quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
PMHNP ANCC REVIEW
Study online at quizlet.com/_7cmduo
1. 2 classes of medications that should not be used together?: 22. Brother sexually abusing sister: make sure that he is not left
Ace inhibitors and ARBs together alone with her and call CPS, mandatory reporter, arrange
2. 5HT: raphe nucleus crisis therapy
3. 14 year old with no axillary hair, has not gotten her period 23. Can disclose info to medicare /CMS without consent: ...
yet: Normal tanner stage, start by 16 24. Clenched teeth?: CN 5 Trigeminal (masseter or masticatory
4. 65 year old started on a SSRI: may experience an increase in muscle).
anxiety in elderly, expect increased side effects, do an EKG 25. clozaril wbc+anc: If less than 950 discontinue the medication
5. Abnormal Trendelenburg Test: Hip disease, refer child out, and get a repeat level, 1000 is the cutoff
assessed during head to toe 1.5-2 cbc biweekly
1-1.5 hold, cbc q dayx 3 weeks
6. Accutane: can cause depression and birth defects
less than 1- Stop medication
7. ACE inhibitors: -pril, CHF 12.5initial, target 300-900mg/d once or bid
8. Acetylcholine (ACh): nucleus basalis of meynert schizophenrenia/pscyhosis
9. adjustment disorder: reaction to a specific life event (identified agranulocytosis, seizures, myocarditis (inflammed heart muscle
stressor), symtoms within 3 monhts but no more than 6 -chest pain,diff breath)
months. Think about a patient move wg, increase lipids/glucose
10. Adolescent with substance abuse and working out has REMS pharmacy need clozaril registry to dispense
muscle aches: urine is red colored- hematuria, concerned for to start: WBC must be >_3500 and ANC >_2000
rhabdomyolysis (muscle breakdown), WBC + ANC weekly q6months, then every 2w q6months, then
monthly
11. Age for schizophrenia female: 25-35
26. Dark brown urine: check LFT,
12. Aggression in brain: Stimulation of the amygdala results in
augmented aggressive behavior 27. DEA regulation monitoring: State and Federal, PMP
hypothalamus, is believed to serve a regulatory role in 28. dopamine production: substantia nigra and ventral tegmental
aggression area
13. Anorexic teenager with pain when eating: refeeding 29. Early signs of aids dementia: memory, inattention,
syndrome causes delayed gastric emptying concentration changes, worry over decreased cognition
14. Apoptosis?: neuron loss because of suffocation, enzyme 30. Elderly female with decreased sex drive: check testosterone
breakdown level
15. Appreciate Inquiry: strengths and competencies. What is being 31. Elderly patient with dementia how do you know id can give
done currently and assessment of strenghts, no problem consent: Able to repeat back risks and benefits
focused, 3 steps are discovery, understanding, amplifying elements= nature/pupose of tx, risks/benefits of tx,
16. assertive inquiry: ... risks/benefits not doing tx, alternatives, diagnosis/prognosis
17. Autistic child not responding to your verbal commands: this 32. EPS types: Tardive dyskinesia happen after years (eps is a
is normal, repetitive patterns of bx, impaired social precursor). Acute dystonia (hours), Parkinsons (weeks),
interactions, verbal/nonverbal communication common Akathisia (days)
18. Beck inventory score of 10?: 0-63, over 30 severe, dont start 33. Erythromycin and Tegretol: Erythromycin is an inhibitor
medication just start therapy (H=high level). If on Tegretol and Erythromycin together would
want to reduce the dose of Tegretol
19. Beck Scales: Eight, separate, self-report inventories designed to
assess different areas. 34. Experiencing irritability/depression/edginess?: best
assessment is mood questionnaire for bipolar, 7/13 bipolar
Scores from 0-63 likely
over 30 is severe 35. First line neuro-protective for bipolar: lithium
20. Best therapy for negative thinking: CBT, all or nothing 36. First symptom of metabolic syndrome?: large waist
thinking catastrophic thinking circumference
Humanistic therapy-self 37. Flonase interacts with what mood stabilizer?: Tegretol
Existential- reflection/self control/personal responsibility (inhibitor)
