Exam (elaborations)
PMHNP board set QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)
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PMHNP board set QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)
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PMHNP board set1.increase prolactin: - Stop prolactin (stop the agent that cause increase
prolactin)
2.3-year-old masturbates, play with self, says naughty things: Normal for
Pi- aget
3.5-year-old tells you his brother sodomized him: - Tell mom don't leave
him alone with patient and call CPS implement crisis
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
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
8.16-year-old shows up with mother for first therapy: - Confidential (mom
sits in lobby)
,9.ACE inhibitors: - HTN
10.ACE inhibitors are the drug of choice for what?: - Heart failure/HTN
11.Acute stress disorder (ASD): - Can be 2 to 4 weeks ( less than a month
12.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
13.Adult panic disorder: - Buspar
14.Lithium level 1.2 what are you concerned with: - 4+ Ketones Labs for
Kidney compromised it is wrong Urine kidney problem
15.1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity: -
Lithium toxicity
16.Ibuprofen and lithium: INCREASES the serum level up to double
17.Lab Values concerning for patient on Lithium:: o Leukocytosis
,o Creatinine
o BUN
o NA+
o 4 + PORTEIN in Urine
o + Pregnancy Test
18.Lithium toxicity: o Slurred speech, confusion, severe GI effect -
diarrhea/nau- sea/vomiting, metallic taste and SEVERE tremor.
19.. Aggressive patient to give: - IM Geodon
20.agoraphobia: fear of open spaces
21.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
22.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
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