pmhnp comprehensive questions and answers 100 accurate rated a may accelerate rapid cycling antidepressants
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PMHNP Comprehensive Questions and
answers 100% ACCURATE. Rated A
______________ may accelerate rapid cycling - ✔✔-Antidepressants
_______, ________, _________, cyclosporine, disulfiram, hydralizine, and Isoniazid may cause manic
symptoms. - ✔✔-Captopril, cimetidine, corticosteroids
_____% increased risk if relative has BD disorder Type I - ✔✔-24
_____% increased risk if relative has BD disorder Type II - ✔✔-5
_____% increased risk if relative has MDD - ✔✔-25
(General) Family System Concepts (vs. Bowens Family Systems Therapy) - ✔✔-System - any unit based
on feedback - the family
Family System - how members operate together
Family System Theory based on idea that one can't understand a member/part w/o understanding how
all family members operate together (system)
Family rules could be overt or covert
Boundaries - barriers that protect & enhance functional integrity of families, individuals & subsystems
Boundaries types:
Clearly defined - maintain individual separateness; emphasizing belongingness
Rigid/inflexible - lead to distant relationship & disengagement
Diffuse - blurred, indistinct, lead to enmeshment
% of Bipolar patients with rapid cycling - ✔✔-20
,1. Management of health status - ✔✔-health assessment, health history, physical exam, screening and
diagnostic testing, diagnosing, prescribing meds and other treatment modalities, evaluating core
outcomes
2 herbals that interact w/ Coumadin and increase anti-coagulant effect - ✔✔-Omega-3 fatty acids and
Vitamin E
(& maybe fish oil)
2 most common types of structural imaging - ✔✔-CT: 3D view of brain structures; density; inexpensive;
cannot differentiate gray and white matter
MRI: Series of 2D images that represent the brain; separates white and gray matter; expensive and
many contraindications
2 systems activated by the amygdala in response to threat - ✔✔-HPA axis
sympathetic (ANS) nervous system activation ("fight or flight")
2. Maintenance of nurse-client relationship - ✔✔-Displaying environment of trust and respect,
maintaining healthy boundaries, engaging in therapeutic communication
3 parts of the brain "fear circuit" - ✔✔-sensory thalamus
,4. Professional Role - ✔✔-Serving as client advocate, utilizing information and technology in health care,
using interdisciplinary collaboration and consultation, practicing ethically, showing leadership,
undertaking professional development, participating in policy making.
5. Managing/negotiating health cae delivery systems - ✔✔-Decision making with regard to cost, access,
and efficacy; applying business strategies to practice; negotiating legislative change when needed.
6. Monitoring quality of care - ✔✔-Evaluating quality of care, incorporating continuous quality
improvement into practice.
7. Providing culturally sensitive care - ✔✔-Remaining culturally sensitive when assessing client's
symptoms and his or her perceptions of symptoms.
25% women, 12% men - ✔✔-Risk during reproductive years
A major depressive episode immediately precedes or follows the manic episode in what percentage of
patients? - ✔✔-60
A TCA also used for enuresis and ADHD - ✔✔-Pamelor
A TCA also used for enuresis and separation anxiety - ✔✔-Tofranil (imipramine)
A TCA also used for insomnia - ✔✔-Sinequan (doxepin)
A TCA approved for OCD: - ✔✔-Anafranil (clomipramine)
A TCA with multiple uses that include chronic pain, insomnia, sciatica, fibromyalgia, trigeminal neuralgia
and diabetic neuropathy. - ✔✔-Elavil.
, Abnormal brain structures associated with schizophrenia - ✔✔-ENLARGED ventricles
SMALLER frontal and temporal lobes
Cortical atrophy
Decreased cerebral blood flow
Hippocampal reduction
WIDENED cortical sulci
Diffuse decrease in volume of white and gray matter
Absorption - ✔✔-Method and rate at which drugs leave the site of administration
Absorption of oral medications - ✔✔-Normally occurs in the small intestine and then is ultimately
metabolized by the liver
Account for the differences in the way enzymes - ✔✔-Metabolize drugs
Acculturation - ✔✔-Process by which the person acquires the culture of the society that he or she
inhabits
Acculturation - ✔✔-The process by which the person acquires the culture of the society that he or she
inhabits
Acetylcholine - ✔✔-Cholinergic neurotransmitter synthesized by the basal nucleus of Meynert;
precursors are acetylcoenzyme A and choline
Acetylcholine - ✔✔-is decreased in Alzheimer's disease and impaired memory
is increased in Parkinson
Acetylcholine - ✔✔-synthesized by the basal nucleus of Meynert
Precursors are aceylcoenzyme A and choline
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