21. bipolar not taking medication: "tell me how the medication 38. Frontal lobe dementia: A form of dementia characterized by
works in your body" personality changes/social changes ,
39. Fungus on toenial: scrape toenail and sent for testing
40. GAD-7 scale : More than 15 severe
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
41. Grade 2/5 hoarse systolic heart murmur: aortic stenosis 62. MMSE part for thought disorder: proverb interpretation,
42. HAM-A: Hamilton Anxiety Scale, most commonly used abstract vs concrete interpretations
14 domains, 14=mild, 18-24= moderate, 25-30=severe 63. MMSE scores: 24-30 no cognitive impairment
18-23 mild cognitive impairment
Anxiety 25/15 severe 0-17 severe cognitive impairment
43. Hamilton Depression Scale: i. Severe 19- 23 (monitor for SI) 64. Neurotransmitters involved in alcoholism: dopamine and
ii. Moderate 14 - 18 gaba
iii. Mild 8 -13 65. NMS: -NMS is like S&M;
0-7 normal -you get hot (hyperpyrexia)
44. The health care policy is access, cost and ____: quality -stiff (increased muscle tone)
45. How does tegretol interact with cipro: cipro and -sweaty (diaphoresis)
erythromycin are inhibitors. Cause increased level of Tegretol. -BP, pulse, and respirations go up &
Black box warning -you start to drool
46. how do you get paid for medicare: CPT current procedural 66. NMS: neuroleptic malignant syndrome
code Severe fever
Changing LOC
47. ibuprofen + lithium: increases the serum level of lithium up to
Autonomic instability
double
Rigidity
48. just culture: refers to an organization's commitment to Sweating and drooling
accountability and a focus supporting universal safety in
health care. Find out the error ad where went wrong FEVERS- fever, encephalopathy, vitals instability, elevated
49. Keeping chronically mentally ill in the community?: ACT white blood cell count/cpk, rigidity
model 67. NMS labs: increased CPK, WBC
50. Kleinfelter's Syndrome: male with more than one X 68. Norepinephrine (NE): Synthesized in locus coeruleus arousal
chromosome (XXY), little to no sperm, fertility treatment and other functions like mood, hunger, and sleep
51. Labs for macrocytic anemia: Folic acid, vitamin B12, ESR/CRP, 69. Np notices teen with DKA leaving without eval: collaborate
HGB, MCV (liver) with ER to provide a psych assessment
52. Labs for rheumatoid arthritis: . ESR erythrocyte sedimentation 70. NSAIDs & ACE inhibitors effect: can double lithium levels
rate elevation. Synovial fluid analysis. X ray of joints.
71. nuchal rigidity: stiffness in cervical neck area, meningitis
Rheumatoid factor titer, CRP, Hgb
72. Nucleus basalis of Meynert: Alzheimer disease
53. Lab values concerning for patients on lithium: 4+ protein in
cognitive and memory function
urine, Leukocytosis, creatinine, BUN, Na,
73. nurse attacked 3 weeks ago and now scared to go to work:
54. Law that makes sure people with mental health issues get
Acute Stress Disorder, as it happened less than 1 month ago
the same financial treatment?: Parity Laws
74. OB/PMHNP in same clinic: increased access to mental health
55. Levels of Prevention: Primary: prevent/promotion, classes,
access
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster 75. ODD child: help the parents with positive reinforcement and
Tertiary: treat- to prevent further deterioration, rehab, parenting skills, limit setting, logical consequences,
restoration, day treatment, social skills consistency, power stuggle/control issues problematic,
parenting/family dysfunction exacerbates
56. Lithium level is 1.4: monitor for toxicity, toxicity=1.5, nausea,
vomiting 76. On Interferon and Lexapro: Interferon can cause depression,
increase Lexapro
57. Lithium toxicity: 1.5, 3 is an emergency, severe
diarrhea/nausea/vomiting, metallic taste, tremor, slurred 77. PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders
speech, number one intervention, give fluids, sweating give Associated with Streptococcal infections. OCD- recent strep
electrolytes too throat
58. locus coeruleus: a small nucleus in the reticular formation that 78. Patient abusing stimulants, what does NP assess for:
is involved in directing attention Insomnia and tremor, irritability, weight loss, nervous,
