ANCC Georgette Review for boards Exams With Question And Answers

Which cranial nerve for 14yr old clenching teeth - correct ANSWERTrigeminal, Cranial nerve V 16yr old falls with wrong crowd may have what disorder - correct ANSWERConduct disorder 3 yr old play with self, says naughty things. Normal for which theorist - correct ANSWERPiaget Ace inhibitors are drug choice for what - correct ANSWERHeart failure, HTN Acute distress disorder must occur within what time frame - correct ANSWER1 month of trauma and resolve within the month Exposure to a major stressor with anxiety, dissociation, nightmares, sleep disturbances, concentration problems from trauma 3 weeks prior leads to what diagnosis - correct ANSWERAcute Stress Disorder If symptoms of traumatic event lead to anxiety ,nightmares, sleep issues, concentration problems and last past one month, what is the diagnosis - correct ANSWERPTSD Med for adult with panic disorder - correct ANSWERBuspar What is used as a bridge medication for panic disorder when starting an SSRI or another antidepressant - correct ANSWERBenzodiazepine Term for fear of open spaces - correct ANSWERAgoraphobia Medication for Agoraphobia short term - correct ANSWERBenzodiazepine 3 SSRI to treat agoraphobia long term - correct ANSWERProzac, Paxil, and Zoloft One SNRI to treat Agoraphobia long term - correct ANSWEREffexor What part of the brain regulates fear, anxiety, aggression - correct ANSWERAmygdala what style of therapy for a patient with anorexia - correct ANSWERFamily therapy Hospitalization criteria for anorexia - correct ANSWERWeight loss over 30% in 6 months, heart rate less than 40, hypokalemia less than 3 mEq To qualify for anorexia Nervosa the BMI would be less than what - correct ANSWER18.5 an eating disorder in which an irrational fear of weight gain leads people to starve themselves - correct ANSWERAnorexia Nervosa Cell death in aging/elderly is known as what - correct ANSWERApoptosis A process of building on what works rather than focusing on and fixing what doesn't is known as what - correct ANSWERAppreciative Inquiry In this stage a person has no intent to change - correct ANSWERPrecontemplation In this stage the person is thinking of change and aware of the problem but not committed to change - correct ANSWERContemplation In this stage the person has made the decision to change and is ready for action - correct ANSWERPreparation In this stage the person is engaging in specific actions to change - correct ANSWERAction This is taken 15 minutes before sex - correct ANSWERAvanafil (Stendra) Take this 45 minutes before sex - correct ANSWERTadalafil (Cialis) and Vardenafil (Levitra) Take this one hour before sex - correct ANSWERSildenafil (Viagra) According to Beck depression scale, 0-13 is considered - correct ANSWERMinimal Depression According to Beck depression scale, 14-19 is considered - correct ANSWERMild Depression According to Beck depression scale, 20-28 is considered - correct ANSWERModerate Depression According to Beck depression scale, 29-63 is considered - correct ANSWERSevere Depression Strong inhibitors of 2D6 (Big Freaking Problem) - correct ANSWERBupropion, Fluoxetine, Paxil Can Asthma medication cause depression - correct ANSWERyes Can Buspar be taken during pregnancy - correct ANSWERCatagory B, only take if really needed Can Klonopin be taken during pregnancy - correct ANSWERCategory C, Avoid. Excretes in breastmilk and baby can withdrawal Strong inducers of 3A4 - correct ANSWERCarb and Barb (Carbazepine and Phenobarbital) Who is in charge of DEA - correct ANSWERState and Federal Clomipramine (Anafranil) treats - correct ANSWEROCD and depression DC Clozaril if ANC is below - correct ANSWER1000 DC clozaril if WBC is - correct ANSWER Pt on clozaril with sores in mouth, fever, chills, chronic infections of gums or throat is indicative of what - correct ANSWERAgranulocytosis Anxiety, Alcohol and Substance abuse are comorbidities often associated with what diagnosis - correct ANSWERBipolar Patient presents with constricted pinpoint pupils may indicate use of what - correct ANSWEROpiods Cytochrome P450 inducers increase or decrease serum level of other drugs - correct ANSWERDecrease because they push the substrate out of the exit pathways Cytochrome P450 inhibitors increase or decrease serum level of other drugs - correct ANSWERIncrease because they block the enzymatic pathways, limiting excretion and lead to toxicity This drug is an inducer of P450 and the patient will need a higher amount of drug to be effective - correct ANSWERTobacco