/.A 6-year-old is masturbating. What should be done? - Answer-This is a normal
behavior.
Freud's phallic stage, 3-6 years old
/.A new patient arrives at the office for treatment for depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the
psychiatric-mental health nurse practitioner eliminates fluoxetine hydrochloride
(Prozac), based on the knowledge that the combination can lead to increased plasma
levels of the statin, resulting in an increased risk of muscle damage and
rhabdomyolysis. What is the nurse practitioner's rationale?
a. Both medications are CYP450 3A4 inhibitors.
b. Both medications are CYP450 3A4 substrates.
c. One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inducer.
d. One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor. -
Answer-The right answer was
d. One medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
/.A patient from India emphasizes a strong feeling that they are one with Brahma and
connected to life through this being. While developing a treatment plan, the psychiatric-
mental health nurse practitioner realizes that this patient's spirituality also guides their:
a. ability to engage in treatment.
b. interpretation of life events.
c. predisposition to illness.
d. response to medication. - Answer-The right answer was
b. interpretation of life events
/.A patient present to office and share that they are a victim of rape or abuse - Answer-
reassure them of personal safety. Assure safe environment. BEFORE ASSESSMENT.
/.A patient presents to the clinic with a Beck score of 27. You initiate Lexapro 10 mg.
The return 8 weeks later with a Beck score of 20. What is the next action? - Answer-
Increase Lexapro
Pt still in moderate range on Beck scoring, so Lexapro requires increase
/.A washout period of ____ half-lives between cessation of a previous drug and the
introduction of a new drug is the safest switching strategy from the point of view of drug
interaction. - Answer-5
/.Acetylcholine is synthesized in - Answer-basal nucleus of Meynert
,/.ADHD neurobiology - Answer-· Frontal cortex
· Basal ganglia
· Abnormalities of reticular activating system
· Abnormalities in the prefrontal cortex- inattentive type
/.ADHD neurotransmitters - Answer-DNS
/.Agranulocytosis WBC - Answer-2000-3000
/.Alcohol Neurotransmitter - Answer-GABA
/.Allele to screen for in asian population - Answer-HLAB-1502
/.ALT - Answer-5-35
/.altruism - Answer-sharing of oneself and helping others
/.amydala - Answer-aggression, fear, anxiety, emotion
/.An initial psychiatric evaluation of a patient reveals a normal mental status and
appropriate behavior, despite a parent's reports of disobedience, poor grades, and
laziness. To further assess the patient's functioning, the psychiatric-mental health nurse
practitioner first:
a. asks that the parent complete a Child Behavioral Checklist at home.
b. asks the parent to bring in the patient's educational and medical records.
c. meets with the parent and patient together to explore the discrepant report.
d. screens for signs of emotional, physical, sexual, or verbal abuse of the patient. -
Answer-The right answer was c. meets with the parent and patient together to explore
the discrepant report.
/.anal stage - Answer-o 18 months-3 years
o Sphincter control, act of expulsion/retention
/.Anterior cingulate - Answer-Cognitive functions, decision making, empathy, impulse
control, emotions.
/.aplastic anemia - Answer-pallor, fatigue, headache, fever, nosebleeds, bleeding gums,
skin rash, shortness of breath
/.Appreciative inquiry: - Answer-· An approach to organizational change which focuses
on strengths rather than on weaknesses.
/.ASD neurotransmitters - Answer-Glutamate GABA, serotonin
/.ASD screening tools - Answer-o Modified Checklist for Autism in Toddlers (M-CHAT)
, o Autism Diagnostic Observation Schedule Generic (ADOS-G)
o Ages and Stages Questionnaires (ASQ)
/.Assertive community treatment (ACT) - Answer-o Form of rehabilitation post
hospitalization.
o An intensive, integrated approach to community mental health service delivery.
o Mental health services are provided in a community setting (rather than a more
restrictive residential or hospital setting) to people experiencing serious mental illness.
o ACT follows a holistic approach to treatment, meaning that all areas of the patient's
life are targets for improvement
§ Have nurses, therapists, etc on team
/.Assessment - Answer-collecting data to support the problem towards a resolution. (ie
vital signs, lab results).
/.AST - Answer-5-40
/.Autoimmune disease can increase - Answer-cytokines
/.avoidant personality disorder - Answer-· Avoidance of activities involving significant
interpersonal contact.
· Fear of criticism, disapproval, or rejection.
· Unwillingness to be involved with people unless sure of being liked
· Restraint in intimate relationships for fear of being shamed.
· Preoccupation with being criticized or rejected in social settings.
· View of self as socially inept, personally unappealing, or inferior.
· Unusual reluctance to take personal risks or engage in new activities
/.Babinski/Plantar reflex - Answer-When the sole of the foot is firmly stroked, the big toe
bends back toward the top of the foot and the other toes fan out
/.Babinski/Plantar reflex is present at ___ and disappears at ____ - Answer-present at
birth
disappears at 2 year
/.BBW agranulocytosis - Answer-clozapine and tegretol
/.BBW aplastic anemia - Answer-Tegretol
/.Behavioral support and management is - Answer-after the patient is admitted, not after
d/c.
/.behavioral therapy - Answer-o Focuses on changing maladaptive behaviors by
participating in active behavioral techniques such as exposure, relaxation, skills training,
problem-solving, and role-playing, modelling.