hypertension, tachycardia
59. masturbating 3 year old: Phallic stage is normal 3-6 years old
79. Patient cold what labs to get?: Check TSH.
60. Medication for NMS?: Dantrolene and bromocriptine
80. patient continues to say "I dont know": depression, not
61. Medicine that can cause mania: steroids/prenisolone,
dementia
antabuse, isoniazid,
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
81. patient has neuropathic pain, what medication will help? 103. Serotonin Discontinuation Syndrome: syndrome caused by
gabapentin not helping: Alpha 2 delta, pregabalin- lyrica abrupt withdrawal of an antidepressant drug, resulting in
82. patient in hospital with no family and failing cognitive test: sensory disturbances, sleeping disturbances, disequilibrium,
perform an MRI, labs to rule out substances flu-like symptoms, dizzy, vertigo, paresthesia (brain zaps),
nausea/vomiting, and gastrointestinal effects
83. Patient is borderline and suicidal what therapy?: DBT, goal to
decrease emotional reactivity/crisis bxs and self validation. 104. shrill cry: Increased cranial pressure
84. Patient lost a friend now experiences paralysis: conversion 105. Signs of fetal alcohol syndrome: small head, shoey
syndrome, repression of unconscious intrapsychic conflicts palpebral fissure, inner epicanthal folds. Do IEP and early
intervention specialist
85. Patient moving states, what do you do with medication?:
send enough medication is standard of practice 106. signs of serotonin syndrome: -shivering
-anxiety
86. Patient on risperdal and elevated prolactin: stop or decrease
-diaphoresis
the medication, tubin tract
-hyperthermia
87. Patients husband shows up but not the patient: both people
need to be present, reschedule
Shits and Shivers
88. patient wakes up screaming at night: ask family if anyone else diarrhea, shivering, hyperreflexia/myoclonis, increased
has sleep problems temperature, vital sign instability, encephalopathy, restlessness,
89. Person with EPS will most likely experience what: Tardive sweating
dyskinesia 107. Smoking cessation and antipsychotic: decrease the level of
90. Phases of policy making: formulation, implementation, Zyprexa, smoking is an inducer causing decreased levels of
evaluation the medication. When stop smoking re-increase the medication
91. PHQ9: score 1-27, over 20 is severe 108. Started on a medication then comes back in 2 weeks?:
92. PICOT: P: Population/problem Increase the dose after 1-2 weeks, therapeutic effects 4-6
I: Intervention/issue weeks
C: Comparison 109. substantia nigra: midbrain structure where dopamine is
O: Outcome produced; involved in control of movement
T: Time 110. Teen commits suicide, NP does presentation: to teens in
93. PTSD: Acute stress disorder- less than 1 month order to normalize the grieving process
PTSD- after 1 month 111. Tegretol side effects: Aplastic anemia, agranulocytosis, steven
94. PTSD nightmares: prazosin johnsons, hyponatremia. Watch with cipro and erythro
95. Puff cheeks: CN 7 facial (sensory and motor) 112. Telemedicine asking a legal question??: Licensing jurisdiction
96. pulling hair out: OCD/trichotillomania for the np
97. raphe nuclei: a string of nuclei in the midline of the midbrain 113. therapeutic communication: open ended, 'tell me'
and brainstem that contain most of the serotonergic neurons of 114. Tics what advise?: fairly common in children and will often
the brain remit on its own, ADHD concomittant
98. Reflexes expected at 1 month: Moro until 4 months, Palmer 115. To reduce stigma among teens seeking mental health...:
until 4 months, Plantar util 8 months, Babinski (2 years is educate friends/peers
disease) 116. Treatment for ADHD: stimulant and therapy together
99. Reluctant/silent patient: open ended questions 117. ventral tegmental area (VTA): midbrain structure where
100. Rhett Syndrome: a rare disorder found virtually exclusively in dopamine is produced: associated with mood, reward, and
girls, is a neurodevelopmental disorder in which the child addiction
usually develops normally unitl about 6 to 18 months of age at 118. Wandering, disoriented person on the streets for 2 days:
which characteristics of the syndrome emerge; characteristics delirium
include: hypotonia (loss of muscle tone), reduced eye contact, 119. What are you looking at when you are assessing the
decelerated head growth, and disinterest in play activities function of an elderly individual: ability to manage a
101. Risk factors for serotonin syndrome: more than 1 SSRI, st checkbook, instrumental ADLs go first (meds, phone, drive,
johns wart, tramadol, demerol, ultram, maperidone, 5HT house week, balancing check book), then ADLs
102. Scope of practice: comes from the state, board of eating/dressing, Exec functions=judgement, planning, taxes
nursing/american nurse association 120. What medication can alter absorption of antipsychotics?:
