PMHNP Exam Review Questions with correct answers graded A+

PMHNP Exam Review Questions A man states his wife was so good if he could only be like her. what is this - Intellectualization or deflecting A pt states that she has been raped. What do you do - ensure safety ACE inhibitors - HTN ACE Inhibitors are the drug of choice for what? - Heart Failure HTN Acute Stress Disorder (ASD) - can be 2-4 weeks a disorder resulting from exposure to a major stressor, with symptoms of anxiety, dissociation, recurring nightmares, sleep disturbances, problems in concentration, and moments in which people seem to "relive" the event in dreams and flashbacks for as long as 1 month following the event ADPIE - Nursing Process - Assessment Diagnosis Planning Implementation Evaluation Adult panic disorder - Buspar Aggressive patient 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 Amgdyla - Fear, Anxiety, and Aggression Amygdala - A limbic system structure involved in memory and emotion, anxiety, particularly fear and aggression. Anorexia - Set up family therapy Anorexia admission Criteria for hospitalization includes: - weight loss over 30% over 6 months, severe hypothermia (temperature 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 an eating disorder in which an irrational fear of weight gain leads people to starve themselves ANOVA (analysis of variance) - 3 OR MORE an inferential statistical test for comparing the means of three or more groups antidepressant takes - 5 weeks Apoptosis - cell death in aging/elderly Appreciative Inquiry - an organizational change philosophy and process building organizations around what works, rather than focusing on and trying to fix what doesn't work 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 Appreciative Inquiry - Discovery (Best of what is ) Dream (Wishes or dreams of Org) Design (Decide what you want to change) Destiny (Make it happen, Implenting Change) Appreciative Inquiry (AI) - Identify the problem Analyze the problem Generate Solutions Implement Best Solutions Discovery (Best of what is ) Dream (Wishes or dreams of Org) Design (Decide what you want to change) Destiny (Make it happen, Implenting Change) Assertive Community Treatment (ACT) - community-based programs that provide many of the services that are necessary for successful community living; includes case management, problem-solving, social skills training, support, teaching on a 24/7 basis Assertive Question (2) - Use "I want", "I need" or "I feel" to convey basic assertions and get your point across firmly. For example, "I feel strongly that we need to bring in a third party to mediate this disagreement." For example, you might say "Dave, your request has caught me off guard. I'll get back to you within the half hour." Assess when someone ready to quit drinking - See what stage they in Ask when ready to start tx Avanafil (Stendra) - 15 minutes prior to sex Beck Depression Inventory (BDI) - 0-13 Minimal depression 14-19 Mild Depression 20-28 Moderate Depression 29-63 Severe Depression Beck Depression Inventory (BDI) - Intimate therapy for a child with a score of 10 a questionnaire useful for determining the level of depressive symptoms that a person is reporting Big Freaking Problems - Bupropion Fluoxetine Paxil Biggest Concern with EHR - Confidentiality borderline personality disorder Treatment - dialectical behavior therapy Boy states that he wishes to be a girl and tells you not to tell his parent s - Don't tell BRUISE on the padded part of his arms - Say I see you have bruises on your arm Ask what happened Can an advanced directive ever be revoked? - Yes, at any time. Can asthma medications cause depression? - Yes. Can you have Medicare and Medicaid? - Yes, impoverished elderly but Medicaid is always payor of last resort. Can you take Buspar during pregnancy? - Category B - ok if really needed. Can you take Klonopin during pregnancy? - Category C - avoid if possible; does excrete into breast-milk and infant could get withdrawal symptoms.