PMHNP Comprehensive Exam Questions & Answers, consists of frequently tested questions. (Answered)

PMHNP Comprehensive Exam Questions & Answers, consists of frequently tested questions. (Answered)-AIMS - Abnormal Involuntary Movement Scale for 8 and older 12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics Rating 0-4, 2 to diagnose TD and reduce dose BARS - Barnes Akathisia Rating Scale for 8 and older 4 item tool to assess objective and subjective symptoms of akathisia with antipsychotics and/or SSRIs CRS-R - Connors Rating Scales - Revised for 3-17 ADHD Parent (80 items) and Teacher Scales (59 items) Low T-score of 61= mildly atypical; 70 = markedly atypical Subscales for Oppositional Behaviors, Cognitive Problems, Hyperactivity, ADHD Index, Anxious-Shy, Perfectionism, Social Problems, DSM-IV Subscales and Connors' Global Index Vanderbilt ADHD Parent and Teacher - 55 parent, 43 teacher items for 6-12 Initial assessment rates symptoms and impairment in academic and behavioral performance ASRS-1 - Adult ADHD Self-Report Scale, 16 and older Two-part Screening Part A: 6 questions, 4 symptoms suggest ADHD Part B: 12 questions to clarify and quantify AUDIT-C - Alcohol Use Disorders Identification Test - Consumption, 13 Documents use and frequency in prior year 0-4, F 3 = positive, M 4 = positive, 8 = hazardous drinking CAGE-AID - IDs problem drinking or druging, 13 and older (C=cut down, A=annoy, G=guilty, E=Eye-opener, AID=altered to include drugs CRAFFT - 6-item screen for alcohol or drugs in adolescents, 14-18 (C=car, R=relax, A=alone, F=forget, F= family or friends, T= trouble) BAI - Beck Anxiety Inventory, 17 and older Assesses 21 symptoms of anxiety, 0-36 scores HAM-A - Hamilton Anxiety Scale, most commonly used 14 domains, 14=mild, 18-24= moderate, 25-30=severe LSAS-CA - Liebowitz Social Anxiety Scale-Child/Adolescent Version, 7 and older 24 items, social and performance 55-65=moderate social phobia, 65-80=marked, 80-95=severe, 95=very severe MMSE - Mini Mental Status Exam 30 items, 24-30= no cognitive impairment; 18-23=mild cognitive impairment; 0-17= severe cognitive impairment MOCA - Montreal Cognitive Assessment 26=normal, add point for 12th grade education SPMSQ - Short Portable Mental Status Questionnaire 10 items, more than 3 incorrect indicates dementia BDI-2 - Beck Depression inventory, 13 and older presence and impact of depressive symptoms 21 items, 10=normal; 11-17=mild depression; 18-23=moderate; 24+=severe CCSD - Cornell Scale for Depression in Dementia 19 items, 6=no significant depression; 8-17=probable major depression; 18=definite depression MDQ - Mood Disorder Questionnaire Screen for mania or hypomania positive if 7 or more of 13 items in question #1 present and #2 is yes and #3 gets moderate or serious problem response YMRS - Young Mania Rating Scale, 11 items (adult) Range 0-60; adults with 12 or more=mania CY-BOCS - ... YBOCS - Yale-Brown Obsessive Compulsive Scale 10 items; age 14 and older gold standard for OC symptoms score indicates level of severity BPRS - Brief Psychiatric Rating Scale, 18 and older Assesses psychopathology (+, - and affective) with schizophrenia, not for screening or DX PANSS - Positive and Negative Syndrome Scale, 18 and older measures changes in symptom intensity in psychosis and schizophrenia Gold standard in studies of treatment efficacy SPS - Suicide Probability Scale, 13 and older Rapid measure of suicide risk higher score indicates greater risk CIWA-Ar - Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised 9 item symptom rating scale, max score 67; 10 does not warrant intervention COWS - Clinical Opiate Withdrawal Scale Quantifies severity of withdrawal syndrome, guides dosing, monitors over time Used for induction of Suboxone 5-12=mild; 13-24= moderate; 25-36=mod to severe; 36=severe T4, FREE THYROXINE - 0.8-2.8 Increased In Graves Decreased In Hypothyroidism TSH - 2- 10 mu/l Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per liter), Calcium, Ca++ - 8.8-10.5 7.0, tetany 11.0, hyperparathyroidism 13.5, hypercalcemic coma, metastatic cancer Sodium, Na+ - 135-148 mEq/L hypernatremia - dehydration hypovolemia diabetes insipidus eating too much salt gastroenteritis drugs such as adrenocorticosteroids, methyldopa, hydrazine, cough meds hyponatremia - drugs such as lithium, vasopressin, diuretics addisons renal disorder gi fluid loss Magnesium, Mg - 1.3 - 2.1 mEq/L lithium can increase hypomagnesemia - depression, confusion, irritability,nystagmus, tetany, convulsions, ataxia, increased reflexes, muscle weakness hypermagnesemia - N/V, respiratory depression, hypotension, depressed skeletal muscle contraction and nerve function, bradycardia Potassium, K+ - 3.5-5.1 mEq/L