Antacids, can decrease antispsychotic effects
121. What medication can alter absorption of antipsychotics?: ...
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
122. What medication to give for serotonin syndrome: Cyproheptadine
123. What to check in terms of depakote in young girl: check HCG, blackbox for pregnancy, can cause spinal bifida-tetrogenic, also
check LFTs, CBC
124. What to give to agitated pt in seclusion: IM Geodon
125. When opening independent practice: consider cost and revenue, must calculate the time spent with patient vs time spent on risk
called indirect vs direct processing
126. When to assess a patient in restraints for face/face: 1 hour then 8 hours
127. Where do EPS originate: nigrostiatal tract.
128. Why would you be concerned about immature retuculocytes?: tests looking at reticulocytes hep evaluate conditions affecting RBCs
such as anemia, low reticulocytes may be seen with iron deficiency anemia, pernicious anemia, folic acid deficiency, aplastic anemia
129. Woman with GAD advise on medication: stop benzos because can cause floppy baby syndrome and cleft palate, cotinue buspar
130. Women is anxious about administering medication to a child: stop and address her anxiety
131. Zantac is for what?: H2 inhibitor
132. zung, beck, PHQ9, HAM: 70, 30, 20, 25
133. Zung scale: from 25-100, 25-49 is normal, 70+ is severe
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
PMHNP ANCC REVIEW
Study online at quizlet.com/_7cmduo
1. 2 classes of medications that should not be used together?: 22. Brother sexually abusing sister: make sure that he is not left
Ace inhibitors and ARBs together alone with her and call CPS, mandatory reporter, arrange
2. 5HT: raphe nucleus crisis therapy
3. 14 year old with no axillary hair, has not gotten her period 23. Can disclose info to medicare /CMS without consent: ...
yet: Normal tanner stage, start by 16 24. Clenched teeth?: CN 5 Trigeminal (masseter or masticatory
4. 65 year old started on a SSRI: may experience an increase in muscle).
anxiety in elderly, expect increased side effects, do an EKG 25. clozaril wbc+anc: If less than 950 discontinue the medication
5. Abnormal Trendelenburg Test: Hip disease, refer child out, and get a repeat level, 1000 is the cutoff
assessed during head to toe 1.5-2 cbc biweekly
1-1.5 hold, cbc q dayx 3 weeks
6. Accutane: can cause depression and birth defects
less than 1- Stop medication
7. ACE inhibitors: -pril, CHF 12.5initial, target 300-900mg/d once or bid
8. Acetylcholine (ACh): nucleus basalis of meynert schizophenrenia/pscyhosis
9. adjustment disorder: reaction to a specific life event (identified agranulocytosis, seizures, myocarditis (inflammed heart muscle
stressor), symtoms within 3 monhts but no more than 6 -chest pain,diff breath)
months. Think about a patient move wg, increase lipids/glucose
10. Adolescent with substance abuse and working out has REMS pharmacy need clozaril registry to dispense
muscle aches: urine is red colored- hematuria, concerned for to start: WBC must be >_3500 and ANC >_2000
rhabdomyolysis (muscle breakdown), WBC + ANC weekly q6months, then every 2w q6months, then
monthly
11. Age for schizophrenia female: 25-35
26. Dark brown urine: check LFT,
12. Aggression in brain: Stimulation of the amygdala results in
augmented aggressive behavior 27. DEA regulation monitoring: State and Federal, PMP
hypothalamus, is believed to serve a regulatory role in 28. dopamine production: substantia nigra and ventral tegmental
aggression area
13. Anorexic teenager with pain when eating: refeeding 29. Early signs of aids dementia: memory, inattention,
syndrome causes delayed gastric emptying concentration changes, worry over decreased cognition
14. Apoptosis?: neuron loss because of suffocation, enzyme 30. Elderly female with decreased sex drive: check testosterone
breakdown level
15. Appreciate Inquiry: strengths and competencies. What is being 31. Elderly patient with dementia how do you know id can give
