ANCC Georgette Review for boards(complete guide newest version 2023/20240)

ANCC Georgette Review for boards 3 yr old play with self, says naughty things. Normal for which theorist Piaget Which cranial nerve for 14yr old clenching teeth Trigeminal, Cranial nerve V 16yr old falls with wrong crowd may have what disorder Conduct disorder Ace inhibitors are drug choice for what Heart failure, HTN Acute distress disorder must occur within what time frame 1 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 Acute Stress Disorder If symptoms of traumatic event lead to anxiety ,nightmares, sleep issues, concentration problems and last past one month, what is the diagnosis PTSD Med for adult with panic disorder Buspar What is used as a bridge medication for panic disorder when starting an SSRI or another antidepressant Benzodiazepine Term for fear of open spaces Agoraphobia Medication for Agoraphobia short term Benzodiazepine 3 SSRI to treat agoraphobia long term Prozac, Paxil, and Zoloft One SNRI to treat Agoraphobia long term Effexor NURSINGENIUS Page 2 of 9 What part of the brain regulates fear, anxiety, aggression Amygdala what style of therapy for a patient with anorexia Family therapy Hospitalization criteria for anorexia Weight 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 18.5 an eating disorder in which an irrational fear of weight gain leads people to starve themselves Anorexia Nervosa Cell death in aging/elderly is known as what Apoptosis A process of building on what works rather than focusing on and fixing what doesn't is known as what Appreciative Inquiry In this stage a person has no intent to change Precontemplation In this stage the person is thinking of change and aware of the problem but not committed to change Contemplation In this stage the person has made the decision to change and is ready for action Preparation In this stage the person is engaging in specific actions to change Action This is taken 15 minutes before sex Avanafil (Stendra) Take this 45 minutes before sex Tadalafil (Cialis) and Vardenafil (Levitra) Take this one hour before sex NURSINGENIUS Page 3 of 9 Sildenafil (Viagra) According to Beck depression scale, 0-13 is considered Minimal Depression According to Beck depression scale, 14-19 is considered Mild Depression According to Beck depression scale, 20-28 is considered Moderate Depression According to Beck depression scale, 29-63 is considered Severe Depression Strong inhibitors of 2D6 (Big Freaking Problem) Bupropion, Fluoxetine, Paxil Can Asthma medication cause depression yes Can Buspar be taken during pregnancy Catagory B, only take if really needed Can Klonopin be taken during pregnancy Category C, Avoid. Excretes in breastmilk and baby can withdrawal Strong inducers of 3A4 Carb and Barb (Carbazepine and Phenobarbital) Who is in charge of DEA State and Federal Clomipramine (Anafranil) treats OCD and depression DC Clozaril if ANC is below 1000 DC clozaril if WBC is Pt on clozaril with sores in mouth, fever, chills, chronic infections of gums or throat is indicative of what NURSINGENIUS Page 4 of 9 Agranulocytosis Anxiety, Alcohol and Substance abuse are comorbidities often associated with what diagnosis Bipolar Patient presents with constricted pinpoint pupils may indicate use of what Opiods Cytochrome P450 inducers increase or decrease serum level of other drugs Decrease because they push the substrate out of the exit pathways Cytochrome P450 inhibitors increase or decrease serum level of other drugs Increase 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 Tobacco This drug acts in the same manner as antidiuretic hormone and makes less urine desmopressin (DDAVP) Watch Depakote and Disulfiram because they can increase INR Spina Bifida can be cause by which drug Depakote Before giving a patient depakote you should check what lab HCG If a patient presents with dilated pupils you may suspect what Stimulant intoxication Flonase has steroids and is an inhibitor so it can lead to what with Tegretol Increased level, so decrease the dose A patient with early onset HIV dementia will prsent with what Apathy (lack of interest), poor balance, slow cognitive function, brain shrinkage EMDR is recommended for what PTSD DBT is recommended for what BPD NURSINGENIUS Page 5 of 9 Why are females more likely to become alcoholic than men hormones Treatment for Encopresis includes scheduled toilet time, incentives A patient on erythromycin the provider should increase or decrease xanax level increase