This drug acts in the same manner as antidiuretic hormone and makes less urine - correct ANSWERdesmopressin (DDAVP) Watch Depakote and Disulfiram because they can increase - correct ANSWERINR Spina Bifida can be cause by which drug - correct ANSWERDepakote Before giving a patient depakote you should check what lab - correct ANSWERHCG If a patient presents with dilated pupils you may suspect what - correct ANSWERStimulant intoxication Flonase has steroids and is an inhibitor so it can lead to what with Tegretol - correct ANSWERIncreased level, so decrease the dose A patient with early onset HIV dementia will prsent with what - correct ANSWERApathy (lack of interest), poor balance, slow cognitive function, brain shrinkage EMDR is recommended for what - correct ANSWERPTSD DBT is recommended for what - correct ANSWERBPD Why are females more likely to become alcoholic than men - correct ANSWERhormones Treatment for Encopresis includes - correct ANSWERscheduled toilet time, incentives A patient on erythromycin the provider should increase or decrease xanax level - correct ANSWERincrease First sign of temprofrontal dementia - correct ANSWERBehavior and personality changes Which drugs are metabolized by renal (kidney) - correct ANSWERGAL, Gabapentin, Acomprosate, Lithium For duty to warn what must exist - correct ANSWERrelationship An alcoholic with liver problems should be given which drug - correct ANSWERAtivan The issue with grapefruit juice is that it is an inhibitor or inducer? - correct ANSWERInhibitor, one glass can reduce absorption by 47% and blood level of drug will be increased A patient on trazodone drinking grapefruit juice would need the dose to be decreased or increased - correct ANSWERIncrease dose Stroking palm of baby hand causes baby to grasp and close hand, this reflex lasts how long - correct ANSWER5-6 months of age Greatest patient at risk of violence - correct ANSWERSubstance Abuse Hamilton Anxiety Scale rates 14-17 as - correct ANSWERMild anxiety Hamilton rating scale rates 18-24 as - correct ANSWERModerate anxiety Hamilton rating scale rates 25-30 as - correct ANSWERSevere anxiety According to Hamilton Depression scale, normal rating falls between - correct ANSWER0-7 According to Hamilton Depression scale, moderate depression is rated - correct ANSWER14-18 Hamilton rating scale considers severe depression as - correct ANSWERbigger than 20 A patient with a Hamilton D score of 28 should be assessed for what - correct ANSWERSuicide Asians see healthcare providers as what - correct ANSWERposition of authority, expect to give instructions and help with decisions How to assess for competency of amedical procedure - correct ANSWERIdentify a pen and recall 3 words How to protect an infant from evil eye - correct ANSWERRed ribbon How to protect an adult from evil eye - correct ANSWERAmulet How to test cranial nerve XII - correct ANSWERStick out tongue How is telepsychiatry evaluated - correct ANSWEROutcome based How many generations included in genogram - correct ANSWER3 Only FDA approved pediatric depression med - correct ANSWERProzac Only FDA approved OCD treatment for pediatric and teens - correct ANSWERProzac, zoloft, fluvoxamine, and clomipramine Muscle pain, red urine, elevated leukocyte esterase what lab should be ordered - correct ANSWERmicroalbumin A patient develops NMS after taking Risperdal, what other atypical should be avoided - correct ANSWERZyprexa What part of the brain regulate impulsivity - correct ANSWERPre-frontal cortex Symptoms in baby of increased ICP - correct ANSWERBaby neuro cry This drug can cause depression - correct ANSWERInterferon This drug decreases seizure threshold - correct ANSWERWellbutrin If a patient is on wellbutrin and Lexapro with increased depression, what should be done - correct ANSWERIncrease the Lexapro, not the wellbutrin Is dental care included in Medicaid - correct ANSWERYes less than 21 it is included Medication for kids with panic disorder include - correct ANSWERClonidine and Guanfacine Education for patient on Latuda or Geodon - correct ANSWERTake with food A patient with a lesion in frontal cortex may show what - correct ANSWERImpaired cognitive function Kid with nightmares screams out in night but doesnt remember next morning. What should you do - correct ANSWERInquire about sleep disorder in family Little boy wet sheets, what therapy recommended - correct ANSWERBehavioral This system is associated with fear and aggression and drives for food and sex - correct ANSWERLimbic Medicare A covers - correct ANSWERInpatient