PMHNP EXAM REVIEW, F

NRNP 6675 Final Exa
gi gi gi


m
PMHNP EXAM REVIEW, F


Aspectsgiofgiagipersongiorgiselfgiaregiseengionlygiingiextremesgiandginotgiablegitogibegiintegrated.
Agiwomangiviewsgihergihusbandgiasgieithergiallgigoodgiorgiallgibad;gicannotgiintegrateginegativegiandgipositive.gi-gianswer--
Splittinggi(primitivegiorginarcissistic)

LowgiHbgiandgihighgiMCVgi-gianswer--VitamingiB12gideficiency

L1-L2gilactationgiriskgi-gianswer--
L1gi=gisafest;giL2gi=gisafer;giL3gi=gimoderatelygisafe;giL4gi=gipossiblygihazardous;giL5gi=gicontraindicated.

Whichgiofgithegifollowinggisecond-generationgiantipsychoticsgishouldgibegiavoidedgiingiagi48-year-
oldgimangiwithgischizophreniagiandgidyslipidemia?
Aripiprazole
Clozapine
Ziprasidone
Paliperidonegi-gianswer--Clozapine

Whengiconsideringgigivinggiangiinfluenzagivaccinegitogiagipersongiwithgiagireportedgiegggiallergy,giyougishould:
Usegithegilive-attenuatedgiinfluenzagivaccinegi(LAIV)girathergithangithegiTIVgi(flugishot).
Refraingifromgigivinggithegivaccinegitogithisgiperson.
Dividegithegivaccinegiintogi2gidoses.
Observegithegipersongiforgi30giminutesgifollowinggivaccinationgiforgisignsgiofgiagireaction.gi-gianswer--
Observegithegipersongiforgi30giminutesgifollowinggivaccinationgiforgisignsgiofgiagireaction.

Yougiseegiagi70-year-
oldgiwomangiwhogiisgibeinggievaluatedgiforgidementia.giHergisymptomsgiincludegioccasionalgivisualgihallucinationsgiandgi
explainedgifalls.giShegiisgimostgilikelygidiagnosedgiwith:
Alzheimer'sgidementia.
Vasculargidementia.
DementiagiwithgiLewygibody.
Parkinson'sgidisease.gi-gianswer--DementiagiwithgiLewygibody

Complicatedgigriefgitimeline
Onegiofgithegitwogi-gianswer-->6gimonths
Bitterness,giangergiandgiidealizationgiofgithegidead
Preoccupationgiwithgithegilossgiofgilovedgione.

ClustergiCgipersonalitygidisordersgiaregibestgicharacterizedgias:
Thegiodd,gieccentric,gialoofgidisorders.
Thegianxiousgiandgifearfulgidisorders.
Thegidramatic,giemotional,gierraticgidisorders.
Thegiviolentgiandgiaggressivegidisorders.gi-gianswer--Thegianxiousgiandgifearfulgidisorders

PTSDgimingiagegi-gianswer-->6giyears

1gi/gi7

, NRNP 6675 Final Exa
gi gi gi


m
BeckgiDepressiongiInventorygi-gianswer--21giquestions
Scoregirangegi0-63
0-13giminimal
14-19gimild
20-28gimoderate
29-63gisevere

ZunggiSelf-RatinggiDepressiongiScalegi-gianswer--20giquestions
20-49giNormal
50-59giMild
60-69gimoderate
70giandgiupgisevere

HamiltongiDepressiongiRatinggiScalegi-gianswer--0-7giNormal
20giandgiupgimoderate

PHQ-9gi-gianswer--9giquestions
1-4giminimal
5-9gimild
10-14gimoderate
15-19gimoderatelygisevere
20-27gisevere

MDDgirecurrent,gihowgifargiapartgi-gianswer--2gimonths

PersistentgiDepressivegiDisordergi(Dysthymia)
timegiandgi#giofgisymptomsgi-gianswer--2giorgimoregisymptomsgiforgiatgileastgi2giyears

Depressivegidisorder,giunspecifiedgi-gianswer--symptomsgibutgidoesginotgimeetgicriteria

Adjustmentgidisordergiwithgidepressedgimood
timelinegi-gianswer--withingi3gimonthsgiofgistressor
moodgidisturbancegiappearinggiasgiagipsychologicalgiresponsegitogiangiidentifiablegieventgiorgistressorgiorgiwheregiresultin
iemotionalgiorgibehavioralgisymptomsgiaregisignificantgibutgidoginotgimeetgithegicriteriagiforgiagimajorgidepressivegiepisode



Whengiconsideringgiagidiagnosisgiofgidepression,giitgiisgiimportantgitogiconsidergithat:
Moregimengithangiwomengiaregidiagnosedgiwithgidepression.
Prevalencegiingiadultsgiincreasesgiasgiagegiincreases.
TheregiisgiagihighergiprevalencegiingiAfricangiAmericansgithangiwhites.
Riskgifactorsgicangiincludegigeneticsgiandgisubstancegiuse.gi-gianswer--
TheregiisgiagihighergiprevalencegiingiAfricangiAmericansgithangiwhites.

AccordinggitogiAinsworth,githegitypegiofgiinsecuregiattachmentgiassociatedgiwithgiemotionallygiabsentgiparentsgiis:
Insecure-avoidant.
Insecure-ambivalent.
Insecure-disorganized.
Insecure-abusive.gi-gianswer--Feedback
Correctgianswergiis:giInsecure-disorganized.

Ainsworthgi-giParentsgiaregibrusquegiorgiaggressive.
Childgiavoidsgidirectgiapproachgitogiparentsgiwhengithreatened.gi-gianswer--Insecure-avoidant
2gi/gi7