Psychiatric NP Final Exam Study Guide
Test.
Under HIPPA, what is the insurance policy that allows you to hold the company's insurance for 18
months after leaving job? - CORRECT ANSWER COBRA
T/F a patient has a right to make changes to their chart as well as see it - CORRECT ANSWER True
Summarize general goals for healthy people 2020 - CORRECT ANSWER Increase the quality and years of
life while eliminating health disparities
What are the 5 conditions NPs are required to report? - CORRECT ANSWER STDs like Gonorhea,
Chlamydia, and Syphillis, as well as TB and HIV (as well as animal bites)
Nurse practitioners are legally required to report what kind of abuse, and what kind is allowed to be left
alone? - CORRECT ANSWER Child and elder abuse, but domestic violence is not required to be legally
reported
What percentage of mental illnesses appear by the age of 18? - CORRECT ANSWER 75%
Genetic inheritance that will be present in more than one generation? - CORRECT ANSWER Autosomal
dominant (rare) like huntington's disease
What is the difference between a normal grief response and a protracted grief response? - CORRECT
ANSWER protractive grief response is a risk for pathology characterized by a loss of self esteem which
does not happen with normal grief
What is the rate of schizophrenia admissions to the hospital when both parents are infected by the
illness? one parent? both bipolar? one bipolar? - CORRECT ANSWER almost 40%, 7%, almost 25% and
almost 5% respectively.
, How would you treat someone who is psychotropic naive? - CORRECT ANSWER use lower doses due to
no tolerance and no down regulation.
When asking a patient about medical history during a psychiatric interview, what diseases should we
pay particular attention to? Why? - CORRECT ANSWER Autoimmune conditions (possible use of
steroids), metabolic syndrome like heart disease, hyperlipidemia, and diabetes. These can be made
worse in the presence of psychiatric illness or vice versa.
Describe normal patterns of sleep - CORRECT ANSWER Begin in Non-Rem (Stage 1), move into deeper
non-rem or slow wave sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes later and repeats with
each REM stage lasting longer.
What kind of sleep declines markedly with organic brain dysfunction and is sensitive to temperature
extremes? - CORRECT ANSWER REM
Describe REM Sleep - CORRECT ANSWER Great EEG activation, muscle atonia, rapid eye movements,
muscle twitches, and breathing irregularities.
Describe Non Rem Sleep - CORRECT ANSWER minimal mental activity, inactive yet actively regulated
brain in a movable body.
Describe the pneumonic SLAP for assessing suicide - CORRECT ANSWER Social support, lethality, Access,
Plan
DSM 5 criteria for Depression requires: - CORRECT ANSWER at least 5 out of 8 symptoms in the last 2
weeks- 1 being diminished interests/depressed mood, Sleep problems, guilt
(worthlessness/hopelessness), energy deficit, concentration problems, appetite problems, psychomotor
agitation or retardation, suicidality.
DIGFAST Pneumonic for assessing Bipolar disorder - CORRECT ANSWER Distractability, Indiscretion,
grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness.
Pneumonic for OCD- CCR - CORRECT ANSWER continuously, constantly, reptitious
Test.
Under HIPPA, what is the insurance policy that allows you to hold the company's insurance for 18
months after leaving job? - CORRECT ANSWER COBRA
T/F a patient has a right to make changes to their chart as well as see it - CORRECT ANSWER True
Summarize general goals for healthy people 2020 - CORRECT ANSWER Increase the quality and years of
life while eliminating health disparities
What are the 5 conditions NPs are required to report? - CORRECT ANSWER STDs like Gonorhea,
Chlamydia, and Syphillis, as well as TB and HIV (as well as animal bites)
Nurse practitioners are legally required to report what kind of abuse, and what kind is allowed to be left
alone? - CORRECT ANSWER Child and elder abuse, but domestic violence is not required to be legally
reported
What percentage of mental illnesses appear by the age of 18? - CORRECT ANSWER 75%
Genetic inheritance that will be present in more than one generation? - CORRECT ANSWER Autosomal
dominant (rare) like huntington's disease
What is the difference between a normal grief response and a protracted grief response? - CORRECT
ANSWER protractive grief response is a risk for pathology characterized by a loss of self esteem which
does not happen with normal grief
What is the rate of schizophrenia admissions to the hospital when both parents are infected by the
illness? one parent? both bipolar? one bipolar? - CORRECT ANSWER almost 40%, 7%, almost 25% and
almost 5% respectively.
, How would you treat someone who is psychotropic naive? - CORRECT ANSWER use lower doses due to
no tolerance and no down regulation.
When asking a patient about medical history during a psychiatric interview, what diseases should we
pay particular attention to? Why? - CORRECT ANSWER Autoimmune conditions (possible use of
steroids), metabolic syndrome like heart disease, hyperlipidemia, and diabetes. These can be made
worse in the presence of psychiatric illness or vice versa.
Describe normal patterns of sleep - CORRECT ANSWER Begin in Non-Rem (Stage 1), move into deeper
non-rem or slow wave sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes later and repeats with
each REM stage lasting longer.
What kind of sleep declines markedly with organic brain dysfunction and is sensitive to temperature
extremes? - CORRECT ANSWER REM
Describe REM Sleep - CORRECT ANSWER Great EEG activation, muscle atonia, rapid eye movements,
muscle twitches, and breathing irregularities.
Describe Non Rem Sleep - CORRECT ANSWER minimal mental activity, inactive yet actively regulated
brain in a movable body.
Describe the pneumonic SLAP for assessing suicide - CORRECT ANSWER Social support, lethality, Access,
Plan
DSM 5 criteria for Depression requires: - CORRECT ANSWER at least 5 out of 8 symptoms in the last 2
weeks- 1 being diminished interests/depressed mood, Sleep problems, guilt
(worthlessness/hopelessness), energy deficit, concentration problems, appetite problems, psychomotor
agitation or retardation, suicidality.
DIGFAST Pneumonic for assessing Bipolar disorder - CORRECT ANSWER Distractability, Indiscretion,
grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness.
Pneumonic for OCD- CCR - CORRECT ANSWER continuously, constantly, reptitious
