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PMHNP exams Review 2

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NSAIDS - Increases Lithium Levels Reliability - consistency of measurement Reliability is another term for consistency. If one person takes the same personality test several times and always receives the same results, the test is reliable. internal validity - Refers to how well an experiment is...

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  • January 29, 2024
  • 162
  • 2023/2024
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PMHNP exams Review 2
NSAIDS - ✔✔Increases Lithium Levels

Reliability - ✔✔consistency of measurement

Reliability is another term for consistency. If one person takes the same personality test several times
and always receives the same results, the test is reliable.

internal validity - ✔✔Refers to how well an experiment is done,

Was it done RIGHT

extent to which we can draw cause-and-effect inferences from a study

Qualitative - ✔✔Data in the form of recorded descriptions rather than numerical measurements.

Quantitative - ✔✔relating to, measuring, or measured by the quantity of something rather than its
quality.



Data in numbers

Biggest concern with EMR - ✔✔Privacy confidentiality

Scope of Practice - ✔✔STATE

Standards of Practice - ✔✔ANA



The standard of practice limitations imposed upon a healthcare provider are based on local regulations
and which of the following elements?

Beck Depression - ✔✔0-9: indicates minimal depression

10-18: indicates mild depression

19-29: indicates moderate depression

30-63: indicates severe depression.

Hamilton Depression Scale - ✔✔TOTAL ITEMS 1 TO 17: _______________

0-7=Normal

8 - 13 = Mild Depression

,14-18 = Moderate Depression

19 - 22 = Severe Depression

> 23 = Very Severe Depression

PHQ9 - ✔✔Score Depression severity Comments



0-4 Minimal depression

5-9 Mild depression

10-14 Moderate depression

15-19 Moderate Severe depression

20-27 Severe




0-4 Minimal or none Monitor; No TX



5-9 Mild Use clinical judgment (symptom duration, functional impairment) to determine necessity of
treatment



10-14 Moderate

15-19 Moderately severe

Warrants active treatment with psychotherapy, medications, or combination



20-27 Severe

Anorexia/Bulimia Admission to Hospital for Pediatrics - ✔✔American Academy of Pediatrics Criteria for
Inpatient Hospitalization in Eating Disorders

Anorexia nervosa

,Heart rate < 50 beats/min daytime; < 45 beats/min nighttime

Systolic blood pressure < 90 mm Hg

Orthostatic changes in pulse (> 20 beats/min) or blood pressure (> 10 mm Hg)

Arrhythmia

Temperature < 96°F

< 75% ideal body weight or ongoing weight loss despite intensive management

Body fat < 10%

Refusal to eat

Failure to respond to outpatient treatment



Bulimia nervosa

Syncope

Serum potassium < 3.2 mmol/L

Serum chloride < 88 mmol/L

Esophageal tears

Cardiac arrhythmias including prolonged QTc

Hypothermia

Suicide risk

Intractable vomiting

Hematemesis

Failure to respond to outpatient treatment

Anorexia Admission - ✔✔

How long does antidepressants work - ✔✔4-6 weeks

Yalom - ✔✔Yalom's eleven therapeutic factors that influence change and healing in group therapy:

, 1. The instillation of hope creates a feeling of optimism.



2. Universality helps group members realize that they are not alone in their impulses, problems, and
other issues.



3. Imparting information helps to educate and empower people with knowledge pertaining to their
specific psychological situation.



4. Altruism allows clients to gain a sense of value and significance by helping other group members.



5. Corrective recapitulation provides for the resolution of family and childhood events within the safety
of the group family.



6. Socializing techniques promote social development, tolerance, empathy, and other interpersonal
skills.



7. Through imitative behavior group members learn to adopt the coping strategies and perspectives of
other group members.



8. Interpersonal learning teaches clients how to develop supportive interpersonal relationships.



9. Group cohesiveness gives members a sense of acceptance, belonging, value, and security.



10. Catharsis releases suppressed emotions and promotes healing by disclosing information to group
members.



11. Existential factors incorporate learning how to just exist as part of something larger than oneself.
This factor brings a client into the awareness that life will continue on, with pain, death, sadness, regret,

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