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PMHNP Comprehensive Questions and answers 100% ACCURATE. Rated A
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PMHNP Comprehensive Questions and answers 100% ACCURATE. Rated A ______________ may accelerate rapid cycling - -Antidepressants _______, ________, _________, cyclosporine, disulfiram, hydralizine, and Isoniazid may cause manic symptoms. - -Captopril, cimetidine, corticosteroids _____% in...

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  • February 8, 2023
  • 136
  • 2022/2023
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PMHNP Comprehensive Questions and
answers 100% ACCURATE. Rated A

______________ may accelerate rapid cycling - ✔✔-Antidepressants



_______, ________, _________, cyclosporine, disulfiram, hydralizine, and Isoniazid may cause manic
symptoms. - ✔✔-Captopril, cimetidine, corticosteroids



_____% increased risk if relative has BD disorder Type I - ✔✔-24



_____% increased risk if relative has BD disorder Type II - ✔✔-5



_____% increased risk if relative has MDD - ✔✔-25



(General) Family System Concepts (vs. Bowens Family Systems Therapy) - ✔✔-System - any unit based
on feedback - the family

Family System - how members operate together

Family System Theory based on idea that one can't understand a member/part w/o understanding how
all family members operate together (system)

Family rules could be overt or covert

Boundaries - barriers that protect & enhance functional integrity of families, individuals & subsystems

Boundaries types:

Clearly defined - maintain individual separateness; emphasizing belongingness

Rigid/inflexible - lead to distant relationship & disengagement

Diffuse - blurred, indistinct, lead to enmeshment



% of Bipolar patients with rapid cycling - ✔✔-20

,1. Management of health status - ✔✔-health assessment, health history, physical exam, screening and
diagnostic testing, diagnosing, prescribing meds and other treatment modalities, evaluating core
outcomes



1st significant psychiatric nursing theory - ✔✔-Peplau therapeutic nurse patient
relationship/interpersonal



2 herbals that interact w/ Coumadin and increase anti-coagulant effect - ✔✔-Omega-3 fatty acids and
Vitamin E

(& maybe fish oil)



2 most common types of structural imaging - ✔✔-CT: 3D view of brain structures; density; inexpensive;
cannot differentiate gray and white matter



MRI: Series of 2D images that represent the brain; separates white and gray matter; expensive and
many contraindications



2 systems activated by the amygdala in response to threat - ✔✔-HPA axis

sympathetic (ANS) nervous system activation ("fight or flight")



2. Maintenance of nurse-client relationship - ✔✔-Displaying environment of trust and respect,
maintaining healthy boundaries, engaging in therapeutic communication



3 parts of the brain "fear circuit" - ✔✔-sensory thalamus

cortex

amygdala



3. Teaching/coaching - ✔✔-Health promotion/disease prevention, risk reduction, coaching toward
behavioral change



4 nucleotide bases - ✔✔-Adenine (A), Thymine (T), Cytosine (C) and Guanine (G)

,4. Professional Role - ✔✔-Serving as client advocate, utilizing information and technology in health care,
using interdisciplinary collaboration and consultation, practicing ethically, showing leadership,
undertaking professional development, participating in policy making.



5. Managing/negotiating health cae delivery systems - ✔✔-Decision making with regard to cost, access,
and efficacy; applying business strategies to practice; negotiating legislative change when needed.



6. Monitoring quality of care - ✔✔-Evaluating quality of care, incorporating continuous quality
improvement into practice.



7. Providing culturally sensitive care - ✔✔-Remaining culturally sensitive when assessing client's
symptoms and his or her perceptions of symptoms.



25% women, 12% men - ✔✔-Risk during reproductive years



A major depressive episode immediately precedes or follows the manic episode in what percentage of
patients? - ✔✔-60



A TCA also used for enuresis and ADHD - ✔✔-Pamelor



A TCA also used for enuresis and separation anxiety - ✔✔-Tofranil (imipramine)



A TCA also used for insomnia - ✔✔-Sinequan (doxepin)



A TCA approved for OCD: - ✔✔-Anafranil (clomipramine)



A TCA with multiple uses that include chronic pain, insomnia, sciatica, fibromyalgia, trigeminal neuralgia
and diabetic neuropathy. - ✔✔-Elavil.

, Abnormal brain structures associated with schizophrenia - ✔✔-ENLARGED ventricles

SMALLER frontal and temporal lobes

Cortical atrophy

Decreased cerebral blood flow

Hippocampal reduction

WIDENED cortical sulci

Diffuse decrease in volume of white and gray matter



Absorption - ✔✔-Method and rate at which drugs leave the site of administration



Absorption of oral medications - ✔✔-Normally occurs in the small intestine and then is ultimately
metabolized by the liver



Account for the differences in the way enzymes - ✔✔-Metabolize drugs



Acculturation - ✔✔-Process by which the person acquires the culture of the society that he or she
inhabits



Acculturation - ✔✔-The process by which the person acquires the culture of the society that he or she
inhabits



Acetylcholine - ✔✔-Cholinergic neurotransmitter synthesized by the basal nucleus of Meynert;
precursors are acetylcoenzyme A and choline



Acetylcholine - ✔✔-is decreased in Alzheimer's disease and impaired memory

is increased in Parkinson



Acetylcholine - ✔✔-synthesized by the basal nucleus of Meynert

Precursors are aceylcoenzyme A and choline

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