LMR EXAM (ANCC EXAM
PMHNP)
12 yo with bedwetting - ANSWERS-set alarm clock to use restroom
(med= desmopresssin but try alternative methods first)
social media and patients - ANSWERS-can't look up patient
information on social media
patient privacy
risk factors for sleep apnea - ANSWERS-excessive weight gain
diabetes
obesity
smoking
hypertension
autoimmune disease increases... - ANSWERS-cytokines
macrocytic anemia causes - ANSWERS-caused by b12 deficiency
GAD-7 scores - ANSWERS-0-4 none
15+ severe
,HAM-D scores - ANSWERS-0-7 none
19+ severe
PHQ 9 scores - ANSWERS-0-4 none
20+ severe
Beck D scores - ANSWERS-0-13 normal
30+ severe
CIWA-ar scores - ANSWERS-8+ prn for symptoms
15+ scheduled meds
LFTs
liver disease = lorazepam
COWS scores - ANSWERS-5-12 prn clonidine
13+ scheduled meds (suboxone)
Aversion Therapy for Alcoholism - ANSWERS-disulfram
don't use for 12h after last use
2 weeks before interaction with etoh after stopping use
used to assess children/infants - ANSWERS-developmental
milestones (e.g. learning to walk)
,rationalization - ANSWERS-making excuses for unacceptable
behaviors
Intellectuallization - ANSWERS-using knowledge/research to master
stressor/conflict
Engel's Stages of Grieving - ANSWERS-Shock and disbelief (denial)
Developing awareness (acknowledges)
Restitution (mourning, spiritual rituals)
Resolving the loss (social support)
Idealization (deify and idealize)
Outcome (adjust and cope)
scope of practice - ANSWERS-*determined by state board of nursing
defines NP roles and actions
varies state to state
standard of practice - ANSWERS-*determined by ANA
, provide a way to judge nature of care provided
PMHNP required to carry care all PMHNP would in same
circumstaces
confidentiality - ANSWERS-*client rights to assume information
given to provider will not be DISCLOSED
requires provider to obtain signed consent forms and medical
authorization to release medical records and information when
requested by client or other providers
exceptions to confidentiality - ANSWERS-info outweighs principle
client has intent to harm self/others
info given to attorneys in litigation
insurance companies
**court orders, subpoenas, summons (perjury)
Tarasoff v. Regents of the University of California - ANSWERS-duty
to warn victim
PMHNP)
12 yo with bedwetting - ANSWERS-set alarm clock to use restroom
(med= desmopresssin but try alternative methods first)
social media and patients - ANSWERS-can't look up patient
information on social media
patient privacy
risk factors for sleep apnea - ANSWERS-excessive weight gain
diabetes
obesity
smoking
hypertension
autoimmune disease increases... - ANSWERS-cytokines
macrocytic anemia causes - ANSWERS-caused by b12 deficiency
GAD-7 scores - ANSWERS-0-4 none
15+ severe
,HAM-D scores - ANSWERS-0-7 none
19+ severe
PHQ 9 scores - ANSWERS-0-4 none
20+ severe
Beck D scores - ANSWERS-0-13 normal
30+ severe
CIWA-ar scores - ANSWERS-8+ prn for symptoms
15+ scheduled meds
LFTs
liver disease = lorazepam
COWS scores - ANSWERS-5-12 prn clonidine
13+ scheduled meds (suboxone)
Aversion Therapy for Alcoholism - ANSWERS-disulfram
don't use for 12h after last use
2 weeks before interaction with etoh after stopping use
used to assess children/infants - ANSWERS-developmental
milestones (e.g. learning to walk)
,rationalization - ANSWERS-making excuses for unacceptable
behaviors
Intellectuallization - ANSWERS-using knowledge/research to master
stressor/conflict
Engel's Stages of Grieving - ANSWERS-Shock and disbelief (denial)
Developing awareness (acknowledges)
Restitution (mourning, spiritual rituals)
Resolving the loss (social support)
Idealization (deify and idealize)
Outcome (adjust and cope)
scope of practice - ANSWERS-*determined by state board of nursing
defines NP roles and actions
varies state to state
standard of practice - ANSWERS-*determined by ANA
, provide a way to judge nature of care provided
PMHNP required to carry care all PMHNP would in same
circumstaces
confidentiality - ANSWERS-*client rights to assume information
given to provider will not be DISCLOSED
requires provider to obtain signed consent forms and medical
authorization to release medical records and information when
requested by client or other providers
exceptions to confidentiality - ANSWERS-info outweighs principle
client has intent to harm self/others
info given to attorneys in litigation
insurance companies
**court orders, subpoenas, summons (perjury)
Tarasoff v. Regents of the University of California - ANSWERS-duty
to warn victim