done currently and assessment of strenghts, no problem consent: Able to repeat back risks and benefits
focused, 3 steps are discovery, understanding, amplifying elements= nature/pupose of tx, risks/benefits of tx,
16. assertive inquiry: ... risks/benefits not doing tx, alternatives, diagnosis/prognosis
17. Autistic child not responding to your verbal commands: this 32. EPS types: Tardive dyskinesia happen after years (eps is a
is normal, repetitive patterns of bx, impaired social precursor). Acute dystonia (hours), Parkinsons (weeks),
interactions, verbal/nonverbal communication common Akathisia (days)
18. Beck inventory score of 10?: 0-63, over 30 severe, dont start 33. Erythromycin and Tegretol: Erythromycin is an inhibitor
medication just start therapy (H=high level). If on Tegretol and Erythromycin together would
want to reduce the dose of Tegretol
19. Beck Scales: Eight, separate, self-report inventories designed to
assess different areas. 34. Experiencing irritability/depression/edginess?: best
assessment is mood questionnaire for bipolar, 7/13 bipolar
Scores from 0-63 likely
over 30 is severe 35. First line neuro-protective for bipolar: lithium
20. Best therapy for negative thinking: CBT, all or nothing 36. First symptom of metabolic syndrome?: large waist
thinking catastrophic thinking circumference
Humanistic therapy-self 37. Flonase interacts with what mood stabilizer?: Tegretol
Existential- reflection/self control/personal responsibility (inhibitor)
21. bipolar not taking medication: "tell me how the medication 38. Frontal lobe dementia: A form of dementia characterized by
works in your body" personality changes/social changes ,
39. Fungus on toenial: scrape toenail and sent for testing
40. GAD-7 scale : More than 15 severe
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
41. Grade 2/5 hoarse systolic heart murmur: aortic stenosis 62. MMSE part for thought disorder: proverb interpretation,
42. HAM-A: Hamilton Anxiety Scale, most commonly used abstract vs concrete interpretations
14 domains, 14=mild, 18-24= moderate, 25-30=severe 63. MMSE scores: 24-30 no cognitive impairment
18-23 mild cognitive impairment
Anxiety 25/15 severe 0-17 severe cognitive impairment
43. Hamilton Depression Scale: i. Severe 19- 23 (monitor for SI) 64. Neurotransmitters involved in alcoholism: dopamine and
ii. Moderate 14 - 18 gaba
iii. Mild 8 -13 65. NMS: -NMS is like S&M;
0-7 normal -you get hot (hyperpyrexia)
44. The health care policy is access, cost and ____: quality -stiff (increased muscle tone)
45. How does tegretol interact with cipro: cipro and -sweaty (diaphoresis)
erythromycin are inhibitors. Cause increased level of Tegretol. -BP, pulse, and respirations go up &
Black box warning -you start to drool
46. how do you get paid for medicare: CPT current procedural 66. NMS: neuroleptic malignant syndrome
code Severe fever
Changing LOC
47. ibuprofen + lithium: increases the serum level of lithium up to
Autonomic instability
double
Rigidity
48. just culture: refers to an organization's commitment to Sweating and drooling
accountability and a focus supporting universal safety in
health care. Find out the error ad where went wrong FEVERS- fever, encephalopathy, vitals instability, elevated
49. Keeping chronically mentally ill in the community?: ACT white blood cell count/cpk, rigidity
model 67. NMS labs: increased CPK, WBC
50. Kleinfelter's Syndrome: male with more than one X 68. Norepinephrine (NE): Synthesized in locus coeruleus arousal
chromosome (XXY), little to no sperm, fertility treatment and other functions like mood, hunger, and sleep
51. Labs for macrocytic anemia: Folic acid, vitamin B12, ESR/CRP, 69. Np notices teen with DKA leaving without eval: collaborate
HGB, MCV (liver) with ER to provide a psych assessment
52. Labs for rheumatoid arthritis: . ESR erythrocyte sedimentation 70. NSAIDs & ACE inhibitors effect: can double lithium levels
rate elevation. Synovial fluid analysis. X ray of joints.
