Georgette Review PMHNP Exam Preparation Newest
With Complete Questions And Correct Detailed
Answers| Brand New Version!
What to check prior to prescribing a stimulant? - -answercardiac history, family history of CVD and get
an EKG prior to starting
Amphetamines are approved in children as young as - -answer3
Signs of stimulant abuse - -answerinsomnia
tremors
heart palpiations
increased BP and HR
Rating scale for ADHD - -answerConnors and Vanderbilt
Must monitor in two settings
Hallmarks of borderline personality disorder - -answerimpulsivity with self-damaging behavior
Recurrent suicidal behavior
Treatment for Borderline - -answerDBT
Hallmarks of antisocial personality - -answerreckless disregard for welfare of others
lack of remorse
,indifference to the feelings of others
INCREASED HOMICIDAL IDEATION --HIGH YIELD
Primarily in girls
normal development then decline
loss of purposeful hand movements
stereotypic hand movements --flapping of hands
deceleration of head growth - -answerRett syndrome
Chronically moody, sad irritable for no reason - -answerDisruptive mood dysregulation disorder
patient reacts grossly out of proportion to situation
sudden rage/anger outbursts - -answerIntermittent explosive disorder
Mnemonic for depression SIGECAPS - -answerSleep disturbance
interest reduced
guilt and self-blame
energy loss and fatigue
concentration problems
appetite changes
psychomotor changes
suicidial thoughts
Neurotransmitters involved in depression - -answerDNS
dopamine, norepinephrine, serotonin
cognition and memory symptoms of MDD in older adults is often confused with dementia related
symptoms and is called - -answerpseudo dementia = depression
,Clients with pseudodementia/depression, have a __________________ of symptoms. - -answeracute
onset.
Dementia patients will have
Pseudodementia/depression will have - -answerdementia: lack of -answers or confabulate -answers
pseudodementia: general responses "I Don't know"
First line pharm treatment for depression due to safety - -answerSSRIs/SNRIs
Second line for depression - -answerTCAs
Reason TCAa are second line - -answerCan cause EKG changes
More lethal if taken in overdose attempt.
Reason to use ECT - -answerdepression with psychotic features
treatment resistant depression
Which characteristic of fluoxetine provides the greatest degree of safety for patients who have severe
depression
A. Greater efficacy than an TCA
B. Less potential drug interaction
C. Less potential for injury with intentional overdose.
D. Less potential for suicidal thinking. - -answerless potential for injury with intentional overdose.
Do no harm contracts reduce the risk of suicide - -answerNO
, A 72 year old is brought in by her husband with increasing forgetfulness, decreased activity, and
decreased appetite for 2 months. She has a history of hypertension and is being treated with lisinopril.
The exam is normal and the mini mental status exam provides a score of 24 but she declines to -answer
some questions and needs to be urged to participate in the assessment. What is the most likely
diagnosis?
A. Alzheimers disease
B. Vascular dementia
C. Depression
D. Delirium - -answerdepression
During patient education on sertraline, the PMHNP focuses upon the potential side effect of
A. agranulocytosis
B. hypernatremia
C sexual dysfunction
D weight loss - -answersexual dysfunction
A 23 year old woman is Brought in to to the ER after attempting to commit suicide by cutting her wrists.
Which action by the PMHNP would be of highest priority initially?
A. Assess her coping behaviors
B. Assess her current level of suicidality
C. Take her vital signs
D. Asess her health history - -answertake her vital signs
Bipolar Mnemonic (DIG FAST) - -answerDistractibility
impulsivity
grandiosity
flight of ideas
agitation, psychomotor
sleep need decreased
talkativeness, pressured speech
With Complete Questions And Correct Detailed
Answers| Brand New Version!
What to check prior to prescribing a stimulant? - -answercardiac history, family history of CVD and get
an EKG prior to starting
Amphetamines are approved in children as young as - -answer3
Signs of stimulant abuse - -answerinsomnia
tremors
heart palpiations
increased BP and HR
Rating scale for ADHD - -answerConnors and Vanderbilt
Must monitor in two settings
Hallmarks of borderline personality disorder - -answerimpulsivity with self-damaging behavior
Recurrent suicidal behavior
Treatment for Borderline - -answerDBT
Hallmarks of antisocial personality - -answerreckless disregard for welfare of others
lack of remorse
,indifference to the feelings of others
INCREASED HOMICIDAL IDEATION --HIGH YIELD
Primarily in girls
normal development then decline
loss of purposeful hand movements
stereotypic hand movements --flapping of hands
deceleration of head growth - -answerRett syndrome
Chronically moody, sad irritable for no reason - -answerDisruptive mood dysregulation disorder
patient reacts grossly out of proportion to situation
sudden rage/anger outbursts - -answerIntermittent explosive disorder
Mnemonic for depression SIGECAPS - -answerSleep disturbance
interest reduced
guilt and self-blame
energy loss and fatigue
concentration problems
appetite changes
psychomotor changes
suicidial thoughts
Neurotransmitters involved in depression - -answerDNS
dopamine, norepinephrine, serotonin
cognition and memory symptoms of MDD in older adults is often confused with dementia related
symptoms and is called - -answerpseudo dementia = depression
,Clients with pseudodementia/depression, have a __________________ of symptoms. - -answeracute
onset.
Dementia patients will have
Pseudodementia/depression will have - -answerdementia: lack of -answers or confabulate -answers
pseudodementia: general responses "I Don't know"
First line pharm treatment for depression due to safety - -answerSSRIs/SNRIs
Second line for depression - -answerTCAs
Reason TCAa are second line - -answerCan cause EKG changes
More lethal if taken in overdose attempt.
Reason to use ECT - -answerdepression with psychotic features
treatment resistant depression
Which characteristic of fluoxetine provides the greatest degree of safety for patients who have severe
depression
A. Greater efficacy than an TCA
B. Less potential drug interaction
C. Less potential for injury with intentional overdose.
D. Less potential for suicidal thinking. - -answerless potential for injury with intentional overdose.
Do no harm contracts reduce the risk of suicide - -answerNO
, A 72 year old is brought in by her husband with increasing forgetfulness, decreased activity, and
decreased appetite for 2 months. She has a history of hypertension and is being treated with lisinopril.
The exam is normal and the mini mental status exam provides a score of 24 but she declines to -answer
some questions and needs to be urged to participate in the assessment. What is the most likely
diagnosis?
A. Alzheimers disease
B. Vascular dementia
C. Depression
D. Delirium - -answerdepression
During patient education on sertraline, the PMHNP focuses upon the potential side effect of
A. agranulocytosis
B. hypernatremia
C sexual dysfunction
D weight loss - -answersexual dysfunction
A 23 year old woman is Brought in to to the ER after attempting to commit suicide by cutting her wrists.
Which action by the PMHNP would be of highest priority initially?
A. Assess her coping behaviors
B. Assess her current level of suicidality
C. Take her vital signs
D. Asess her health history - -answertake her vital signs
Bipolar Mnemonic (DIG FAST) - -answerDistractibility
impulsivity
grandiosity
flight of ideas
agitation, psychomotor
sleep need decreased
talkativeness, pressured speech
