NU 673 2027 Midterm Exam Question and Answer Grade A+
Complete Study Pack
Question 1.
Psychiatric H& P components
Correct Answer: Onset duration characteristics associated aggravating factors
relieving factors treatment and summary.
Question 2.
Psychiatric Assessment
Correct Answer: establish therapeutic relationship of acceptance empathy
professionalism respect gather data review the purpose consider safety issues
communication skills screening tools developmental assessment differential
diagnosis assess precipitating events stressors biological social psychological
develop a treatment plan that safe based on evidence and culture competent
must instill hope to decrease anxiety provide education and follow up labs and
referrals to neuropsych testing therapy education psychotropic meds
reassurance follow up plan.
Question 3.
objective MSE scales in which examiner rates patient
Correct Answer: cooperative conversate without acute distress orientation
dress for agencies than cycle motor activity iContact euthymic affect fall even
congruent with reported mood of speech is spontaneous normal rate
appropriate volume and tone with no problems expressing self thought
content is normal elicited content denies suicide denies homicidal process
appears linear coherent goal directed cognition appears grossly intact with
appropriate attention span and concentration and average fund of knowledge
judgment appears fair insight appears fair the patient is able to articulate
needs is motivated for compliance adherence to medication regime is willing
and able to participate with treatment disposition and discharge planning.
• Psychiatric Interview -✓✓the most important element in the evaluation and
care of persons with mental illness
Question 4.
Psychiatric H&P
Correct Answer:
Question 5.
psychiatric goals
Correct Answer:
,Question 6.
psychiatric treatment
Correct Answer:
Question 7.
PMHNP mental health Anxiety assessment tools
Correct Answer: GAD-7: 5-9 mild, 10-14 mod, 15-21 severe
HAM- A: 14-17 mild, 18-24 mod, 25-30 severe
Question 8.
PMHNP depression rating tool
Correct Answer: HAM-D: 0-7 norm, 8-13 mild, 14-18 mod, 19-22 sv, 23 severly
severe
PQH-9: 1-4 min, 5-9 mild, 10-14 mod, 15-19 sev mod, >20 sv
Beck Depression Inventory (BDI) 0-13 min depression 14-19 mild depression
20-28 mod depression 29-63 severe depression
Question 9.
Bipolar Spectrum Diagnostic Scale (BSDS)
Correct Answer: BSDS 0-6 high unlike 7-12 low risk 13-19 mod 20-25 high
likely
Question 10.
social determinants of health
Correct Answer: The conditions in which people are born, grow, live, work, and
age, shaped by the distribution of money, power, and resources at global,
national, and local levels
Question 11.
Serotonin Syndrome
Correct Answer: With any drug that increases 5-HT (e.g., MAO inhibitors,
SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability,
flushing, diarrhea, seizures. A patient who presents with an excess of
serotonin is likely experiencing serotonin syndrome. Serotonin syndrome is
classified by restlessness, agitation, myoclonus, and vital sign abnormalities.
Patients with a deficit of serotonin would present with depression, sleep
dysregulation, and loss of appetite. -Treatment: cyproheptadine (5-HT2
receptor antagonist).
, Question 12.
Stevens-Johnson Syndrome
Correct Answer: erythema multiforme
Question 13.
extrapyramidal symptoms
Correct Answer: involuntary fine motor tremors, rigidity, uncontrollable
retlessness, acute dystonia.
Question 14.
Neuro Malignant Hyperthermia
Correct Answer: related to Dopamine 2 drop.
Question 15.
Neuromalignant syndrome
Correct Answer: excessive dopamine blockage and increased muscle tone.
autonomic dysfunction agitation confusion high fever
Question 16.
Antipsychotics
Correct Answer: alter neurotransmitters in the brain to alleviate symptoms of
psychosis, paranoia, and schizophrenia
Question 17.
Antipsychotic effects
Correct Answer: Reduce Positive symptoms-mania, paranoia. First gen
antipsychotics have this effect such as slowing of the psychomotor activity in
an agitated patient and calming of emotion with suppression of hallucinations
and delusions
Question 18.
antipsychotic medications
Correct Answer: Block dopamine, acetylcholine, histamine, and
norepinephrine receptors in the brain and periphery. Acute and chronic
psychosis, schizophrenia, manic phase of bipolar disorders, Tourette's
syndrome, delusional and schizoaffective disorders, dementia. Conventional
(typical) or atypical.
