PMHNP Psychopharm Exam 11 2024
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
Blood Pressure
Colonoscopy
The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include:
(x1) - Minimizing Negative Outcomes from Disease
Adjust therapy to avoid end organ damage
Screen men for colorectal CA at ___ y/o age and women for Cervical/Breast CA at ___ y/o -
50 y/o
21 y/o
Up to 44% of patients taking Valproate (Depakote) will have elevated ___ - ALT/AST
The GGT ranges from ___ u/L and can be elevated due to ___ - 0-45 u/L
ETOH abuse
The best measurement of kidney function is GFR and GFR is normal at ___ mL/min - >90
mL/min
If a patients Na levels are low (<35), they will ___ lithium which can result in the medical
emergency of ___ and signs of this medical emergency include (x3)
Lithium can cause (x2) making it hard to moniter NA levels and there is an increased risk of
gouter and ___ for Pts on Lithium
The medical emergency ___ is Tx with ___ (which should considered at levels >2.5 mEq/L
absolutely be done if lithium levels reach ___ mEq/L) - Reabsorb lithium
Lithium Toxicity
Hyperreflexia
Arrhythmias
, Lithium Toxicity
4.0 mEq/L
Nystagmus
Polydipsia / Polyuria
Peripheral Edema
To initiate a Pt on the 3rd line antipsychotic ___ the ANC needs to be over ___ and stop
treatment if ANC is ___ - Clozapine (Clozaril)
ANC >1,500
ANC<1,000
Normal TSH levels - 0.4-4.0
High TSH (0.4-4.0 mlU/ mL normal)
and
Low T4 (10-27 pmol/L normal) - Hypothyroidism
Low TSH (0.4-4.0 mlU/ mL normal)
and
High T4 (10-27 pmol/L normal) - Hyperthyroidism
Defense mechanisms are derived out of Freud's ___ Models (Id, Ego, SuperEgo) -
Psychoanalytic
Birth order was stressed by ___ who recognized ___ as a driving force and created ___ theory
- Adler
Inferiority (think Inferiority Complex)
Personality Theory
Attachment Theory was developed by ___ and the purpose of attachment is to ensure
closeness and stability through a ___ in development
Healthy attachment is ___ attachment in both children and adults - Bowlby
Secure Base (Sense of Security for child)
Secure Attachment
unconditional positive regard was created by ___ who believed that Pts would develop ___ &
self-acceptance - Carl Rogers
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
Blood Pressure
Colonoscopy
The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include:
(x1) - Minimizing Negative Outcomes from Disease
Adjust therapy to avoid end organ damage
Screen men for colorectal CA at ___ y/o age and women for Cervical/Breast CA at ___ y/o -
50 y/o
21 y/o
Up to 44% of patients taking Valproate (Depakote) will have elevated ___ - ALT/AST
The GGT ranges from ___ u/L and can be elevated due to ___ - 0-45 u/L
ETOH abuse
The best measurement of kidney function is GFR and GFR is normal at ___ mL/min - >90
mL/min
If a patients Na levels are low (<35), they will ___ lithium which can result in the medical
emergency of ___ and signs of this medical emergency include (x3)
Lithium can cause (x2) making it hard to moniter NA levels and there is an increased risk of
gouter and ___ for Pts on Lithium
The medical emergency ___ is Tx with ___ (which should considered at levels >2.5 mEq/L
absolutely be done if lithium levels reach ___ mEq/L) - Reabsorb lithium
Lithium Toxicity
Hyperreflexia
Arrhythmias
, Lithium Toxicity
4.0 mEq/L
Nystagmus
Polydipsia / Polyuria
Peripheral Edema
To initiate a Pt on the 3rd line antipsychotic ___ the ANC needs to be over ___ and stop
treatment if ANC is ___ - Clozapine (Clozaril)
ANC >1,500
ANC<1,000
Normal TSH levels - 0.4-4.0
High TSH (0.4-4.0 mlU/ mL normal)
and
Low T4 (10-27 pmol/L normal) - Hypothyroidism
Low TSH (0.4-4.0 mlU/ mL normal)
and
High T4 (10-27 pmol/L normal) - Hyperthyroidism
Defense mechanisms are derived out of Freud's ___ Models (Id, Ego, SuperEgo) -
Psychoanalytic
Birth order was stressed by ___ who recognized ___ as a driving force and created ___ theory
- Adler
Inferiority (think Inferiority Complex)
Personality Theory
Attachment Theory was developed by ___ and the purpose of attachment is to ensure
closeness and stability through a ___ in development
Healthy attachment is ___ attachment in both children and adults - Bowlby
Secure Base (Sense of Security for child)
Secure Attachment
unconditional positive regard was created by ___ who believed that Pts would develop ___ &
self-acceptance - Carl Rogers
