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| Section | Objectives |
|---|---|
| Topic 1: Psychotherapeutic Modalities | - Individual Psychotherapy - Crisis Intervention - Group and Family Therapy |
| Topic 2: Diagnosis and Management of Psychiatric Disorders | - Anxiety and Trauma-Related Disorders - Psychotic Disorders - Mood Disorders - Personality Disorders - Substance Use Disorders |
| Topic 3: Ethics, Legal, and Professional Practice | - Scope of Practice and Regulations - Patient Safety and Quality Improvement - Ethical Decision-Making |
| Topic 4: Advanced Practice Skills | - Diagnosis and Differential Diagnosis - Treatment Planning - Advanced Psychiatric Assessment |
| Topic 5: Scientific Foundations | - Psychopharmacology - Research and Evidence-Based Practice - Pathophysiology and Psychopathology |
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NEW QUESTION # 1161
A 76-year-old male is admitted to the hospital due to community-acquired pneumonia and dehydration. On day three of his hospitalization, he becomes withdrawn, stops eating, and exhibits a fluctuating level of consciousness. He has no previous psychiatric history. During your examination, he is drowsy and oriented to person only.
Based on this presentation, what medication would you prescribe as needed for agitation?
Answer: B
Explanation:
This man is exhibiting the usual signs of delirium, including impaired consciousness, difficulty with cognition, and disorientation. Haloperidol is an antipsychotic, and it is usually the drug of choice for managing an agitated or confused patient with delirium. Usually, haloperidol is prescribed as 0.5 mg every 8 hours as needed for agitation or confusion. It comes in intramuscular, IV, and oral forms.
Diphenhydramine and benztropine possess anticholinergic properties that would worsen delirium. Lorazepam should be avoided in older adults because it can cause a paradoxical effect, resulting in worsened agitation.
NEW QUESTION # 1162
The female aspect of the male personality is known as which of the following?
Answer: D
Explanation:
The terms "anima" and "animus" were coined by Carl Jung, a Swiss psychiatrist and psychoanalyst who founded analytical psychology. Jung proposed that everyone has both an anima and an animus, which are part of the unconscious mind and represent a true self that is different from the outward-facing persona.
The anima, according to Jung, is the feminine inner personality that is present in the subconscious of a male. It is the counterpart to the animus, which is the masculine inner personality present in the subconscious of a female. These elements do not strictly align with gender identity or sexual orientation, but rather represent complementary forces within the individual's psyche.
These concepts are not associated with the ego, which is the conscious, rational part of the psyche that mediates between desires and reality. Likewise, the libido, a term more commonly associated with the work of Sigmund Freud, refers to the energy of the sexual drive as a component of the life instinct.
In summary, the anima is the term used to describe the female aspect of the male personality, while the animus describes the male aspect of the female personality. These terms are part of Jung's complex theory of the human psyche, which includes a range of elements from the conscious to the unconscious mind.
NEW QUESTION # 1163
What term refers to the principle of bioethics that asserts an obligation not to inflict harm intentionally?
Answer: A
Explanation:
Nonmaleficence refers to the principle of bioethics that asserts an obligation not to inflict harm intentionally.
Beneficence refers to an action done for the benefit of others. Confidentiality refers to a nurse practitioner's responsibility to not release patient information learned in the course of treatment to third parties. Privilege refers to the patient's right to prevent disclosure of treatment information in judicial hearings.
NEW QUESTION # 1164
Which of the following is least likely to be true regarding children with depression?
Answer: C
Explanation:
Children who suffer from major depression often experience separation anxiety. Children respond better to SSRIs and typically do not respond well to tricyclic antidepressants. They experience irritability and somatic complaints.
NEW QUESTION # 1165
A nurse practitioner is caring for a young female patient who is presenting with symptoms of disorganized perception and heightened motor responses. The patient is accompanied by her parents, who are extremely concerned that "she's on something." A brief interview reveals the patient is usually quiet and a "good girl." She is studying for midterms at school and is working toward a music scholarship. What does the nurse practitioner need to understand about anxiety to determine the best course of action for this patient?
Answer: D
Explanation:
Patients with anxiety can have disorganized perception, impaired judgment, and memory issues. They can also have physical and motor symptoms such as twitches and generalized restlessness.
Anxiety can be normal, but severe anxiety is suggested when the patient's reaction is disproportionate to the event and significantly impairs the individual's ability to function in their normal life. When anxiety is severe, it can affect the autonomic nervous system, causing physical symptoms. Pathological anxiety requires professional mental health intervention. The recommendations for improved self-care and outpatient treatment are valid, but at this point, they would not be the first course of action for the nurse practitioner.
NEW QUESTION # 1166
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