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2024 GEORGETTE PMHNP REVIEW EXAM WITH CORRECT ANSWERS
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2024 GEORGETTE PMHNP REVIEW EXAM WITH CORRECT ANSWERS
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2024 GEORGETTE PMHNP REVIEWEXAM WITH CORRECT ANSWERS
A male patient informs as adult PMHNP that he has not slept in three days,
has poor concentration, and denies fatigue. The patient's diagnosis is:
A. ADHD
B. Bipolar disorder
C. Panic disorder
D. Primary insomnia - CORRECT-ANSWERSbipolar disorder
The neuroprotective treatment of choice for bipolar disorder is - CORRECT-
ANSWERSlithium
According to the current clinical guidelines for treating a patient with bipolar
I disorder mania with psychotic features, an adult psychiatric and mental
health nurse practitioner prescribes:
A.) Lithium
B. Citalopram
C. Lamotrigine
D. Quetiapine - CORRECT-ANSWERSquetiapine
intrusive reexperiencing of a traumatic event - CORRECT-ANSWERSPTSD
symptoms of PTSD - CORRECT-ANSWERShyperarousal, avoidance of stimuli
associated with trauma, intrusive symptoms
Pharm treatment for pTSD - CORRECT-ANSWERSSSRI (Zoloft)
TCA
Prazosin
AVOID BENZOS
Risk factors for OCD - CORRECT-ANSWERSfirst degree relative and PANDAS--
associated with strep infection,
Tourette's - CORRECT-ANSWERSAt least 2 motor tics and at least one vocal
tic have been present.
Cause of tourettes - CORRECT-ANSWERSdopamine --hyperactivity of the
dopamine system.
,use of external agents that mimic disease (patient ingests foreign body) -
CORRECT-ANSWERSfactitious disease
excessive worry more than 6 months - CORRECT-ANSWERSGAD
Age of onset of schizophrenia in males - CORRECT-ANSWERS18-25
Age of onset of schizophrenia in females - CORRECT-ANSWERS25-35
Cause of schizophrenia - CORRECT-ANSWERSintrauterine insults
prenatal exposure to toxins, including viral agents
Problem in the brain in schizophrenia - CORRECT-ANSWERSenlarged
ventricles, everything else decreases
Things to monitor and labs while on antispychotic - CORRECT-
ANSWERSserum glucose, serum lipid panel, weight, BMI, waist to hip ratio.
liver and kidney function
CBC
non-harm treatment for schizophrenia - CORRECT-ANSWERSACT (assertive
community treatment)
Person has psychotic symptoms similar to schizophrenia as well as mood
symptoms seen in depression and bipolar - CORRECT-
ANSWERSschizoaffective
trust vs mistrust - CORRECT-ANSWERSbirth to one year
virtue in trust vs mistrust - CORRECT-ANSWERShope
autonomy vs shame and doubt - CORRECT-ANSWERSearly childhood 1-3
years
virtue for autonomy vs shame and doubt - CORRECT-ANSWERSwill (they seek
will power, independence)
Inititiative vs. guilt - CORRECT-ANSWERSlate childhood 3-6 years
virtue of initiative vs guilt - CORRECT-ANSWERSpurpose
Ability to be a self-starter, to initiate one's own activities.
Industry vs inferiority (VERY HIGH YIELD) - CORRECT-ANSWERSschool age
6-12 years
,Industry vs inferiority virtue - CORRECT-ANSWERScompetence
Identity vs role confusion - CORRECT-ANSWERSAdolescence 12-20
identity vs role confusion virtue - CORRECT-ANSWERSfidelity
personal identity
unfavorable: they're confused over who they are.
Initimacy vs isolation - CORRECT-ANSWERSEarly adulthood
20-35
Intimacy vs isolation virtue - CORRECT-ANSWERSlove
Generativity vs stagnation - CORRECT-ANSWERSmiddle adultgood
35-65 years
generatively vs stagnation virtue - CORRECT-ANSWERScare
key event: parenting
integrity vs despair (VERY HIGH YIELD) - CORRECT-ANSWERSlate adulthood
greater than 65 years
integrity vs despair virtue - CORRECT-ANSWERSwisdom
fulfillment and comfort with life
willing to face death, sense of integrity
Piaget focuses on - CORRECT-ANSWERSbehavior
Piaget
Sensorimotor
0-2 - CORRECT-ANSWERSobject permanence and object constancy
Piaget Preoperational (VERY HIGH YIELD)
2-7 years - CORRECT-ANSWERSmagical thinking
egocentric
pretend play
Piaget Concrete operational
7-11 years - CORRECT-ANSWERSThinks logically about concrete objects
Understands conservation and reversibility
Piaget Formal Operational (VERY HIGH YIELD)
12+ years - CORRECT-ANSWERSReason abstractly
Freud Oral Stage - CORRECT-ANSWERS0-1
Erogenous zone: mough
, Freud Anal Stage - CORRECT-ANSWERS1-3 years
Erogenous zone: anus
Freud Phallic Stage - CORRECT-ANSWERS3-6 years
Erogenous zone is genitals
Freud latent stage - CORRECT-ANSWERS6 to puberty
Representation of sexual feelings
Freud Genital stage - CORRECT-ANSWERS•puberty-adulthood
•sexual urges reawaken & are directed to an individual outside the family
circle
•unresolved conflicts from previous stages arise
•if conflict is resolved, capable of having a mature adult sexual relationship
individuals are able to distinguish between self and non self - CORRECT-
ANSWERSego boundaries
way of coping with anxiety in which an object or person of ambivalence is
viewed as perfect or has having exaggerated positive qualities - CORRECT-
ANSWERSidealization
person attributes themselves, an object or another person as completely
flawed, worthless, or having exaggerated negative qualities - CORRECT-
ANSWERSdevaluation
motivational interviewing - CORRECT-ANSWERSbased on trans theoretical
model of change
nonconfrontational
ask open ended questions
empatheic
patient centered
affirmations of the positive traits
reflective listening
Transtheoretical Model of Change - CORRECT-ANSWERSPrecontemplation
Contemplation
Preparation
Action
Maintenance
Relapse
person has no intention of change and lack of insight - CORRECT-
ANSWERSprecontemplation
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