LMR PMHNP EVALUATION TEST QUESTIONS AND
ANSWERS SURE A+
✔✔motivational interviewing - ✔✔a collaborative, person-centered form of guiding to
elicit and strengthen motivation for change
✔✔Beck inventory severe score - ✔✔Over 30 is severe
✔✔Hamilton Anxiety Rating Scale - ✔✔a. 14 items scored on a scale of 0 (not present)
to 4 (severe)
b. total score range 0-56
c. Mild severity- <17
d. mild-mod 18-24
e. mod -severe 25-30
✔✔PHQ-9 scoring - ✔✔0-4 none
5-9 mild depression
10-14 moderate
15-19 mod. severe
20-27 severe depression
✔✔Zung Self-Rating Depression Scale - ✔✔Self-rated- Over 70 high risk for suicide.
✔✔GAD-7 scale - ✔✔More than 15 severe
✔✔Vanderbilt Scales - ✔✔Screening for ADHD and common comorbidities:
oppositional-defiant, conduct, anxiety and depression
✔✔Detox with hepatic dysfunction - ✔✔Ativan or Serax
✔✔Avoid cymbalta with alcohol patients why? - ✔✔Liver damage- check LFTs
✔✔Opiate detox for pregnant women - ✔✔Methadone
, ✔✔Ativan in pregnancy - ✔✔floppy baby and cleft palate
✔✔Naltrexone (ReVia) contraindication in who? - ✔✔Pts with liver disease
✔✔Acmprosate contraindicated with who? - ✔✔Pts with kidney problems
✔✔Disulfiram (Antabuse) - ✔✔Must be alcohol free 12 hours; avoid substances for 2
weeks after stopping or flushing, HA, SOB, fainting, tachycardia, blurred vision
✔✔Lewy body dementia - ✔✔A form of dementia characterized by an increase in Lewy
body cells in the brain. Symptoms include visual hallucinations, momentary loss of
attention, falling, and fainting.
✔✔Pick's disease - ✔✔rare condition that results in early onset; personality changes;
frontotemporal dementia
✔✔Namenda (memantine) - ✔✔moderate to severe Alzheimer's disease
✔✔Cholinesterase inhibitors - ✔✔Donepezil
Rivastigmine
Galantamine
✔✔Side effects of cholinesterase inhibitors - ✔✔Nausea, vomiting, dyspepsia, diarrhea,
dizziness, headache, bradycardia, weight loss
✔✔macrocytic anemia - ✔✔check folic acid and vitamin B12 levels
✔✔Huntington's disease - ✔✔Genetic disorder that causes progressive deterioration of
brain cells. caused by a dominant allele before age 30
✔✔Symptoms of Huntington's Disease - ✔✔Tremors, clumsiness, memory loss, inability
to concentrate, mood changes, involuntary movements, difficulty swallowing or
speaking
✔✔Anorexia vs. Bulimia - ✔✔Major difference between two conditions is control.
Anorexic is usually already below healthy weight, ,still perceives own weight is
unacceptable, attempts to lower weight further by limiting food intake. Bulimic has no
sense of control over eating habits. Eat excessively and then attempt to
overcompensate for excessive food intake.
✔✔Wellbutrin in anorexic patients - ✔✔low seizure threshold
✔✔Refeeding syndrome - ✔✔metabolic alterations that may occur during nutritional
repletion of starved patients; pain with eating
ANSWERS SURE A+
✔✔motivational interviewing - ✔✔a collaborative, person-centered form of guiding to
elicit and strengthen motivation for change
✔✔Beck inventory severe score - ✔✔Over 30 is severe
✔✔Hamilton Anxiety Rating Scale - ✔✔a. 14 items scored on a scale of 0 (not present)
to 4 (severe)
b. total score range 0-56
c. Mild severity- <17
d. mild-mod 18-24
e. mod -severe 25-30
✔✔PHQ-9 scoring - ✔✔0-4 none
5-9 mild depression
10-14 moderate
15-19 mod. severe
20-27 severe depression
✔✔Zung Self-Rating Depression Scale - ✔✔Self-rated- Over 70 high risk for suicide.
✔✔GAD-7 scale - ✔✔More than 15 severe
✔✔Vanderbilt Scales - ✔✔Screening for ADHD and common comorbidities:
oppositional-defiant, conduct, anxiety and depression
✔✔Detox with hepatic dysfunction - ✔✔Ativan or Serax
✔✔Avoid cymbalta with alcohol patients why? - ✔✔Liver damage- check LFTs
✔✔Opiate detox for pregnant women - ✔✔Methadone
, ✔✔Ativan in pregnancy - ✔✔floppy baby and cleft palate
✔✔Naltrexone (ReVia) contraindication in who? - ✔✔Pts with liver disease
✔✔Acmprosate contraindicated with who? - ✔✔Pts with kidney problems
✔✔Disulfiram (Antabuse) - ✔✔Must be alcohol free 12 hours; avoid substances for 2
weeks after stopping or flushing, HA, SOB, fainting, tachycardia, blurred vision
✔✔Lewy body dementia - ✔✔A form of dementia characterized by an increase in Lewy
body cells in the brain. Symptoms include visual hallucinations, momentary loss of
attention, falling, and fainting.
✔✔Pick's disease - ✔✔rare condition that results in early onset; personality changes;
frontotemporal dementia
✔✔Namenda (memantine) - ✔✔moderate to severe Alzheimer's disease
✔✔Cholinesterase inhibitors - ✔✔Donepezil
Rivastigmine
Galantamine
✔✔Side effects of cholinesterase inhibitors - ✔✔Nausea, vomiting, dyspepsia, diarrhea,
dizziness, headache, bradycardia, weight loss
✔✔macrocytic anemia - ✔✔check folic acid and vitamin B12 levels
✔✔Huntington's disease - ✔✔Genetic disorder that causes progressive deterioration of
brain cells. caused by a dominant allele before age 30
✔✔Symptoms of Huntington's Disease - ✔✔Tremors, clumsiness, memory loss, inability
to concentrate, mood changes, involuntary movements, difficulty swallowing or
speaking
✔✔Anorexia vs. Bulimia - ✔✔Major difference between two conditions is control.
Anorexic is usually already below healthy weight, ,still perceives own weight is
unacceptable, attempts to lower weight further by limiting food intake. Bulimic has no
sense of control over eating habits. Eat excessively and then attempt to
overcompensate for excessive food intake.
✔✔Wellbutrin in anorexic patients - ✔✔low seizure threshold
✔✔Refeeding syndrome - ✔✔metabolic alterations that may occur during nutritional
repletion of starved patients; pain with eating
