PMH-BC STUDY KA Exam Questions
Complete Solutions Current Update
Peplau four stage of nurse pt relationship 1) orientation - begin a strangers - Answers -
A) client- seeks or is brought in for help
B) nurse- response to client, explains parameter of relationship, gather data, listen to
areas of concern, lays groundwork for termination
2) Identification - Answers -A) client - response to help offered by nurse, identify with the
nurse and maybe dependent, active complaint
B)nurse - structures relationship to focus on client.
3)Exploitation - working - Answers -A) client - more independent and accessing services
and working in partnership to interpret behavior; begins to try out the new behaviors.
B) nurse- support client and explores feelings and problems at clients pace, deals with
resistance, encourage risk-taking and facilitate achievement of goals.
SIGCAPS (diagnose depression) - Answers -sleeping, interest, guilt, concentration,
appetite, psychomotor, suicide
4) Resolution - termination - Answers -A) client - engages the new problem-solving skills
and coping behaviors, will self positively and plans for the future may decompensate
when anticipate separation
B) nurse - reviews goals and accomplishments; share own feelings and assist client to
express feelings about relationship and separation.
Therapeutic use of self - Answers -Use of self application of nurses own personality
characteristics within the inter-action to facilitate healing
Countertransference - Answers -Nurse response to client with feelings from own earlier
conflicts. nurse must increase self-awareness and access to assist in dealing with client
more effectively
Transference - Answers -Client experiences emotional reaction toward nurse based on
unconscious feelings that originated in past relationships. Nursing response is to
confront distortion of reality gently in order to facilitate client self awareness.
Pharmacokinetics - Answers -What the body does to drug includes absorption,
distribution, metabolism, and elimination
Pharmacodynamics - Answers -What the drug does to the body (desired effect an
adverse side effects.)-Site of action (target organ/systems) including receptors, ion
channels, enzymes, and carrier proteins.
, Tarasoff - Answers -If therapist is reasonably certain that a client is going to harm
someone, must breach confidentiality and inform potential victim.
Denver development screen - Answers -A test for screening cognitive and behavioral
problems in preschoolers
Seleye' stress theory - Answers -1)Alarm-fight or flight, sympathetic nervous system is
activated 2)resistance-parasympathetic nervous system returns many body systems to
normal, body remains on red alert.
3) exhaustion- if stressor continues beyond body's capacity, organism exhaust
resources and becomes susceptible to disease and death
Heroin - Answers -CNS suppressant
GABA ( gamma Aminobutric acid) - Answers -Regulates anxiety, calming effect. It's
principal role is reducing neuronal excitability through the nervous system, responsible
for Asperger- problems with socialization and communication, repetitive behavior.
ANXIOLTICS (benzodiazepine) aim to increase GABA function
Midazolam - Answers -Sedative- controlled substance
Rohypnol - Answers -Sedative, insomnia, pre-anesthetic, not approved in the USA
Bupropion - Answers -Antidepressant, for smoke cesation
Memantine - Answers -Nameda, oral medication for Alzheimer's blocks glutamate in the
brain, glutamate is released in excess when brain cells are damaged by Alzheimer's
disease
Bupropion - Answers -Wellbutrin, Zyban
oculogyric crisis - Answers -uncontrolled rolling back of the eyes
Rivastigmine - Answers -Exelon improves the function of nerve cells in the brain with
Alzheimer's dememtia, also for PD
Donepezil (Aricept) - Answers -Is used to treat confusion related to Alzheimer's disease,
improve memory awareness, and the ability to function
Invega Sustenna - Answers -long-acting paliperidone IM injection use for schizophrenia
The brain initiative - Answers -Aimed at revolutionizing our understanding of the human
brain
The future of nurse publication - Answers -Addresses educational level
recommendations for registered nurses
Complete Solutions Current Update
Peplau four stage of nurse pt relationship 1) orientation - begin a strangers - Answers -
A) client- seeks or is brought in for help
B) nurse- response to client, explains parameter of relationship, gather data, listen to
areas of concern, lays groundwork for termination
2) Identification - Answers -A) client - response to help offered by nurse, identify with the
nurse and maybe dependent, active complaint
B)nurse - structures relationship to focus on client.
3)Exploitation - working - Answers -A) client - more independent and accessing services
and working in partnership to interpret behavior; begins to try out the new behaviors.
B) nurse- support client and explores feelings and problems at clients pace, deals with
resistance, encourage risk-taking and facilitate achievement of goals.
SIGCAPS (diagnose depression) - Answers -sleeping, interest, guilt, concentration,
appetite, psychomotor, suicide
4) Resolution - termination - Answers -A) client - engages the new problem-solving skills
and coping behaviors, will self positively and plans for the future may decompensate
when anticipate separation
B) nurse - reviews goals and accomplishments; share own feelings and assist client to
express feelings about relationship and separation.
Therapeutic use of self - Answers -Use of self application of nurses own personality
characteristics within the inter-action to facilitate healing
Countertransference - Answers -Nurse response to client with feelings from own earlier
conflicts. nurse must increase self-awareness and access to assist in dealing with client
more effectively
Transference - Answers -Client experiences emotional reaction toward nurse based on
unconscious feelings that originated in past relationships. Nursing response is to
confront distortion of reality gently in order to facilitate client self awareness.
Pharmacokinetics - Answers -What the body does to drug includes absorption,
distribution, metabolism, and elimination
Pharmacodynamics - Answers -What the drug does to the body (desired effect an
adverse side effects.)-Site of action (target organ/systems) including receptors, ion
channels, enzymes, and carrier proteins.
, Tarasoff - Answers -If therapist is reasonably certain that a client is going to harm
someone, must breach confidentiality and inform potential victim.
Denver development screen - Answers -A test for screening cognitive and behavioral
problems in preschoolers
Seleye' stress theory - Answers -1)Alarm-fight or flight, sympathetic nervous system is
activated 2)resistance-parasympathetic nervous system returns many body systems to
normal, body remains on red alert.
3) exhaustion- if stressor continues beyond body's capacity, organism exhaust
resources and becomes susceptible to disease and death
Heroin - Answers -CNS suppressant
GABA ( gamma Aminobutric acid) - Answers -Regulates anxiety, calming effect. It's
principal role is reducing neuronal excitability through the nervous system, responsible
for Asperger- problems with socialization and communication, repetitive behavior.
ANXIOLTICS (benzodiazepine) aim to increase GABA function
Midazolam - Answers -Sedative- controlled substance
Rohypnol - Answers -Sedative, insomnia, pre-anesthetic, not approved in the USA
Bupropion - Answers -Antidepressant, for smoke cesation
Memantine - Answers -Nameda, oral medication for Alzheimer's blocks glutamate in the
brain, glutamate is released in excess when brain cells are damaged by Alzheimer's
disease
Bupropion - Answers -Wellbutrin, Zyban
oculogyric crisis - Answers -uncontrolled rolling back of the eyes
Rivastigmine - Answers -Exelon improves the function of nerve cells in the brain with
Alzheimer's dememtia, also for PD
Donepezil (Aricept) - Answers -Is used to treat confusion related to Alzheimer's disease,
improve memory awareness, and the ability to function
Invega Sustenna - Answers -long-acting paliperidone IM injection use for schizophrenia
The brain initiative - Answers -Aimed at revolutionizing our understanding of the human
brain
The future of nurse publication - Answers -Addresses educational level
recommendations for registered nurses
