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PMHNP Psychopharm Exams 2024

Systemic opioid analgesics, such as morphine sulphate, may be used for maternal pain management. Which statement best describes the nursing considerations for administering systemic opiate analgesics? 1. Systemic opioids are often administered up to the second stage of labour. 2. An opioid antagonist such as naloxone (Narcan) should be administered to the mother to reverse the effects if birth is imminent. 3. An opioid antagonist such as naloxone (Narcan) should be administered to the newbo...

A nurse is caring for a patient who has an infection. The healthcare provider has ordered an antimicrobial drug for the patient. The nurse understands that which of the following is the most important characteristic of this drug? A. That the drug will kill the microorganism B. That the drug will be administered orally C. That the drug does not have any harmful effects D. That the drug does not interact with other drugs - Answer: A That the drug will kill the microorganism Rationale: T...

Psychotropic Medications - Antidepressants, antipsychotics, mood stabilizers, anxiolytics, hypnotics, stimulants Organized by structure MOA Distinguished by subtle differences in molecular structure. Most psychotropics are lipophilic and highly protein bound; thus, older adults have more body fat and less protein, more likely to develop toxicity. Pharmacology - Study of what drugs do and how they do it. Pharmacokinetics - What the BODY does to the DRUG (ADME) Pharmacodynamics - Wh...

The NP is completing an intake interview with a 24 yo female with a hx of depression and anxiety. When discussing med options the pt states she is newly married and is trying to get pregnant. You discuss starting buspar dt "animal reproduction studies having failed to demonstrate a risk to fetus and no adequate and well-controlled studies to show the drug to cx birth defects if used in pregnant women." Which FDA est category to indicate potential risk of a drug to cx birth defects in pregnancy...

THE NERVOUS SYSTEM - All human thoughts, feelings, and actions are seated in and start with actions of the nervous system. Necessary for the PMHNP's role functioning is an understanding of the following basic neuroanatomy and physiology: * Neurodeficits that underlie psychiatric disorders * Actions of and client responses to psychopharmacological treatment agents The nervous system's primary function is to transfer and exchange information. The Neuron ("Nerve Cells") - The basic...

What routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all ointments placed on the skin PO meds absorption pattern - Varies greatly due to: »»Stability and solubility of the medication »»Gastrointestinal pH and emptying time »»Presence of food in the stomach or intestines »»Other medications currently being administered »»Forms of med...

Which statement is true regarding bipolar disorder and pregnancy? 1. A Clonazepam (Klonopin) does not carry an increased risk of major fetal malformations 2. B Divalproex sodium (Depakote) is a safe alternative to lithium carbonate 3. C Lithium (Lithane, Lithobid) is safe during the first and third trimesters 4. D Carbamazepine (Tegretol, Carbatrol, Equetro) is a safe alternative to lithium carbonate - Correct answer: Clonazepam (Klonopin) does not carry an increased risk of major fetal ...

In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to - take their medication at the prescribed times. A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the manag...

Core definition of APN - A function of educational and practice preparation and a constellation of primary criteria and core competencies. Direct clinical practice is the central competency and informs all the other competencies. 3 criteria necessary to become an APRN - Graduate degree in the concentration area and population focus of the specific advanced practice nursing role; advanced level national certification; patient and family-focused practice List core competencies of the APRN - ...