Last Minute Review PMHNP part 1
Study online at https://quizlet.com/_gtl0li
1. What should you do if a child reports being abused?: Interview the child separately and
report to CPS.
2. What should you do if you observe a child playing with a doll/toy in a sexual
way?: Immediately report to CPS.
3. How should you conduct an interview with an inpatient?: In a private area with the door
open/partially open.
4. Why is it important to build therapy rapport with adolescents?: To establish trust and
confidentiality, while informing them of exceptions.
5. What can create an ethical dilemma when it comes to patient confidentiali-
ty?: Parents feel entitled to information, but you must advocate for your patient and their confidentiality.
6. What should you obtain before faxing labs to a referral?: Informed consent.
7. What should you do if a patient inhales acetone/nail polish and feels weird?-
: Consider doing a urine drug screen and get involved.
8. What is cultural expected response to a stressor?: Interpret patient's symptoms based on
their culture.
· This does not mean your patient has a mental illness.
· Ask the patient to interpret the patient's (cultural) symptoms.
· Cultural assessment - Cultural Formulation Interview
9. What is the purpose of cultural assessment?: To understand the cultural context of the patient's
symptoms.
10. What is a cultural formulation interview?: An interview to clarify the meaning of illness or
predicament in the patient's cultural context.
11. What is brief supportive therapy?: Therapy offered to patients experiencing cultural syndromes,
such as job loss or house loss.
12. How should somatic complaints of pain be validated?: Validate the patient's pain based
on their cultural context.
13. What is the goal of culture formulation interviews?: To empower the patient and contex-
tualize their situation in their local world.
14. How should Native Americans' interpretation of mental illness be respect-
ed?: Respect their belief that it is caused by an imbalance between an individual's relationship with the world.
15. Which ethnic group has the highest rate of suicide/suicide attempts in the
United States?: Native Americans.
, Last Minute Review PMHNP part 1
Study online at https://quizlet.com/_gtl0li
16. What do Native Americans believe in for healing?: They believe in a Healing stick with
healing powers.
17. What is susto?: Folk illness in the Latino population caused by a shocking, unpleasant, or frightening
experience that is believed to cause the soul to leave the body.
18. What is ataque de nervios?: Puerto Rican syndrome characterized by uncontrollable shouting and
aggression.
o Attack of nerves: Uncontrollable shouting, attacks of crying, trembling, heat in the cheat rising into the head, and
verbal or physical aggression.
19. What is mal de ojo?: Illness caused by the evil eye, resulting in fatigue, headache, weight loss, exhaustion,
and malaise
20. What is empacho?: Blocked intestine causing indigestion (feeling bloated and nausea).
21. What is mollera caida?: Sunken fontanel in infants.
22. What is the role of a traditional healer?: May be included in the patient's care plan with informed
consent.
23. What should be considered when providing psychoeducation to a patient
from a specific culture?: Information should be based on cultural context.
24. What is the purpose of diverse population education?: To provide multicultural teaching
and education.
25. What assessment parameters should be used when providing psychoeduca-
tion to a patient from a specific culture?: Ethnospecific assessment parameters.
26. What should be done if a patient cannot understand English?: Provide an interpreter
to be culturally sensitive.
27. What should a staff nurse do if a Native American patient has a healing
stick?: Accommodate the patient and allow them to keep the healing stick.
