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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 43% | - Clinical Management
|
| Advanced Practice Skills | 24% | - Psychotherapy Modalities
|
| Professional Role and Policy | 14% | - Ethical and Legal Standards
|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
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NEW QUESTION # 500
The physical exam of a schizophrenic patient may reveal which of the following eye findings?
Answer: D
Explanation:
Individuals with schizophrenia commonly have abnormal smooth-pursuit eye movements. Impairment in smooth-pursuit eye movements is considered a vulnerability marker for schizophrenia.
There is no notable connection between exophthalmos and astigmatism in schizophrenic patients. A schizophrenic patient is more likely to have abnormal saccadic eye movements.
NEW QUESTION # 501
A PMHNP is assessing a patient for possible alcohol abuse. Which of the following screening tools is considered to be the most reliable and valid for this purpose?
Answer: D
Explanation:
The CAGE questionnaire is a widely used and validated screening tool for alcohol abuse, but it may not be as reliable for identifying other types of substance abuse.
The DAST-10 is a validated screening tool for drug abuse and is considered to be reliable and valid for identifying substance abuse in general. The MAST test is a widely used and validated screening tool for alcohol abuse, but it may not be as reliable for identifying other types of substance abuse. The AIMS is a screening tool for medication side effects.
NEW QUESTION # 502
A PMHNP is meeting with an adolescent male who was arrested for underage drinking for the second time. His license was suspended due to a DWI, and he subsequently lost his job as a pizza delivery driver. He has an upcoming court hearing. During the initial interview, the patient states, "I don't know what the big deal is! I'm almost 18 years old. My grandpa was fighting in Vietnam at my age. I had one too many. What's the big deal? Anyway, whatever. My record will be expunged at 18 anyway." Which of the following concepts of the Health Belief Model are being demonstrated?
Answer: B
Explanation:
This patient is expressing a belief that his behaviors and their consequences are minimal and will have little impact ultimately on his life.
Self-efficacy is a patient's belief that they can successfully change their behavior. In this instance, the individual appears unwilling or unmotivated to change. Perceived susceptibility is a belief that one could develop a problem or condition. Perceived barriers are a person's beliefs about the cost of giving up a behavior. Cues to action enhance someone's readiness to change a behavior.
NEW QUESTION # 503
Which of the following is least likely to make someone eligible for Medicaid?
Answer: A
Explanation:
The Centers for Medicare and Medicaid Services (CMS) administer the two major public insurance programs, Medicaid and Medicare.
Medicaid is funded by both federal and state tax dollars. In 2011, Medicaid provided health care for 60 million eligible persons, 85% of whom were children. Those eligible for Medicaid include the following:
* Low-income children
* Low-income pregnant women
* Elderly and disabled individuals who qualify for the Supplemental Security Income Program Medicare is funded by federal tax dollars. In 2011, it provided health care for 47 million eligible people. Those eligible for Medicare include the following:
* Those age 65 and older having worked 40 quarters and paid Medicare taxes
* Certain younger individuals with disabilities
* Individuals with end-stage renal disease
* Individuals in need of a kidney transplant
* Individuals receiving Social Security Disability and who have amyotrophic lateral sclerosis The presence or absence of amyotrophic lateral sclerosis is unlikely to impact an individual's Medicaid eligibility.
NEW QUESTION # 504
A patient has been diagnosed with seasonal affective disorder (SAD), a type of depression that occurs during specific times of the year. What is the most likely hormonal influence on the development of SAD?
Answer: D
Explanation:
Seasonal affective disorder is a type of depression that occurs during specific times of the year, typically in the winter. The exact cause of SAD is unknown, but it is believed to be related to changes in the amount of light exposure and the corresponding changes in circadian rhythm and hormone levels.
Melatonin is a hormone the pineal gland produces in response to darkness and regulates sleep and wakefulness. In individuals with SAD, it is thought that decreased melatonin levels may contribute to symptoms such as sleep disturbances, decreased energy, and low mood.
Elevated levels of cortisol, low levels of testosterone, and increased levels of estrogen are not typically associated with SAD, although these hormones may play a role in other types of depression. Understanding the hormonal influences on SAD is important for PMHNPs and other healthcare providers, as it can inform the development of effective treatment strategies for this condition.
NEW QUESTION # 505
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