PMHNP board set exams 100%
increase prolactin - ✔✔- Stop prolactin (stop the agent that cause increase prolactin)
3-year-old masturbates, play with self, says naughty things - ✔✔Normal for Piaget
5-year-old tells you his brother sodomized him - ✔✔- Tell mom don't leave him alone with patient and
call CPS implement crisis
13-year-old want to smoke - ✔✔- Ask him of his plan to stop smoking
14-year-old girl clenching her teeth - ✔✔- Cranial nerve V-Trigeminal nerve
16-year-old falls with the wrong crowd - ✔✔- Conduct disorder
16-year-old refuse treatment - ✔✔- Send to psych specialist for acting out kids
16-year-old shows up with mother for first therapy - ✔✔- Confidential (mom sits in lobby)
ACE inhibitors - ✔✔- HTN
ACE inhibitors are the drug of choice for what? - ✔✔- Heart failure/HTN
Acute stress disorder (ASD) - ✔✔- Can be 2 to 4 weeks ( less than a month)
,ADPIE - ✔✔• Assessment: 1st step, subjective and objective data
• Diagnosis: analysis, formulation of nursing diagnosis
• Planning: prioritizing problems, determining goals, plan of care
• Implementation: nursing action (rather than medical action)
• Evaluating: comparing outcomes, communicate and document findings
Adult panic disorder - ✔✔- Buspar
Lithium level 1.2 what are you concerned with - ✔✔- 4+ Ketones Labs for Kidney compromised it is
wrong Urine kidney problem
1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - ✔✔Lithium toxicity
Ibuprofen and lithium - ✔✔INCREASES the serum level up to double
Lab Values concerning for patient on Lithium: - ✔✔o Leukocytosis
o Creatinine
o BUN
o NA+
o 4 + PORTEIN in Urine
o + Pregnancy Test
Lithium toxicity - ✔✔o Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic
taste and SEVERE tremor.
. Aggressive patient to give - ✔✔- IM Geodon
,agoraphobia - ✔✔fear of open spaces
Agoraphobia treatment - ✔✔*BZDs* - short term symptom relief
*SSRIs* - long-term maintenance
fluoxetine (Prozac)
paroxetine (Paxil)
sertraline (Zoloft)
*SNRIs* - long-term maintenance
venlafaxine (Effexor)
*TCAs* - long-term maintenance
imipramine
Alprostadil (PGE1) - ✔✔• Ductal-dependent Congenital Heart Disease (all forms)
• 0.05-0.1 µg/kg/min IV/IO infusion initially, then 0.01-0.05 µg/kg/min IV/IO
In babies with congenital heart defects, it is used by slow injection into a vein to open the ductus
arteriosus until the surgery can be carried out. By injection into the penis or placement in the urethra, it
is used to treat erectile dysfunction .
Amygdala: - ✔✔- Fear, anxiety, and aggression
Amygdala - ✔✔- A limbic system structure involved in memory and emotion, anxiety, particularly fear
and aggression
, Anorexia (SAFETY = KEY) - ✔✔- Set up family therapy (especially adolescent pts since they have no
control over food choices)
Anorexia admission criteria for hospitalization - ✔✔- Weight loss over 30 % over 6 months, severe
hypothermia (temp lower than 36 C or 96.8 F), heart rate less than 40 beats per minute, systolic blood
pressure less than 70 mm hg, and hypokalemia (less than 3 mEq/L).