First sign of temprofrontal dementia Behavior and personality changes Which drugs are metabolized by renal (kidney) GAL, Gabapentin, Acomprosate, Lithium For duty to warn what must exist relationship An alcoholic with liver problems should be given which drug Ativan The issue with grapefruit juice is that it is an inhibitor or inducer? Inhibitor, 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 Increase dose Stroking palm of baby hand causes baby to grasp and close hand, this reflex lasts how long 5-6 months of age Greatest patient at risk of violence Substance Abuse Hamilton Anxiety Scale rates 14-17 as Mild anxiety Hamilton rating scale rates 18-24 as Moderate anxiety Hamilton rating scale rates 25-30 as Severe anxiety NURSINGENIUS Page 6 of 9 According to Hamilton Depression scale, normal rating falls between 0-7 According to Hamilton Depression scale, moderate depression is rated 14-18 Hamilton rating scale considers severe depression as bigger than 20 A patient with a Hamilton D score of 28 should be assessed for what Suicide Asians see healthcare providers as what position of authority, expect to give instructions and help with decisions How to assess for competency of amedical procedure Identify a pen and recall 3 words How to protect an infant from evil eye Red ribbon How to protect an adult from evil eye Amulet How to test cranial nerve XII Stick out tongue How is telepsychiatry evaluated Outcome based How many generations included in genogram 3 Only FDA approved pediatric depression med Prozac Only FDA approved OCD treatment for pediatric and teens Prozac, zoloft, fluvoxamine, and clomipramine Muscle pain, red urine, elevated leukocyte esterase what lab should be ordered microalbumin NURSINGENIUS Page 7 of 9 A patient develops NMS after taking Risperdal, what other atypical should be avoided Zyprexa What part of the brain regulate impulsivity Pre-frontal cortex Symptoms in baby of increased ICP Baby neuro cry This drug can cause depression Interferon This drug decreases seizure threshold Wellbutrin If a patient is on wellbutrin and Lexapro with increased depression, what should be done Increase the Lexapro, not the wellbutrin Is dental care included in Medicaid Yes less than 21 it is included Medication for kids with panic disorder include Clonidine and Guanfacine Education for patient on Latuda or Geodon Take with food A patient with a lesion in frontal cortex may show what Impaired cognitive function Kid with nightmares screams out in night but doesnt remember next morning. What should you do Inquire about sleep disorder in family Little boy wet sheets, what therapy recommended Behavioral This system is associated with fear and aggression and drives for food and sex Limbic Medicare A covers Inpatient NURSINGENIUS Page 8 of 9 Medicare B covers prescription medical equipment, outpatient Medicare D covers drugs Indural, a beta blocker is contraindicated with Albuterol due to risk of increased CNS stimulation Mesocortical pathway reduced dopamine causes Negative symptoms of schizophrenia Mesolimbic pathway increased dopamine leads to Positive symptoms schizophrenia Negative symptoms of schizophrenia (expressionless) which pathway mesocortical Neurotransmitter for addiction Dopamine and GABA Neurotransmitter for mood disorder Serotinin and Norepinephrine EPS occurs due to low dopamine in this area Nigrostriatal pathway NMS treatment with this muscle relaxer Dantrolene NMS treatment Dantrolene D2 agonists (e.g., bromocriptine). For NMS, think FEVER: Fever Encephalopathy Vitals unstable Elevated enzymes Rigidity of muscles Pt on antidepressant 3 weeks and attempts suicide what do you do Stop the med NURSINGENIUS Page 9 of 9 Dizzy, Tremor, sweating, what diagnosis hypoglycemia Pt stops smoking, what to do to dose of zyprexa Decrease Mini cognition test that is quick and requires minimal training clock drawing Prozac increases what in elderly Anxiety Problem in parietal lobe causes what Difficult writing, Aphasia (language), agnosia unable to perceive objects Pt taking breathing treatments shouldn't take MAOI or TCA Schizophrenia in males age to develop 18-25 schizophrenia in female age to develop 25-35 If a patient cant identify an object in hand with eyes closed it signifies what and shows an issue where in the brain Stereognosis, parietal lobe Meds for social anxiety disorder include Beta blocker, propranolol Steroids can cause what mania Tegretol is well known for what Agranulocytosis Check what lab on tegretol ANC and WBC