PMHNP Exam Reported Questions & Verified Answers

PMHNP Exam Reported Questions & Verified Answers *SIGECAPS* of Depression - ANSWER-Sleep Interest Guilt Energy Concentration Appetite psychomotor retardation Suicide .^ prolactin - ANSWER-stop prolactin .13 year old want to smoke - ANSWER-ask him of his plan to stop smoking .14 year old girl clenching her teeth - ANSWER-Cranial Nerve V-Trigeminal nerve .16 year old falls with the wrong crowd - ANSWER-Conduct disorder .16 year old refuse treatment - ANSWER-Send to psych specialist for acting out kids .16 year old shows up with mother for first therapy is - ANSWER-confidential mom sits in lobby .3 year old masturbates, plays with self, says naught things - ANSWER-normal for Piaget .5 year old tells u his brother sodomized him - ANSWER-Tell mom don't leave him alone with patient and call CPS implement crisis .A man states his wife was so good if he could only be like her. what is this - ANSWER-Intellectualization or deflecting .A pt states that she has been raped. What do you do - ANSWER-ensure safety .ACE inhibitors - ANSWER-HTN .ACE Inhibitors are the drug of choice for what? - ANSWER-Heart Failure HTN .Acute Stress Disorder (ASD) - ANSWER-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 - ANSWER-Assessment Diagnosis Planning Implementation Evaluation .Adult panic disorder - ANSWER-Buspar .Aggressive patient give - ANSWER-IM geodon .agoraphobia - ANSWER-fear of open spaces .Agoraphobia treatment - ANSWER-*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) - ANSWER-• 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 - ANSWER-Fear, Anxiety, and Aggression .Amygdala - ANSWER-A limbic system structure involved in memory and emotion, anxiety, particularly fear and aggression. .Anorexia - ANSWER-Set up family therapy .Anorexia admission Criteria for hospitalization includes: - ANSWER-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 - ANSWER-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) - ANSWER-3 OR MORE an inferential statistical test for comparing the means of three or more groups .antidepressant takes - ANSWER-5 weeks .Apoptosis - ANSWER-cell death in aging/elderly .Appreciative Inquiry - ANSWER-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 - ANSWER-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 - ANSWER-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) - ANSWER-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) - ANSWER-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) - ANSWER-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 - ANSWER-See what stage they in Ask when ready to start tx .Avanafil (Stendra) - ANSWER-15 minutes prior to sex .Beck Depression Inventory (BDI) - ANSWER-0-13 Minimal depression 14-19 Mild Depression 20-28 Moderate Depression 29-63 Severe Depression .Beck Depression Inventory (BDI) - ANSWER-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 - ANSWER-Bupropion Fluoxetine Paxil .Biggest Concern with EHR - ANSWER-Confidentiality .borderline personality disorder Treatment - ANSWER-dialectical behavior therapy .Boy states that he wishes to be a girl and tells you not to tell his parent s - ANSWER-Don't tell .BRUISE on the padded part of his arms - ANSWER-Say I see you have bruises on your arm Ask what happened .Can an advanced directive ever be revoked? - ANSWER-Yes, at any time. .Can asthma medications cause depression? - ANSWER-Yes. .Can you have Medicare and Medicaid? - ANSWER-Yes, impoverished elderly but Medicaid is always payor of last resort. .Can you take Buspar during pregnancy? - ANSWER-Category B - ok if really needed. .Can you take Klonopin during pregnancy? - ANSWER-Category C - avoid if possible; does excrete into breast-milk and infant could get withdrawal symptoms. .Carb and Barb - ANSWER-decrease INR .CBT (cognitive behavioral therapy) - ANSWER-Anxiety popular integrative therapy that combines cognitive (thinking) and behavior therapy .change agent - ANSWER-the person formally in charge of guiding a change effort Administrator .charge of DEA - ANSWER-state and federal