PMHNP Boards - Georgette's Questions And Answers Rated 100%!!!

When many answers are remarkably similar, they are usually _____________ - ANS wrong When two answers are opposites, usually... - ANS one of those two is the correct answer When looking at questions about interprofessional communication: ________ don't _________. - ANS collaborate, don't delegate If asked to differentiate #1 from #2; think what is unique about _______. - ANS #1 If a question and an answer use the same words or synonyms, then that answer is usually ______. - ANS correct If an answer has absolutes (only, always) it is usually _________. - ANS wrong Levels of prioritization to use when answering questions: three levels. - ANS 1. Airway, breathing, circulation 2. Maslow's - physiological needs (food, water, warmth, rest), safety and security 3. Nursing process: Assessment, diagnosis, plan, intervention, evaluate, refer out last Lithium levels - Normal and Toxicity - ANS Normal 0.6-1.2 Toxicity > 1.5 Lithium toxicity occurs at levels - ANS > 1.5 Signs of Lithium toxicity - ANS severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for - ANS MANIA Lithium has evidence shown to (2) - ANS 1. reduce suicidal ideation 2. Neuroprotective tx of choice for bipolar What does lithium cause in neonate, especially 1st trimester - ANS Ebstein anomaly (congenital heart defect) dehydration and hyponatremia cause lithium levels to - ANS rise Baseline labs before initiation of lithium - ANS TSH creatinine (0.6-1.2) BUN (10-20) HCG (all psychotropics females 12-51) EKG 50+ Side Effects of Lithium and lithium toxicity - ANS SIde Effects: hypothyroidism, coarse hand tremors with toxicity, diarrhea, leukocytosis Toxicity: N/V, confusion, convulsions, drowsiness, blurred vision, slurred speech, mm weakness, heart palpitations, course hand tremors, and unsteadiness when walking (STOP and check levels) Why are elderly more sensitive to lithium (5) - ANS Decreased intercellular water, protein binding, mm mass, and metabolism Increased body fat MAOI + tyramine causes - ANS hypertensive crisis - life threatening and emergency Symptoms of hypertensive crisis - ANS elevated BP sudden explosive occipital headache facial flushing palpitations pupillary dilation diaphoresis fever