AQA • PMHNP
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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 - >6 mg doses 
Monitoring what with Ziprasidone - QTc 
Lurasideon needs what to be effective - take with food to increase aborption 
Assess with all antipsychotic medications - family and personal h...
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 ...
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 been 
on Clonazepam for 2 years and admits needing 4 pills to achieve the same effect that 1 pill initially 
produced 
What is an electrical stimulus for bipolar which leads to seizure - kindling 
from ...
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 that extend 
beyond the immediate data alone. Examples include t-test, analysis of variance, Pearson's r correlation, 
probability, and p-value. 
Descriptive statistics - are used to describe the ba...
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 of the nurse-client relationship? - Clarifying client objectives and mutually set 
goals, implementing a treatment plan, monitoring health, undertaking preventative health care, 
measuring and evalua...
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, which usually is 
performed alone, gives the person gratification. -Harriet is a well-established business woman who 
provides for her family. She was recently arrested for stealing over $10,000 worth of ...
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, which usually is 
performed alone, gives the person gratification. - Harriet is a well-established business woman who 
provides for her family. She was recently arrested for stealing over $10,000 worth of...
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...
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 
prefrontal cortex - part of frontal lobe responsible for thinking and language 
hippocampus - Part of Limbic system is associated mainly with memory, in particular long-term 
memory as well as mood 
hy...
Which community-based program is a tertiary l 
evel intervention? 
A. educational sessions at the local community mental health center. 
B. national association of mental illness meetings that provide education and support. 
C. Partial hospitalization program that provides intensive group therapy for rehabilitation. 
D. 12 step organization support meetings, i.e. AA - C. Partial hospitalization program that provides 
intensive group therapy for rehabilitation. 
Utilitarianism - Healthcare resour...