AQA • PMHNP

PMHNP Role addresses.. - need to providence holistic holistic nursing care that doesn't artificially separate mind and body Who was the NP Role introduced by? - 1. NP role was introduced in by Loretta C. Ford and Henry K. Silver 2. The first nurse practitioners were pediatric NPs. What did June Mellow and Hildegard Peplau do? - June Mellow and Hildegard Peplau helped make psychiatric nursing a well-established, well-recognized, sub-specialty of nursing. Independent Practice Competencies ...

INITIAL STAGE: "CHIEF COMPLAINT" -History Of Presenting Problems -Social History -Developmental History -Family history -Personal Evaluation -Genetics -Culture , religion, spirituality -Past Psychiatric History -Medical History ( -Sleep -Substance use assessment - SYMPTOM OF PRESENTING PROBLEM-the patients words -Affective -Cognitive -Physical i.e "I am depressed" History of presenting problems - C- Characteristics of Symptoms O-Onset L-Lingering (how long has the symptoms ...

HLA-B 1502 - check for prior to starting carbamazepine o asia patient, FDA required. Increased risk of SJS in pts with the allele Medication that can induce Mania: - Steroids, Antidepressants in bipolar, isoniazid, disulfiram- antabase Medication that can induce depression - Beta blockers Benzos Antineoplastic drugs, accutane Steroids Interferon Some retroviral drugs Progesterone Inhibitors - lower dose of medication - Buproprion Clomipramine - tricyclic Clarithromycin Flouroquinol...

Most common issues for individual therapy - 1. losses 2. interpersonal conflicts 3. symptomatic presentations such as panic phobias, and negativity 4. Unfulfilled expectations at life transitions 5. Characterological issues such as narcissim or aggressiveness Psychoanalytic therapy - 1. Originated by Freud 2. believed that behavior is determined by unconsious motivations and instincual drives . 3. promotes change by the development of greater insight and awareness of maladaptive defe...

symptom presentation - affective, cognitive, physical autosomal dominant - genetic inheritance. will present in more than one generation. 50/50 chance of passing on trait (Huningtons) autosomal recessive - two copies must be present (cystic fibrosis prior to MSE - assessment includes ROS, VS, heart tone, lung sounds, neuro exam, muscle tone, rigidity SLUMS - 11 items. Max 30, 27-30 normal for high school education, 21-60 mild neurocognitive disorder, 0-20 dementia MMSE - 11 components. M...

Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes ETOH withdrawal delirium may result in? - Seizures or death DSM Severity for ETOH - Mild = 2-3 sx Moderate = 4-5 sx Severe = >= 6 sx DSM ETOH Remission Criteria - Early = >3 mos & <12 mos Substantial Remission = >12 mos Screening & Early Intervention scale for SUD - SBIRT Screening, Brief Intervention & Refereal to Treatment CAGE - Cut down Annoyed Guilty Eye-Opener >=2 is clinically ...

Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes ETOH withdrawal delirium may result in? - Seizures or death DSM Severity for ETOH - Mild = 2-3 sx Moderate = 4-5 sx Severe = >= 6 sx DSM ETOH Remission Criteria - Early = >3 mos & <12 mos Substantial Remission = >12 mos Screening & Early Intervention scale for SUD - SBIRT Screening, Brief Intervention & Refereal to Treatment CAGE - Cut down Annoyed Guilty Eye-Opener >=2 is clinically ...

increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 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 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...

Medicare Part A Coverage -Hospital insurance that covers inpatient and most skilled care. Mandatory copays for hospital days 21-150, getting higher with each period of time. Medicare Part A Eligibility ->65 in social security automatic enrollment Medicare Part A Cost -No cost if automatically qualified. 30-39 work quarters: ~$250/mo <30 work quarters: ~$450/mo Medicare Part B Coverage -Supplemental medical insurance. Outpatient services, care, physical/speech therapy, some home healt...

Medicare Part A Coverage -Hospital insurance that covers inpatient and most skilled care. Mandatory copays for hospital days 21-150, getting higher with each period of time. Medicare Part A Eligibility ->65 in social security automatic enrollment Medicare Part A Cost -No cost if automatically qualified. 30-39 work quarters: ~$250/mo <30 work quarters: ~$450/mo Medicare Part B Coverage -Supplemental medical insurance. Outpatient services, care, physical/speech therapy, some home healt...