71. nuchal rigidity: stiffness in cervical neck area, meningitis
Rheumatoid factor titer, CRP, Hgb
72. Nucleus basalis of Meynert: Alzheimer disease
53. Lab values concerning for patients on lithium: 4+ protein in
cognitive and memory function
urine, Leukocytosis, creatinine, BUN, Na,
73. nurse attacked 3 weeks ago and now scared to go to work:
54. Law that makes sure people with mental health issues get
Acute Stress Disorder, as it happened less than 1 month ago
the same financial treatment?: Parity Laws
74. OB/PMHNP in same clinic: increased access to mental health
55. Levels of Prevention: Primary: prevent/promotion, classes,
access
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster 75. ODD child: help the parents with positive reinforcement and
Tertiary: treat- to prevent further deterioration, rehab, parenting skills, limit setting, logical consequences,
restoration, day treatment, social skills consistency, power stuggle/control issues problematic,
parenting/family dysfunction exacerbates
56. Lithium level is 1.4: monitor for toxicity, toxicity=1.5, nausea,
vomiting 76. On Interferon and Lexapro: Interferon can cause depression,
increase Lexapro
57. Lithium toxicity: 1.5, 3 is an emergency, severe
diarrhea/nausea/vomiting, metallic taste, tremor, slurred 77. PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders
speech, number one intervention, give fluids, sweating give Associated with Streptococcal infections. OCD- recent strep
electrolytes too throat
58. locus coeruleus: a small nucleus in the reticular formation that 78. Patient abusing stimulants, what does NP assess for:
is involved in directing attention Insomnia and tremor, irritability, weight loss, nervous,
hypertension, tachycardia
59. masturbating 3 year old: Phallic stage is normal 3-6 years old
79. Patient cold what labs to get?: Check TSH.
60. Medication for NMS?: Dantrolene and bromocriptine
80. patient continues to say "I dont know": depression, not
61. Medicine that can cause mania: steroids/prenisolone,
dementia
antabuse, isoniazid,
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
81. patient has neuropathic pain, what medication will help? 103. Serotonin Discontinuation Syndrome: syndrome caused by
gabapentin not helping: Alpha 2 delta, pregabalin- lyrica abrupt withdrawal of an antidepressant drug, resulting in
82. patient in hospital with no family and failing cognitive test: sensory disturbances, sleeping disturbances, disequilibrium,
perform an MRI, labs to rule out substances flu-like symptoms, dizzy, vertigo, paresthesia (brain zaps),
nausea/vomiting, and gastrointestinal effects
83. Patient is borderline and suicidal what therapy?: DBT, goal to
decrease emotional reactivity/crisis bxs and self validation. 104. shrill cry: Increased cranial pressure
84. Patient lost a friend now experiences paralysis: conversion 105. Signs of fetal alcohol syndrome: small head, shoey
syndrome, repression of unconscious intrapsychic conflicts palpebral fissure, inner epicanthal folds. Do IEP and early
intervention specialist
85. Patient moving states, what do you do with medication?:
send enough medication is standard of practice 106. signs of serotonin syndrome: -shivering
-anxiety
86. Patient on risperdal and elevated prolactin: stop or decrease
-diaphoresis
the medication, tubin tract
-hyperthermia
87. Patients husband shows up but not the patient: both people
need to be present, reschedule
Shits and Shivers
88. patient wakes up screaming at night: ask family if anyone else diarrhea, shivering, hyperreflexia/myoclonis, increased
has sleep problems temperature, vital sign instability, encephalopathy, restlessness,
89. Person with EPS will most likely experience what: Tardive sweating
dyskinesia 107. Smoking cessation and antipsychotic: decrease the level of
90. Phases of policy making: formulation, implementation, Zyprexa, smoking is an inducer causing decreased levels of
evaluation the medication. When stop smoking re-increase the medication
