PMHNP Exam 2024 RATED A+

Amygdala - A limbic system structure involved in memory and emotion, particularly fear and aggression. Also plays a part in pleasure circuit and drug dependency. accumbens nucleus - is a brain part involved in functions such as REWARD, motivation, addiction or positive behavioral reinforcement p...

What routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all ointments placed on the skin PO meds absorption pattern - Varies greatly due to: »»Stabil...

Although the patient may be rationalizing her behavior as a righteous act, patients with kleptomania do not commit theft to express anger or vengeance. Kleptomania is characterized as failing to resist the impulse to steal, and the stolen objects are typically not needed. The act of stealing, whic...

Although the patient may be rationalizing her behavior as a righteous act, patients with kleptomania do not commit theft to express anger or vengeance. Kleptomania is characterized as failing to resist the impulse to steal, and the stolen objects are typically not needed. The act of stealing, whic...

What is the introduction phase of the nurse-client relationship? - Creates a trusting environment, establishing professional boundaries, establishing length of anticipated interaction, providing diagnostic evaluation, and setting mutually agreed-upon treatment objectives What is the working phase...

Ethical Principal Terms (Justice, Veracity, Respect, Fidelity) - •Justice: Doing what is fair •Veracity: Telling the truth •Respect: Treating everyone with equal dignity •Fidelity: Being true and loyal Inferential statistics - numerical values that enable a researcher to draw conclusions...

What is a decreased effects of the same dose of a drug over time - Tolerance ( mostly patients taking benzo, pain rx etc) Your client Sam is being treated for panic disorder with agorophobia. He is currently prescribed Paroxitine (Paxil CR 37.5, qd) and Clonazepam (Klonopin 0.5 mgqd prn. He has be...

The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - Prevention of Disease Immunization Counseling about Safety The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - Early Detection of Disease ...

Corticoidsteroids causes - anxiety, mood changes, psychosis, and delirium Benzos and antiulcer agents cause - mood changes NSAIDs cause - psychosis When to suspend Clozapine - ANC levels less than 500 Rare side effect of Quetiapine - Cataract formation Higher incidence of EPS with Risperidone -...

O'Connor vs. Donaldson - harmless mentally ill can't be confined against their will Durham Vs. US. - insanity defense. individual not held criminally responsible if act a product of mental illness Rogers vs. Oken - pt has right to refuse treatment, but guardian may authorize it Rennie vs. Klei...

BUN - 10-20 Creatinine - 0.4-0.8 GFR - >90, >60 for Psychotropic medications Lithium Level - Acute (0.8-1.2) Maintenance (0.6-1.0) Valproate Level - 50-120 GGT - Look for elevation when there is Alcohol abuse (10-38) ALT - (5-35) AST - (5-40) Valproate and Liver - Can increase ALT, AS...

Psychotropic Medications - Antidepressants, antipsychotics, mood stabilizers, anxiolytics, hypnotics, stimulants Organized by structure MOA Distinguished by subtle differences in molecular structure. Most psychotropics are lipophilic and highly protein bound; thus, older adults have more body f...

The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to: a. Define the role and actions for the NP b. Establish the legal authority for the prescription of psychotropic medications c. Define the legal statutes of the role of the PMHNP d. Define the differences between the physic...

1. Scientific Foundation You are treating a patient for his first episode of major depression. You decide to initiate citalopram (Celexa). How much time should you allow for the medication to provide its initial therapeutic effect and the patient to see improvement of symptoms? 8 months 4 to 6 ...