GEORGETTE COMPREHENSIVE EXAM UPDATED QUESTIONS
AND ANSWERS GRADED A+
✔✔exception finding questions - ✔✔based on the premise that bad behaviors do not
happen all the time. Asking patients to recall a time when a behavior did not occur
broadens a patient's perspective and allows the patient to consider other options
✔✔scaling questions - ✔✔A solution-focused technique that asks clients to observe
changes in feelings, moods, thoughts, and behaviors. On a scale of zero to 10, clients
are asked to rate some change in their experiences.
✔✔family systems therapy - ✔✔triangles/triangulation/self-differentiation
✔✔structural family therapy - ✔✔hiearchies and boundaries
✔✔Genograms - ✔✔present for BOTH family systems and structural family.
so family systems is triangles/self-differientiation
and structural family is heiarchies and boundaries
✔✔physical activity in adolescents - ✔✔can improve body image, self esteem, promote
resilience
improve relationships
✔✔child abuse - ✔✔crisis counseling
report report report
tell parent not to leave pt alone or leave their side
✔✔Worried about rheumatoid? - ✔✔check ESR regularly
✔✔PICOT question - ✔✔P- patient population of interest
I- intervention of interest
C- comparison of interest
O- outcome
T- time
✔✔when pt moves out of state - ✔✔if no safety concerns w/ this patient, provide with 2-
3 months of meds until they find new provider
✔✔evidence-base care - ✔✔access to current journals
✔✔shrill cry - ✔✔inconsolable crying baby
,can be caused by increase ICP
✔✔It is normal for 3-6 year olds to: - ✔✔play w/ genetals
this is phallic stage per freud.
masturbation is normal- not actually adult masturbation
odepol complex.
✔✔boys age 9-16 - ✔✔normal to have pain/swelling of nipples will often self-resolve in
6 mos
✔✔Decreased sex drive (in elderly female) - ✔✔means low levels of testosterone
decreased blood flow in pelvic region
✔✔women have less alcohol dehydrogenase enzyme - ✔✔makes women more likely to
develop liver problems and get drunk
✔✔normalize grief and loss - ✔✔don't tell them what to do, need to normalize greiving.
reactions varry and are all normal, don't tell them to do something diferent.
breif supportive therapy
✔✔EMDR therapy - ✔✔eye movement desensitization and reprocessing
✔✔phosphodiesterase PDE5 inhibitor - ✔✔absorbed quickly- viagra
✔✔normocystic, macrocytic anemia - ✔✔folic acid, vit b12 and iron deficiencies can be
cause
✔✔leaving AMA - ✔✔habeas corpus
✔✔disseminated encephalomyelitis - ✔✔assymetrical body movements or extremities,
parasthesias
do a neuro exam
✔✔Policy stuff - ✔✔if trying to gather info from NP across the nation- do an online forum
or survey
If you want to create a new policy- education people on how it would benefit patients
, noticing conflict of interest in pharmaceutical companies and NPs-- assess this new
relationship before you try and address it
✔✔autoimmune diseases - ✔✔can lead to increase cytokine levels
✔✔desmopressin - ✔✔can be used for enuresis--reduces urine production
✔✔Erikson stages - ✔✔Infant(0-1yr)Trust vs. Mistrust"HOPE"
Toddler(1-3yr) Autonomy vs. Shame and doubt"WILL"
Preschool(3-6yr)-Initiative vs. Guilt"Purpose"
School(6-11yr)-Industry vs. Inferiority"Competence"
Adolescent(12-20yr)"Fidelity"
Young Adult(21-40yr)Intimacy vs isolation"Love"
(40'60yr) Generative lifestyle vs. stagnation or self absorption"Care"
(>65)Ego integrity vs. despair"Wisdom"
✔✔What if there is a new blackbox warning that comes out while patient already on
medication - ✔✔don't top medication if doing well,
research black box warning yourself and weigh risk benefit
✔✔off-label use of medications - ✔✔FULL DISCLOSURE of risk benefits essential.
make sure to documents
provide evidence that supports off label use in documentation as well as to pt.
✔✔Sleep apnea risk factors - ✔✔excess wt, DM, smoking
✔✔debriefing strategies - ✔✔this is a reflective practice
combining theory w/ practice
✔✔When do you treat depression - ✔✔mild- therapy, no meds
moderate to severe-- meds AND therapy
severe- assess SI
✔✔HAM D, PHQ 9, Beck depression - ✔✔know the moderate score and anything falling
above or below is either mild or severe
✔✔HAM-D - ✔✔14-18
✔✔Edinburgh Postnatal Depression Scale - ✔✔Given to women 4-6 weeks postpartum
to assess whether or not to give tx
10 items
AND ANSWERS GRADED A+
✔✔exception finding questions - ✔✔based on the premise that bad behaviors do not
happen all the time. Asking patients to recall a time when a behavior did not occur
broadens a patient's perspective and allows the patient to consider other options
✔✔scaling questions - ✔✔A solution-focused technique that asks clients to observe
changes in feelings, moods, thoughts, and behaviors. On a scale of zero to 10, clients
are asked to rate some change in their experiences.
