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| Section | Weight | Objectives |
|---|---|---|
| Diagnosis and Treatment | 43% | - Special Populations
|
| Professional Role and Policy | 14% | - Collaboration and Consultation
|
| Advanced Practice Skills | 24% | - Assessment and Diagnosis
|
| Scientific Foundation | 19% | - Neuroscience and Neurobiology
|
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NEW QUESTION # 513
The PMHNP works in a community mental health clinic and refers a patient with chronic mental illness for assertive community treatment (ACT). What services would the client most likely receive?
Answer: D
Explanation:
Assertive community treatment provides long-term, intensive, community-based care to patients with severe mental illness who have difficulty engaging in traditional mental health services. The model focuses on providing comprehensive, coordinated, and individualized services to support patients in their recovery and help them achieve their goals.
ACT teams typically consist of a variety of mental health professionals, including psychiatrists, nurses, social workers, and other mental health professionals, who work collaboratively to provide services to patients in their homes, workplaces, or other community settings. ACT is effective in reducing hospitalization, improving quality of life, and increasing social functioning for patients with severe mental illness.
NEW QUESTION # 514
A 53-year-old Caucasian man presents with a diagnosis of schizoid personality disorder. According to Erik Erikson, failure to resolve which psychosocial stage is associated with the development of this psychopathology?
Answer: B
Explanation:
Failure to successfully resolve the psychosocial stage of Intimacy vs. Isolation is associated with the development of schizoid personality disorder.
Erik Erikson's stages of psychosocial development:
* Trust vs. Mistrust: birth to 12-18 months
* Autonomy vs. Shame and Doubt: 12-18 months to 3 years
* Initiative vs. Guilt: 3 to 5-6 years
* Industry vs. Inferiority: 5-6 years to adolescence
* Identity vs. Role Confusion: adolescence to adulthood
* Intimacy vs. Isolation: adulthood
* Generativity vs. Stagnation: middle adulthood
* Ego Integrity vs. Despair: late adulthood
Failure to resolve the Generativity vs. Stagnation stage is associated with the development of a mid-life crisis. Failure to resolve the Industry vs. Inferiority stage is associated with creative inhibition. Failure to resolve the Initiative vs. Guilt stage is associated with conversion disorder, phobias, and psychosomatic disorders.
NEW QUESTION # 515
A patient tells the PMHNP that a violent outburst they had was caused by the restrictive environment of the mental health unit. Which of the following concepts best describes this phenomenon?
Answer: C
Explanation:
Attribution theory is a psychological concept that describes how individuals explain their behavior and the behavior of others. It refers to how people attribute their failures to external factors and the failures of others to internal failures. In this case, the patient blames their behavior on an external factor rather than an internal trait.
Self-efficacy refers to an individual's belief in their ability to perform a specific task successfully. Learned helplessness is a phenomenon where individuals become passive and give up on trying to change their situation due to previous experiences of failure. Cognitive restructuring is a cognitive-behavioral technique used to challenge and replace negative thoughts and beliefs with positive and adaptive ones.
PMHNPs should be familiar with attribution theory to identify negative thinking patterns and provide appropriate interventions, including cognitive-behavioral therapy, to help patients reframe their negative thoughts and beliefs.
NEW QUESTION # 516
Which of the following statements is incorrect regarding cognitive therapy?
Answer: B
Explanation:
Cognitive therapy was first proposed by Aaron Beck. This therapy purports that external events do not cause anxiety, but rather a person's expectations or perceptions. Cognitive therapy helps patients view their reality more clearly by examining their central distorted conceptions. The goal is to change patients' irrational beliefs, faulty conceptions, and negative cognitive distortions.
Dialectical behavioral therapy is most commonly used with patients who have borderline personality disorder.
NEW QUESTION # 517
A 53-year-old female arrives at your clinic for a psychiatric evaluation. You determine that she meets the diagnostic criteria for major depressive disorder. She is already taking multiple medications, so you want to prescribe an agent that does not induce or inhibit the cytochrome p450 enzymes.
Which medication would you choose?
Answer: C
Explanation:
Mirtazapine does not induce or inhibit any cytochrome p450 enzymes.
Citalopram is a weak inhibitor of cytochrome p450 2D6. Fluoxetine inhibits 2D6 and 3A4. Fluvoxamine is an inhibitor of 1A2, 3A4, and 2C9/2C19.
NEW QUESTION # 518
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