ANCC PMHNP

MOOD D/O: MDD CRITERIA A A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. Note: Do not include symptoms that are clearly attributable to another medical condition. 1. Depressed mood daily 2. Loss of pleasure of joy in activities/inerests 3. Significant weight loss/gain 4. insomnia/hypersomnia 5. fatig...

Recovery Recovery is the single most important goal in the transformation of mental health care of the past 2 decades. Four major dimensions of recovery include: health, home, purpose, and community (U.S. Department of Health and Human Services [DHHS], Substance and Mental Health Services Administration, 2015). PMHNP interventions follow evidence-based practice guidelines, are always client goal-directed, and take into account the client's ethnicity and culture. PMHNPs help clients to re...

The purpose of the American Nurses Association's Psychiatric-Mental Health Nursing: Scope and Standards of Practice is to a. Define the role and actions for the NP b. Establish the legal authority for the prescription of psychotropic medications c. Define the legal statutes of the role of the PMHNP d. Define the differences between the physician role and the NP role A. The ANAs Psych-Mental Health Nursing Scope and Standards of Practice defines the role and actions of the nurse practition...

A 46-year-old male with a history of bipolar disorder comes for a regular follow-up appointment with a PMHNP and presents with complaints of severe vomiting, diarrhea, muscle weakness, blurred vision, and ataxia. The patient is currently taking 900mg of lithium daily. The PMHNP identifies these symptoms as signs of lithium toxicity. What is the priority action of the PMHNP? Tells the patient to stop taking lithium and orders a serum lithium level Mary a 45-year-old African American femal...

Purpose of Dopamine Inhibition of prolactin production Sleep Learning Attention Pleasure and reward Movement Memory Mood What term best describes the reelationship between an individual's health and a number of other variables, including the amoutn of healthcare consumed? Health production function- math expression that shows the relationship between an individual's health and a number of other variables. How much time should you allow for Celexa to provide its initial t...

State Legislative Statutes: What do they do? (law created by the state) -They are the Nurse Practice Act -Provides Title protection, -Grants legal authority; -Define Scope of Practice , -Defines advanced practice, -Puts restrictions on practice, -Sets credentialing requirements, -Sets grounds for disciplinary actions, -May require a Collaborative agreement Statutory Law (written law created by legislative body) -rules and regulations differ per state -may further define scope...

ego syntonic behavior is consistent with personality; causes little concern to the person; person generally fails to recognize problem and doesn't seek treatment ego dystonic behavior is inconsistent with personality; causes discomfort and concern to the person; person generally recognizes problem and seeks treatment cluster A odd, unusual, eccentric, asocial Examples: paranoid, schizoid, schizotypal cluster B dramatic, affective instability Examples: antisocial, bord...

How do you assess cranial nerve V trigeminal? Tell patient to close eyes, take piece of cotton or other soft item and lightly touch either one of both sides of each of the three divisions of the trigeminal. How do you assess for cranial nerve VII facial? Observe the patient for nystagmus or twitching of the eye. This nerve controls facial movements and expression, check for symmetry. Have the patient wrinkle forehead, close eyes, smile, pucker lips, show teeth, and puff out cheeks. ...

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, methyldo...

Phases of a Therapeutic Nurse-Client Relationship Introductory Phase (creating trusting environment), Working Phase (identification of issues, goals, expectation), termination or resolution (reviewing progress, focus on self-management) Erikson's Theory Theory that proposes eight stages of human development. Each stage consists of a unique developmental task that confronts individuals with a crisis that must be resolved. Erikson: Infancy trust vs mistrust birth - 1 yr patholo...