Nokea
The role of Primary care physician's in the treatment of mental illnesses in the community is deemed:
- A. More costly.
- B. Less convenient.
- C. Only for continuing the care of follow-up or discharged cases.
- D. Ideal for detecting and treating early illnesses.
Correct Answer: D
Rationale: PCPs are well-placed to detect and treat mental illnesses early due to their accessibility and ongoing patient relationships.
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The Montessori approach believes the learning environment should be
- A. Structured
- B. Flexible
- C. Controlled
- D. Rigid
Correct Answer: B
Rationale: Montessori environments are flexible, adapting to children's needs.
Which somatic therapy requires a medical evaluation, review or prior care by two psychiatrists and the need to be recommended for this therapy, informed consent, and can be appropriate for clients who are pregnant?
- A. Electroconvulsive therapy (ECT)
- B. Transcranial Magnetic Stimulation (TMS)
- C. Deep Brain Stimulation (DBS)
- D. Vagus Nerve Stimulation (VNS)
Correct Answer: A
Rationale: The correct answer is A: Electroconvulsive therapy (ECT). ECT is a somatic therapy that requires a thorough medical evaluation and review by two psychiatrists to determine its appropriateness. It also necessitates being recommended for this therapy, obtaining informed consent, and can be considered safe for pregnant clients. The other choices, B, C, and D, do not require the same level of medical evaluation, review, or recommendation by two psychiatrists. They also may not be considered safe for pregnant individuals, making them less appropriate in this scenario.
Which of the following approaches may aid a health care provider in understanding the factors that affect adherence?
- A. Schedule monthly follow-up appointments
- B. Ask patients if they understand how to take their medications
- C. Find out the significant sources of stress in patients' lives
- D. Offer liquid or chewable alternatives to medicine that must be swallowed
Correct Answer: C
Rationale: Identifying stressors reveals barriers to adherence beyond medication logistics.
What is the most appropriate response when a patient's behavior or comments during an office visit trigger anger or negative emotions in the physician?
- A. Confront the patient immediately
- B. Recognize these emotions and maintain control
- C. Ignore the comments and send in a resident to see the patient
- D. End the visit and schedule a follow-up with another physician
Correct Answer: B
Rationale: Self-awareness and control preserve professionalism and care quality.
The psychological test measure intellectual ability is
- A. Rorschach
- B. MMPI
- C. WAIS
- D. TAT
Correct Answer: C
Rationale: The WAIS measures intellectual ability across verbal and performance domains.