When treating older adults, you should keep in mind that they are more sensitive to
issues of drug toxicity because of which of the following reasons?
Decreased protein binding
When prescribing a selective serotonin reuptake inhibitor (SSRI) for a child or young
adult up to age 24, what education must be included?
, Black box warning about increased suicidality in this population
Which is true about pharmacologic treatment of anxiety in older adults?
Drugs that are highly oxidized are more unpredictable than drugs that are
mostly conjugated.
One of the health care changes that has occurred as a result of the affordable care act
(ACA) is that doctors/hospitals/clinic groups or health systems are coming together and
assuming the responsibility for quality care to large groups of individuals insured by
Medicare. The health care clinics/systems doctors or hospitals that join together are
called which of the following?
Accountable Care Organization (ACO)
Dialectical behavioral therapy (DBT) affirms dialectical thinking, which involves examining
and discussing opposing ideas to find the truth. This philosophy is a supportive principle
of DBT training. The central dialectical pattern emphasized in DBT involves the tension
between:
, Radical acceptance and change
A 74-year-old married white woman was referred to you by her primary care provider for
a psychiatric evaluation. She had a normal medical and neurological examination in the
last 2 months. The client presents with her husband of 45 years who states, "My wife is
just not the same anymore, she is irritable and asks the same question several times, even
though I've answered it many times." The client responds, "Oh, Henry, you do the same
thing, it's just a normal part of getting older, and the kids think everything is fine." During
the assessment you compete the mini mental status examination (MMSE) and the client
scores 18. As the PMHNP treating the client, you know the results of her MMSE indicate
which level of cognitive impairment?
Give this one a try later!
Moderate cognitive impairment
A client with bipolar I disorder presents to your PMHNP office for a follow-up visit.
During the visit the client informs you that he no longer wants to be treated with
medication, and he does not have bipolar disorder, that was a misdiagnosis. He further
informs you he stopped all his medication 2 months ago and is here to thank you for your
care and tell you that he no longer needs follow-up appointments. Understanding the
ethical conflict, you use which of the following ethical principles in working with this
client?
Give this one a try later!
Autonomy
, What differentiates atypical antipsychotic medications from first-generation or typical
antipsychotic medications?
Give this one a try later!
5HT2a receptor antagonist properties
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy.
While discussing his current concerns of marital stress, he lies on the floor and assumes
the fetal position. This is most likely an example of
Give this one a try later!
Immature regressive defense mechanism
Tommy is an 8 year-old who presents to the PMHNP for evaluation of attention-deficit
hyperactivity disorder. His mother completed the Vanderbilt ADHD rating scale and
brought in the Vanderbilt teaching rating scale. Both your clinical interview and the rating
scales indicate Tommy has ADHD. What assessment indicator(s) need to be completed
prior to starting a stimulant mediation?
Give this one a try later!
Assess for family history of cardiovascular disease and, if positive for
conduction problems, order an electrocardiogram before prescribing
medication.
issues of drug toxicity because of which of the following reasons?
Decreased protein binding
When prescribing a selective serotonin reuptake inhibitor (SSRI) for a child or young
adult up to age 24, what education must be included?
, Black box warning about increased suicidality in this population
Which is true about pharmacologic treatment of anxiety in older adults?
Drugs that are highly oxidized are more unpredictable than drugs that are
mostly conjugated.
One of the health care changes that has occurred as a result of the affordable care act
(ACA) is that doctors/hospitals/clinic groups or health systems are coming together and
assuming the responsibility for quality care to large groups of individuals insured by
Medicare. The health care clinics/systems doctors or hospitals that join together are
called which of the following?
Accountable Care Organization (ACO)
Dialectical behavioral therapy (DBT) affirms dialectical thinking, which involves examining
and discussing opposing ideas to find the truth. This philosophy is a supportive principle
of DBT training. The central dialectical pattern emphasized in DBT involves the tension
between:
, Radical acceptance and change
A 74-year-old married white woman was referred to you by her primary care provider for
a psychiatric evaluation. She had a normal medical and neurological examination in the
last 2 months. The client presents with her husband of 45 years who states, "My wife is
just not the same anymore, she is irritable and asks the same question several times, even
though I've answered it many times." The client responds, "Oh, Henry, you do the same
thing, it's just a normal part of getting older, and the kids think everything is fine." During
the assessment you compete the mini mental status examination (MMSE) and the client
scores 18. As the PMHNP treating the client, you know the results of her MMSE indicate
which level of cognitive impairment?
Give this one a try later!
Moderate cognitive impairment
A client with bipolar I disorder presents to your PMHNP office for a follow-up visit.
During the visit the client informs you that he no longer wants to be treated with
medication, and he does not have bipolar disorder, that was a misdiagnosis. He further
informs you he stopped all his medication 2 months ago and is here to thank you for your
care and tell you that he no longer needs follow-up appointments. Understanding the
ethical conflict, you use which of the following ethical principles in working with this
client?
Give this one a try later!
Autonomy
, What differentiates atypical antipsychotic medications from first-generation or typical
antipsychotic medications?
Give this one a try later!
5HT2a receptor antagonist properties
Mr. Johnson is a 54-year-old client you have been seeing for several weeks in therapy.
While discussing his current concerns of marital stress, he lies on the floor and assumes
the fetal position. This is most likely an example of
Give this one a try later!
Immature regressive defense mechanism
Tommy is an 8 year-old who presents to the PMHNP for evaluation of attention-deficit
hyperactivity disorder. His mother completed the Vanderbilt ADHD rating scale and
brought in the Vanderbilt teaching rating scale. Both your clinical interview and the rating
scales indicate Tommy has ADHD. What assessment indicator(s) need to be completed
prior to starting a stimulant mediation?
Give this one a try later!
Assess for family history of cardiovascular disease and, if positive for
conduction problems, order an electrocardiogram before prescribing
medication.
