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PMHNP Exam 2024 RATED A+
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[Show more]Which community-based program is a tertiary l 
evel intervention? 
A. educational sessions at the local community mental health center. 
B. national association of mental illness meetings that provide education and support. 
C. Partial hospitalization program that provides intensive group therapy fo...
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Add to cartWhich community-based program is a tertiary l 
evel intervention? 
A. educational sessions at the local community mental health center. 
B. national association of mental illness meetings that provide education and support. 
C. Partial hospitalization program that provides intensive group therapy fo...
Amygdala - A limbic system structure involved in memory and emotion, particularly fear and 
aggression. Also plays a part in pleasure circuit and drug dependency. 
accumbens nucleus - is a brain part involved in functions such as REWARD, motivation, addiction or 
positive behavioral reinforcement 
p...
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Add to cartAmygdala - A limbic system structure involved in memory and emotion, particularly fear and 
aggression. Also plays a part in pleasure circuit and drug dependency. 
accumbens nucleus - is a brain part involved in functions such as REWARD, motivation, addiction or 
positive behavioral reinforcement 
p...
What routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , 
transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all 
ointments placed on the skin 
PO meds absorption pattern - Varies greatly due to: 
»»Stabil...
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Add to cartWhat routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , 
transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all 
ointments placed on the skin 
PO meds absorption pattern - Varies greatly due to: 
»»Stabil...
What is the introduction phase of the nurse-client relationship? - Creates a trusting environment, 
establishing professional boundaries, establishing length of anticipated interaction, providing diagnostic 
evaluation, and setting mutually agreed-upon treatment objectives 
What is the working phase...
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Add to cartWhat is the introduction phase of the nurse-client relationship? - Creates a trusting environment, 
establishing professional boundaries, establishing length of anticipated interaction, providing diagnostic 
evaluation, and setting mutually agreed-upon treatment objectives 
What is the working phase...
Ethical Principal Terms (Justice, Veracity, Respect, Fidelity) - •Justice: Doing what is fair 
•Veracity: Telling the truth 
•Respect: Treating everyone with equal dignity 
•Fidelity: Being true and loyal 
Inferential statistics - numerical values that enable a researcher to draw conclusions...
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Add to cartEthical Principal Terms (Justice, Veracity, Respect, Fidelity) - •Justice: Doing what is fair 
•Veracity: Telling the truth 
•Respect: Treating everyone with equal dignity 
•Fidelity: Being true and loyal 
Inferential statistics - numerical values that enable a researcher to draw conclusions...
What is a decreased effects of the same dose of a drug over time - Tolerance ( mostly patients 
taking benzo, pain rx etc) Your client Sam is being treated for panic disorder with agorophobia. He is 
currently prescribed Paroxitine (Paxil CR 37.5, qd) and Clonazepam (Klonopin 0.5 mgqd prn. He has be...
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Add to cartWhat is a decreased effects of the same dose of a drug over time - Tolerance ( mostly patients 
taking benzo, pain rx etc) Your client Sam is being treated for panic disorder with agorophobia. He is 
currently prescribed Paroxitine (Paxil CR 37.5, qd) and Clonazepam (Klonopin 0.5 mgqd prn. He has be...
The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - 
Prevention of Disease 
Immunization 
Counseling about Safety 
The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - 
Early Detection of Disease 
...
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Add to cartThe goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - 
Prevention of Disease 
Immunization 
Counseling about Safety 
The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - 
Early Detection of Disease 
...
Corticoidsteroids causes - anxiety, mood changes, psychosis, and delirium 
Benzos and antiulcer agents cause - mood changes 
NSAIDs cause - psychosis 
When to suspend Clozapine - ANC levels less than 500 
Rare side effect of Quetiapine - Cataract formation 
Higher incidence of EPS with Risperidone -...
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Add to cartCorticoidsteroids causes - anxiety, mood changes, psychosis, and delirium 
Benzos and antiulcer agents cause - mood changes 
NSAIDs cause - psychosis 
When to suspend Clozapine - ANC levels less than 500 
Rare side effect of Quetiapine - Cataract formation 
Higher incidence of EPS with Risperidone -...
O'Connor vs. Donaldson - harmless mentally ill can't be confined against their will 
Durham Vs. US. - insanity defense. individual not held criminally responsible if act a product of 
mental illness 
Rogers vs. Oken - pt has right to refuse treatment, but guardian may authorize it 
Rennie vs. Klei...
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Add to cartO'Connor vs. Donaldson - harmless mentally ill can't be confined against their will 
Durham Vs. US. - insanity defense. individual not held criminally responsible if act a product of 
mental illness 
Rogers vs. Oken - pt has right to refuse treatment, but guardian may authorize it 
Rennie vs. Klei...
