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| Section | Objectives |
|---|---|
| Topic 1: Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
| Topic 2: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
| Topic 3: Diagnosis and Management of Psychiatric Disorders | - Psychotic Disorders - Mood Disorders - Substance Use Disorders - Personality Disorders - Anxiety and Trauma-Related Disorders |
| Topic 4: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Topic 5: Scientific Foundations | - Psychopharmacology - Pathophysiology and Psychopathology - Research and Evidence-Based Practice |
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질문 # 79
A nurse practitioner working in primary care sees a patient with Medicare insurance. She conducts a few diagnostic tests and refers the patient to physical therapy. Which part of the Medicare program would cover the costs of these diagnostic tests and physical therapy services?
정답：D
설명：
Diagnostic tests and physical therapy services are covered under Part B of the Medicare program.
The Medicare program has four parts: Part A, Part B, Part C, and Part D.
* Part A: Coverage for hospitalization (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to six months for terminally ill), and some home health care
* Part B: Coverage for ambulatory practitioner service; physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some preventative care
* Part C: Optional coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage plan
* Part D: Optional coverage for outpatient pharmaceuticals
질문 # 80
Mr. Thomas comes to the NP with a concern that since his father is an alcoholic that he will also become an alcoholic. Which of the following statements might the NP correctly make to Mr. Thomas?
정답：C
설명：
The question presented here involves a discussion with Mr. Thomas, a patient who is concerned about his potential for developing alcoholism due to his father's history with the condition. The nurse practitioner (NP) is expected to respond with an accurate statement regarding the genetic predisposition and risk factors of alcoholism.
The first statement suggests that children of alcoholics are three times more likely to become alcoholics themselves, which is supported by multiple studies that have found a significantly higher incidence of alcoholism among biological offspring of alcoholic parents. This correlation exists regardless of whether the child was raised by their biological parents or nonalcoholic surrogate parents.
The second statement contradicts the first, suggesting that biological offspring of alcoholic parents do not have a significantly higher incidence of alcoholism. This is incorrect based on the aforementioned studies and is not a correct statement the NP should make.
The third statement once again affirms the higher risk of alcoholism for children of alcoholics, but includes a caveat that this is only true if they were raised by their biological parents. This is also incorrect, as studies have shown the increased risk holds true even if the child was raised by nonalcoholic surrogate parents.
The fourth statement is "none of the above," which is not a correct answer in this case as the first statement accurately reflects the findings of relevant studies.
The fifth statement reiterates that children of alcoholics are indeed three times more likely to become alcoholics themselves. This statement is correct and is something the NP could accurately tell Mr. Thomas to address his concerns.
In conclusion, the NP should inform Mr. Thomas that while his risk may be higher due to his father's history with alcoholism, it does not guarantee that he will develop the condition. Other factors like environmental influences and personal choices also play crucial roles in the development of alcoholism.
질문 # 81
According to Sigmund Freud, which of the following statements is least likely to be true regarding the oral stage of psychosexual development?
정답：C
설명：
Freud's stages of psychosexual development:
* Oral: birth to 12-18 months
* Anal: 12-18 months to 3 years
* Phallic: 3 to 5-6 years
* Latency: 5-6 years to adolescence
* Genital: adolescence to adulthood
Gratification is attained through withholding feces during the anal stage, not the oral stage, of psychosexual development.
The oral stage is the earliest stage of psychosexual development. During the oral stage, gratification is sought through sucking, eating, biting, and mouthing objects. Successful resolution of this stage results in the capacity to give and receive from others without excessive dependence or envy. This stage coincides with Erik Erikson's psychosocial stage of development called Trust vs. Mistrust.
질문 # 82
According to Freud, during what psychosexual stage of development do children identify with the same-sex parent?
정답：D
설명：
Freud's stages of psychosexual development include the following:
1. Oral: birth to 12-18 months
2. Anal: 12-18 months to 3 years
3. Phallic: 3 to 5-6 years
4. Latency: 5-6 years to adolescence
5. Genital: adolescence to adulthood
According to Freud, during the phallic stage of psychosexual development, children identify with their same-sex parent as they come to terms with the oedipal conflict. Freud believed that the penis is the organ of principal interest to both males and females during this phase. This phase is also associated with unconscious fantasies of sexual involvement with the opposite-sex parent and guilt over oedipal wishes.
질문 # 83
Which of the following is least likely to play a role in the development of oppositional defiant disorder?
정답：A
설명：
Oppositional defiant disorder etiology has its foundation in the following situations:
* Temperament
* Parents who model extreme ways of expressing emotions
* Trauma
* Unresolved conflicts
질문 # 84
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