PMHNP STUDY GUIDE SET ANSWERS AND
QUESTIONS SET A+
✔✔Compassion fatigue - ✔✔-from helping others
- sx include denial about problems, excessive blaming, holding in emotions, isolating
from others, unusal amount of complaints, compulsive spending, over eating, gambling
✔✔who do you contact to earn admitting privelleges at local hosptial? - ✔✔contact
hospital directly, not the state
✔✔Clozapine severe neutropenia with ANC under? - ✔✔500 -- discontinue med under
1000
✔✔who implements the Clozapine REMS program? - ✔✔Clozapine drug company --
The FDA mandates the program
✔✔evaluation of restrains requirements - ✔✔The patient needs a face to face
evaluation with a LIP within 1 hour, and a follow up to continue restrains every 8 hours
✔✔binge drinking is higher where? more common in which gendeR? - ✔✔no higher in
urban populations than rural
much more common in men
whites are at higher risk than blacks and hispanics
highest alcohol use in western states , lowest in south
✔✔Autism areas of impairment - ✔✔cognitive, language, social , age appropriate self-
help skills
✔✔cortical v. subcortical dementia? - ✔✔subcortical has slowed cognitive processes,
depressed mood, dysarthria, early gate disturbance, tremors, tics, distonia
,- In cortical dementia there is early aphasia, early difficulties in calculations, normal
speed of cogntiive processing until late, normal mood, and no extra motor issues like
tics and dystonia
✔✔men and women should not exceed more than __ drinks on any one occassion -
✔✔men - 4 , women -3
✔✔bathing, toilet, dressing , transferring - ✔✔ADL
✔✔using the telephone, shopping, using transportation - ✔✔I-ADLs
✔✔what does divorce recovery not include? - ✔✔dont have to give the kid an
explanation
✔✔ADHD scales also assess? - ✔✔mood, self-esteem, temperment, sleep, peer
relationships -- do not assess obsessive worry or psychosis - some inlcude eating
patterns
✔✔where to document current suicidal ideation, plan, etc? - ✔✔NOT HPI --Mental
status exam!
✔✔distinguishing features between autism and mixed receptive-expressive language
disorder? - ✔✔language abnormalities like echolalia and sterotyped phrases are more
common in austism. usually more severe impariemnt in autism
✔✔MMSE includes? 6 - ✔✔attention, orientation, calculation, recall, language and
motor skills
✔✔adult ADHD recommended by WHO - ✔✔Adult self report screener
✔✔harsh parents
no punishment are risk factors for - ✔✔deliqeuncy
✔✔APA reccomendations for hospital admission due to suicidality -- - ✔✔patient should
be admitted if patient has a medical reason contributing to the suicide risk level
- no admission for patient with chronic SI without hx of lethal attempts, si in relation to
break up, or SI with a low lethality plan
✔✔evidence based care for PTSD nightmares? - ✔✔Prazosin and Image Rehersal
Therapy
✔✔antisocial personality - ✔✔no diagnosis until 18 and must have hx of conduct
disorder before age 15
, ✔✔FRAMES - ✔✔Feedback
Responsibility
Advice
Menu of options
Empathetic counseling
Optimism for Self efficacy
MI
✔✔What differentiates NMS from SS - ✔✔NMS has mutism, luekocytosis, dysphagia,
elevated CK, evidence of muscle injury
✔✔Dementia screening with the highest sensitivity and specificity for cognitive
impairment yet fastest>? - ✔✔The clock drawing test
✔✔therapy for schizophrenia and substance - ✔✔manualized group with motivational
enhancement
✔✔answers common in pseudodemia - ✔✔" i dont know" as oppose to in dementia
when responses dont make sense
✔✔normal 3 year old - ✔✔3-4 word sentences
1000 words
balance on one foot
play make believe
follow 2 step commands
✔✔who funds medicaid and medicare - ✔✔medicare is just federal, medicaid is state
and federal
✔✔What is not covered by medicaid? - ✔✔rehabilitation, hospice, (people over 65 can
have medicaid)
✔✔what is covered by medicaid - ✔✔family planning
x rays and labs
nurse practitioner services
transportation services
home health care for eligible elderly
outpatient and inpatient hospitalizations
midwives
✔✔what is not covered by medicare - ✔✔long term services (covered by medicaid only)
hearing exams and hearing aids