Complete Study Pack
Question 1.
Psychiatric H& P components
Correct Answer: Onset duration characteristics associated aggravating factors
relieving factors treatment and summary.
Question 2.
Psychiatric Assessment
Correct Answer: establish therapeutic relationship of acceptance empathy
professionalism respect gather data review the purpose consider safety issues
communication skills screening tools developmental assessment differential
diagnosis assess precipitating events stressors biological social psychological
develop a treatment plan that safe based on evidence and culture competent
must instill hope to decrease anxiety provide education and follow up labs and
referrals to neuropsych testing therapy education psychotropic meds
reassurance follow up plan.
Question 3.
objective MSE scales in which examiner rates patient
Correct Answer: cooperative conversate without acute distress orientation
dress for agencies than cycle motor activity iContact euthymic affect fall even
congruent with reported mood of speech is spontaneous normal rate
appropriate volume and tone with no problems expressing self thought
content is normal elicited content denies suicide denies homicidal process
appears linear coherent goal directed cognition appears grossly intact with
appropriate attention span and concentration and average fund of knowledge
judgment appears fair insight appears fair the patient is able to articulate
needs is motivated for compliance adherence to medication regime is willing
and able to participate with treatment disposition and discharge planning.
• Psychiatric Interview -✓✓the most important element in the evaluation and
care of persons with mental illness
Question 4.
Psychiatric H&P
Correct Answer:
Question 5.
psychiatric goals
Correct Answer:
,Question 6.
psychiatric treatment
Correct Answer:
Question 7.
PMHNP mental health Anxiety assessment tools
Correct Answer: GAD-7: 5-9 mild, 10-14 mod, 15-21 severe
HAM- A: 14-17 mild, 18-24 mod, 25-30 severe
Question 8.
PMHNP depression rating tool
Correct Answer: HAM-D: 0-7 norm, 8-13 mild, 14-18 mod, 19-22 sv, 23 severly
severe
PQH-9: 1-4 min, 5-9 mild, 10-14 mod, 15-19 sev mod, >20 sv
Beck Depression Inventory (BDI) 0-13 min depression 14-19 mild depression
20-28 mod depression 29-63 severe depression
Question 9.
Bipolar Spectrum Diagnostic Scale (BSDS)
Correct Answer: BSDS 0-6 high unlike 7-12 low risk 13-19 mod 20-25 high
likely
Question 10.
social determinants of health
Correct Answer: The conditions in which people are born, grow, live, work, and
age, shaped by the distribution of money, power, and resources at global,
national, and local levels
Question 11.
Serotonin Syndrome
Correct Answer: With any drug that increases 5-HT (e.g., MAO inhibitors,
SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability,
flushing, diarrhea, seizures. A patient who presents with an excess of
serotonin is likely experiencing serotonin syndrome. Serotonin syndrome is
classified by restlessness, agitation, myoclonus, and vital sign abnormalities.
Patients with a deficit of serotonin would present with depression, sleep
dysregulation, and loss of appetite. -Treatment: cyproheptadine (5-HT2
receptor antagonist).
, Question 12.
Stevens-Johnson Syndrome
Correct Answer: erythema multiforme
Question 13.
extrapyramidal symptoms
Correct Answer: involuntary fine motor tremors, rigidity, uncontrollable
retlessness, acute dystonia.
Question 14.
Neuro Malignant Hyperthermia
Correct Answer: related to Dopamine 2 drop.
Question 15.
Neuromalignant syndrome
Correct Answer: excessive dopamine blockage and increased muscle tone.
autonomic dysfunction agitation confusion high fever
Question 16.
Antipsychotics
Correct Answer: alter neurotransmitters in the brain to alleviate symptoms of
psychosis, paranoia, and schizophrenia
Question 17.
Antipsychotic effects
Correct Answer: Reduce Positive symptoms-mania, paranoia. First gen
antipsychotics have this effect such as slowing of the psychomotor activity in
an agitated patient and calming of emotion with suppression of hallucinations
and delusions
Question 18.
antipsychotic medications
Correct Answer: Block dopamine, acetylcholine, histamine, and
norepinephrine receptors in the brain and periphery. Acute and chronic
psychosis, schizophrenia, manic phase of bipolar disorders, Tourette's
syndrome, delusional and schizoaffective disorders, dementia. Conventional
(typical) or atypical.
