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| Section | Weight | Objectives |
|---|---|---|
| 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 |
| Diagnosis and Treatment | 22% | - Differential diagnosis across lifespan - Biological, environmental, and lifestyle interventions - Pharmacological management and monitoring - Diagnostic classification systems (DSM-5, ICD-10) |
| Ethics, Legal Principles, and Cultural Care | 17% | - Advocacy, policy, and quality improvement - Legal regulations, confidentiality, informed consent - Cultural, spiritual, and social determinants of health - Professional ethics, scope of practice, standards of care |
| Scientific Foundation | 22% | - Genetics, epigenetics, and developmental processes - Pathophysiology of mental health disorders - Neuroanatomy, neurophysiology, neurochemistry - Psychopharmacology, pharmacokinetics, pharmacodynamics |
| Psychotherapy and Related Theories | 11% | - Group, family, and individual therapy principles - Crisis intervention and stabilization - Therapeutic frameworks and modalities - Evidence-based psychotherapy approaches |
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NEW QUESTION # 885
A 21-year-old male with no previous psychiatric history arrives at the emergency department accompanied by his girlfriend. She explains that for the past six weeks, he has been acting bizarrely by talking to people who are not present and suggesting the FBI is monitoring his behavior. His vital signs and neurological exam are normal.
What is the first test you order?
Answer: B
Explanation:
This patient does not have a psychiatric history, and his symptoms have only lasted six weeks. Before diagnosing a psychiatric condition, you need to rule out the possibility that his symptoms are the effects of a substance. A urine drug screen is the first step to rule out a substance-induced psychotic disorder.
A CT scan of the brain might also be necessary but at a later time.
NEW QUESTION # 886
Signs and symptoms of Stevens-Johnson syndrome (SJS) include which of the following?
Answer: C
Explanation:
Stevens-Johnson syndrome is a rare potentially life-threatening immune reaction to a foreign antigen that can occur with exposure to any anticonvulsant drug. Treatment includes stopping the offending agent with supportive measures, often in a hospital burn unit. Signs and symptoms of SJS include facial swelling, tongue swelling, macules, papules, burning confluent erythematic rash, skin sloughing, prodromal headaches, malaise, arthralgia, and painful mucous membranes that may occur before the rash appears.
Abnormal muscle movements, blurry vision, and muscle cramps are not cardinal signs of SJS.
NEW QUESTION # 887
Tricyclic antidepressants often cause anticholinergic side effects. What is one of these side effects?
Answer: C
Explanation:
Anticholinergic side effects include dry mouth, sedation, blurred vision, fever, urinary retention, agitation, confusion, and seizures.
Orthostatic hypotension is an antiadrenergic side effect. Weight gain is an antihistaminergic side effect.
NEW QUESTION # 888
Which term is defined as a process used to protect the public by ensuring a minimum level of professional competence?
Answer: B
Explanation:
Credentialing is a process used to protect the public by ensuring a minimum level of professional competence.
Licensure is a process by which an agency of state government grants permission to individuals to engage in the practice of that profession. Licensure prohibits all unlicensed persons from engaging in a legally protected practice.
Certification is a process by which a professional organization certifies that an individual has met certain predetermined standards specified by that specialty practice. The nurse practitioner's certification determines their scope of practice, and it assures the public that they have mastered a body of knowledge in a particular medical specialty.
Registration is unrelated to this topic.
NEW QUESTION # 889
Which of the following has been removed from the DSM-5 as a circadian rhythm sleep-wake disorder?
Answer: D
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 # 890
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