BUN - 10-20 
Creatinine - 0.4-0.8 
GFR - >90, >60 for Psychotropic medications 
Lithium Level - Acute (0.8-1.2) Maintenance (0.6-1.0) 
Valproate Level - 50-120 
GGT - Look for elevation when there is Alcohol abuse 
(10-38) 
ALT - (5-35) 
AST - (5-40) 
Valproate and Liver - Can increase ALT, AS...
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Add to cartBUN - 10-20 
Creatinine - 0.4-0.8 
GFR - >90, >60 for Psychotropic medications 
Lithium Level - Acute (0.8-1.2) Maintenance (0.6-1.0) 
Valproate Level - 50-120 
GGT - Look for elevation when there is Alcohol abuse 
(10-38) 
ALT - (5-35) 
AST - (5-40) 
Valproate and Liver - Can increase ALT, AS...
Psychotropic Medications - Antidepressants, antipsychotics, mood stabilizers, anxiolytics, 
hypnotics, stimulants 
Organized by structure 
MOA 
Distinguished by subtle differences in molecular structure. 
Most psychotropics are lipophilic and highly protein bound; thus, older adults have more body f...
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Add to cartPsychotropic Medications - Antidepressants, antipsychotics, mood stabilizers, anxiolytics, 
hypnotics, stimulants 
Organized by structure 
MOA 
Distinguished by subtle differences in molecular structure. 
Most psychotropics are lipophilic and highly protein bound; thus, older adults have more body f...
The purpose of the ANA's PMH Nsg: 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 physic...
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Add to cartThe purpose of the ANA's PMH Nsg: 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 physic...
1. Scientific Foundation 
You are treating a patient for his first episode of major depression. You decide to initiate citalopram 
(Celexa). How much time should you allow for the medication to provide its initial therapeutic effect and 
the patient to see improvement of symptoms? 
8 months 
4 to 6 ...
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Add to cart1. Scientific Foundation 
You are treating a patient for his first episode of major depression. You decide to initiate citalopram 
(Celexa). How much time should you allow for the medication to provide its initial therapeutic effect and 
the patient to see improvement of symptoms? 
8 months 
4 to 6 ...
NSAIDS - Increases Lithium Levels 
Reliability - consistency of measurement 
Reliability is another term for consistency. If one person takes the same personality test several times 
and always receives the same results, the test is reliable. 
internal validity - Refers to how well an experiment is ...
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Add to cartNSAIDS - Increases Lithium Levels 
Reliability - consistency of measurement 
Reliability is another term for consistency. If one person takes the same personality test several times 
and always receives the same results, the test is reliable. 
internal validity - Refers to how well an experiment is ...
What routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , 
transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all 
ointments placed on the skin 
PO meds absorption pattern - Varies greatly due to: 
»»Stabil...
Preview 2 out of 5 pages
Add to cartWhat routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , 
transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all 
ointments placed on the skin 
PO meds absorption pattern - Varies greatly due to: 
»»Stabil...
Aspects of a person or self are seen only in extremes and not able to be integrated. 
A woman views her husband as either all good or all bad; cannot integrate negative and positive. - 
Splitting (primitive or narcissistic) 
Low Hb and high MCV - Vitamin B12 deficiency 
L1-L2 lactation risk - L1 = ...
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Add to cartAspects of a person or self are seen only in extremes and not able to be integrated. 
A woman views her husband as either all good or all bad; cannot integrate negative and positive. - 
Splitting (primitive or narcissistic) 
Low Hb and high MCV - Vitamin B12 deficiency 
L1-L2 lactation risk - L1 = ...
What is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - Moderate cognitive impairment ...
Preview 4 out of 44 pages
Add to cartWhat is dissemination? - Getting the research information out to those who need to know it! 
Publication - highest level 
Presenting at National Conference 
Presenting at Local Conference 
Journal Club where one person reviews an article 
What does a 17 on MMSE mean? - Moderate cognitive impairment ...
Autosomal Dominant - Genetic inheritance, is more rare (i.e. Huntington's disease), is present in 
more than one generation. 
Autosomal Recessive - Expressed in one generation, inherited from unaffected parent, is more 
common. 
CAGE Questionnaire - For substance abuse, Cut, Annoyed, Guilty, Eye op...
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Add to cartAutosomal Dominant - Genetic inheritance, is more rare (i.e. Huntington's disease), is present in 
more than one generation. 
Autosomal Recessive - Expressed in one generation, inherited from unaffected parent, is more 
common. 
CAGE Questionnaire - For substance abuse, Cut, Annoyed, Guilty, Eye op...
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