Exam (elaborations)
PMHNP Comprehensive Exam|1200 Complete Questions and Answers|2023
PMHNP Comprehensive Exam|1200 Complete Questions and Answers|2023
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PMHNP Comprehensive Exam|1200 CompleteQuestions and Answers|2023
AIMS - -Abnormal Involuntary Movement Scale for 8 and older
12 item tool to assess symptoms of tardive dyskinesia for patients taking
antipsychotics
Rating 0-4, >2 to diagnose TD and reduce dose
-BARS - -Barnes Akathisia Rating Scale for 8 and older
4 item tool to assess objective and subjective symptoms of akathisia with
antipsychotics and/or SSRIs
-CRS-R - -Connors Rating Scales - Revised for 3-17
ADHD Parent (80 items) and Teacher Scales (59 items)
Low T-score of 61= mildly atypical; >70 = markedly atypical
Subscales for Oppositional Behaviors, Cognitive Problems, Hyperactivity,
ADHD Index, Anxious-Shy, Perfectionism, Social Problems, DSM-IV Subscales
and Connors' Global Index
-Vanderbilt ADHD Parent and Teacher - -55 parent, 43 teacher items for 6-
12
Initial assessment rates symptoms and impairment in academic and
behavioral performance
-ASRS-1 - -Adult ADHD Self-Report Scale, 16 and older
Two-part Screening
Part A: 6 questions, 4 symptoms suggest ADHD
Part B: 12 questions to clarify and quantify
-AUDIT-C - -Alcohol Use Disorders Identification Test - Consumption, > 13
Documents use and frequency in prior year
0-4, F >3 = positive, M >4 = positive, >8 = hazardous drinking
-CAGE-AID - -IDs problem drinking or druging, 13 and older
(C=cut down, A=annoy, G=guilty, E=Eye-opener, AID=altered to include
drugs
-CRAFFT - -6-item screen for alcohol or drugs in adolescents, 14-18
(C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble)
-BAI - -Beck Anxiety Inventory, 17 and older
Assesses 21 symptoms of anxiety, 0-36 scores
-HAM-A - -Hamilton Anxiety Scale, most commonly used
14 domains, 14=mild, 18-24= moderate, 25-30=severe
, -LSAS-CA - -Liebowitz Social Anxiety Scale-Child/Adolescent Version, 7 and
older
24 items, social and performance
55-65=moderate social phobia, 65-80=marked, 80-95=severe, >95=very
severe
-MMSE - -Mini Mental Status Exam
30 items, 24-30= no cognitive impairment; 18-23=mild cognitive
impairment; 0-17= severe cognitive impairment
-MOCA - -Montreal Cognitive Assessment
>26=normal, add point for <12th grade education
-SPMSQ - -Short Portable Mental Status Questionnaire
10 items, more than 3 incorrect indicates dementia
-BDI-2 - -Beck Depression inventory, 13 and older
presence and impact of depressive symptoms
21 items, <10=normal; 11-17=mild depression; 18-23=moderate;
24+=severe
-CCSD - -Cornell Scale for Depression in Dementia
19 items, <6=no significant depression; 8-17=probable major depression;
>18=definite depression
-MDQ - -Mood Disorder Questionnaire
Screen for mania or hypomania
positive if 7 or more of 13 items in question #1 present and #2 is yes and
#3 gets moderate or serious problem response
-YMRS - -Young Mania Rating Scale, 11 items (adult)
Range 0-60; adults with 12 or more=mania
-CY-BOCS - -...
-YBOCS - -Yale-Brown Obsessive Compulsive Scale
10 items; age 14 and older
gold standard for OC symptoms
score indicates level of severity
-BPRS - -Brief Psychiatric Rating Scale, 18 and older
Assesses psychopathology (+, - and affective) with schizophrenia, not for
screening or DX
-PANSS - -Positive and Negative Syndrome Scale, 18 and older
,measures changes in symptom intensity in psychosis and schizophrenia
Gold standard in studies of treatment efficacy
-SPS - -Suicide Probability Scale, 13 and older
Rapid measure of suicide risk
higher score indicates greater risk
-CIWA-Ar - -Clinical Institute Withdrawal Assessment of Alcohol Scale,
Revised
9 item symptom rating scale, max score 67; <10 does not warrant
intervention
-COWS - -Clinical Opiate Withdrawal Scale
Quantifies severity of withdrawal syndrome, guides dosing, monitors over
time
Used for induction of Suboxone
5-12=mild; 13-24= moderate; 25-36=mod to severe; >36=severe
-T4, FREE THYROXINE - -0.8-2.8
Increased In Graves
Decreased In Hypothyroidism
-TSH - -2- 10 mu/l
Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per
liter),
-Calcium, Ca++ - -8.8-10.5
<7.0, tetany
>11.0, hyperparathyroidism
>13.5, hypercalcemic coma, metastatic cancer
-Sodium, Na+ - -135-148 mEq/L
-hypernatremia - -dehydration
hypovolemia
diabetes insipidus
eating too much salt
gastroenteritis
drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds
-hyponatremia - -drugs such as lithium, vasopressin, diuretics
addisons
renal disorder
gi fluid loss
-Magnesium, Mg - -1.3 - 2.1 mEq/L
, lithium can increase
-hypomagnesemia - -depression, confusion, irritability,nystagmus, tetany,
convulsions, ataxia, increased reflexes, muscle weakness
-hypermagnesemia - -N/V, respiratory depression, hypotension, depressed
skeletal muscle contraction and nerve function, bradycardia
-Potassium, K+ - -3.5-5.1 mEq/L
-hyperkalemia - -chronic marijuana use can elevate potassium
-Chloride, Cl - -98 - 106
passive transport through sodium
major anion in the extracellular fluid
-Liver - ALT - -5 - 35 U/L - depakote can increase, safe to use up to 2 times
normal limit
-Liver - AST - -5 - 40 U/L
slight elevation can occur in DT's
depakote can increase, safe to use up to 2 times normal limit
-Liver - GGT - -10 - 38 IU/L
-Thrombocytopenia - -Platelet count normal = 150,000-450,000
if below - bone marrow doesn't make enough platelets.
or bone marrow makes enough platelets, but the body destroys them or uses
them up.
or - The spleen holds on to too many platelets. The spleen is an organ that
normally stores about one-third of the body's platelets. It also helps your
body fight infection and remove unwanted cell material.
can be caused by Valproate
-Neutropenia - -A normal ANC is above 1,500 cells per microliter. An ANC
less than 500 cells/µL is defined as neutropenia and significantly increases
the risk of infection. Neutropenia is the condition of a low ANC,
Clozapine - WBC => 3500 to initiate therapy, ANC MUST BE =>2000/mm, ck
wbc/anc weekly x 6 months, then Q other week for 6 months; if stable then Q
4 weeks. after therapy test for at least 4 weeks,
-LIVER PANEL - -ALP, AST, ASP, BILIRUBIN, ALBUMIN, TTL PROTEIN, CBC with
WBC DIFFERENTIAL, PLATELET COUNT. FOR VALPROATE THERAPY - CK
BASELINE AND MONTHLY FOR SEVERAL MONTHS
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