AQA • PMHNP
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What is an intervention for PTSD? - Breathing 
What is the production of RBCs - Erythropoesis 
If a pt has a low BMI, is anorexic, BP 86/50 what do you do? - Admit patient 
Pt is a cutter, NP instructs pt to do what? - Journal 
What part of the brain is ADHD found in? - prefrontal cortex 
Boy wants to be girl? - Pt emotional state vs developmental state 
Soldier's friend died in the war - Return to activities, prevnar, support groups 
PT used inhalants and feel funny? What do you do? - Refer to...
positive symptoms of schizophrenia - delusions, hallucinations, disorganized speech, disorganized 
behavior 
negative symptoms of schizophrenia - disturbance of affect, blunting (severe reduction in the 
intensity of affect expression), flat affect, inappropriate affect (might laugh hysterically while describing 
someones death) 
nucleus accumbens - a subcortical structure that participates in reward and addiction 
mesolimbic pathway - subcortical part of the brain involved in cognition and emot...
What part of the brain is associated with OCD? 
Basal ganglia 
Depression SIGECAPS 
Suicidal thoughts 
Interests decreased 
Guilt 
Energy decreased 
Concentration decreased 
Appetite increased/decreased 
Psychomotor changes 
Sleep disturbance (Increased or decreased) 
Mania DIG FAST 
Distractibility 
Indiscretion 
Grandiosity 
Flight of ideas 
Activity increase 
Sleep deficit 
Talkativeness 
PTSD 
Traumatic event 
Re-experience 
Avoidance 
Unable to function 
Month or more of symptoms 
Arousal i...
List the DSM 5 Criteria for Autism Disorder - A. persistent deficits in social communication and 
social interactions across multiple contacts as manifested by the following: 
1. Deficits in social-emotional reciprocity 
2. deficits in non-verbal communicative behaviors 
3. Deficits in developing, maintaining, and understanding relationship 
B. Restricted, repetitive patterns of behavior, interest, or activities, as manifested by at least 2: 
1. stereotyped or repetitive motor movements, use or ...
AIMS 
abnormal involuntary movement scale; 12 item tool used to monitor signs of tardive dyskinesia 
For 8yo and up 
Rating 0-4, >2 to diagnose TD and reduce dose 
BARS 
Barns Akathisia Rating Scale; assess objective and subjective symptoms of akathisia with antipsychotics 
or SSRI's. Ages 8yo and older. 
2=mild, 3=moderate, 4=marked, 5=severe 
CRS-R 
Connors Rating Scales - Revised for ages 3-17 
ADHD parent, Teacher 
<60 no ADHD, >70 severe ADHD 
Vanderbilt(NICHQ) 
ADHD parent, Teach...
Outspoken opponent of NP role - Martha Rogers 
Treatment for AUD - Naltrexone 50mg daily to prevent relapse 
Acamprosate - resembles GABA and NMDA antagonist. Anti-craving drug used for maintenance 
therapy of alcohol withdrawal. Dose 2000 mg/day. Combining acamprosate and naltrexone may be 
more beneficial together 
Disulfiram- 250mg day - What drug is used to prevent alcohol consumption by blocking aldehyde 
dehydrogenase? 
Naloxone (Narcan) - opiate antagonist, reverses opioid induced resirat...
Outspoken opponent of NP role - Martha Rogers 
Treatment for AUD - Naltrexone 50mg daily to prevent relapse 
Acamprosate - resembles GABA and NMDA antagonist. Anti-craving drug used for maintenance 
therapy of alcohol withdrawal. Dose 2000 mg/day. Combining acamprosate and naltrexone may be 
more beneficial together 
Disulfiram- 250mg day - What drug is used to prevent alcohol consumption by blocking aldehyde 
dehydrogenase? 
Naloxone (Narcan) - opiate antagonist, reverses opioid induced resirat...
1. Review the MOA/DOSAGE for pharmacological therapy for a patient on a stimulant medication(s) for 
ADHD. (p. 747) 
**Note: medication therapy not first line 
**Beware of stimulant use for children with tics 
**Rx'ing stimulants: ALWAYS assess cardiac risk because can lead to sudden cardiac death 
a. MOA: inhibit reuptake of dopamine and norepinephrine, thereby increasing concentrations in the 
presynaptic cleft. Amphetamines directly stimulate the release of dopamine and norepinephrine. 
b. D...
Which of the following statements does not reflect current understanding of neurotransmitter pathways 
implicated in anxiery disorders? 
A. Increase levels of CRF in amygdala, hippocampus and LC increase symptoms of anxiety. 
B. Decreaseing GABA in the Mesolimbic cortex diminishes symptoms of anxiery. 
C. Increasing serotoneric activity in the amygdala diminishes symptoms of anxiety. 
D. Decreasing NE in the LC diminishes symptoms of anxiety. - A, C & D are all correct so the answer 
is B 
As a ...
Which of the following perspectives emphasizes relationship and community over individuality, and its 
beginnings occurred in the context of people's experiences and interactions in personal, political, and 
professional settings - feminist-multicultural perspective 
What is most true about the status of therapy effectiveness? - most researchers believe therapy is 
effective, but there are a few critics who often question its efficacy 
Lambert's extratherapeutic factors include which of the fo...