28. If a question has an answer that says, "It goes against our policies and
procedures," is it right or wrong?: Probably wrong
29. What is Thyroid Stimulating Hormone (TSH)?: Hormone that regulates thyroid function
30. Therapeutic range for TSH: 0.5-5.0 Mu/L
31. What are the symptoms of hypothyroidism?: Mimic symptoms of depression
Cold intolerance, lethargy, weight gain, decreased libido
32. What are the symptoms of hyperthyroidism?: Mimic symptoms of mania
Heat intolerance, agitation, anxiety, irritability, tachycardia, mood swings, weight loss
, Last Minute Review PMHNP part 1
Study online at https://quizlet.com/_gtl0li
33. What happens to TSH secretion when T4 and T3 are high?: Decreases
34. What happens to TSH secretion when T4 and T3 are low?: Increases
35. What is the relationship between T4, T3, and TSH?: Inverse
36. What does a low TSH level indicate?: Hyperthyroidism
37. What does a high TSH level indicate?: Hypothyroidism
38. What is Divalproex sodium (Depakote)?: Medication used for various conditions including
epilepsy and bipolar disorder
Also, Valproic Acid
39. What is a potential pregnancy side effect of Depakote?: Spina bifida (neural tube defect)
40. What are the potential side effect of Depakote?: Hepatotoxicity and pancreatitis
41. What are the signs of hepatotoxicity in a patient taking Depakote?: Abdominal
pain in the upper right portion of the abdomen, reddish brown urine, yellowing of the skin and whites of the eye,
fatigue
42. What are the signs of pancreatitis in a patient taking Depakote?: Pancreatitis (upper
abdominal pain, abdominal pain that radiates to your back, tenderness when touching the abdomen, fever, rapid pulse,
nausea, vomiting, oily stools)
43. What liver function tests should be done for a patient taking Depakote?: AST
and ALT levels
44. Therapeutic range for ALT: 5-35 U/I
45. Therapeutic range for AST: 5-40 U/I
46. What is the therapeutic range for valproic acid (total)?: 50-125 ug/mL
47. What is the toxic level for valproic acid?: Greater than 150 ug/mL
48. What are the signs of valproic acid toxicity?: Disorientation, lethargy, respiratory depression,
nausea/vomiting
49. What should be done if valproic acid toxicity is suspected?: Discontinue medication
and check valproic acid levels, liver function tests, and ammonia levels
50. What is Kava?: Herbal supplement for anxiety, stress, insomnia
51. What are the side effects of Kava?: Liver damage, sedation/drowsiness
52. Signs of Kava liver damage?: Causes right upper quadrant pain, reddish/brown urine
53. What should be done if taking Kava?: Do a liver function test
54. What should be avoided when taking Kava?: Medications that cause drowsiness (Benzos,
Sedatives)
, Last Minute Review PMHNP part 1
Study online at https://quizlet.com/_gtl0li
55. What med do you avoid when taking Kava: Alprazolam (Xanax)
56. What is the major interaction between Kava and sedative medications?: Exces-
sive sleepiness (CNS depressants)
57. What are the side effects of Lamictal?: Steven Johnson/severe rash (fever, body aches, red rash,
peeling skin, facial and tongue swelling)
58. What is Lamictal used for?: Mood stabilization with least weight gain
59. Which antipsychotics cause the least weight gain?: Lurasidone, Aripiprazole, Ziprasidone
(ZAL acronym)
60. What routine labs should be checked for patients taking antipsychotics that
cause weight gain?: BMI, hip-to-waist ratio, glucose, lipid panel
61. What are the nonpharmacologic strategies for managing antipsychotic-in-
duced weight gain?: Nutritional counseling, exercise, cognitive and behavioral intervention
62. What are the pharmacologic interventions for managing antipsychotic-in-
duced weight gain?: Switching to antipsychotics with less potential for weight gain (ziprasidone, aripiprazole,
lurasidone)
63. What should be done if a patient on Seroquel is experiencing weight gain
and/or metabolic syndrome? (and they are not doing exercise and eating more
than recommended).: Provide information on exercise or nutritional counseling
64. What is the acronym for antipsychotics that cause the least weight gain?: ZAL
(Ziprasidone, Aripiprazole, Lurasidone)
65. What are the symptoms of Steven Johnson syndrome?: Fever, body aches, red rash,
peeling skin, facial and tongue swelling
66. What is the main benefit of Lamictal compared to other mood stabilizers?: -
Least weight gain
67. Which antipsychotic used for Bipolar is the least sedating: Aripiprazole (Abilify)
68. What is the black box warning for carbamazepine?: Agranulocytosis (decreased WBCs)
and aplastic anemia.
69. What are the symptoms of aplastic anemia?: Pallor, fatigue, headache, fever, nosebleeds,
bleeding gums, skin rash, shortness of breath.
70. What is Steven Johnson's syndrome?: A severe skin reaction.
71. Who is at higher risk for developing Steven Johnson's syndrome with carba-
mazepine?: Asians.
