- Answer-assertive inquiry
/. - Answer-Can disclose info to medicare /CMS without consent
/. - Answer-What medication can alter absorption of antipsychotics?
/.-NMS is like S&M;
-you get hot (hyperpyrexia)
-stiff (increased muscle tone)
-sweaty (diaphoresis)
-BP, pulse, and respirations go up &
-you start to drool - Answer-NMS
/.-pril, CHF - Answer-ACE inhibitors
/.-shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating - Answer-signs of serotonin syndrome
/.. ESR erythrocyte sedimentation rate elevation. Synovial fluid analysis. X ray of joints.
Rheumatoid factor titer, CRP, Hgb - Answer-Labs for rheumatoid arthritis
/."tell me how the medication works in your body" - Answer-bipolar not taking
medication
/.*SIGECAPS* of Depression - Answer-Sleep
Interest
Guilt
Energy
Concentration
Appetite
psychomotor retardation
Suicide
/.^ prolactin - Answer-stop prolactin
,/.0-63, over 30 severe, dont start medication just start therapy - Answer-Beck inventory
score of 10?
/.1 hour then 8 hours - Answer-When to assess a patient in restraints for face/face
/.1.5, 3 is an emergency, severe diarrhea/nausea/vomiting, metallic taste, tremor,
slurred speech, number one intervention, give fluids, sweating give electrolytes too -
Answer-Lithium toxicity
/.13 year old want to smoke - Answer-ask him of his plan to stop smoking
/.14 year old girl clenching her teeth - Answer-Cranial Nerve V-Trigeminal nerve
/.16 year old falls with the wrong crowd - Answer-Conduct disorder
/.16 year old refuse treatment - Answer-Send to psych specialist for acting out kids
/.16 year old shows up with mother for first therapy is - Answer-confidential mom sits in
lobby
/.24-30 no cognitive impairment
18-23 mild cognitive impairment
0-17 severe cognitive impairment - Answer-MMSE scores
/.25-35 - Answer-Age for schizophrenia female
/.3 year old masturbates, plays with self, says naught things - Answer-normal for Piaget
/.4+ protein in urine, Leukocytosis, creatinine, BUN, Na, - Answer-Lab values
concerning for patients on lithium
/.5 year old tells u his brother sodomized him - Answer-Tell mom don't leave him alone
with patient and call CPS implement crisis
/.70, 30, 20, 25 - Answer-zung, beck, PHQ9, HAM
/.A form of dementia characterized by personality changes/social changes , - Answer-
Frontal lobe dementia
/.A man states his wife was so good if he could only be like her. what is this - Answer-
Intellectualization
or deflecting
/.A pt states that she has been raped. What do you do - Answer-ensure safety
,/.a rare disorder found virtually exclusively in girls, is a neurodevelopmental disorder in
which the child usually develops normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include: hypotonia (loss of
muscle tone), reduced eye contact, decelerated head growth, and disinterest in play
activities - Answer-Rhett Syndrome
/.a small nucleus in the reticular formation that is involved in directing attention -
Answer-locus coeruleus
/.a string of nuclei in the midline of the midbrain and brainstem that contain most of the
serotonergic neurons of the brain - Answer-raphe nuclei
/.ability to manage a checkbook, instrumental ADLs go first (meds, phone, drive, house
week, balancing check book), then ADLs eating/dressing, Exec functions=judgement,
planning, taxes - Answer-What are you looking at when you are assessing the function
of an elderly individual
/.Able to repeat back risks and benefits
elements= nature/pupose of tx, risks/benefits of tx, risks/benefits not doing tx,
alternatives, diagnosis/prognosis - Answer-Elderly patient with dementia how do you
know id can give consent
/.ACE inhibitors - Answer-HTN
/.Ace inhibitors and ARBs together - Answer-2 classes of medications that should not be
used together?
/.ACE Inhibitors are the drug of choice for what? - Answer-Heart Failure
HTN
/.ACT model - Answer-Keeping chronically mentally ill in the community?
/.Acute Stress Disorder (ASD) - Answer-can be 2-4 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
/.Acute stress disorder- less than 1 month
PTSD- after 1 month - Answer-PTSD
/.Acute Stress Disorder, as it happened less than 1 month ago - Answer-nurse attacked
3 weeks ago and now scared to go to work
/.ADPIE - Nursing Process - Answer-Assessment
Diagnosis
, Planning
Implementation
Evaluation
/.Adult panic disorder - Answer-Buspar
/.Aggressive patient give - Answer-IM geodon
/.agoraphobia - Answer-fear of open spaces
/.Agoraphobia treatment - Answer-*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
/.Alpha 2 delta, pregabalin- lyrica - Answer-patient has neuropathic pain, what
medication will help? gabapentin not helping
/.Alprostadil (PGE1) - Answer-• 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
/.Alzheimer disease
cognitive and memory function - Answer-Nucleus basalis of Meynert
/.Amgdyla - Answer-Fear, Anxiety, and Aggression
/.Amygdala - Answer-A limbic system structure involved in memory and emotion,
anxiety, particularly fear and aggression.
/.Anorexia - Answer-Set up family therapy
/.Anorexia admission Criteria for hospitalization includes: - Answer-weight loss over
30% over 6 months, severe hypothermia (temperature 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 - Answer-BMI less than 18.5
