The NP is completing an intake interview with a 24 yo female with a hx of depression and anxiety. When discussing med options the pt states she is newly married and is trying to get pregnant. You discuss starting buspar dt "animal reproduction studies having failed to demonstrate a risk to fetus an...
PMHNP exam prep questions and
answers(verified for accuracy)
The NP is completing an intake interview with a 24 yo female with a hx of depression and
anxiety. When discussing med options the pt states she is newly married and is trying to get
pregnant. You discuss starting buspar dt "animal reproduction studies having failed to
demonstrate a risk to fetus and no adequate and well-controlled studies to show the drug to cx
birth defects if used in pregnant women." Which FDA est category to indicate potential risk of a
drug to cx birth defects in pregnancy did the NP describe to this pt?
A. Category A
B. Category B
C. Category C
D. Category D - answer B. Category B
Category B described as animal reproduction studies have failed to demonstrate a risk to the
fetus and there being no adequate and well-controlled studies to show the drug to cx birth
defects if used in pregnant women.
Pt taking selegiline may test urine positive for which drug?
A. Benzo
B. meth
C. marijuana
D. cocaine - answer B. methamphetamine
selegiline is metabolized by the body into I-methamphetamine and I-amphetamine. Selegiline is
a substituted phenethylamine used for the tx of early-stage Parkinson's disease, depression, and
dementia. In normal clinical doses, it is a selective irreversible MAO-B inhibitor. However, in
larger doses it loses its specificity and also inhibits MAO-A.
What is the best strategy to stop clonidine?
A. increase dose, then taper
B. Gradually decrease dose
, C. Change to another adrenergic blocker, then taper gradually
D. stop at once - answer B. gradually decrease dose.
Discontinuation should be gradual to avoid rebounding autonomic sx of hypertensive crisis that
have been reported in hypertensive pt who were suddenly withdrawn from the drug
A np has a pt in his practice who has a hx of bipolar d/o and is tx with lithium. During a routine
exam, the np decides to check a lithium level and it is elevated, but the results do not return to
clinic until 2 days after pt visit. The NP calls pt with results. Which of the following is true?
A. np should leave msg on answering machine with the abnormal results
B. np can only leave msg with pt spouse or other family member if pt is not home
C. np should leave msg with contact number for pt to call back
D. access psych records cannot be denies to a pt - answer C
HIPPA rules are designed to protect the privacy of pt and their confidential medical info. Pt
consent is required before releasing pt info to third parties, except in specific circumstances
(having to do with third-party payers, reportable dx, minors). No one may receive info unless
written consent for release is signed.
Pt can be denies access to their psychotherapy records.
You are asked to obtain consent for a LP from a 17yo female with suspected meningitis in the
ER. The procedure will be performed under a fluoroscope, and the radiologist feels the pt is
competent to make her own medical decisions. When you explain the procedure to the pt, she
is disoriented and delirious. She is away from family, and you are unable to contact her parents
who live in a different town. Which of the following is most appropriate?
A. have pt sign consent form
B. Cont to call pt parents to get consent
C. Do LP and tx pt since she requires emergency care for a condition that could endanger life
and limb
D. call another close relative for consent if parents cannot be reached - answer C
Consent for emergency care is implied in the ER. If pt was not able to give informed consent d/t
illness, the NP should proceed with procedure and tx. The dx will be made by LP so it would be
inappropriate to guess and subsequently make decisions about whether suspected meningitis is
bacterial or viral. Bacterial meningitis is one type of life-threatening emergency situation that
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