AQA • PMHNP

Autosomal Dominant - Genetic inheritance, is more rare (i.e. Huntington's disease), is present in more than one generation. Autosomal Recessive - Expressed in one generation, inherited from unaffected parent, is more common. CAGE Questionnaire - For substance abuse, Cut, Annoyed, Guilty, Eye opener Suicidal Risk Assessment - SLAP: Social support, Lethality, Access to means, Plan and previous attempts, & family history Suicidal Risk Assessment #2 ISPATHWARM - ISPATHWARM: Ideation, Substa...

What is dissemination? - Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? - Moderate cognitive impairment What is Tegretol in the CYP450 system? - Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? - Inducer - will lower dose of Lamictal What is a Type I research error?...

Aspects of a person or self are seen only in extremes and not able to be integrated. A woman views her husband as either all good or all bad; cannot integrate negative and positive. - Splitting (primitive or narcissistic) Low Hb and high MCV - Vitamin B12 deficiency L1-L2 lactation risk - L1 = safest; L2 = safer; L3 = moderately safe; L4 = possibly hazardous; L5 = contraindicated. Which of the following second-generation antipsychotics should be avoided in a 48-year-old man with schizoph...

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: »»Stability and solubility of the medication »»Gastrointestinal pH and emptying time »»Presence of food in the stomach or intestines »»Other medications currently being administered »»Forms of med...

NSAIDS - Increases Lithium Levels Reliability - consistency of measurement Reliability is another term for consistency. If one person takes the same personality test several times and always receives the same results, the test is reliable. internal validity - Refers to how well an experiment is done, Was it done RIGHT extent to which we can draw cause-and-effect inferences from a study Qualitative - Data in the form of recorded descriptions rather than numerical measurements. Quantitativ...

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 weeks 2 weeksterm-2 2 months - Correct answer: 4 to 6 weeks The initial time frame for this medication to have a therapeutic effect is 4 to 6 weeks. Once the patient begins treatment on an SSRI, a...

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 physician role and the NP role - a. Define the role and actions for the NP The trend in legal rulings on cases involving mental illness over the past 25 years has been to: A - Encourage juries to find de...

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 fat and less protein, more likely to develop toxicity. Pharmacology - Study of what drugs do and how they do it. Pharmacokinetics - What the BODY does to the DRUG (ADME) Pharmacodynamics - What the...

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, AST Stop medication if 2x upper value TSH - 2-10 What increases Lithium Level - ACE, ARB (Sartan), NSAIDS

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. Klein - pts have right to refuse treatment and use an appeals process Rogers v. Commission of Department of MH - Kansas v. Hendricks - sex offenders can be civilly committed if likely to strike again ...