PMHNP Mock Board Exam Review (Fitzgerald) 2022/2023

The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - ANSWER Prevention of Disease Immunization Counseling about Safety The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - ANSWER Early Detection of Disease Blood Pressure Colonoscopy The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include: (x1) - ANSWER Minimizing Negative Outcomes from Disease Adjust therapy to avoid end organ damage Screen men for colorectal CA at ___ y/o age and women for Cervical/Breast CA at ___ y/o - ANSWER 50 y/o 21 y/o Up to 44% of patients taking Valproate (Depakote) will have elevated ___ - ANSWER ALT/AST The GGT ranges from ___ u/L and can be elevated due to ___ - ANSWER 0-45 u/L ETOH abuse The best measurement of kidney function is GFR and GFR is normal at ___ mL/min - ANSWER 90 mL/min If a patients Na levels are low (35), they will ___ lithium which can result in the medical emergency of ___ and signs of this medical emergency include (x3) Lithium can cause (x2) making it hard to moniter NA levels and there is an increased risk of gouter and ___ for Pts on Lithium The medical emergency ___ is Tx with ___ (which should considered at levels 2.5 mEq/L absolutely be done if lithium levels reach ___ mEq/L) - ANSWER Reabsorb lithium Lithium Toxicity Hyperreflexia Arrhythmias Lithium Toxicity 4.0 mEq/L Nystagmus Polydipsia / Polyuria Peripheral Edema To initiate a Pt on the 3rd line antipsychotic ___ the ANC needs to be over ___ and stop treatment if ANC is ___ - ANSWER Clozapine (Clozaril) ANC 1,500 ANC1,000 Normal TSH levels - ANSWER 0.4-4.0 High TSH (0.4-4.0 mlU/ mL normal) and Low T4 (10-27 pmol/L normal) - ANSWER Hypothyroidism Low TSH (0.4-4.0 mlU/ mL normal) and High T4 (10-27 pmol/L normal) - ANSWER Hyperthyroidism Defense mechanisms are derived out of Freud's ___ Models (Id, Ego, SuperEgo) - ANSWER Psychoanalytic Birth order was stressed by ___ who recognized ___ as a driving force and created ___ theory - ANSWER Adler Inferiority (think Inferiority Complex) Personality Theory Attachment Theory was developed by ___ and the purpose of attachment is to ensure closeness and stability through a ___ in development Healthy attachment is ___ attachment in both children and adults - ANSWER Bowlby Secure Base (Sense of Security for child) Secure Attachment unconditional positive regard was created by ___ who believed that Pts would develop ___ & self-acceptance - ANSWER Carl Rogers Self-Awareness Maslow's Hierarchy of Needs includes physiological, safety, love/belonging, esteem, and ___ (the highest need) is also known as ___ psychology - ANSWER Self-Actualization Humanistic Psychology Therapeutic Theory that focuses on the 'here and now' is ___ Therapy and was developed by Fitz ___ A Gestalt Therapist may ask directive questions utilizing ___ to elicit the client to have increased ___ and decreased avoidance. - ANSWER Gestalt Therapy Fitz Perls Confrontation Awareness How to replace ___ beliefs with ___ beliefs is cognitive restructuring and the core of ___ theory of psychopathology which is the basis of CBT created by ___ - ANSWER Irrational Beliefs Rational Beliefs Cognitive Theory of Psychopathology Beck The perception one has of their ability to perform a task to a certain level. An aspect of Bandura's Social ___ Theory - ANSWER Self-Efficacy Bandura's Social Cognitive Theory In Bowen's Family Theory, the individual can only be understood within their ___ and an increase in stable relationships is seen within the context of ___ (when compared to say... fusion which lacks boundaries) the goal is good ___ - ANSWER Social Context Triangulation Differentiation of Self Aphasia, agnosia and apraxia damage attributed to the ___ lobe - ANSWER Parietal Lobe The reward neural pathway is the ___ and the voluntary / involuntary movement neural pathway is the ___ - ANSWER Mesolimbic Pathway Nigrostriatal Pathway The action of any antipsychotic is to block the ___ receptor and the ___ receptor inhibits the formation of cAMP by inhibition of the