anorexia nervosa - ✔✔- BMI less than 18.5
- BMI < 16 = AUTOMATIC ADMISSION
- An eating disorder in which an irrational fear of weight gain leads people to starve themselves
ANOVA (analysis of variance) - ✔✔an inferential statistical test for comparing the means of three or
more groups
Antidepressant takes - ✔✔4 to 6 weeks
Prozac causes what? - ✔✔increase anxiety in elderly
Apoptosis - ✔✔programmed cell death in aging/elderly
Appreciative Inquiry - ✔✔- Dream (wishes or dreams of organization)
- Design (decide what you want to change)
- Destiny (make it happen, implanting change)
Appreciative Inquiry - ✔✔an organizational change strategy that directs the group's attention away
from its own problems and focuses participants on the group's potential and positive elements
increase prolactin - ✔✔- Stop prolactin (stop the agent that cause increase prolactin)
3-year-old masturbates, play with self, says naughty things - ✔✔Normal for Piaget
5-year-old tells you his brother sodomized him - ✔✔- Tell mom don't leave him alone with patient and
call CPS implement crisis
13-year-old want to smoke - ✔✔- Ask him of his plan to stop smoking
14-year-old girl clenching her teeth - ✔✔- Cranial nerve V-Trigeminal nerve
16-year-old falls with the wrong crowd - ✔✔- Conduct disorder
16-year-old refuse treatment - ✔✔- Send to psych specialist for acting out kids
16-year-old shows up with mother for first therapy - ✔✔- Confidential (mom sits in lobby)
ACE inhibitors - ✔✔- HTN
ACE inhibitors are the drug of choice for what? - ✔✔- Heart failure/HTN
Acute stress disorder (ASD) - ✔✔- Can be 2 to 4 weeks ( less than a month)
,ADPIE - ✔✔• Assessment: 1st step, subjective and objective data
• Diagnosis: analysis, formulation of nursing diagnosis
• Planning: prioritizing problems, determining goals, plan of care
• Implementation: nursing action (rather than medical action)
• Evaluating: comparing outcomes, communicate and document findings
Adult panic disorder - ✔✔- Buspar
Lithium level 1.2 what are you concerned with - ✔✔- 4+ Ketones Labs for Kidney compromised it is
wrong Urine kidney problem
1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - ✔✔Lithium toxicity
Ibuprofen and lithium - ✔✔INCREASES the serum level up to double
Lab Values concerning for patient on Lithium: - ✔✔o Leukocytosis
o Creatinine
o BUN
o NA+
o 4 + PORTEIN in Urine
o + Pregnancy Test
Lithium toxicity - ✔✔o Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic
taste and SEVERE tremor.
. Aggressive patient to give - ✔✔- IM Geodon
,agoraphobia - ✔✔fear of open spaces
Agoraphobia treatment - ✔✔*BZDs* - short term symptom relief
*SSRIs* - long-term maintenance
fluoxetine (Prozac)
paroxetine (Paxil)
sertraline (Zoloft)
*SNRIs* - long-term maintenance
venlafaxine (Effexor)
*TCAs* - long-term maintenance
imipramine
Alprostadil (PGE1) - ✔✔• Ductal-dependent Congenital Heart Disease (all forms)
• 0.05-0.1 µg/kg/min IV/IO infusion initially, then 0.01-0.05 µg/kg/min IV/IO
In babies with congenital heart defects, it is used by slow injection into a vein to open the ductus
arteriosus until the surgery can be carried out. By injection into the penis or placement in the urethra, it
is used to treat erectile dysfunction .
Amygdala: - ✔✔- Fear, anxiety, and aggression
Amygdala - ✔✔- A limbic system structure involved in memory and emotion, anxiety, particularly fear
and aggression
, Anorexia (SAFETY = KEY) - ✔✔- Set up family therapy (especially adolescent pts since they have no
control over food choices)
Anorexia admission criteria for hospitalization - ✔✔- Weight loss over 30 % over 6 months, severe
hypothermia (temp lower than 36 C or 96.8 F), heart rate less than 40 beats per minute, systolic blood
pressure less than 70 mm hg, and hypokalemia (less than 3 mEq/L).
anorexia nervosa - ✔✔- BMI less than 18.5
- BMI < 16 = AUTOMATIC ADMISSION
- An eating disorder in which an irrational fear of weight gain leads people to starve themselves
ANOVA (analysis of variance) - ✔✔an inferential statistical test for comparing the means of three or
more groups
Antidepressant takes - ✔✔4 to 6 weeks
Prozac causes what? - ✔✔increase anxiety in elderly
Apoptosis - ✔✔programmed cell death in aging/elderly
Appreciative Inquiry - ✔✔- Dream (wishes or dreams of organization)
- Design (decide what you want to change)
- Destiny (make it happen, implanting change)
Appreciative Inquiry - ✔✔an organizational change strategy that directs the group's attention away
from its own problems and focuses participants on the group's potential and positive elements
