur after long-term use of antipsychotic medication like haloperidol (Haldol). It is characterized by abnormal motor movements including lip smacking, facial grimacing, and choreoathetosis-like movements of the limbs and trunk.
Anticholinergic toxicity would be accompanied by delirium. Meige syndrome is an oral-facial dystonia that involves blinking and chin thrusting. Sydenham chorea is associated with rheumatic fever and occurs in children.
NEW QUESTION # 751
What statement most accurately defines an insurance benefit?
Answer: C
Explanation:
The benefit is the amount the insurance company pays when the insured suffers a loss.
A claim is a request to the insurance company to pay benefits for a loss. Pre-approval is the requirement set forth by an insurance company to approve certain care before it is provided. Denying the claim is when an insurance company does not pay a bill because certain required conditions were not met.
NEW QUESTION # 752
A nurse is assessing a patient for akathisia and uses the Barnes Akathisia Rating Scale. Which of the following scores on the Barnes Akathisia Rating Scale indicates the presence of severe akathisia?
Answer: C
Explanation:
The Barnes Akathisia Rating Scale is a commonly used tool for evaluating the presence and severity of Akathisia, a condition characterized by inner restlessness and an urge to move. A score of 5-7 on the Barnes Akathisia Rating Scale indicates the presence of moderate to severe Akathisia.
A score of 0 on the Barnes Akathisia Rating Scale indicates the absence of Akathisia, while scores of 1-2 indicate mild Akathisia. Scores of 3-4 indicate moderate Akathisia. The nurse should consider the patient's symptoms and the results of the Barnes Akathisia Rating Scale when making a diagnosis of Akathisia and determining the appropriate treatment plan.
NEW QUESTION # 753
A PMHNP is conducting an assessment of a patient with anxiety disorder. Which of the following clarifying techniques can the PMHNP use during the assessment to promote effective communication?
Answer: A
Explanation:
Restating is a clarifying technique that involves repeating the patient's message back to them in different words. This technique can help the PMHNP to confirm their understanding of the patient's message and to clarify any potential misunderstandings. It can also help the patient feel heard and understood. Restating is an effective clarifying technique that can be used in various stages of the assessment process to promote effective communication.
Interpreting involves providing the patient with an explanation or interpretation of their message. This technique can be useful in some situations but can also be perceived as dismissive or judgmental by the patient, especially if their message is complex or multifaceted.
Advising involves providing the patient with suggestions or advice, which can be helpful in some situations but can also be perceived as dismissive or prescriptive, and may not promote effective communication or encourage the patient to participate actively in their care.
Judging involves evaluating the patient's message and providing a positive or negative assessment. This technique can be perceived as dismissive or confrontational by the patient and may damage the therapeutic relationship. It is not an effective clarifying technique for promoting effective communication during an assessment.
NEW QUESTION # 754
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