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| Section | Weight | Objectives |
|---|---|---|
| Professional Role and Policy | 14% | - Healthcare Policy
|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
| Diagnosis and Treatment | 43% | - Special Populations
|
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NEW QUESTION # 389
A 29-year-old African American female was diagnosed with schizophrenia approximately three years ago. After many trials of antipsychotics, she was finally stabilized on haloperidol during the past six months. Three weeks ago, she began exhibiting pseudo-Parkinson's symptoms.
Which class of medications would be most appropriate for treating these side effects?
Answer: D
Explanation:
Extrapyramidal symptoms are drug-induced side effects that affect motor functioning and muscle movement. Extrapyramidal symptoms are associated with a deficiency of dopamine and an excess of acetylcholine in the nigrostriatal pathway. A common type of extrapyramidal symptom is called pseudo-Parkinson's, which presents with a shuffling gait, motor slowing, mask-like facial expression, tremors, and muscle rigidity.
Muscarinic 1 antagonist medications reduce the effects of excess acetylcholine and relieve extrapyramidal symptoms.
NEW QUESTION # 390
Which term describes private insurance policies purchased by elderly individuals to cover some or all of their medical expenses not paid for by Medicare?
Answer: D
Explanation:
Medigap insurance policies are private policies purchased by elderly individuals to cover some or all of their medical expenses not paid for by Medicare.
A medical savings account plan allows individuals to establish tax-free savings funds to finance their medical care.
Medicare + Choice was part of the Balanced Budget Act of 1997, which significantly increased the number of managed care insurance plans available to Medicare recipients. This program was replaced with the Medicare Advantage plan in 2003. The Medicare Advantage plan is a type of health insurance plan in the United States that provides Medicare benefits through private-sector health insurers.
NEW QUESTION # 391
Which of the following considerations is important when comparing manic episodes and behaviors of adolescent clients to adults?
Answer: A
Explanation:
Manic episodes in adolescents manifest differently than in adults. There are more psychotic features and antisocial behaviors. There is often a prodromal period of significant behavioral problems.
NEW QUESTION # 392
If a 15 year old female patient with a body weight within the standard BMI range fears being fat and says self-deprecating comments, then what could this indicate?
Answer: B
Explanation:
When a 15-year-old female patient within a normal BMI range expresses fears about being fat and makes self-deprecating comments about her body, it could be indicative of an underlying eating disorder, such as bulimia nervosa. Bulimia is characterized by episodes of binge eating followed by compensatory behaviors, such as self-induced vomiting, misuse of laxatives, fasting, or excessive exercise, to prevent weight gain.
Unlike anorexia nervosa, where individuals typically have a visibly low body weight, bulimia nervosa patients often maintain a body weight that is normal or slightly above the ideal range for their age and height. This can make bulimia harder to detect visually, and psychological symptoms such as a preoccupation with body image and weight may be more apparent indicators of the disorder.
The fear of gaining weight and negative self-perception, despite having a standard body weight, is a significant psychological aspect of bulimia. These feelings can lead to a vicious cycle of guilt and shame following binge episodes, which often prompts the purging behavior that characterizes this eating disorder.
It is crucial to approach the situation with sensitivity and to seek further assessment from a healthcare professional specializing in eating disorders. Early intervention can be key in addressing bulimia, as it can have severe physical and psychological consequences if left untreated. Treatment often includes a combination of psychotherapy, nutritional counseling, and sometimes medication to help manage symptoms and address the underlying causes of the eating disorder.
NEW QUESTION # 393
Which of the following is least likely to be a barrier to the implementation of meaningful use by a healthcare organization?
Answer: A
Explanation:
Barriers to the implementation of meaningful use include staff training, usability, workflow changes, altered patient-provider interaction, and clinician resistance to change.
The federal government did provide incentives in the form of financial rewards and potential reductions in Medicare reimbursement.
NEW QUESTION # 394
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