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PMHNP board set exams 100%

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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-ye...

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  • January 29, 2024
  • 40
  • 2023/2024
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PMHNP board set exams 100%
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)



*SNRIs* - long-term maintenance

venlafaxine (Effexor)



*TCAs* - long-term maintenance

imipramine



Alprostadil (PGE1) - ✔✔• Ductal-dependent Congenital Heart Disease (all forms)

• 0.05-0.1 µg/kg/min IV/IO infusion initially, then 0.01-0.05 µg/kg/min IV/IO

In babies with congenital heart defects, it is used by slow injection into a vein to open the ductus
arteriosus until the surgery can be carried out. By injection into the penis or placement in the urethra, it
is used to treat erectile dysfunction .



Amygdala: - ✔✔- Fear, anxiety, and aggression



Amygdala - ✔✔- A limbic system structure involved in memory and emotion, anxiety, particularly fear
and aggression

, Anorexia (SAFETY = KEY) - ✔✔- Set up family therapy (especially adolescent pts since they have no
control over food choices)



Anorexia admission criteria for hospitalization - ✔✔- Weight loss over 30 % over 6 months, severe
hypothermia (temp lower than 36 C or 96.8 F), heart rate less than 40 beats per minute, systolic blood
pressure less than 70 mm hg, and hypokalemia (less than 3 mEq/L).



anorexia nervosa - ✔✔- BMI less than 18.5

- BMI < 16 = AUTOMATIC ADMISSION

- An eating disorder in which an irrational fear of weight gain leads people to starve themselves



ANOVA (analysis of variance) - ✔✔an inferential statistical test for comparing the means of three or
more groups



Antidepressant takes - ✔✔4 to 6 weeks



Prozac causes what? - ✔✔increase anxiety in elderly



Apoptosis - ✔✔programmed cell death in aging/elderly



Appreciative Inquiry - ✔✔- Dream (wishes or dreams of organization)

- Design (decide what you want to change)

- Destiny (make it happen, implanting change)



Appreciative Inquiry - ✔✔an organizational change strategy that directs the group's attention away
from its own problems and focuses participants on the group's potential and positive elements

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