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| Section | Objectives |
|---|---|
| Diagnosis and Management of Psychiatric Disorders | - Mood Disorders - Anxiety and Trauma-Related Disorders - Psychotic Disorders - Substance Use Disorders - Personality Disorders |
| Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Ethical Decision-Making - Patient Safety and Quality Improvement |
| Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
| Psychotherapeutic Modalities | - Individual Psychotherapy - Crisis Intervention - Group and Family Therapy |
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
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NEW QUESTION # 531
Nonpharmacological management of major depressive disorders is most likely to include which of the following?
Answer: A
Explanation:
Electroconvulsive therapy increases dopamine, serotonin, and norepinephrine. An ECT course typically consists of 6 to 12 treatments and involves sedating the patient and using shock treatments to stimulate the release of dopamine, norepinephrine, and serotonin.
Ketamine therapy is a medication option which is effective in treating major depressive disorders but is chemically based.
EEGs are not used in the treatment of major depressive disorders but rather for measuring brain function.
Acupuncture is an alternative form of treatment but is not approved for treatment of major depressive disorders.
NEW QUESTION # 532
In 2001, the Institute of Medicine published Crossing the Quality Chasm: A New Health System for the 21st Century. This report identified six goals for quality improvement in health care: safe, effective, patient-centered, timely, efficient, and equitable. Which goal can be described as providing services based on scientific knowledge to all who could benefit while refraining from providing services to those not likely to benefit?
Answer: B
Explanation:
Crossing the Quality Chasm: A New Health System for the 21st Century identified six goals for quality improvement in health care:
* Safe: Avoiding injuries to patients from the care intended to help them
* Effective: Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit
* Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions
* Timely: Reducing waits and sometimes harmful delays for both those who receive and those who provide care
* Efficient: Avoiding the waste of equipment, supplies, ideas, and energy
* Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status
NEW QUESTION # 533
A PMHNP is treating a patient who speaks a language for which a certified interpreter is not available. Which of the following is the best course of action to ensure informed consent?
Answer: D
Explanation:
Delaying treatment may not be the correct choice from a treatment perspective, but it is the best choice for ensuring informed consent. Accurate and effective communication through a certified interpreter respects the patient's right to understand their treatment options, risks, and benefits, which is fundamental for informed consent.
Online translation tools may not accurately convey medical terminology or nuances, risking miscommunication. Using a family member as an interpreter can raise issues of confidentiality, accuracy, and bias, potentially compromising the patient's understanding and voluntariness of consent. Relying on simple English and non-verbal cues does not guarantee the patient's full understanding of the treatment options, risks, and benefits.
NEW QUESTION # 534
Which of the following examples represents a tertiary prevention strategy in public health?
Answer: D
Explanation:
Tertiary prevention strategies are aimed at reducing the disability and severity of a disorder. Early case finding, screening, and prompt treatment are all examples of secondary prevention strategies.
NEW QUESTION # 535
Which of the following is a common comorbidity of obsessive-compulsive disorder?
Answer: C
Explanation:
Patients suffering from obsessive-compulsive disorder often experience eating disorders such as anorexia and bulimia. They also experience hypervigilance and strict associations with exercise, behavior patterns, routines, and hobbies.
Hypomania, a relaxed approach to routines and hobbies, and loose associations with exercise and patterns of behavior are all not common comorbidities of obsessive-compulsive disorder.
NEW QUESTION # 536
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