LMR- PMHNP BOARD STUDY SET
QUESTIONS & ANSWERS68
adolescents have the right to - ANSWERS-confidentiality
For medical evaluation - ANSWERS-refer out
Priority questions - ANSWERS-ariway
Maslows hierarchy of needs
Nursing process (assessment before intervention)
Interprofessional collaboration - ANSWERS-is encouraged.
if a sentence has word "collaborate" it has a high chance of being right
If in the PMHNP scope of practice... - ANSWERS-do that before referring out
For faxing... - ANSWERS-get informed consent
A patient is feeling weird because they inhaled acetone. what are the next steps? - ANSWERS-do
UDS and check if they do other drugs bc they want the high
*cultural*
,If they mention the patient's culture, then it is most likely a culture question.. - ANSWERS-Is it a
culturally expected response to a stressor?
If someone is having a cultural syndrome then offer them brief supportive therapy
*cultural*
clarify the meaning of illness or predicament... - ANSWERS-validate patients symptoms with
cultural significance
*cultural*
somatic complaints of pain - ANSWERS-validate he symptoms with cultural significance
*cultural*
psychoeducation on schizophrenia - ANSWERS-tailored towards a culture based on cultural
context
* cultural*
Education for diverse population (community education) - ANSWERS-provides multicultural
education, uses ethnic-specific assessment parameters
*cultural*
Respect- native americans - ANSWERS-imbalance in the relationship with the world.
ethnic group with the highest rate of suicides and attempts, competence, and cultural sensitivity
,information can be sent to traditional healer with informed consent
*TSH*
if patient is depressed, screen for __________ - ANSWERS-hypothyroidism
*TSH*
If patient has mania/bipolar disorder, screen for __________ - ANSWERS-hyperthyroidism
*TSH*
T3 and T4 have _________ relationship with TSH - ANSWERS-inverse
*TSH*
When t3 and t4 are high, TSH low - ANSWERS-hyperthyroidism
*TSH*
hyperthyroidism s/s - ANSWERS-heat intolerance
agitation
anxiety
irritability
tachycardia
mood swings
weight loss
*TSH*
When t3 and t4 are low, TSH high - ANSWERS-hypothyroidism
, *TSH*
hypothyroidism s/s - ANSWERS-cold intolerance
lethargy
weight gain
decreased libido
*TSH*
TSH normal range - ANSWERS-0.5-5.0
*Depakote*
Depakote can cause - ANSWERS-spina bifida (neural tube defect)
*depakote*
Black box warning - ANSWERS-hepatotoxicity and pancreatitis
*depakote*
hepatotoxicity s/s - ANSWERS-abd pain r upper quadrant
red/brown urine
yellowing of skin/whites of eyes
fatigue
*depakote*
intervention for hepatotoxicity - ANSWERS-d/c offending agent
check AST (5-40)
ALT (5-35)
QUESTIONS & ANSWERS68
adolescents have the right to - ANSWERS-confidentiality
For medical evaluation - ANSWERS-refer out
Priority questions - ANSWERS-ariway
Maslows hierarchy of needs
Nursing process (assessment before intervention)
Interprofessional collaboration - ANSWERS-is encouraged.
if a sentence has word "collaborate" it has a high chance of being right
If in the PMHNP scope of practice... - ANSWERS-do that before referring out
For faxing... - ANSWERS-get informed consent
A patient is feeling weird because they inhaled acetone. what are the next steps? - ANSWERS-do
UDS and check if they do other drugs bc they want the high
*cultural*
,If they mention the patient's culture, then it is most likely a culture question.. - ANSWERS-Is it a
culturally expected response to a stressor?
If someone is having a cultural syndrome then offer them brief supportive therapy
*cultural*
clarify the meaning of illness or predicament... - ANSWERS-validate patients symptoms with
cultural significance
*cultural*
somatic complaints of pain - ANSWERS-validate he symptoms with cultural significance
*cultural*
psychoeducation on schizophrenia - ANSWERS-tailored towards a culture based on cultural
context
* cultural*
Education for diverse population (community education) - ANSWERS-provides multicultural
education, uses ethnic-specific assessment parameters
*cultural*
Respect- native americans - ANSWERS-imbalance in the relationship with the world.
ethnic group with the highest rate of suicides and attempts, competence, and cultural sensitivity
,information can be sent to traditional healer with informed consent
*TSH*
if patient is depressed, screen for __________ - ANSWERS-hypothyroidism
*TSH*
If patient has mania/bipolar disorder, screen for __________ - ANSWERS-hyperthyroidism
*TSH*
T3 and T4 have _________ relationship with TSH - ANSWERS-inverse
*TSH*
When t3 and t4 are high, TSH low - ANSWERS-hyperthyroidism
*TSH*
hyperthyroidism s/s - ANSWERS-heat intolerance
agitation
anxiety
irritability
tachycardia
mood swings
weight loss
*TSH*
When t3 and t4 are low, TSH high - ANSWERS-hypothyroidism
, *TSH*
hypothyroidism s/s - ANSWERS-cold intolerance
lethargy
weight gain
decreased libido
*TSH*
TSH normal range - ANSWERS-0.5-5.0
*Depakote*
Depakote can cause - ANSWERS-spina bifida (neural tube defect)
*depakote*
Black box warning - ANSWERS-hepatotoxicity and pancreatitis
*depakote*
hepatotoxicity s/s - ANSWERS-abd pain r upper quadrant
red/brown urine
yellowing of skin/whites of eyes
fatigue
*depakote*
intervention for hepatotoxicity - ANSWERS-d/c offending agent
check AST (5-40)
ALT (5-35)
