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| Section | Weight | Objectives |
|---|---|---|
| Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Diagnosis and Treatment | 43% | - Treatment Planning
|
| Professional Role and Policy | 14% | - Collaboration and Consultation
|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
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NEW QUESTION # 921
A 21-year-old female presents to your office at the request of her parents. Her family is concerned because she has not been eating or sleeping and has been talking nonstop for the past few weeks. The patient states that she has never felt better in her life, and she is painting ten new "masterpieces" every day. She does not have any previous psychiatric history, and she denies using any substances.
What initial laboratory data will you obtain before beginning treatment?
Answer: B
Explanation:
This patient presents with manic symptoms, which should be treated with lithium carbonate. The minimum initial laboratory studies required before starting lithium include serum creatinine, BUN and electrolytes, thyroid studies, and urinalysis.
Ninety-five percent of lithium is excreted through the kidneys; therefore, you should check the patient's kidney function by ordering electrolytes, creatinine, BUN, and a urinalysis. Lithium also inhibits the synthesis of thyroid hormone, so you should always check thyroid studies as well.
Ordering a complete blood count is optional. Serum ammonia and prothrombin and partial thromboplastin times are unnecessary.
NEW QUESTION # 922
A Psychiatric Mental Health Nurse Practitioner (PMHNP) is conducting a mental status examination (MSE) on a patient who has been experiencing symptoms of schizophreni a. Which of the following elements of the MSE would be most important for the PMHNP to assess in this patient?
Answer: C
Explanation:
Schizophrenia is a chronic mental health disorder characterized by symptoms such as hallucinations, delusions, and disordered thinking. One of the most important elements of the MSE for a patient with schizophrenia would be perception and thought process, as these symptoms are central to the diagnosis of schizophrenia. The PMHNP should pay close attention to the patient's ability to think logically, their ability to make sense of their perceptions, and the presence of any hallucinations or delusions.
NEW QUESTION # 923
A patient with a diagnosis of Prader-Willi syndrome has been admitted to the children's inpatient psychiatric unit. For this neurodevelopmental disorder, which of the following dietary considerations are an important part of treatment?
Answer: D
Explanation:
Prader-Willi syndrome is a neurodevelopmental and genetic disease characterized by compulsive eating, intellectual disability, hypogonadism, small stature, low muscle, and low muscle tone. Due to their hypotonic and compulsive eating, these patients are prone to obesity and must maintain a low-calorie diet.
NEW QUESTION # 924
World cultures grow out of different worldviews and philosophical traditions. The worldview that promotes a deep relationship with nature is which of the following?
Answer: A
Explanation:
The correct answer to the question is "indigenous." This term refers to the original inhabitants of a region or country. Indigenous cultures and philosophies often hold a deep respect and relationship with nature. This is because their way of life is closely tied to the land, its resources, and its cycles. They often view themselves as part of the natural world, rather than separate from it.
Indigenous cultures typically view mind, body, and spirit as deeply interconnected. In these cultures, there may not even be distinct words to separate these concepts, showing how integrated they are in their worldview. This holistic view of the self and the universe is a cornerstone of many indigenous philosophies and religions.
Time in indigenous worldviews is often focused on the present. This is not to say that the past and future are ignored, but rather that there is a strong emphasis on living in the moment and being fully present in one's actions and experiences. This can be seen in many indigenous practices and rituals, which aim to bring individuals into a deep connection with the here and now.
This focus on the present and the interconnectedness of mind, body, and spirit, along with a deep relationship with nature, makes the indigenous worldview unique and distinct from many Western and Eastern philosophies. These often separate the self from nature and segment the self into distinct parts (mind, body, spirit). The indigenous worldview, therefore, offers a different perspective on life and the universe, one that can provide valuable insights and understandings.
NEW QUESTION # 925
A 41-year-old Caucasian man was diagnosed with schizophrenia 15 years ago. You have stabilized him on olanzapine 20 mg/day and aripiprazole 10 mg/day for the past four years. He arrives today with complaints of breakthrough auditory hallucinations. During your evaluation, you learn that he recently began smoking cigarettes.
How does smoking cigarettes affect the level of medication in his body?
Answer: D
Explanation:
Cigarette smoking induces the cytochrome p450 1A2 enzyme. Olanzapine is metabolized by cytochrome P450 1A2; therefore, its plasma levels would decrease if an individual began taking a p450 1A2 inducer.
Aripiprazole is not metabolized by this same enzyme and is thus unaffected.
NEW QUESTION # 926
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