vision care and eyeglasses
QUESTIONS SET A+
✔✔Compassion fatigue - ✔✔-from helping others
- sx include denial about problems, excessive blaming, holding in emotions, isolating
from others, unusal amount of complaints, compulsive spending, over eating, gambling
✔✔who do you contact to earn admitting privelleges at local hosptial? - ✔✔contact
hospital directly, not the state
✔✔Clozapine severe neutropenia with ANC under? - ✔✔500 -- discontinue med under
1000
✔✔who implements the Clozapine REMS program? - ✔✔Clozapine drug company --
The FDA mandates the program
✔✔evaluation of restrains requirements - ✔✔The patient needs a face to face
evaluation with a LIP within 1 hour, and a follow up to continue restrains every 8 hours
✔✔binge drinking is higher where? more common in which gendeR? - ✔✔no higher in
urban populations than rural
much more common in men
whites are at higher risk than blacks and hispanics
highest alcohol use in western states , lowest in south
✔✔Autism areas of impairment - ✔✔cognitive, language, social , age appropriate self-
help skills
✔✔cortical v. subcortical dementia? - ✔✔subcortical has slowed cognitive processes,
depressed mood, dysarthria, early gate disturbance, tremors, tics, distonia
,- In cortical dementia there is early aphasia, early difficulties in calculations, normal
speed of cogntiive processing until late, normal mood, and no extra motor issues like
tics and dystonia
✔✔men and women should not exceed more than __ drinks on any one occassion -
✔✔men - 4 , women -3
✔✔bathing, toilet, dressing , transferring - ✔✔ADL
✔✔using the telephone, shopping, using transportation - ✔✔I-ADLs
✔✔what does divorce recovery not include? - ✔✔dont have to give the kid an
explanation
✔✔ADHD scales also assess? - ✔✔mood, self-esteem, temperment, sleep, peer
relationships -- do not assess obsessive worry or psychosis - some inlcude eating
patterns
✔✔where to document current suicidal ideation, plan, etc? - ✔✔NOT HPI --Mental
status exam!
✔✔distinguishing features between autism and mixed receptive-expressive language
disorder? - ✔✔language abnormalities like echolalia and sterotyped phrases are more
common in austism. usually more severe impariemnt in autism
✔✔MMSE includes? 6 - ✔✔attention, orientation, calculation, recall, language and
motor skills
✔✔adult ADHD recommended by WHO - ✔✔Adult self report screener
✔✔harsh parents
no punishment are risk factors for - ✔✔deliqeuncy
✔✔APA reccomendations for hospital admission due to suicidality -- - ✔✔patient should
be admitted if patient has a medical reason contributing to the suicide risk level
- no admission for patient with chronic SI without hx of lethal attempts, si in relation to
break up, or SI with a low lethality plan
✔✔evidence based care for PTSD nightmares? - ✔✔Prazosin and Image Rehersal
Therapy
✔✔antisocial personality - ✔✔no diagnosis until 18 and must have hx of conduct
disorder before age 15
, ✔✔FRAMES - ✔✔Feedback
Responsibility
Advice
Menu of options
Empathetic counseling
Optimism for Self efficacy
MI
✔✔What differentiates NMS from SS - ✔✔NMS has mutism, luekocytosis, dysphagia,
elevated CK, evidence of muscle injury
✔✔Dementia screening with the highest sensitivity and specificity for cognitive
impairment yet fastest>? - ✔✔The clock drawing test
✔✔therapy for schizophrenia and substance - ✔✔manualized group with motivational
enhancement
✔✔answers common in pseudodemia - ✔✔" i dont know" as oppose to in dementia
when responses dont make sense
✔✔normal 3 year old - ✔✔3-4 word sentences
1000 words
balance on one foot
play make believe
follow 2 step commands
✔✔who funds medicaid and medicare - ✔✔medicare is just federal, medicaid is state
and federal
✔✔What is not covered by medicaid? - ✔✔rehabilitation, hospice, (people over 65 can
have medicaid)
✔✔what is covered by medicaid - ✔✔family planning
x rays and labs
nurse practitioner services
transportation services
home health care for eligible elderly
outpatient and inpatient hospitalizations
midwives
✔✔what is not covered by medicare - ✔✔long term services (covered by medicaid only)
hearing exams and hearing aids
vision care and eyeglasses