enzyme ___ - ANSWER D2 adenylate cyclase Concomitant use of triptans and SSRI or SNRI antidepressants has led to an FDA warning for ___ (but the risk is low according to JAMA study) Tx for ___ is Cyproheptadine (Periactin), fluids and ___ to decrease seizure-like movement/muscle stiffness - ANSWER Serotonin Syndrome Benzos The ability of a Pt who had a stroke to regain the ability to speak by recruiting other areas of the brain to compensate for damaged regions is ___ - ANSWER Neural Plasticity African Americans patients are more likely to be ___ and over-diagnosed with (x2) - ANSWER Involuntarily Hospitalized Substance Abuse / Schizophrenia Sickness, unhappiness and role functioning from ___ leaving body in Latino culture is ___ - ANSWER Soul Susto The H.S.S.A. Mature Defense Mechanism - ANSWER Humor Suppression Sublimation Altruism Effective therapeutic technique in ___ Psychotherapy (IPT) is ___ - ANSWER Interpersonal Psychotherapy Role Playing Dantrium (Dantrolene) or Parlodel (Bromocriptine) are both used in the Tx of ___ - ANSWER NMS Lead Pipe Rigidity Tremors Dyskinesia Patient with bipolar most likely to be misdiagnosed with unipolar depression is ___ - ANSWER Bipolar II Mood disorder (i.e. Bipolar, MDD, SAD...) with typically an early age of onset - ANSWER Dysthymia (x3) Cat B psychiatric medications - ANSWER Busparone (Buspar) Clozapine (Closaril) Lurasidone (Latuda) Due to QT prolongation, max dose of Citalopram (Celexa) is ___ in adults over ___. - ANSWER 20 mg 60 y/o SSRI withdrawal syndrome is ___ but not ___ - ANSWER Bothersome Deadly John Bowlby developed ___ with the idea that the caregiver provides (x2) creating a stable base for the child - ANSWER Attachment Theory Safety/Security A credential is used to provide ___ to the public by ensuring a minimum level of competence and title protect of psychiatric nurse practitioners for certification is provided by the ___ Scope of practice for any NP is determined by ___ - ANSWER Protect American Nurses Association (ANA) State Law To be deemed incompetent requires a ___ A durable power of attorney for health care designates in writing an agent to act on behalf of an individual medically and should be considered for patients with chronic ___ - ANSWER Court Ruling Psychiatric Disorders When considering probability is lies between ___ (something not possible) and ___ (something that will occur on every instance) and in order for the p value to have SIGNIFICANCE it must by ___ - ANSWER 0 1 .05 The ___ Report ensures that all investigators or participants in research must pass a test on protection of human subjects - ANSWER Belmont Report Treatment of choice for trichomonas vaginalis is the oral antibiotic ___ - ANSWER Metronidazole (Flagyl) If insomnia is presenting in later years, this may be due to ___ rhythms, but is common in Pts with ___ - ANSWER Chronobiological Rhythms Alzheimer's Insomnia lasting a few days caused by travel or mild stress is ___ and responds to relaxation techniques Short-term insomnia is considered to be ___, and BH disorders cause ___% of chronic insomnia and the BH type of Dx most common to cause insomnia are ___ - ANSWER Transient Insomnia 3 weeks 50% Mood Disorders (i.e. MDD, Bipolar II, SAD...) Displaced feelings r/t significant people in the Pts past onto the PMHNP - ANSWER Transferance Emotional reaction by provider to the Patient based upon the providers past experiences - ANSWER Countertransferance In Cognitive Theory, developed by Piaget the x4 stages of cognitive development: Birth-2 (understanding object permanence) 2-7 (Language and Magical Thinking) 7-12 (Logic in understanding change - reversibility of water and ice) 12 (abstract thought) - ANSWER 1. Sensorimotor 2. Preoperational 3. Concrete Operational 4. Formal Operational ___ Model developed by Becker explains how beliefs influence behaviors and why healthy people may not use screening or prevention measures: Perception of S/S Perceived B/B As well as 'cues to action' - basically what is going to ____ - ANSWER Health Belief Model