100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
MHNP Exam Questions and Answers Fall 2022 Test Bank. $10.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. PMHNP 2022
  4.  
  5. PMHNP 2022

Exam (elaborations)

MHNP Exam Questions and Answers Fall 2022 Test Bank.
 9 views  0 purchase
  • Course
  • PMHNP 2022
  • Institution
  • PMHNP 2022

MHNP Exam Questions and Answers Fall 2022 Test Bank. DBT (dialectical behavior therapy) - relaxation muscle prior to DBT Greatest patient at risk for Violence - Substance abuse EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and ............

Preview 4 out of 58  pages

Document information

  • August 8, 2022
  • 58
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • pmhnp 2022 pmhnp

Written for

  • PMHNP 2022
All documents for this subject (3)

Seller

avatar-seller
ASolution

Reviews received

Content preview

Latest Questions/Answer (PMHNP IQ)
2022-2023

What direct-acting dopamine receptor agonist is recommended to be used in the
treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine
blockade?

A)benzotropine (Cogentin)
B)bromocriptine (Parlodel)
C)dantrolene (Dantrium)
D) trihexyphenidyl (Artane)
A) Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor agonist to help
decrease the dopamine blockade. Danrolene (Dantrium) is a muscle relaxant. Benzotropine
(Cogentin) and Trihexyphenidyl (Artane) are anticholinergic medications used for extrapyramidal side
effects (EPS).

Mr. Smith is a 56 year old white male who has been successfully treated on
Selegiline for over 4 years. Mr. Smith is going in for elective surgical procedure.
Which medication is strictly contraindicated with Selegiline?

A)Non-steroidal anti-inflammatory drugs (NSAIDS)
B)Codeine
C)Morphine
D) Meperidine

D)Meperidine is strictly prohibited when a patient is treated on a monoamine oxidase
inhibitor (MAOI) due to the risk of hypertensive crisis and death.
A WBC of 4,000 in a patient taking Clozapine would prompt the PMHNP to take
which of the following actions?

A)Consult with hematologist to determine appropriate antibiotic regimen and monitor
closely.
B)Institute twice-weekly complete blood count with differentials and monitor closely.
C)Discontinue clozapine, initiate alternative antipsychotic medication and monitor closely.
D) Institute daily complete blood count with differentials and monitor closely.

B) Institute twice-weekly complete blood count with differentials and monitor closely.

The recommended cut-points for discontinuation of clozapine are WBC of 2,000 to
3,000 or granulocytes of 1,000 to 1,500 for agranulocytosis and severely compromised
immune system. At a WBC of 4,000, the recommendation is to closely monitor CBC
with differential twice a week while patient may continue clozapine in the absence of
any other signs or symptoms.

,A patient with a diagnosis of schizophrenia has a history of suicidal ideation and
suicide attempts. The PMHNP should consider which antipsychotic medication that is
the only antipsychotic to reduce the risk of suicide in schizophrenia?

,A)Abilify (aripriprazole)
B)Latuda (lurasidone)
C)Invega (iloperidone)
D) Clozaril (clozapine)

D)Clozaril (clozapine) is the only known antipsychotic medication that had been
shown to reduce the risk of suicide in patients diagnosed with schizophrenia.
A patient being treated for major depressive disorder and on sertraline (Zoloft), 150 mg po daily
for the past 16 years, presents to the psychiatric mental health practitioner for an outpatient
follow-up visit. During the visit she states that she has not been feeling well, reporting the flu.
She also states she has not taken her medication in the last five days. Which of the following
symptoms would she be describing if you suspect selective serotonin reputable inhibitors (SSRIs)
discontinuation syndrome?

A)Agitation, nausea, dysphoria, and diequilibrium
B)Agitation, nausea, tremor, and ataxia.
C)Restlessness, tremor, fever, and shivering.
D) Restlessness, headache, increased heart rate, and diarrhea.

A) Agitation; nausea, dysphoria, and disequilibrium

The patient has SSRI discontinuation syndrome and would be presenting with flu-like
symptoms. If the patient had serotonin syndrome, she would present with symptoms of
autonomic instability.

Which of the following statements reflect the current understanding of dopamine (DA)
pathways and clinical symptoms in schizophrenia?

A) Negative symptoms are related to DA deficit in the cerebral cortex; positive
symptoms are related to DA excess in the nucleus accumbens and mesolimbic
system.

B)Negative symptoms are related to DA excess in the cerebral cortex; positive
symptoms are related to DA deficit in the nucleus accumbens and mesolimbic system.

C) Negative symptoms are related to DA excess in the mesolimbic system; positive
symptoms are related to DA deficit in the substantia nigra and ventral tegmental area.
Negative symptoms are related to DA deficit in the mesolimbic system; positive
symptoms are related to DA excess in the substantia nigra and ventral tegmental area.
A) Negative symptoms are related to DA deficit in the cerebral cortex; positive
symptoms are related to DA excess in the nucleus accumbens and mesolimbic
system.

Negative symptoms & cognitive impairment are thought to be related to hypoactivity of the
mesocortical dopiminergic tract, which by its association with the prefrontal cortex and neocortex

, contributes to motivation, planning, sequencing of behaviors in time, attention, and social
behavior. Positive symptoms (hallucination and delusions) are thought to be caused by dopamine
hyperactivity in the mesolimbic

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ASolution. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

52928 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.49
  • (0)
Add to cart
Added