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PMHNP Real Exam Questions With 100% Certified Answers 4th phase of schizophrenia - Answer-Stable/residual phase Symptoms similar rot schizophrenia prodromal phase /.accumbens nucleus - Answer-is a brain part involved in functions such as REWARD, motivation, addiction or positive behavioral...

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  • September 23, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
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4th phase of schizophrenia - Answer-Stable/residual phase
Symptoms similar rot schizophrenia prodromal phase

/.accumbens nucleus - Answer-is a brain part involved in functions such as REWARD,
motivation, addiction or positive behavioral reinforcement

/.advance directives - Answer-legal documents that allow people to choose what
medical care they wish to have if they are unable to make those decisions themselves

/.Amygdala - Answer-A limbic system structure involved in memory and emotion,
particularly fear and aggression. Also plays a part in pleasure circuit and drug
dependency.

/.Anticholinergic effects - Answer-dry mouth, blurred vision, constipation, urinary
retention, memory impairment, increase body temp.

/.atypical antipsychotic drugs - Answer-drugs that target both dopamine and serotonin
Aripiprazole
Brexpiprazole
Olanzapine
Quetiapine
Ziprasidone

/.Chlorpromazine (Thorazine) - Answer-typical antipsychotic- side effect is sediment
deposit in the cornea-Cataract

/.Compensation : Defense Mechanism - Answer-overachieve in one area to
compensate for failures in another.

making up for weaknesses in one area by excelling in another area

For example, individuals with poor family lives may direct their energy into excelling
above and beyond what is required at work

/.Criteria to be diagnosed with Binge Eating Disorder - Answer-At least one binge
episode per week for 3 months

/.Delirium vs Dementia - Answer-Delirium happens quickly
Dementia is progressive and irreversible

, /.Differentiate between Serotonin Syndrome and Neuroleptic Malignant Syndrome -
Answer-NMS is precipitated by Dopaminergic agents
Onset of NMS is slower: weeks
Initial mental status in NMS is stupor. alertiveness, delirium

Reflexes in NMS is HYPOREFLEXIA
Bowel sound in NMS is normal to decrease
Initial mental status in SS is agitation
Pupils is normal in NMS

SS is precipitated by Serotonergic agents
Onset of SS is within 24 hours.
pupils are dilated(mydriasis) in SS
Reflexes in SS is HYPERREFLEXIA, CLONUS
Bowel sound in SS is hyperactive

Similarity: HTN, tachycardia, tachypnea, diaphoresis, coma sialorrhea(hypersalivation)
hyperthermia
NMS is also seen in Parkinson's abrupt withdrawal of levodopa

/.displacement (defense mechanism) - Answer-- The transfer of feelings from one target
to another that is considered less threatening or that is neutral.

EX: A client is angry at his doctor, does not express it, but becomes verbally abusive
with the nurse.

/.DSM-5 Schizophrenia - Answer-2 or more of the following for one month
- delusions
-hallucinations
- disorganized speech
-Grossly disorganized or catatonic behavior
-negative symptoms (diminished expression, flat affect, alogia(inability to speak)
avolition(lack of motivation)

/.Escitalopram (Lexapro) - Answer-Antidepressant, SSRI Indicated for MDD age 7+ and
autism age 6+

/.Full remission in depression is defined as - Answer-More than 2 months with no
significant signs or symptoms

/.Fuoxetine (Prozac) - Answer-Antidepressant, SSRI Indicated for MDD ages 6+, OCD
& PTSD ages 7+ and cataplexy age 5+

/.Hallmark for Binge Eating Disorder - Answer--Does not purge after binge eating
episode
-Worry about Metabolic, high BMI

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