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Exam (elaborations)

PMHNP Comprehensive EXAMS WITH VERIFIED SOLUTIONS

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AIMS - Abnormal Involuntary Movement Scale for 8 and older 12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics Rating 0-4, 2 to diagnose TD and reduce dose BARS - Barnes Akathisia Rating Scale for 8 and older 4 item tool to assess objective and subjective symptoms of akathisia with antipsychotics and/or SSRIs CRS-R - Connors Rating Scales - Revised for 3-17 ADHD Parent (80 items) and Teacher Scales (59 items) Low T-score of 61= mildly atypical; 70 = markedly atypical Subscales for Oppositional Behaviors, Cognitive Problems, Hyperactivity, ADHD Index, Anxious-Shy, Perfectionism, Social Problems, DSM-IV Subscales and Connors' Global Index Vanderbilt ADHD Parent and Teacher - 55 parent, 43 teacher items for 6-12 Initial assessment rates symptoms and impairment in academic and behavioral performance ASRS-1 - Adult ADHD Self-Report Scale, 16 and older Two-part Screening Part A: 6 questions, 4 symptoms suggest ADHD Part B: 12 questions to clarify and quantify AUDIT-C - Alcohol Use Disorders Identification Test - Consumption, 13 Documents use and frequency in prior year 0-4, F 3 = positive, M 4 = positive, 8 = hazardous drinking CAGE-AID - IDs problem drinking or druging, 13 and older (C=cut down, A=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs CRAFFT - 6-item screen for alcohol or drugs in adolescents, 14-18 (C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble) BAI - Beck Anxiety Inventory, 17 and older Assesses 21 symptoms of anxiety, 0-36 scores HAM-A - Hamilton Anxiety Scale, most commonly used 14 domains, 14=mild, 18-24= moderate, 25-30=severe LSAS-CA - Liebowitz Social Anxiety Scale-Child/Adolescent Version, 7 and older 24 items, social and performance 55-65=moderate social phobia, 65-80=marked, 80-95=severe, 95=very severe MMSE - Mini Mental Status Exam 30 items, 24-30= no cognitive impairment; 18-23=mild cognitive impairment; 0-17= severe cognitive impairment MOCA - Montreal Cognitive Assessment 26=normal, add point for 12th grade education

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PMHNP Comprehensive EXAMS WITH
VERIFIED SOLUTIONS
AIMS - ✔✔Abnormal Involuntary Movement Scale for 8 and older

12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics

Rating 0-4, >2 to diagnose TD and reduce dose



BARS - ✔✔Barnes Akathisia Rating Scale for 8 and older

4 item tool to assess objective and subjective symptoms of akathisia with antipsychotics and/or SSRIs



CRS-R - ✔✔Connors Rating Scales - Revised for 3-17

ADHD Parent (80 items) and Teacher Scales (59 items)

Low T-score of 61= mildly atypical; >70 = markedly atypical

Subscales for Oppositional Behaviors, Cognitive Problems, Hyperactivity, ADHD Index, Anxious-Shy,
Perfectionism, Social Problems, DSM-IV Subscales and Connors' Global Index



Vanderbilt ADHD Parent and Teacher - ✔✔55 parent, 43 teacher items for 6-12

Initial assessment rates symptoms and impairment in academic and behavioral performance



ASRS-1 - ✔✔Adult ADHD Self-Report Scale, 16 and older

Two-part Screening

Part A: 6 questions, 4 symptoms suggest ADHD

Part B: 12 questions to clarify and quantify



AUDIT-C - ✔✔Alcohol Use Disorders Identification Test - Consumption, > 13

,Documents use and frequency in prior year

0-4, F >3 = positive, M >4 = positive, >8 = hazardous drinking



CAGE-AID - ✔✔IDs problem drinking or druging, 13 and older

(C=cut down, A=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs



CRAFFT - ✔✔6-item screen for alcohol or drugs in adolescents, 14-18

(C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble)



BAI - ✔✔Beck Anxiety Inventory, 17 and older

Assesses 21 symptoms of anxiety, 0-36 scores



HAM-A - ✔✔Hamilton Anxiety Scale, most commonly used

14 domains, 14=mild, 18-24= moderate, 25-30=severe



LSAS-CA - ✔✔Liebowitz Social Anxiety Scale-Child/Adolescent Version, 7 and older

24 items, social and performance

55-65=moderate social phobia, 65-80=marked, 80-95=severe, >95=very severe



MMSE - ✔✔Mini Mental Status Exam

30 items, 24-30= no cognitive impairment; 18-23=mild cognitive impairment; 0-17= severe cognitive
impairment



MOCA - ✔✔Montreal Cognitive Assessment

>26=normal, add point for <12th grade education

,SPMSQ - ✔✔Short Portable Mental Status Questionnaire

10 items, more than 3 incorrect indicates dementia



BDI-2 - ✔✔Beck Depression inventory, 13 and older

presence and impact of depressive symptoms

21 items, <10=normal; 11-17=mild depression; 18-23=moderate; 24+=severe



CCSD - ✔✔Cornell Scale for Depression in Dementia

19 items, <6=no significant depression; 8-17=probable major depression; >18=definite depression



MDQ - ✔✔Mood Disorder Questionnaire

Screen for mania or hypomania

positive if 7 or more of 13 items in question #1 present and #2 is yes and #3 gets moderate or serious
problem response



YMRS - ✔✔Young Mania Rating Scale, 11 items (adult)

Range 0-60; adults with 12 or more=mania



CY-BOCS - ✔✔...



YBOCS - ✔✔Yale-Brown Obsessive Compulsive Scale

10 items; age 14 and older

gold standard for OC symptoms

score indicates level of severity



BPRS - ✔✔Brief Psychiatric Rating Scale, 18 and older

, Assesses psychopathology (+, - and affective) with schizophrenia, not for screening or DX



PANSS - ✔✔Positive and Negative Syndrome Scale, 18 and older

measures changes in symptom intensity in psychosis and schizophrenia

Gold standard in studies of treatment efficacy



SPS - ✔✔Suicide Probability Scale, 13 and older

Rapid measure of suicide risk

higher score indicates greater risk



CIWA-Ar - ✔✔Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised

9 item symptom rating scale, max score 67; <10 does not warrant intervention



COWS - ✔✔Clinical Opiate Withdrawal Scale

Quantifies severity of withdrawal syndrome, guides dosing, monitors over time

Used for induction of Suboxone

5-12=mild; 13-24= moderate; 25-36=mod to severe; >36=severe



T4, FREE THYROXINE - ✔✔0.8-2.8

Increased In Graves

Decreased In Hypothyroidism



TSH - ✔✔2- 10 mu/l

Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per liter),

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