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ANCC-PMHNP Diagnosis & Treatment Comprehensive Test Guide 2024ANCC-PMHNP Diagnosis & Treatment Comprehensive Test Guide 2024ANCC-PMHNP Diagnosis & Treatment Comprehensive Test Guide 2024ANCC-PMHNP Diagnosis & Treatment Comprehensive Test Guide 2024ANCC-PMHNP Diagnosis & Treatment Comprehensive Test Guide 2024
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Rationale: The symptoms described align with the DSM- 5 - TR criteria for Major Depressive Disorder, which includes persistent sadness, loss of interest, and significant weight changes.
Rationale: SSRIs are commonly used as the first-line treatment for Major Depressive Disorder due to their efficacy and safety profile.
Rationale: Lithium is a mood stabilizer that is effective in managing acute manic episodes in Bipolar Disorder.
Rationale: Persistent physical complaints causing significant impairment align with the criteria for Somatic Symptom Disorder.
Rationale: Intense fear and avoidance of social situations are characteristic of Social Anxiety Disorder.
Rationale: Methylphenidate is a stimulant medication commonly used to treat ADHD in adults.
Rationale: Persistent delusions and hallucinations for six months meet the criteria for Schizophrenia.
Question: A 35-year-old female reports experiencing recurrent, unexpected panic attacks and persistent concern about having more attacks. What is the most likely diagnosis?
Rationale: Recurrent, unexpected panic attacks and concern about future attacks are indicative of Panic Disorder.
Rationale: Yoga has been shown to be effective in reducing anxiety symptoms through physical activity and mindfulness.
Rationale: Unstable relationships, self-image, and impulsivity are key features of Borderline Personality Disorder.
Rationale: Persistent intrusive thoughts and repetitive behaviors are characteristic of Obsessive-Compulsive Disorder.
Rationale: Kava is an herbal supplement that has been shown to reduce symptoms of anxiety.
D) Schizophrenia
Rationale: The symptoms described align with the diagnostic criteria for Major Depressive Disorder, characterized by persistent depressive symptoms. Case Study Question 2: When considering a differential diagnosis for a patient with symptoms of mood instability, impulsivity, and recurrent self-harming behaviors, which disorder should be ruled out first? A) Borderline Personality Disorder B) Bipolar Disorder C) Obsessive-Compulsive Disorder D) Post-Traumatic Stress Disorder
Rationale: Borderline Personality Disorder often presents with symptoms of mood instability and self-harming behaviors, which can be confused with Bipolar Disorder. Case Study Question 3: In the context of complementary and alternative treatments for anxiety disorders, which approach focuses on promoting relaxation and stress reduction through controlled breathing techniques? A) Cognitive-Behavioral Therapy B) Mindfulness-Based Stress Reduction
C) Acupuncture D) Aromatherapy
Rationale: Mindfulness-Based Stress Reduction is a technique commonly used to reduce anxiety by promoting relaxation and stress reduction. Case Study Question 4: A patient with a history of treatment-resistant depression is being considered for psychopharmacotherapy. Which class of medications is often prescribed as an augmentation strategy in such cases? A) Selective Serotonin Reuptake Inhibitors (SSRIs) B) Benzodiazepines C) Atypical Antipsychotics D) Tricyclic Antidepressants
Rationale: Atypical Antipsychotics are commonly used as augmentation agents in treatment-resistant depression due to their additional effects on mood regulation. Case Study Question 5: When managing a patient with schizophrenia who is experiencing severe positive symptoms such as hallucinations and delusions, which type of medication is typically considered first-line treatment? A) Mood Stabilizers B) Antidepressants
C) Hyperactivity only D) Both inattention and hyperactivity-impulsivity
Rationale: The diagnosis of ADHD requires the presence of symptoms related to both inattention and hyperactivity-impulsivity. Case Study Question 8: In the context of complementary treatments for PTSD, which approach focuses on exposing the individual to traumatic memories in a safe and controlled environment? A) Eye Movement Desensitization and Reprocessing (EMDR) B) Dialectical Behavior Therapy (DBT) C) Prolonged Exposure Therapy D) Herbal Supplements
Rationale: Prolonged Exposure Therapy is a common approach for treating PTSD by gradually exposing individuals to their traumatic memories in a safe setting. Case Study Question 9: A patient with treatment-refractory OCD is being considered for psychopharmacotherapy. Which class of medications is often prescribed as a first-line treatment for OCD? A) Selective Serotonin Reuptake Inhibitors (SSRIs) B) Antipsychotics
C) Benzodiazepines D) Tricyclic Antidepressants
Rationale: SSRIs are commonly used as first-line treatment for OCD due to their efficacy in managing obsessive-compulsive symptoms. Case Study Question 10: When managing a patient with bipolar disorder who is experiencing a manic episode, which class of medications is typically considered as a mood stabilizer? A) Antidepressants B) Anxiolytics C) Lithium D) Antipsychotics
Rationale: Lithium is a common mood stabilizer used in the treatment of bipolar disorder, particularly during manic episodes. Case Study Question 11: A patient with chronic pain is exploring alternative treatments. Which complementary therapy focuses on using thin needles to stimulate specific points on the body? A) Reiki B) Hypnotherapy
C) Antipsychotics D) Mood Stabilizers
Rationale: Antipsychotic medications are used to manage both positive and negative symptoms of schizophrenia, including social withdrawal and apathy. Case Study Question 14: A patient with chronic insomnia is interested in exploring complementary treatments. Which alternative therapy focuses on using breathing techniques and meditation to promote relaxation? A) Tai Chi B) Reflexology C) Yoga D) Tai Chi
Rationale: Yoga involves breathing techniques, meditation, and physical postures that can help improve sleep quality and promote relaxation. Case Study Question 15: When considering a diagnosis of PTSD, which DSM- 5 - TR criterion focuses on the persistent negative alterations in cognition and mood following exposure to a traumatic event? A) Intrusion Symptoms B) Avoidance Symptoms
C) Arousal and Reactivity Symptoms D) Alterations in Arousal and Reactivity
Rationale: This criterion in the DSM- 5 - TR encompasses the persistent negative alterations in cognition and mood that can occur after experiencing a traumatic event. Case Study Question 16: A patient with panic disorder is considering pharmacotherapy. Which class of medications is commonly used as first-line treatment for panic attacks? A) Antipsychotics B) Benzodiazepines C) Antidepressants D) Beta-Blockers
Rationale: Antidepressants, particularly Selective Serotonin Reuptake Inhibitors (SSRIs), are often prescribed as first-line treatment for panic disorder due to their efficacy in reducing panic attacks. Case Study Question 17: In the context of complementary treatments for depression, which approach focuses on changing negative thought patterns and behaviors through structured therapy sessions? A) Acupuncture