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| Section | Objectives |
|---|---|
| Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
| Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Ethics, Legal, and Professional Practice | - Patient Safety and Quality Improvement - Ethical Decision-Making - Scope of Practice and Regulations |
| Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Mood Disorders - Personality Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders |
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NEW QUESTION # 656
A 24-year-old Caucasian male arrives at your office for a psychiatric evaluation. He has a body mass index of 30, fasting triglycerides of 230 mg/dL, and fasting blood glucose of 121 mg/dL. You diagnose him with schizophreni a.
Which medication is least likely to worsen his metabolic profile?
Answer: C
Explanation:
Ziprasidone, olanzapine, quetiapine, and risperidone are all atypical antipsychotics. Ziprasidone is the least likely to cause weight gain and has been shown to lower triglyceride levels. For patients at an increased risk for developing metabolic syndrome, ziprasidone is the antipsychotic of choice.
NEW QUESTION # 657
You are treating a 19-year-old female, who lives at home with her father and brother, for major depressive disorder. Her father calls asking for information about the patient's new prescription for fluoxetine. How do you respond?
Answer: B
Explanation:
The Health Insurance Portability and Accountability Act (HIPAA) was the first national comprehensive privacy protection act. HIPAA guarantees patients four fundamental rights:
* To be educated about HIPAA privacy protection
* To have access to their medical records
* To request an amendment of their health information to which they object
* To require their permission for disclosure of their personal information
NEW QUESTION # 658
Which of the following actions would be least relevant for a PMHNP wanting to disseminate research?
Answer: A
Explanation:
Dissemination is the act of spreading something. Searching journal archives is an example of collecting information, not spreading it. Examples of research dissemination include the following:
* Publishing in peer-reviewed journals
* Publishing in professional newsletters or blogs
* Presenting posters at local, regional, and national conferences
NEW QUESTION # 659
As a nurse practitioner, you will be responsible for assessing physical signs of child abuse. Which of the following is least indicative of physical child abuse?
Answer: D
Explanation:
This presentation is most likely indicative of a tic disorder such as Tourette syndrome.
Common indicators of child abuse are:
* History of unexplained multiple fractures
* Burns, hand or bite marks
* Injuries at various stages of healing
* Evidence of neglect
* Bruising on padded parts of the body
NEW QUESTION # 660
A patient with a history of substance abuse is resistant to the idea of seeking treatment. Which technique would be most appropriate for the nurse practitioner to use during their initial assessment?
Answer: A
Explanation:
Motivational interviewing is a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. It is designed to help individuals who may be ambivalent about changing their behavior to become more open to the idea of making changes. In the case of a patient with a history of substance abuse who is resistant to seeking treatment, using motivational interviewing techniques can help the nurse practitioner explore the patient's ambivalence and identify the patient's reasons for seeking treatment.
NEW QUESTION # 661
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