PMHNP Exams with complete solutions

PMHNP Exams with complete solutions what level is lithium toxicity? - CORRECT ANSWERS 1.5 lithium commorbidities - CORRECT ANSWERS 1. epstein abnormality in babies 2. hyper or hypothyroid depakote level toxicity symptoms - CORRECT ANSWERS 1. involuntary body movement 2. tremors 3. jumpy body Question: if pt is on depakote or lithium (or any type of antipsychotic) and they have elevated prolactin level, what should you do? - CORRECT ANSWERS decrease What happens when prolactin is elevated? - CORRECT ANSWERS sexual side effects .what is the most common side effect of tegretol.. other side effects? - CORRECT ANSWERS steven johnson. SIDE EFFECTS: Can cause aplastic anemia, agranulocytosis, hyponatremia If pt does not respond to haldol.. and is still aggressive and violent, what do u give next - CORRECT ANSWERS give GEODON IM What is the one you are most concerned about? in antipsychotics - CORRECT ANSWERS : HIP-TO-WAIST syndrome (metabolic syndrome) : If patient is a diabetic, what should you do? (antipsychotics) - CORRECT ANSWERS : start on low dose what do you need to monitor if you start them on Geodon - CORRECT ANSWERS Heart palpitations and abnormal heart rate Pt is on lithium and is treated by his rheumatologist for his rheumarthris. Dr prescribed Indocin (NSAID). What happens? - CORRECT ANSWERS Nsaid is inhibitor. It will sit on enzyme and not let lithium metabolize and will cause toxicity. ACT (assertive community treatment) model is used for what - CORRECT ANSWERS schizophrenia If it is experiencing positive symptoms, what part of brain? - CORRECT ANSWERS Mesolimbic What part of brain causes negative symptoms? - CORRECT ANSWERS mesocortical If you order a CT scan for schizo pt.. what will you most likely see? - CORRECT ANSWERS increase in the ventricles Most common presentation of MDD? - CORRECT ANSWERS anhedonia fda pediatric OCD? age and med - CORRECT ANSWERS zoloft x>6 prozac x>7 Luvox X>8 Clomipramine(tca) x> 10 Pt on SSRI lexapro, but is still feeling depressed - CORRECT ANSWERS go up on lexapro you need to order another medication as an adjunct... despite ssri not working. what do u order? - CORRECT ANSWERS abilify wellbutrin contraindications - CORRECT ANSWERS Any hx of seizure Any cardiovascular problems? Any eating disorder background If pt is taking a MAOI, what do you have to tell them to avoid - CORRECT ANSWERS aged cheese and wine If you have a pt with panic attacks, what would be your choice of benzo? - CORRECT ANSWERS ativan If your pt was admitted to ER with a panic attack, what is the benzo injectable they would get? - CORRECT ANSWERS ativan tx for social anxiety - CORRECT ANSWERS 1. propanolol pt has social anxiety but also has asthma or COPD or any respiratory issues. - CORRECT ANSWERS zoloft