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| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 24% | - Psychopharmacology
|
| Diagnosis and Treatment | 43% | - Clinical Management
|
| Scientific Foundation | 19% | - Research and Evidence-Based Practice
|
| Professional Role and Policy | 14% | - Collaboration and Consultation
|
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NEW QUESTION # 519
A PMHNP provides care for a patient who reports experiencing "Latah," a culture-bound syndrome characterized by involuntary obedience, echolalia, and echopraxia after a startling event. How should the PMHNP proceed with the treatment plan?
Answer: A
Explanation:
Acknowledging the cultural context of the patient's symptoms allows for a more nuanced and comprehensive approach to care. This approach respects the patient's cultural background and integrates it into the diagnostic and treatment planning process.
While medication may be part of the treatment, focusing solely on psychiatric medications without considering the cultural context may not fully address the patient's condition or the cultural significance of their symptoms. Although neurological assessment may be part of a comprehensive evaluation, referral to a neurologist without considering the cultural context may overlook the significance of the culture-bound syndrome and its impact on the patient's mental health. It should not be assumed that the patient is misattributing neurological symptoms to a culture-bound syndrome. Advising the patient to ignore their symptoms dismisses their concerns and the cultural significance of their experience, potentially undermining the therapeutic relationship and resulting in an important condition going untreated.
NEW QUESTION # 520
Which neurotransmitter is matched correctly with its general function?
Answer: B
Explanation:
The neurotransmitters are matched with their correct functions below.
* Norepinephrine: alertness, focused attention, learning, and memory
* Dopamine: thinking, fine muscle action, and reward-seeking behavior
* GABA: reduces arousal, aggression, and anxiety
* Serotonin: regulates sleep, pain, mood states, and temperature
NEW QUESTION # 521
A 32-year-old male presents to your clinic with complaints of weight gain, hypersomnia, carbohydrate craving, leaden paralysis, difficulty concentrating, and anergi a. He also reports feelings of sadness and emptiness. Based on this information, what would be the most effective psychiatric medication?
Answer: A
Explanation:
This patient is likely suffering from a major depressive episode with atypical features. Although atypical features respond best to monoamine oxidase inhibitors, these medications are rarely used because of their potential risk of a hypertensive crisis. Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine are also beneficial and have a favorable side effect profile.
Quetiapine is an atypical antipsychotic medication, and it is not indicated in the treatment of this patient's symptoms. Trazodone also inhibits serotonin reuptake, but it is not a first-line treatment and may worsen the patient's hypersomnia. Alprazolam is a benzodiazepine used in the short-term treatment of severe anxiety.
NEW QUESTION # 522
A PMHNP is conducting a group psychoeducation session for patients with depression. Which of the following topics should the PMHNP prioritize in their session?
Answer: B
Explanation:
Providing patients with practical, evidence-based coping strategies to manage their symptoms is a priority in a psychoeducation session. This can empower patients and improve their overall functioning.
While pharmacotherapy options, the biological basis of depression, and addressing stigma are all important topics, providing coping strategies should be the primary focus of a psychoeducation session for patients with depression.
NEW QUESTION # 523
Some states use the umbrella term advanced practice nurse to refer to multiple types of clinicians. Which type of advanced practice nurse evaluates, diagnoses, and treats a wide range of medical conditions and can prescribe medication in all 50 states?
Answer: B
Explanation:
Some states use the umbrella term advanced practice nurse to refer to nurse practitioners, clinical nurse specialists, nurse-midwives, and nurse anesthetists. Each type of advanced practice nurse provides the following services:
* Nurse practitioner: Evaluate, diagnose, and treat a wide range of medical conditions
* Clinical nurse specialist: Consult, research, educate, and coordinate care
* Nurse anesthetist: Preoperative assessment, administration of anesthesia, and postanesthesia recovery
* Certified nurse-midwife: Well-woman gynecological care, management of pregnancy and childbirth, antepartum and postpartum care
NEW QUESTION # 524
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