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What is true of interprofessionality? - -All Collaborative competencies - -those that
health professionals have individual professional each individual profession must possess to work
competencies with others, including those who practice within
different specialties within a profession.
What is the significance of an experimental p-
value of 0.05 - -There is a 5% chance of a Interpersonal collaboration is _______ centered -
similar result occurring by chance alone -patient
What percentage of children with oppositional Cognitive therapy is recommended for patients
defiance disorder will develop conduct disorder? that have - -negative cognitive distortions
- -30% irrational beliefs
faulty conceptions
In the DSM-5, selective mutism is now
considered what type of disorder? - - Humanistic Therapy focuses on assisting patients
anxiety disorder with - -self-actualization and self-directed
growth
Symptoms of selective mutism must persist for at
least - -1 month Behavioral Therapy focuses on - -changing
maladaptive behaviors through the use of
behavioral modification techniques
Common competencies - -overlap more
than one health care professional, although not
necessarily all health care professionals, and are Existential therapy is for - -reflection on life
competencies expected of all health care confronting self
professionals
120 who got diarrhea ate lettuce. 80 with diarrhea
Complementary competencies - -enhance did not eat lettuce. 40 without diarrhea ate
the qualities of other professions in provision of lettuce. 160 without diarrhea ate lettuce. What is
care the odds ratio of eating lettuce and developing
diarrhea? - -6 ((120X160)/(80x40))
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The New Freedom Commission on Mental
Health (NFCMH) released a report that Associated with self-control and a focused,
suggested - -implementation a national organized approach to life. Are achievement-
campaign to reduce the stigma of seeking care oriented goal setters who can delay immediate
Focusing on promoting recovery and building gratification to obtain their long term desired
resilience outcome. They are considered responsible,
reliable, and dependable. - -
conscientiousness
The efficacy of mental health treatments was
found to be well documented in - -
influential report issued by US Surgeon General In behavioral couples therapy, the initial sessions
in 1999 are spent doing a functional analysis of behavior
(FAB). What is true about FAB? - -FAB is
concerned only with observable stimuli
connected to operant behavior
State of high negative emotion and pessimism - FAB is based on operant conditioning (identifying
-neuroticism antecedent stimuli, operant behaviors, and
consequent stimuli)
The goal of FAB is modifying willful operant
behavior
Commonly known as an optimistic outlook on life
They are are outgoing, like social interaction,
respond to external rewards, have more active
dopamine networks, and are responsive to Gestalt theory deals with _____, not _____ -
positive reinforcement. - -Extraversion -perceptual psychology
(high levels protect from psychiatric illness) behavior
Introverts are more likely to be _______ Medication that can delay ejaculation in patients
motivated and more likely to respond to _______ with premature ejaculation - -Paroxetine
reinforcement - -internally (and other SSRIs)
negative (more likely to interact with internal (others include:
motivation/self-image) Topical anesthetic
Tramadol
Phosphodiesterase-5 inhibitors)
Interpersonal trait of cooperation, easy going
nature. Tend to have smooth relationships often
at the expense of self-assertion - - First line treatment for lithium induced diabetes
Agreeableness insipidus - -Amiloride (K potassium diuretic)
in addition to dc lithium when possible.
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hippocampus stores memories - -long-term
potentiation
Ways to reduce polyuria associated with lithium
toxicity - -reduce lithium dose to minimum
effective dose loss of memory relating to a particular category of
take once daily at night (may be 5-30% lower information (inability to recall important
than when given in divided doses over the day) autobiographical information, usually of a
Encourage adequate fluid intake traumatic or stressful nature, that is inconsistent
with ordinary forgetting) - -systematized
amnesia
What is true about ECT in Parkinson's disease -
-it's more likely to cause transient delirium
(worsened dyskinesias induced by l-dopa) Lack of memories from a circumscribed period of
time, usually immediately following a traumatic
event - -localized amnesia
Lithium effects with Parkison's disease - -
may worsen tremor
Person can recall some but not all of events from
a particular time period - -selective
amnesia
nonselective MAOIs decrease the efficacy of
______ and increase the risk of a __________ -
-l-dopa products
hypertensive crisis Lack of memory of the patient's entire life -
-generalized amnesia
Selegiline is selective for - -MAO-B
(after 10mg there is an increase in risk of The drugs that are FDA approved for GAD -
serotonin syndrome if given with other meds that -Paroxetine
increase serotonin) Citalopram
Escitalopram
Venlafaxine
SSRI's can _______ Parkinsonism tremor - Duloxetine
-worsen (and decrease 'off time')
Buspar
Process describes the mechanism by which the
A surrogate has the right to terminate pregnancy
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if - -the pregnancy threatens her health or An NP is evaluating a 78 year old female with
life depression. She suspects the patient may have
or Parkinson's disease. Which of the following is
she is a genetic parent consistent with that diagnosis? - -Postural
instability
Pill-rolling tremor
Shuffling Gait
If the surrogate receives both ovum and sperm Difficulty initiating movement
from couple, she loses the right to - - Mask-like facies (difficulty initiating movement)
determine whether or not child will be aborted
(this is up to the couple)
Writhing movements occur with - -
Huntington's chorea
Which medication is most effective for treating
social phobia/social anxiety disorder, especially
when refractory? - -Phenelzine
10 Non-motor manifestations of Parkinsons -
-Autonomic dysfunction
Gastrointestical dysfunction
A 55-year-old female patient has Stg II HTN. On Rhinorrhea
exam, she has trace pedal edema bilaterally, but Sleep disturbance
her lungs are clear. Her ECG reveals 2nd degree Fatigue
heart block. Which of the following BP Mood disorder
medications should be avoided? - - Cognitive dysfunction
Calcium Channel Blockers Dementia
Psychosis
Hallucinations
3 Contraindications to use a calcium channel
blocker - -1st or second degree heart block
Bradycardia What type of therapy is most useful in depressed
CHF HIV positive outpatients? - -Interpersonal
psychotherapy
4 Side effects of calcium channel blockers -
-Headache What type of therapy is most useful in patients
Lower extremity edema with borderline personality disorder? - -
Bradycardia Dialectical behavioral therapy
Heart Block
The NP is caring for a patient dying of lymphoma.