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NRNP 6675 |NRNP6675 Review Notes | Psychiatric Mental Health Nurse Practitioner Care Across The Lifespan II | Questions and Answers Graded A+ 2024$10.99
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NRNP 6675 |NRNP6675 Review Notes | Psychiatric Mental Health Nurse Practitioner Care Across The Lifespan II | Questions and Answers Graded A+ 2024
NRNP 6675 |NRNP6675 Review Notes | Psychiatric Mental Health Nurse Practitioner Care Across The Lifespan II | Questions and Answers Graded A+ 2024
NRNP 6675 |NRNP6675 Review Notes |
Psychiatric Mental Health Nurse
Practitioner Care Across The Lifespan II |
Questions and Answers Graded A+ 2024
1.Increase prolactin
- Stop prolactin (stop the agent that cause increase prolactin)
2. 3-year-old masturbates, play
with self, says naughty
things
- FREUD’s PSYCHOSOCIAL STAGES
OF DEVELOPMENT – PHALLIC
STAGE – 3-6 years old
- This is NORMAL for
children this age.
- PNEUMOIC – Old Age Parents Love Grandchildren
- Oral (0-18 months), Anal (18 months – 3 years), Phallic (3
years to 6 years), Latent (6 to 12), Genital (12 +)
- ACUTE STRESS DISORDER
o A d/o resulting from exposure to a major stressor, with
SX of ANX, depression, dissociation, recurring
nightmares, sleep disturbances, problems in
, concentrations, reliving the event, dreams, flashbacks –
UP to ONE MONTH – Less than 1 month.
o If LONGER than 1 month = PTSD
3. 5-year-old tells you his brother sodomized him
- Tell mom don’t leave him alone with patient and call CPS
implement crisis
- QUESTION – Child is playing with doll in a sexual way – You
SUSPECT sexual abuse - Perform FURTHER ASSESSMENT and
GATHER ENOUGH INFO BEFORE Calling CPS to report suspected
Sexual Abuse – You HAVE to report but you have to have something
(assessment data) to report – Assess = FIRST
4. 13-year-old want to smoke
- Ask him of his plan to stop smoking
-
5. 14-year-old girl
clenching her teeth
- Cranial nerve V-
Trigeminal nerve
(FIVE)
- 7 = Facial
Paralysis –
Bells Palsy
Know Cranial Nerves
6. 16-year-old falls with the wrong crowd
, - Conduct disorder
7. 16-year-old refuse treatment
- Send to psych specialist for acting out kids – Referrals –
Have to see if you are going to
refer the same patient to the same provider – Cannot refer the
patient to another provider that is the same as you (ie psych)
– you must refer to a neurologist or another specialist or
PCP
8. 16-year-old shows up with mother for first therapy
- Confidential (mom sits in lobby)
9. ACE
inhibitors
- HTN & Heart Failure
- This medication can cause increased lithium levels to toxic levels
– must collaborate with PCP to determine whether to change ACE
or change Lithium – Can’t use both
10. ACE inhibitors are the drug of choice for what?
- Heart
failure/HTN
11. Acute stress disorder (ASD)
- LESS THAN 1
MONTH
- Can be 2 to 4 weeks
- A disorder resulting from exposure to a major stressor, with
symptoms of anxiety, dissociation, recurring nightmares, sleep
disturbances, problems in concentration, and moments in which
, people seem to “relive” the event in dreams and flashbacks for as
long as 1 month following the event
- Symptoms that occur immediately after the event but resolve in
less than 3 days would not meet criteria for acute stress disorder
(PB)
- Acute stress disorder must occur within 1 month of the traumatic
event and resolve within that 1-month period. If the symptoms
persist for more than 1 month and meet criteria for
PTSD, the diagnosis is changed from acute stress disorder to
PTSD (PB)
LITHIUM
• First-line neuro-protective fort bipolar
• Ibuprofen & Lithium o 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
• NSAID, dehydration and Thiazides increases risk of lithium
toxicity:
o Lithium Toxicity o LITHIUM LEVEL – 0.5 – 1.2
mEq/L o MONITOR for TOXICITY: Toxicity = >
1.2 mEq/l TOXICITY:
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