Study online at https://quizlet.com/_gtl0li
1. What should you do if a child reports being abused?: Interview the child separately and
report to CPS.
2. What should you do if you observe a child playing with a doll/toy in a sexual
way?: Immediately report to CPS.
3. How should you conduct an interview with an inpatient?: In a private area with the door
open/partially open.
4. Why is it important to build therapy rapport with adolescents?: To establish trust and
confidentiality, while informing them of exceptions.
5. What can create an ethical dilemma when it comes to patient confidentiali-
ty?: Parents feel entitled to information, but you must advocate for your patient and their confidentiality.
6. What should you obtain before faxing labs to a referral?: Informed consent.
7. What should you do if a patient inhales acetone/nail polish and feels weird?-
: Consider doing a urine drug screen and get involved.
8. What is cultural expected response to a stressor?: Interpret patient's symptoms based on
their culture.
· This does not mean your patient has a mental illness.
· Ask the patient to interpret the patient's (cultural) symptoms.
· Cultural assessment - Cultural Formulation Interview
9. What is the purpose of cultural assessment?: To understand the cultural context of the patient's
symptoms.
10. What is a cultural formulation interview?: An interview to clarify the meaning of illness or
predicament in the patient's cultural context.
11. What is brief supportive therapy?: Therapy offered to patients experiencing cultural syndromes,
such as job loss or house loss.
12. How should somatic complaints of pain be validated?: Validate the patient's pain based
on their cultural context.
13. What is the goal of culture formulation interviews?: To empower the patient and contex-
tualize their situation in their local world.
14. How should Native Americans' interpretation of mental illness be respect-
ed?: Respect their belief that it is caused by an imbalance between an individual's relationship with the world.
15. Which ethnic group has the highest rate of suicide/suicide attempts in the
United States?: Native Americans.
, Last Minute Review PMHNP part 1
Study online at https://quizlet.com/_gtl0li
16. What do Native Americans believe in for healing?: They believe in a Healing stick with
healing powers.
17. What is susto?: Folk illness in the Latino population caused by a shocking, unpleasant, or frightening
experience that is believed to cause the soul to leave the body.
18. What is ataque de nervios?: Puerto Rican syndrome characterized by uncontrollable shouting and
aggression.
o Attack of nerves: Uncontrollable shouting, attacks of crying, trembling, heat in the cheat rising into the head, and
verbal or physical aggression.
19. What is mal de ojo?: Illness caused by the evil eye, resulting in fatigue, headache, weight loss, exhaustion,
and malaise
20. What is empacho?: Blocked intestine causing indigestion (feeling bloated and nausea).
21. What is mollera caida?: Sunken fontanel in infants.
22. What is the role of a traditional healer?: May be included in the patient's care plan with informed
consent.
23. What should be considered when providing psychoeducation to a patient
from a specific culture?: Information should be based on cultural context.
24. What is the purpose of diverse population education?: To provide multicultural teaching
and education.
25. What assessment parameters should be used when providing psychoeduca-
tion to a patient from a specific culture?: Ethnospecific assessment parameters.
26. What should be done if a patient cannot understand English?: Provide an interpreter
to be culturally sensitive.
27. What should a staff nurse do if a Native American patient has a healing
stick?: Accommodate the patient and allow them to keep the healing stick.