✔✔family systems therapy - ✔✔triangles/triangulation/self-differentiation
✔✔structural family therapy - ✔✔hiearchies and boundaries
✔✔Genograms - ✔✔present for BOTH family systems and structural family.
so family systems is triangles/self-differientiation
and structural family is heiarchies and boundaries
✔✔physical activity in adolescents - ✔✔can improve body image, self esteem, promote
resilience
improve relationships
✔✔child abuse - ✔✔crisis counseling
report report report
tell parent not to leave pt alone or leave their side
✔✔Worried about rheumatoid? - ✔✔check ESR regularly
✔✔PICOT question - ✔✔P- patient population of interest
I- intervention of interest
C- comparison of interest
O- outcome
T- time
✔✔when pt moves out of state - ✔✔if no safety concerns w/ this patient, provide with 2-
3 months of meds until they find new provider
✔✔evidence-base care - ✔✔access to current journals
✔✔shrill cry - ✔✔inconsolable crying baby
,can be caused by increase ICP
✔✔It is normal for 3-6 year olds to: - ✔✔play w/ genetals
this is phallic stage per freud.
masturbation is normal- not actually adult masturbation
odepol complex.
✔✔boys age 9-16 - ✔✔normal to have pain/swelling of nipples will often self-resolve in
6 mos
✔✔Decreased sex drive (in elderly female) - ✔✔means low levels of testosterone
decreased blood flow in pelvic region
✔✔women have less alcohol dehydrogenase enzyme - ✔✔makes women more likely to
develop liver problems and get drunk
✔✔normalize grief and loss - ✔✔don't tell them what to do, need to normalize greiving.
reactions varry and are all normal, don't tell them to do something diferent.
breif supportive therapy
✔✔EMDR therapy - ✔✔eye movement desensitization and reprocessing
✔✔phosphodiesterase PDE5 inhibitor - ✔✔absorbed quickly- viagra
✔✔normocystic, macrocytic anemia - ✔✔folic acid, vit b12 and iron deficiencies can be
cause
✔✔leaving AMA - ✔✔habeas corpus
✔✔disseminated encephalomyelitis - ✔✔assymetrical body movements or extremities,
parasthesias
do a neuro exam
✔✔Policy stuff - ✔✔if trying to gather info from NP across the nation- do an online forum
or survey
If you want to create a new policy- education people on how it would benefit patients
, noticing conflict of interest in pharmaceutical companies and NPs-- assess this new
relationship before you try and address it
✔✔autoimmune diseases - ✔✔can lead to increase cytokine levels
✔✔desmopressin - ✔✔can be used for enuresis--reduces urine production
✔✔Erikson stages - ✔✔Infant(0-1yr)Trust vs. Mistrust"HOPE"
Toddler(1-3yr) Autonomy vs. Shame and doubt"WILL"
Preschool(3-6yr)-Initiative vs. Guilt"Purpose"
School(6-11yr)-Industry vs. Inferiority"Competence"
Adolescent(12-20yr)"Fidelity"
Young Adult(21-40yr)Intimacy vs isolation"Love"
(40'60yr) Generative lifestyle vs. stagnation or self absorption"Care"
(>65)Ego integrity vs. despair"Wisdom"
✔✔What if there is a new blackbox warning that comes out while patient already on
medication - ✔✔don't top medication if doing well,
research black box warning yourself and weigh risk benefit
✔✔off-label use of medications - ✔✔FULL DISCLOSURE of risk benefits essential.
make sure to documents
provide evidence that supports off label use in documentation as well as to pt.
✔✔Sleep apnea risk factors - ✔✔excess wt, DM, smoking
✔✔debriefing strategies - ✔✔this is a reflective practice
combining theory w/ practice
✔✔When do you treat depression - ✔✔mild- therapy, no meds
moderate to severe-- meds AND therapy
severe- assess SI
✔✔HAM D, PHQ 9, Beck depression - ✔✔know the moderate score and anything falling
above or below is either mild or severe
✔✔HAM-D - ✔✔14-18
✔✔Edinburgh Postnatal Depression Scale - ✔✔Given to women 4-6 weeks postpartum
to assess whether or not to give tx
10 items
