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| Section | Objectives |
|---|---|
| Topic 1: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Advanced Psychiatric Assessment - Treatment Planning |
| Topic 2: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Topic 3: Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders - Substance Use Disorders - Mood Disorders |
| Topic 4: Psychotherapeutic Modalities | - Individual Psychotherapy - Group and Family Therapy - Crisis Intervention |
| Topic 5: Scientific Foundations | - Psychopharmacology - Pathophysiology and Psychopathology - Research and Evidence-Based Practice |
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NEW QUESTION # 376
Which of the following is a systemic effect of hyperthyroidism?
Answer: B
Explanation:
Compulsive movement is a symptom of hyperthyroidism, while the other options are symptoms of hypothyroidism.
Systemic effects of hypothyroidism are:
* Confusion
* Decreased libido
* Impotence
* Decreased appetite
* Memory loss
* Lethargy
* Constipation
* Headaches
* Clumsy movements
* Syncope
* Weight gain
* Fluid retention
* Muscle aching
* Slowed reflexes
Systemic effects of hyperthyroidism are:
* Motor restlessness
* Emotional lability
* Short attention span
* Compulsive movement
* Fatigue
* Tremor
* Insomnia
* Impotence
* Weight loss
* Increased appetite
* Abdominal pain
* Excessive sweating
* Flushing
* Tachycardia
* Dysrhythmias
NEW QUESTION # 377
You are making rounds at a nursing home. One of the patients, a 75-year-old male, has terminal cancer and is expected to live only a month or two more. When you ask him how he is doing, he tells you that he is resigned to his eventual death and is taking the time he has left to evaluate his life for meaning. You understand that this is the final stage of development throughout one's life. This stage is Erikson's stage of
Answer: A
Explanation:
The correct answer to this question is "integrity versus despair." This stage is one of Erik Erikson's psychosocial stages of development, which he described in his theory on the psychological development of human beings.
Erik Erikson's theory consists of eight stages, each representing a conflict that individuals need to resolve to develop a healthy personality and acquire basic virtues essential for psychological well-being. The stages span from infancy to old age, each corresponding to challenges pertinent to a specific life phase.
The "integrity versus despair" stage is typically encountered in late adulthood (from 65 years to death). During this stage, individuals reflect on their lives, looking back over what they have accomplished and what they might have done differently. It is a period of introspection where the individual tries to make sense of their experiences and the life they have lived.
Individuals who successfully resolve the conflict of this stage develop the virtue of wisdom. They reach a sense of integrity, which means feeling at peace with their life choices and deriving meaning from both their triumphs and failures. This sense of integrity provides them with a feeling of coherence in their life story and a sense of fulfillment.
Conversely, if individuals struggle to find meaning in their life or perceive their life as unproductive and full of mistakes, they might fall into despair. This can lead to depression, hopelessness, and a fear of impending death, as they struggle with regret over missed opportunities or unresolved conflicts.
In the scenario described, the 75-year-old male patient is reflecting on his life in search of meaning, which is indicative of him navigating the integrity versus despair stage. His resignation to death and effort to evaluate his life shows he is actively engaged in resolving this final psychosocial conflict, aiming to reach a state of integrity rather than despair. This introspective process is crucial for achieving peace and wisdom in the final days of one's life.
NEW QUESTION # 378
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: A
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 # 379
Which of the following statements is incorrect regarding a patient's right to communication while psychiatrically hospitalized?
Answer: A
Explanation:
In general, patients have the right to free and open communication with the outside world; however, this right varies slightly by region, and nurse practitioners should check their local jurisdiction for explicit rulings. Most medical organizations agree that hospitalized patients should be allowed private telephone calls, and neither their outgoing nor their incoming mail should be opened by staff.
NEW QUESTION # 380
According to the United States Centers for Disease Control and Prevention, which of the following people least needs to receive the annual influenza vaccination?
Answer: C
Explanation:
Healthy individuals between the ages of 19 and 49 are not required to receive the annual influenza vaccine unless they meet any of the criteria below.
The following people should always receive the influenza vaccine:
* Children from six months to 18 years of age
* Anyone aged 50 years and older
* Anyone who lives in a nursing home or a long-term care or assisted living facility
* Anyone with a chronic health condition including asthma, diabetes, renal or hepatic dysfunction, HIV, and neuromuscular disorders
* Pregnant women
* Healthcare personnel
* Caregivers of children younger than five years
NEW QUESTION # 381
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