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[Meer zien]Voorbeeld 4 van de 82 pagina's
Voorbeeld 4 van de 82 pagina's
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Voorbeeld van de inhoud
PMHNPexam
prep
Conrad,
a
26-year-old
male,
is
being
treated
for
cuts
after
being
arrested
for
breaking
the
windows
in
the
home
of
his
girlfriend,
who
has
just
told
him
that
they
are
through.
He
has
a
history
of
having
been
physically
abused
by
his
father,
setting
fires
as
a
child,
treatment
for
substance
abuse,
and
arrest
for
stealing
a
car.
Which
of
the
following
personality
disorders
might
the
clinician
consider?
Question
1
options:a)
Narcissistic
b)
Paranoid
c)
Antisocial
d)
Histrionic
-
ANSAntisocial
In
a
biopsychosocial
case
formulation,
social
contributions
would
be
considered
to
be:
a)
Genetic
influences
and
adverse
circumstances
of
birth
b)
Substance
use
and
medical
disorders
c)
Cognitive
deficits
and
dysregulation
of
emotions
d)
Religious/cultural
factors
and
living
situations
-
ANSReligious/cultural
factors
and
living
situations
Which
of
the
following
criteria
would
preclude
the
use
of
brief
dynamic
therapy? a)
Adequate
ego
strengths
b)
Psychological
problems
in
multiple
domains
c)
Use
of
mature
defense
mechanisms
d)
Adequate
ability
to
process
information
-
ANSUse
of
mature
defense
mechanisms
In
treatment
of
the
acute
phase
of
mania,
the
focus
is
on:a)
Protecting
the
patient's
biopsychosocial
safety
b)
Educating
the
patient
about
social
rhythms
theory
c)
Interventions
that
address
impairment
of
vocational
functioning
d)
Interventions
for
self-management
of
finance
-
ANSProtecting
the
patient's
biopsychosocial
safety
During
an
initial
assessment,
the
relevant
features
of
communication
are
its
ability
to:
a)
Promote
a
therapeutic
alliance
and
increase
understanding.
b)
Prompt
a
disclosure
of
past
successes
and
failures.
c) Bring
about
changes
in
behavior.
d)
Educate
the
patient
about
what
is
important
to
disclose.
-
ANS
Symptoms
of
anxiety
and
panic
are
associated
with
a
low
level
of
which
neurotransmitter?
a)
Cortisol
b)
Dopamine
c)
Gamma-aminobutyric
acid
d)
Glutamate
-
ANSGamma-aminobutyric
acid
Which
class
of
antidepressants
has
the
most
anticholinergic
side
effects?
a)
Monoamine
oxidase
inhibitors
(MAOIs)
b)
Selective
serotonin
reuptake
inhibitors
(SSRIs)
c)
Tricyclic
antidepressants
(TCAs)
d)
Serotonin
norepinephrine
reuptake
inhibitors
(SNRIs)
-
ANSTricyclic
antidepressants
(TCAs)
A
16-year-old
male
patient
is
hospitalized
for
depression
after
attempting
suicide
by
overdose.
Several
days
later,
the
patient
reports
feeling
less
depressed
and
having
fewer
suicidal
thoughts,
but
begins
to
threaten
suicide
"if
things
do
not
work
out."
Nursing
staff
members
report
feeling
resentful
and
manipulated,
but
fear
for
the
patient's
safety.
The
adult
psychiatric
and
mental
health
nurse
practitioner's
intervention
is
to a)
:assist
the
staff
in
developing
a
treatment
plan
that
limits
contact
with
the
patient
to
one
person
per
shift.
b)
develop
a
"no
suicide"
pact
with
the
patient
to
decrease
his
helplessness
and
increase
his
feelings
of
control.
c)
encourage
the
patient
to
express
his
fears
of
improving
and
being
abandoned
or
of
leaving
the
safe
environment.
d)
increase
supervision
and
restrict
milieu
participation
to
decrease
the
secondary
gain
from
manipulation.
-
ANSencourage
the
patient
to
express
his
fears
of
improving
and
being
abandoned
or
of
leaving
the
safe
environment.
A
female
client
complains
of
an
intense,
overwhelming
fear
of
driving
a
car.
The
fear
has
disrupted
all
elements
of
her
life.
She
does
not
go
to
the
grocery
store
unless
someone
transports
her,
has
relinquished
her
job,
and
has
few
social
contacts.
Her
treatment
plan
includes:
assertiveness
training.
b)
biofeedback.
c)
stress
management
assistance.
d)
systematic
desensitization.
-
ANS
A
patient
with
borderline
personality
disorder
experiences
intense
anxiety
when
an
adult
psychiatric
and
mental
health
nurse
practitioner
goes
on
vacation.
The
best
explanation
for
this
reaction
is
that
the
patient:
-
ANShas
failed
to
develop
clear
ego
boundaries.
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