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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Topic 2: Professional Role and Policy | 14% | - Healthcare Policy
|
| Topic 3: Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
| Topic 4: Diagnosis and Treatment | 43% | - Treatment Planning
|
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NEW QUESTION # 245
Which of the following statements regarding bipolar disorder by a PMHNP student requires correction?
Answer: A
Explanation:
Patients suffering from bipolar disorder can present as either expansive in mood or depressed, depending on the episode. Each episode may have a precipitating event but often occurs without any identified stressor. Patients manifest behavioral, affective, cognitive, and somatic symptoms.
NEW QUESTION # 246
You would expect to see which of the following in a person with histrionic personality disorder?
Answer: C
Explanation:
Histrionic Personality Disorder (HPD) is one of several personality disorders listed in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). It is characterized by a pattern of excessive emotionality and attention-seeking behaviors. Individuals with HPD often act in a very emotional and dramatic manner, which may be perceived as being shallow or not genuinely felt.
The key characteristics of someone with HPD include a constant desire for approval and reassurance. They often engage in behavior that is overly dramatic, theatrical, and excessively expressive. This is done in order to be the center of attention, a place where they feel most comfortable. Their self-esteem depends heavily on the approval of others, and they may feel uncomfortable when they are not in the limelight.
In response to the question, the most accurate description of behavior associated with histrionic personality disorder is "being overly dramatic, seeking attention and tending to exaggerate." This encapsulates the essence of the disorder, which revolves around a pervasive pattern of dramatic, exaggerated expressions of emotion and attention-seeking behaviors. These behaviors include but are not limited to, speaking dramatically with strong opinions, but with few facts or details to support them; being easily influenced by others or circumstances; considering relationships to be more intimate than they actually are; and displaying inappropriate sexually seductive or provocative behavior.
The other options listed, such as "being cold, callous, and insensitive to others," "being inattentive and indifferent," and "being verbally belligerent and humiliating to those perceived as a threat," do not typically describe the behaviors associated with HPD. Individuals with HPD might actually be highly sensitive to criticism and disapproval, which contradicts the notion of being cold or callous. Their need for attention and validation often results in a very engaged rather than indifferent demeanor. While they can be competitive for attention, their methods are usually not aggressive or belligerent but rather flamboyant and dramatic.
It is crucial to understand that while these behaviors can be disruptive and challenging, they stem from deep-seated fears of rejection and low self-worth. As with any personality disorder, individuals with HPD often benefit from psychotherapy, which can help them learn more productive ways of thinking and behaving, ultimately leading to more stable and satisfying relationships.
NEW QUESTION # 247
What is the best definition of "lethality" in relation to mental health and illness severity?
Answer: B
Explanation:
It is important to assess lethality in order to understand the patient's plans, intents, and methods of self-harm, either in ideation or behavior.
Different types of devices can influence the likelihood that harm will occur when they are used, but the type of device or method does not correlate with the likelihood that the person will actually use that method. The risk that a verbalized plan has is not as good a descriptor for the term "lethality" as the likelihood that the plan will be implemented. Lethality may be a standard by which violence is measured, but this will typically be related to the likelihood of the violence being carried out, not to ideation.
NEW QUESTION # 248
A PMHNP is seeing a patient for a follow-up appointment for the management of depressive symptoms. The patient started Prozac three weeks ago and reports feeling much better. Which of the following is appropriate anticipatory guidance?
Answer: D
Explanation:
MDD is a chronic illness, and relapse should be expected during times of increased stress. This patient self-reports feeling better since starting Prozac and should be counseled that symptoms will continue to improve as the medication levels peak.
Assessing for side effects and anticipating increased benefits when the medication is fully realized are expected but not indicated as anticipatory guidance. The effects of Prozac are not anticipated to gradually diminish over the next 4-6 months.
NEW QUESTION # 249
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: B
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 # 250
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