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| Section | Objectives |
|---|---|
| Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Mood Disorders - Substance Use Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders |
| Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Patient Safety and Quality Improvement - Ethical Decision-Making |
| Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
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NEW QUESTION # 549
Which of the following statements is most likely to be a goal of existential therapy?
Answer: A
Explanation:
Existential therapy was originated by Viktor Frankl. The approach encourages reflection on life and self-confrontation. This therapy emphasizes accepting freedom and making responsible choices. Existential therapy purports that the basic dimension of humans includes finding meaning and purpose in life. The goals of this therapy are to live authentically and focus on personal responsibility.
The primary goal of interpersonal therapy is to solve interpersonal or relationship distress. A goal of dialectical behavioral therapy is to increase accurate communication of emotions. The main goal of psychoanalytic therapy is to understand how past development impacts one's behavior.
NEW QUESTION # 550
An Asian woman is brought to the emergency room by her husband with flu-like symptoms and a purplish rash "that is spreading." The patient reports having a fever, a sore throat, and burning eyes for the past two days, and the rash has just started and appears to be getting worse. The emergency room is full of patients with flu-like symptoms.
During the triage intake and review of current medications and medical history, which of the following medications and diagnoses would immediately be a priority?
Answer: B
Explanation:
Individuals of Asian descent are at increased risk of developing Stevens-Johnson syndrome when prescribed carbamazepine. The FDA requires testing for the HLA-B allele prior to prescribing carbamazepine to patients of Asian descent.
NEW QUESTION # 551
While working in the emergency room, the nurse admits a 4 year old male patient with multiple bruises. The nurse/physician suspects that there may be child abuse. Which of the following actions should the nurse/physician take?
Answer: A
Explanation:
When a nurse or physician in an emergency room encounters a child with signs of potential abuse, such as multiple bruises that are unexplained or suspicious, they are faced with several possible actions. However, the most appropriate and legally mandated action is to report the incident immediately to the appropriate state agency responsible for child welfare.
The reason this action is critical is due to mandatory reporting laws that exist in all states in the U.S., which require healthcare professionals to report any suspicions of child abuse or neglect to state authorities. This legal requirement is designed to protect children, who are among the most vulnerable members of society, from harm. Failing to report can not only potentially result in continued harm to the child but can also lead to legal consequences for the healthcare professional.
Other options might seem rational or compassionate at first glance but do not fulfill the legal or ethical obligations of healthcare providers. For instance, discussing the issue directly with the parent and warning them against abusing the child does not ensure the child's safety and might even escalate the risk to the child if the parent is indeed abusive. Moreover, it could interfere with official investigations by alerting the suspected abuser.
Similarly, sending the family home with literature on child abuse, while potentially educational, does not address the immediate risk to the child or fulfill the healthcare provider's duty to report the abuse. This action could result in crucial delays in intervention, during which the child remains in a potentially dangerous environment.
Choosing "None of the above" fails to acknowledge the necessity of reporting and the urgency of the situation, disregarding the professional responsibility and the welfare of the child.
Therefore, the correct and most responsible action is to report the incident immediately to the appropriate agency as specified by state law. This ensures that the case is evaluated by professionals specialized in child welfare, who can take the necessary steps to protect the child and investigate the situation thoroughly. The welfare and safety of the child must always be the primary concern, and confidentiality concerns are secondary in cases where a child's safety is at risk.
NEW QUESTION # 552
You are a nurse practitioner treating a seven-year-old male. His mother brings him in for his initial appointment, stating, "My son's teacher is concerned because he is not able to finish his in-class schoolwork. I just don't know what to do." You suspect the client may have attention deficit hyperactivity disorder (ADHD), but you need more information. Per the mother, the patient often fidgets in his seat, gets distracted easily, is extremely disorganized, and has a difficult time remembering to turn in his classwork.
Which of the following symptoms is most indicative of hyperactivity?
Answer: A
Explanation:
Hyperactive and impulsive traits of ADHD are as follows:
* Fidgets
* Leaves seat
* Runs or climbs
* Is unable to engage in quiet activities
* Is always on the go
* Talks excessively
* Blurts out information
* Has a difficult time waiting their turn
* Interrupts others
Inattentive traits of ADHD include all of the following:
* Fails to give attention to details
* Has difficulty sustaining attention
* Does not listen when spoken to
* Does not follow through on instructions
* Is disorganized
* Avoids or dislikes tasks that require sustained mental effort
* Loses things
* Is distracted
* Is forgetful
NEW QUESTION # 553
The federal government offered financial awards to encourage hospitals to implement meaningful use. Which of the following is least likely to be the outcome of this incentive program?
Answer: B
Explanation:
The federal government offered financial awards to encourage hospitals to implement meaningful use. The incentive program required hospitals to demonstrate:
* Effective data capturing and sharing
* Technologically advanced clinical processes
* Improved patient outcomes
NEW QUESTION # 554
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