91. PHQ9: score 1-27, over 20 is severe 108. Started on a medication then comes back in 2 weeks?:
92. PICOT: P: Population/problem Increase the dose after 1-2 weeks, therapeutic effects 4-6
I: Intervention/issue weeks
C: Comparison 109. substantia nigra: midbrain structure where dopamine is
O: Outcome produced; involved in control of movement
T: Time 110. Teen commits suicide, NP does presentation: to teens in
93. PTSD: Acute stress disorder- less than 1 month order to normalize the grieving process
PTSD- after 1 month 111. Tegretol side effects: Aplastic anemia, agranulocytosis, steven
94. PTSD nightmares: prazosin johnsons, hyponatremia. Watch with cipro and erythro
95. Puff cheeks: CN 7 facial (sensory and motor) 112. Telemedicine asking a legal question??: Licensing jurisdiction
96. pulling hair out: OCD/trichotillomania for the np
97. raphe nuclei: a string of nuclei in the midline of the midbrain 113. therapeutic communication: open ended, 'tell me'
and brainstem that contain most of the serotonergic neurons of 114. Tics what advise?: fairly common in children and will often
the brain remit on its own, ADHD concomittant
98. Reflexes expected at 1 month: Moro until 4 months, Palmer 115. To reduce stigma among teens seeking mental health...:
until 4 months, Plantar util 8 months, Babinski (2 years is educate friends/peers
disease) 116. Treatment for ADHD: stimulant and therapy together
99. Reluctant/silent patient: open ended questions 117. ventral tegmental area (VTA): midbrain structure where
100. Rhett Syndrome: a rare disorder found virtually exclusively in dopamine is produced: associated with mood, reward, and
girls, is a neurodevelopmental disorder in which the child addiction
usually develops normally unitl about 6 to 18 months of age at 118. Wandering, disoriented person on the streets for 2 days:
which characteristics of the syndrome emerge; characteristics delirium
include: hypotonia (loss of muscle tone), reduced eye contact, 119. What are you looking at when you are assessing the
decelerated head growth, and disinterest in play activities function of an elderly individual: ability to manage a
101. Risk factors for serotonin syndrome: more than 1 SSRI, st checkbook, instrumental ADLs go first (meds, phone, drive,
johns wart, tramadol, demerol, ultram, maperidone, 5HT house week, balancing check book), then ADLs
102. Scope of practice: comes from the state, board of eating/dressing, Exec functions=judgement, planning, taxes
nursing/american nurse association 120. What medication can alter absorption of antipsychotics?:
Antacids, can decrease antispsychotic effects
121. What medication can alter absorption of antipsychotics?: ...
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
122. What medication to give for serotonin syndrome: Cyproheptadine
123. What to check in terms of depakote in young girl: check HCG, blackbox for pregnancy, can cause spinal bifida-tetrogenic, also
check LFTs, CBC
124. What to give to agitated pt in seclusion: IM Geodon
125. When opening independent practice: consider cost and revenue, must calculate the time spent with patient vs time spent on risk
called indirect vs direct processing
126. When to assess a patient in restraints for face/face: 1 hour then 8 hours
127. Where do EPS originate: nigrostiatal tract.
128. Why would you be concerned about immature retuculocytes?: tests looking at reticulocytes hep evaluate conditions affecting RBCs
such as anemia, low reticulocytes may be seen with iron deficiency anemia, pernicious anemia, folic acid deficiency, aplastic anemia
129. Woman with GAD advise on medication: stop benzos because can cause floppy baby syndrome and cleft palate, cotinue buspar
130. Women is anxious about administering medication to a child: stop and address her anxiety
131. Zantac is for what?: H2 inhibitor
132. zung, beck, PHQ9, HAM: 70, 30, 20, 25
133. Zung scale: from 25-100, 25-49 is normal, 70+ is severe
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
