PMHNP board set QUESTIONS AND ANSWER

increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 3-year-old masturbates, play with self, says naughty things - Normal for Piaget 5-year-old tells you his brother sodomized him - - Tell mom don't leave him alone with patient and call CPS implement crisis 13-year-old want to smoke - - Ask him of his plan to stop smoking 14-year-old girl clenching her teeth - - Cranial nerve V-Trigeminal nerve 16-year-old falls with the wrong crowd - - Conduct disorder 16-year-old refuse treatment - - Send to psych specialist for acting out kids 16-year-old shows up with mother for first therapy - - Confidential (mom sits in lobby) ACE inhibitors - - HTN ACE inhibitors are the drug of choice for what? - - Heart failure/HTN Acute stress disorder (ASD) - - Can be 2 to 4 weeks ( less than a month) ADPIE - • Assessment: 1st step, subjective and objective data • Diagnosis: analysis, formulation of nursing diagnosis • Planning: prioritizing problems, determining goals, plan of care • Implementation: nursing action (rather than medical action) • Evaluating: comparing outcomes, communicate and document findings Adult panic disorder - - Buspar Lithium level 1.2 what are you concerned with - - 4+ Ketones Labs for Kidney compromised it is wrong Urine kidney problem 1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - Lithium toxicity Ibuprofen and lithium - INCREASES the serum level up to double Lab Values concerning for patient on Lithium: - o Leukocytosis o Creatinine o BUN o NA+ o 4 + PORTEIN in Urine o + Pregnancy Test Lithium toxicity - o Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic taste and SEVERE tremor. . Aggressive patient to give - - IM Geodon agoraphobia - fear of open spaces Agoraphobia treatment - *BZDs* - short term symptom relief *SSRIs* - long-term maintenance fluoxetine (Prozac) paroxetine (Paxil) sertraline (Zoloft)