28. If a question has an answer that says, "It goes against our policies and
procedures," is it right or wrong?: Probably wrong
29. What is Thyroid Stimulating Hormone (TSH)?: Hormone that regulates thyroid function
30. Therapeutic range for TSH: 0.5-5.0 Mu/L
31. What are the symptoms of hypothyroidism?: Mimic symptoms of depression
Cold intolerance, lethargy, weight gain, decreased libido
32. What are the symptoms of hyperthyroidism?: Mimic symptoms of mania
Heat intolerance, agitation, anxiety, irritability, tachycardia, mood swings, weight loss
, Last Minute Review PMHNP part 1
Study online at https://quizlet.com/_gtl0li
33. What happens to TSH secretion when T4 and T3 are high?: Decreases
34. What happens to TSH secretion when T4 and T3 are low?: Increases
35. What is the relationship between T4, T3, and TSH?: Inverse
36. What does a low TSH level indicate?: Hyperthyroidism
37. What does a high TSH level indicate?: Hypothyroidism
38. What is Divalproex sodium (Depakote)?: Medication used for various conditions including
epilepsy and bipolar disorder
Also, Valproic Acid
39. What is a potential pregnancy side effect of Depakote?: Spina bifida (neural tube defect)
40. What are the potential side effect of Depakote?: Hepatotoxicity and pancreatitis
41. What are the signs of hepatotoxicity in a patient taking Depakote?: Abdominal
pain in the upper right portion of the abdomen, reddish brown urine, yellowing of the skin and whites of the eye,
fatigue
42. What are the signs of pancreatitis in a patient taking Depakote?: Pancreatitis (upper
abdominal pain, abdominal pain that radiates to your back, tenderness when touching the abdomen, fever, rapid pulse,
nausea, vomiting, oily stools)
43. What liver function tests should be done for a patient taking Depakote?: AST
and ALT levels
44. Therapeutic range for ALT: 5-35 U/I
45. Therapeutic range for AST: 5-40 U/I
46. What is the therapeutic range for valproic acid (total)?: 50-125 ug/mL
47. What is the toxic level for valproic acid?: Greater than 150 ug/mL
48. What are the signs of valproic acid toxicity?: Disorientation, lethargy, respiratory depression,
nausea/vomiting
49. What should be done if valproic acid toxicity is suspected?: Discontinue medication
and check valproic acid levels, liver function tests, and ammonia levels
50. What is Kava?: Herbal supplement for anxiety, stress, insomnia
51. What are the side effects of Kava?: Liver damage, sedation/drowsiness
52. Signs of Kava liver damage?: Causes right upper quadrant pain, reddish/brown urine
53. What should be done if taking Kava?: Do a liver function test
54. What should be avoided when taking Kava?: Medications that cause drowsiness (Benzos,
Sedatives)
, Last Minute Review PMHNP part 1
Study online at https://quizlet.com/_gtl0li
55. What med do you avoid when taking Kava: Alprazolam (Xanax)
56. What is the major interaction between Kava and sedative medications?: Exces-
sive sleepiness (CNS depressants)
57. What are the side effects of Lamictal?: Steven Johnson/severe rash (fever, body aches, red rash,
peeling skin, facial and tongue swelling)
58. What is Lamictal used for?: Mood stabilization with least weight gain
59. Which antipsychotics cause the least weight gain?: Lurasidone, Aripiprazole, Ziprasidone
(ZAL acronym)
60. What routine labs should be checked for patients taking antipsychotics that
cause weight gain?: BMI, hip-to-waist ratio, glucose, lipid panel
61. What are the nonpharmacologic strategies for managing antipsychotic-in-
duced weight gain?: Nutritional counseling, exercise, cognitive and behavioral intervention
62. What are the pharmacologic interventions for managing antipsychotic-in-
duced weight gain?: Switching to antipsychotics with less potential for weight gain (ziprasidone, aripiprazole,
lurasidone)
63. What should be done if a patient on Seroquel is experiencing weight gain
and/or metabolic syndrome? (and they are not doing exercise and eating more
than recommended).: Provide information on exercise or nutritional counseling
64. What is the acronym for antipsychotics that cause the least weight gain?: ZAL
(Ziprasidone, Aripiprazole, Lurasidone)
65. What are the symptoms of Steven Johnson syndrome?: Fever, body aches, red rash,
peeling skin, facial and tongue swelling
66. What is the main benefit of Lamictal compared to other mood stabilizers?: -
Least weight gain
67. Which antipsychotic used for Bipolar is the least sedating: Aripiprazole (Abilify)
68. What is the black box warning for carbamazepine?: Agranulocytosis (decreased WBCs)
and aplastic anemia.
69. What are the symptoms of aplastic anemia?: Pallor, fatigue, headache, fever, nosebleeds,
bleeding gums, skin rash, shortness of breath.
70. What is Steven Johnson's syndrome?: A severe skin reaction.
71. Who is at higher risk for developing Steven Johnson's syndrome with carba-
mazepine?: Asians.
