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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 43% | - Clinical Management
|
| Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Professional Role and Policy | 14% | - Healthcare Policy
|
| Scientific Foundation | 19% | - Psychopathology
|
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NEW QUESTION # 1019
You are a new nurse practitioner opening a clinic specifically to treat children and adolescents. You have an initial evaluation appointment today with the mother of a 15-year-old who is concerned about her daughter's severe weight loss and frequent blackouts. The mother indicates that her daughter is fixated on caloric intake and exercising. The patient endorses that she has not had her menstrual period for eight months.
To further understand the progression of a potential eating disorder, you order labs and want to pay specific attention to what?
Answer: D
Explanation:
This patient is presenting with a history of severe weight loss, halted menstrual periods, and blacking out. An important part of the assessment is to check the patient for anemia.
Other lab changes to assess for in patients with eating disorders include the following:
* Leukopenia
* Neutropenia
* Thrombocytopenia
* Hypokalemia
* Hypomagnesemia
* Hypoglycemia
* Decreased LH and FSH
Cardiomyopathy (enlarged heart muscle), Wolff-Parkinson-White syndrome, and increased HDL and LDL are not relevant key findings in eating disorders.
NEW QUESTION # 1020
In the United States, what percent of the homeless population has co-occurring substance use disorders and serious mental illness?
Answer: B
Explanation:
Approximately 50% of the homeless population in the United States has a substance use disorder co-occurring with serious mental illness. Schizophrenia affects 15% to 45% of homeless persons in the United States.
NEW QUESTION # 1021
A PMHNP is assigned an initial admission intake for a 17-year-old female with symptoms of disordered eating. She admits to recurrent episodes of binge eating over the past six months accompanied by feelings of distress, self-loathing, and distorted body perception. The PMHNP understands that the etiology of eating disorders is multi-factorial with biological, social, and psychological factors all playing a role.
In addition to social and psychological contributors, which of the following neurobiological factors should be ruled out to pinpoint causation?
Answer: C
Explanation:
Alterations of 5-hydroxytryptamine (5-HT) function may contribute to some aspects of eating disorders, such as binge eating, perfectionism, impulsivity, and mood regulation. As part of the physical exam, other medical conditions will be ruled out.
Hyperthyroidism, Crohn's disease, and substance abuse may contribute to the severity of symptoms, but they do not fit this patient's presentation.
NEW QUESTION # 1022
In forensic nursing, which of the following is the basis of the nurse-client relationship?
Answer: C
Explanation:
In forensics, the nurse-client relationship is based on the crime committed and the investigational aspects of the interaction. This basis of the relationship is not focused on diagnosing or providing care for the patient outside of the investigation of the crime.
NEW QUESTION # 1023
The PMNHP is considering the best psychotropic treatment for a patient. Which of the following best describes the role of serotonin in depression and anxiety?
Answer: D
Explanation:
Serotonin is a neurotransmitter that is widely believed to play a role in regulating mood, anxiety, and other emotional states. In individuals with depression and anxiety, it is commonly thought that there is a serotonin deficiency in the brain. This deficiency may lead to various symptoms, including low mood, decreased motivation, sleep disturbances, and increased anxiety.
Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), are designed to increase the availability of serotonin in the brain and are widely used to treat depression and anxiety.
NEW QUESTION # 1024
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