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| Section | Objectives |
|---|---|
| Topic 1: Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Personality Disorders - Psychotic Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders - Substance Use Disorders |
| Topic 3: Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Topic 4: Scientific Foundations | - Pathophysiology and Psychopathology - Research and Evidence-Based Practice - Psychopharmacology |
| Topic 5: Psychotherapeutic Modalities | - Group and Family Therapy - Crisis Intervention - Individual Psychotherapy |
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NEW QUESTION # 1207
A new patient arrives at your clinic for a psychiatric evaluation. You bring her into your office, sit down, and ask if she has any particular care preferences that the provider should know about. This is an example of what patient-centered care model technique?
Answer: D
Explanation:
Respecting the client's values and expressed needs is a process whereby the provider shows their respect by assessing the preferences of the client and allowing them to decide on how to proceed regarding their care. It promotes a consistent client-provider relationship.
Coordination and integration of care assess the need for any formal or informal services that the client needs that may affect care.
Comfort and support provide for physical and emotional requests as well as privacy and involvement of family.
Client empowerment or activation allows the patient to expand their role in their healthcare decision-making.
NEW QUESTION # 1208
A PMHNP is treating a woman of Asian descent for rapid cycling bipolar disorder. The PMHNP understands that patients with rapid cycling bipolar disorder rarely respond to lithium monotherapy and is considering the addition of Tegretol.
Which screening test needs to be completed before adding Tegretol to this patient's medication regimen?
Answer: D
Explanation:
Persons of Asian descent need to be screened for the HLA-B 1502 allele prior to the initiation of Tegretol therapy due to the risk of Stevens-Johnson syndrome. The patient would already have completed a thyroid panel, BUN/CREAT, and an ECG as part of the initial testing for lithium.
NEW QUESTION # 1209
You are a nurse practitioner working at an addiction clinic. Today, a 45-year-old male presents stating, "I am about to lose my family; I have to stop drinking." What is the most common tool used in screening for alcohol abuse in this patient's age group?
Answer: A
Explanation:
CAGE stands for:
* C - Have you ever felt the need to cut down on your drinking?
* A - Have people annoyed you by mentioning your drinking?
* G - Have you ever felt bad or guilty about your drinking?
* E - Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?
Other screening tools used, but not the most common or age-appropriate, include the following:
* AUDIT - Alcohol Use Disorders Identification Test
* S-MAST - Short Michigan Alcoholism Screening Test (or Geriatric Version)
* CRAFFT - Children and Adolescents under 21 years of age
* COWS - The Clinical Opiate Withdrawal Scale
The CADE is not an actual test.
NEW QUESTION # 1210
Who should receive a shingles vaccination?
Answer: A
Explanation:
Shingles, also known as herpes zoster, is an inflammatory condition where a virus produces painful vesicular eruptions along the nerves from one or more dorsal root ganglia. The shingles vaccine is recommended for anyone older than 50 whether or not they recall having had chickenpox, which is caused by the same virus as shingles.
In May 2006, the Food and Drug Administration (FDA) approved a VZV vaccine (Zostavax) for use in people 60 and older who have had chickenpox. In March 2011, the FDA extended the approval to include adults ages 50-59. A new shingles vaccine called Shingrix was licensed by the FDA in 2017 for adults aged 50 and older.
The shingles vaccine should not be given to:
* People with a weakened immune system
* People with HIV, AIDS, or a T-cell count below 200
* Patients being treated with high-dose steroids
NEW QUESTION # 1211
A Psychiatric Mental Health Nurse Practitioner (PMHNP) is considering prescribing psychotropic medication for a patient with depression. Which genetic variations are most likely to influence the patient's response to the drug and lead to a potential gene-drug interaction?
Answer: C
Explanation:
CYP2D6 is a member of the cytochrome P450 family of enzymes and metabolizes many psychotropic medications, including antidepressants, antipsychotics, and benzodiazepines. Variations in the CYP2D6 gene can lead to reduced or increased activity of this enzyme, affecting the patient's ability to metabolize the medication and potentially leading to a gene-drug interaction. The PMHNP should assess the patient's CYP2D6 genotype and adjust the medication or dose accordingly to avoid potential adverse effects or suboptimal treatment response.
APOE4, MTHFR, and SLC6A4 are also important genetic factors to consider when prescribing psychotropic medications, but CYP2D6 is the most relevant in terms of gene-drug interactions.
NEW QUESTION # 1212
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