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| Section | Objectives |
|---|---|
| Advanced Practice Skills | - Advanced Psychiatric Assessment - Diagnosis and Differential Diagnosis - Treatment Planning |
| Diagnosis and Management of Psychiatric Disorders | - Substance Use Disorders - Anxiety and Trauma-Related Disorders - Mood Disorders - Personality Disorders - Psychotic Disorders |
| Ethics, Legal, and Professional Practice | - Ethical Decision-Making - Scope of Practice and Regulations - Patient Safety and Quality Improvement |
| Psychotherapeutic Modalities | - Crisis Intervention - Individual Psychotherapy - Group and Family Therapy |
| Scientific Foundations | - Pathophysiology and Psychopathology - Psychopharmacology - Research and Evidence-Based Practice |
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NEW QUESTION # 210
Which of the following characteristics least increases the risk of developing somatic symptom disorder?
Answer: C
Explanation:
Risk factors for developing somatic symptom disorder are:
* Female gender
* Lower socioeconomic status
* Unemployment
* Older age
* Fewer years of education
* Recent stressful life events
* Negative affectivity
* Childhood sexual abuse
* Comorbid psychiatric condition
* Perceived illness benefits
* Sensitization to pain
* Heightened attention to bodily sensations
NEW QUESTION # 211
A PMHNP is evaluating a new patient who does not speak English fluently. The patient has brought a family member to translate. What should the PMHNP do to ensure effective communication and respect the patient's rights?
Answer: B
Explanation:
A professional translator ensures accurate communication, maintains confidentiality, and respects the patient's rights. A professional medical interpreter can provide impartial and precise translation, essential for effective treatment planning and patient understanding.
Using a family member as a translator can lead to issues with confidentiality, accuracy, and impartiality. It may also place the family member in an uncomfortable position. While the patient's wishes should be considered, using a professional translator helps promote autonomy better than relying on a family member. Relying on simplified English and gestures can lead to misunderstandings and fails to ensure that complex medical information is accurately conveyed. A bilingual staff member is less reliable than a professional translator, potentially affecting care and the patient's rights. Utilizing a professional medical interpreter is the best practice for ensuring effective communication and respecting patient rights.
NEW QUESTION # 212
A patient reports excessive hand washing and feeling as if she cannot leave the house unless she washes her hands seven times for five minutes each time. The patient often shows up for work late because her anxiety keeps her from completing the washing with enough time to get to work by her start time. You learn that the patient's mother had similar issues with cleaning the house. You propose a diagnosis of obsessive-compulsive disorder (OCD).
What medication will you choose to prescribe to this client?
Answer: B
Explanation:
Prozac is an SSRI; these are FDA-approved for the treatment of OCD. Other medications approved for OCD are as follows:
* Tricyclic antidepressants (TCAs)
* Second-generation antipsychotics
Thorazine is a first-generation antipsychotic and is not indicated in the treatment of OCD.
Ativan is a benzodiazepine and is FDA-approved for generalized anxiety disorder. Although OCD is in the family of anxiety disorders, Ativan is not a first-line treatment for OCD. It is used for anxiety disorders and is not FDA-approved for the treatment of OCD.
Promethazine is an antihistamine and not indicated in the treatment of OCD.
NEW QUESTION # 213
The use of telehealth services has increased access to mental health services. With this improved access to services comes challenges regarding emergency care, HIPAA protocols, and providing care at a distance. Which of the following statements is not accurate?
Answer: B
Explanation:
The use of telehealth does not change the expected standards of care in any way. Care must follow the same standards as an in-person visit and meet all international, federal, and state regulations. The care plan must contain emergency provisions and maintain HIPAA regulations.
NEW QUESTION # 214
A patient with a history of major depressive disorder has been discharged from the hospital and is now attending weekly support group meetings. This is an example of which level of prevention of mental disorders?
Answer: B
Explanation:
Tertiary prevention refers to interventions that aim to reduce the impact of an existing illness or prevent a recurrence of symptoms. In this scenario, the patient has a history of major depressive disorder and is now attending weekly support group meetings after being discharged from the hospital. This is an example of tertiary prevention because it is aimed at reducing the impact of the patient's existing illness and preventing a recurrence of symptoms.
Primary prevention involves interventions aimed at preventing the onset of a disorder or reducing the risk of developing a disorder. Secondary prevention involves early detection and intervention to reduce the severity or duration of a disorder. Quaternary prevention involves interventions aimed at reducing the risk of harm from medical interventions or unnecessary treatments.
NEW QUESTION # 215
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