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NU673 Midterm PMHNP exam with correct answers.

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NU673 Midterm PMHNP exam with correct answers.

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NU673 Midterm PMHNP exam with correct
answers

PMHNP role - ✔✔scholarly activities publishing lectures presentation
| | | | | | | |


preceptor ship continuing education mentoring mutual respect client advocacy
| | | | | | | | |


participate in ANA American psychiatric nurse association international
| | | | | | | |


Society of psychiatric nurses health policy legal and ethical responsibility
| | | | | | | | | |


participate in government health policy activities case management risk
| | | | | | | | |


assessment for high risk situation risk management intervened to reduce risk of
| | | | | | | | | | | |


non-healthy behaviors and advance directives. | | | |




PMHNP scope of Practice - ✔✔| | | | |




Psychiatric H& P components - ✔✔Onset | | | | | |




duration |




characteristics |




associated aggravating factors | | |




relieving factors | |




treatment and summary. | |




Psychiatric Assessment - ✔✔establish therapeutic relationship of acceptance
| | | | | | | |


empathy professionalism respect gather data review the purpose consider safety
| | | | | | | | |


issues communication skills screening tools developmental assessment
| | | | | | | |


differential diagnosis assess precipitating events stressors biological social
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psychological develop a treatment plan that safe based on evidence and culture
| | | | | | | | | | | |


competent must instill hope to decrease anxiety provide education and follow up
| | | | | | | | | | | |


labs and referrals to neuropsych testing therapy education psychotropic meds
| | | | | | | | | |


reassurance follow up plan. | | |




objective MSE scales in which examiner rates patient - ✔✔cooperative
| | | | | | | | | |


conversate without acute distress orientation dress for agencies than cycle motor
| | | | | | | | | |


activity iContact euthymic affect fall even congruent with reported mood of
| | | | | | | | | | | |


speech is spontaneous normal rate appropriate volume and tone with no
| | | | | | | | | | |


problems expressing self thought content is normal elicited content denies
| | | | | | | | | |

,suicide denies homicidal process appears linear coherent goal directed cognition
| | | | | | | | |


appears grossly intact with appropriate attention span and concentration and
| | | | | | | | | | |


average fund of knowledge judgment appears fair insight appears fair the
| | | | | | | | | | |


patient is able to articulate needs is motivated for compliance adherence to
| | | | | | | | | | | |


medication regime is willing and able to participate with treatment disposition
| | | | | | | | | | |


and discharge planning.
| |




Psychiatric Interview - ✔✔the most important element in the evaluation and
| | | | | | | | | | |


care of persons with mental illness
| | | | |




Psychiatric H&P - ✔✔ | | |




psychiatric goals - ✔✔ | | |




psychiatric treatment - ✔✔ | | |




PMHNP mental health Anxiety assessment tools - ✔✔GAD-7:
| | | | | | | |




5-9 mild,
| |




10-14 mod, | |




15-21 severe |




HAM- A: | |




14-17 mild, | |




18-24 mod, | |




25-30 severe |




PMHNP depression rating tool - ✔✔HAM-D: | | | | | |




0-7 norm,
| |




8-13 mild, | |




14-18 mod, | |




19-22 sv, | |




23 severly severe
| |

, PQH-9: |




1-4 min,
| |




5-9 mild,
| |




10-14 mod, | |




15-19 sev mod, >20 sv
| | | |




Beck Depression Inventory (BDI)
| | |




0-13 min depression
| | |




14-19 mild depression
| | |




20-28 mod depression
| | |




29-63 severe depression
| |




Bipolar Spectrum Diagnostic Scale (BSDS) - ✔✔BSDS
| | | | | |




0-6 high unlike
| | |




7-12 low risk
| | |




13-19 mod | |




20-25 high likely
| |




social determinants of health - ✔✔The conditions in which people are born,
| | | | | | | | | | | |


grow, live, work, and age, shaped by the distribution of money, power, and
| | | | | | | | | | | | |


resources at global, national, and local levels
| | | | | |




Serotonin Syndrome - ✔✔With any drug that increases 5-HT (e.g., MAO
| | | | | | | | | | |


inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular
| | | | | | |


instability, flushing, diarrhea, seizures. A patient who presents with an excess of
| | | | | | | | | | | |


serotonin is likely experiencing serotonin syndrome. Serotonin syndrome is
| | | | | | | | |


classified by restlessness, agitation, myoclonus, and vital sign abnormalities.
| | | | | | | | |


Patients with a deficit of serotonin would present with depression, sleep
| | | | | | | | | | |


dysregulation, and loss of appetite. | | | |




-Treatment: cyproheptadine (5-HT2 receptor antagonist). | | | |




Stevens-Johnson Syndrome - ✔✔erythema multiforme | | | |

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