Psychiatric Nurse Practitioner Assessment Test Questions.

Psychiatric Nurse Practitioner Assessment Test Questions. Explain the clinical signifcance of the Stystematic Treatment Enhancement Program for Bipolar Disorder: STEP-BD) - ANSWER As more contempts are tried with SSRIs to relieve depressive symptoms, the client becomes more treatment resistant leading to poor outcomes. Explain the clinical significance of the Sequenced Treatment Alternative to Relieve Depression STAR D - ANSWER Strong behavioral therapy combined with medications lead to 30% better outcomes as compared to monotherapy or medication or therapy alone. Describe the mechanism of action of Typical Antipsychotics - ANSWER Blocking D2 receptors in the mesolimbic and mesocortical The Blocking D2 receptors in the mesolimbic and mesocortical tract - ANSWER tract reducing positive symptoms of psychosis, does effect the negative symptoms of the disorder, can create EPS symptoms in the nigro-striatal tract, Nigrostriatal - ANSWER involved with muscular movement Mesolimbic - ANSWER source of visual hallucinations and auditory hallucinations, Mesocortical - ANSWER mesocortical area holds affective symptoms, Blocking Alpha 1 adrenergic receptors through down regulation causing orthostatic hypotention - ANSWER Pharmacological strategies in addressing EPS symptoms - ANSWER Change medication Lower the dose Prescribe cogentin Second generation antipsychotics are pharmacology directed to - ANSWER blocking both D2 and 5HT receptors in the brain and also relieve the negative symptoms of psychosi down regulation blocking Alpha ! receptors - ANSWER Orthostatic hypotension and dizziness which comes down regulation of blocking Muscarinic and Histamine receptors - ANSWER Weight gain, dizziness serontin down regulation in the gut - ANSWER constipation