A mother brings in her 7-year-old son for a psychiatric follow-up visit with the PMHNP.
This is the fourth visit the PMHNP has had with the client, his mother, and his younger
sister, Renee, now 7 months old. You notice that she has a decrease in head growth,
along with stereotypic motions of the hands, often licking and slapping. Renee has also
lost her language skills. What medical condition do you suspect Renee has developed?
A. Autism spectrum disorder
B. Rett syndrome
C. Selective mutism
D. Childhood-onset diabetes
B
Girls with Rett's syndrome develop normally and around the 7th month
regress, with a decrease in head size and language loss.
,The study of what the body does to drugs is called
a. Pharmacodynamics
b. Pharmacology
c. Pharmacokinetics
d. Distribution
C
Pharmacokinetics is the study of what the body does to drugs.
You are treating a client with schizophrenia who takes clozapine. What laboratory values
will indicate the client needs to discontinue treatment?
A. White blood cell count of less than 1,800/mm3 and absolute neutrophil count of less
than 1,200/mm3
B. Absolute neutrophil count of less than 1,000/uL
C. White blood cell count of less than 1,200/mm3
D. Absolute neutrophil count of less than 2,000/uL
B
The recent change in monitoring clozapine clients using the risk evaluation
and mitigation strategy (REMS) indicates persons treated on clozapine need
to have absolute neutrophil count monitored and, if it drops below 1,000/uL,
treatment must be interrupted and can be resumed once the absolute
neutrophil count normalizes above 1,000/uL.
,Which type of hallucination is rare in persons with psychotic illnesses and is often
associated with an organic etiology?
A. Auditory hallucinations
B. Gustatory hallucinations
C. Visual hallucinations
D. Combination hallucinations
B
The most common type of hallucinations in persons with psy- chotic illnesses
are auditory and visual. Tactile and gustatory hallucinations are less common
and more likely related to an organic illness.
A 23-year-old woman is brought into the ER after attempting suicide by cutting her
wrists. Which nursing 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. Assess her health history
C
The PMHNP needs to ensure that her suicide attempt has not led to medical
instability.
Which is true about pharmacologic treatment of anxiety in older adults?
a. Course of treatment is generally shorter than for younger adults.
, b. Drugs that are highly oxidized are more unpredictable than drugs that are mostly
conjugated.
c. The therapeutic dose of SSRIs is generally lower than for young adults.
d. Highly lipophilic drugs have a more linear elimination in older adults.
Give this one a try later!
B
Liver enzyme functioning (among other things) diminishes as we age. All of the
other statements are false.
The concept of target symptom identification is best explained as
A. Identification of the major clinical presentation of the client
B. Identification of specific, precise, and individualized symptoms reasonably expected
to improve with medication
C. Identification of the secondary messenger system syndrome
D. Intentional modulation of synaptic pathways
Give this one a try later!
B
Target symptom identification is the identification of specific, precise, and
individualized symptoms reasonably expected to improve with a given
medication.
When prescribing a selective serotonin reuptake inhibitor (SSRI) for a child or young
adult up to age 24, what education must be included?
A. Black box warning about increased suicidality in this population
B. Black box warning about increased risk of mania in this population
C. Risk of sexual side effects on this class of medication
D. Risk of stomach upset and headaches, to prevent unnecessary primary care visits
This is the fourth visit the PMHNP has had with the client, his mother, and his younger
sister, Renee, now 7 months old. You notice that she has a decrease in head growth,
along with stereotypic motions of the hands, often licking and slapping. Renee has also
lost her language skills. What medical condition do you suspect Renee has developed?
A. Autism spectrum disorder
B. Rett syndrome
C. Selective mutism
D. Childhood-onset diabetes
B
Girls with Rett's syndrome develop normally and around the 7th month
regress, with a decrease in head size and language loss.
,The study of what the body does to drugs is called
a. Pharmacodynamics
b. Pharmacology
c. Pharmacokinetics
d. Distribution
C
Pharmacokinetics is the study of what the body does to drugs.
You are treating a client with schizophrenia who takes clozapine. What laboratory values
will indicate the client needs to discontinue treatment?
A. White blood cell count of less than 1,800/mm3 and absolute neutrophil count of less
than 1,200/mm3
B. Absolute neutrophil count of less than 1,000/uL
C. White blood cell count of less than 1,200/mm3
D. Absolute neutrophil count of less than 2,000/uL
B
The recent change in monitoring clozapine clients using the risk evaluation
and mitigation strategy (REMS) indicates persons treated on clozapine need
to have absolute neutrophil count monitored and, if it drops below 1,000/uL,
treatment must be interrupted and can be resumed once the absolute
neutrophil count normalizes above 1,000/uL.
,Which type of hallucination is rare in persons with psychotic illnesses and is often
associated with an organic etiology?
A. Auditory hallucinations
B. Gustatory hallucinations
C. Visual hallucinations
D. Combination hallucinations
B
The most common type of hallucinations in persons with psy- chotic illnesses
are auditory and visual. Tactile and gustatory hallucinations are less common
and more likely related to an organic illness.
A 23-year-old woman is brought into the ER after attempting suicide by cutting her
wrists. Which nursing 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. Assess her health history
C
The PMHNP needs to ensure that her suicide attempt has not led to medical
instability.
Which is true about pharmacologic treatment of anxiety in older adults?
a. Course of treatment is generally shorter than for younger adults.
, b. Drugs that are highly oxidized are more unpredictable than drugs that are mostly
conjugated.
c. The therapeutic dose of SSRIs is generally lower than for young adults.
d. Highly lipophilic drugs have a more linear elimination in older adults.
Give this one a try later!
B
Liver enzyme functioning (among other things) diminishes as we age. All of the
other statements are false.
The concept of target symptom identification is best explained as
A. Identification of the major clinical presentation of the client
B. Identification of specific, precise, and individualized symptoms reasonably expected
to improve with medication
C. Identification of the secondary messenger system syndrome
D. Intentional modulation of synaptic pathways
Give this one a try later!
B
Target symptom identification is the identification of specific, precise, and
individualized symptoms reasonably expected to improve with a given
medication.
When prescribing a selective serotonin reuptake inhibitor (SSRI) for a child or young
adult up to age 24, what education must be included?
A. Black box warning about increased suicidality in this population
B. Black box warning about increased risk of mania in this population
C. Risk of sexual side effects on this class of medication
D. Risk of stomach upset and headaches, to prevent unnecessary primary care visits
