Exam (elaborations)
PMHNP BOARD SET WITH 280 QUESTIONS AND ANSWERS
- Course
- Institution
PMHNP BOARD SET WITH 280 QUESTIONS AND ANSWERS
[Show more]
Content preview
PMHNP BOARD SET WITH 280 QUESTIONS AND ANSWERSDrug affects Flonase (just know that Flonase has interaction with Zatac & Tegretol - -- Zantac (histamine
2 blocker) antagonist
(ALL Steroids) can induce MANIA and DEPRESSION - If you have a patient with bipolar disorder who is
stable on a mood stabilizer and becomes manic after prescription of a steroid, the mood stabilizer will
need to be increased. If you have a patient with MDD who is stable on an antidepressant and becomes
depressed after starting a steroid, you may need to increased the antidepressant - just remember
though, make sure you understand what the question is asking - safety first
-- The question is pt. is on interferon, Wellbutrin and Lexapro. - -- increase Lexapro.
- Rationale: interferon induces depression and to help with that you increase Lexapro cause if you
increase Wellbutrin -> increases seizure risk
-. Aggressive patient to give - -- IM Geodon
-. Child reports Sexual abuse - -- Interview the young child and infants with parent
-. Culture questions : A man injects himself - -- "Tell me more about the medications"
-. Pt wants to stop medications - -- Explore reason for stopping it's their right
-· Patient taking lithium who decreases sodium intake? - -
-· Patient taking lithium who gets dehydrated? - -- Levels increased
-*SIGECAPS* of Depression - -- Sleep
- Guilt
- Energy
- Concentration
- Appetite
- Psychomotor retardation
- Suicide
-1. A pt states that she has been raped what do you do? - -- Ensure safety
-1. Change agent - -- The person formally in charge of guiding a change effort
- Administrator - Usually the person on top in the facility is responsible for being the change agent.
-1. Lesion in frontal cortex - -- Impaired cognitive functions
-1. Medicare - -- A federal program of health insurance for persons 65 years of age and older
-1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - -Lithium toxicity
-1. Pt with eating disorder states getting full - -- Bloating delayed Gastric emptying
,-1. What do you do when a patient is on Tegretol and their ANC < 1000? - -- Stop and repeat lab
- Normal is 1500-8000 mm3
-1. What do you see in labs with HIV dementia? - -- CD4 < 200
- Viral load is high
- < 20% get it with antiretroviral treatment
-1. What does an increased retic count indicate? - -- Bone marrow disorder or Vitamin deficiency
A reticulocyte count is a test to measure the level of reticulocytes in your blood. It's also known as a
retic count
ü Normal range: 0.5 percent to 1.5 percent
-1. What does Erythromycin to Trileptal? - -- Erythromycin is INHIBITOR which Increase Trileptal level
- You will need to decrease Trileptal dose
-1. What does it mean when an Asian patient does not make eye contact with the NP? - -- Sign of respect
-1. What does messenger RNA code for? - -- Amino Acids
-1. What happens if a patient refuses to sign an ROI (Release of information)? - -- Can decline to treat
- Health plan may condition enrollment on provision of consent
-1. What happens if a pregnant woman takes Accutane (treat acne)? - -- Birth defects
-1. What happens to the brain during adolescence? - -- Dendritic pruning
- Emotions are controlled by amygdala
- By adulthood, PFC involved as well
-1. What happens with a patient taking lithium and who drinks a lot of water? - -- Level decreased
-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)
-1Can you take Klonopin during pregnancy? - -- Category C: Avoid if possible; does excrete into breast-
milk and infant could get withdrawal symptoms
- Floppy baby
-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
-A client with Herpes Zoster - 3 weeks later experiences sleep difficulties and sad mood - -Adjustment
Disorder WITH Depressed Mood
-A man states his wife was so good if he could only be like her. What is this - -IDEALIZATION
-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
-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 - -- A limbic system structure involved in memory and emotion, anxiety, particularly fear and
aggression
-Amygdala: - -- Fear, anxiety, and aggression
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 TREVORSC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81113 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now