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PMHNP ANCC REVIEW
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1. 2 classes of medications that should not be used together?: 22. Brother sexually abusing sister: make sure that he is not left
Ace inhibitors and ARBs together alone with her and call CPS, mandatory reporter, arrange
2. 5HT: raphe nucleus crisis therapy
3. 14 year old with no axillary hair, has not gotten her period 23. Can disclose info to medicare /CMS without consent: ...
yet: Normal tanner stage, start by 16 24. Clenched teeth?: CN 5 Trigeminal (masseter or masticatory
4. 65 year old started on a SSRI: may experience an increase in muscle).
anxiety in elderly, expect increased side effects, do an EKG 25. clozaril wbc+anc: If less than 950 discontinue the medication
5. Abnormal Trendelenburg Test: Hip disease, refer child out, and get a repeat level, 1000 is the cutoff
assessed during head to toe 1.5-2 cbc biweekly
1-1.5 hold, cbc q dayx 3 weeks
6. Accutane: can cause depression and birth defects
less than 1- Stop medication
7. ACE inhibitors: -pril, CHF 12.5initial, target 300-900mg/d once or bid
8. Acetylcholine (ACh): nucleus basalis of meynert schizophenrenia/pscyhosis
9. adjustment disorder: reaction to a specific life event (identified agranulocytosis, seizures, myocarditis (inflammed heart muscle
stressor), symtoms within 3 monhts but no more than 6 -chest pain,diff breath)
months. Think about a patient move wg, increase lipids/glucose
10. Adolescent with substance abuse and working out has REMS pharmacy need clozaril registry to dispense
muscle aches: urine is red colored- hematuria, concerned for to start: WBC must be >_3500 and ANC >_2000
rhabdomyolysis (muscle breakdown), WBC + ANC weekly q6months, then every 2w q6months, then
monthly
11. Age for schizophrenia female: 25-35
26. Dark brown urine: check LFT,
12. Aggression in brain: Stimulation of the amygdala results in
augmented aggressive behavior 27. DEA regulation monitoring: State and Federal, PMP
hypothalamus, is believed to serve a regulatory role in 28. dopamine production: substantia nigra and ventral tegmental
aggression area
13. Anorexic teenager with pain when eating: refeeding 29. Early signs of aids dementia: memory, inattention,
syndrome causes delayed gastric emptying concentration changes, worry over decreased cognition
14. Apoptosis?: neuron loss because of suffocation, enzyme 30. Elderly female with decreased sex drive: check testosterone
breakdown level
15. Appreciate Inquiry: strengths and competencies. What is being 31. Elderly patient with dementia how do you know id can give
done currently and assessment of strenghts, no problem consent: Able to repeat back risks and benefits
focused, 3 steps are discovery, understanding, amplifying elements= nature/pupose of tx, risks/benefits of tx,
16. assertive inquiry: ... risks/benefits not doing tx, alternatives, diagnosis/prognosis
17. Autistic child not responding to your verbal commands: this 32. EPS types: Tardive dyskinesia happen after years (eps is a
is normal, repetitive patterns of bx, impaired social precursor). Acute dystonia (hours), Parkinsons (weeks),
interactions, verbal/nonverbal communication common Akathisia (days)
18. Beck inventory score of 10?: 0-63, over 30 severe, dont start 33. Erythromycin and Tegretol: Erythromycin is an inhibitor
medication just start therapy (H=high level). If on Tegretol and Erythromycin together would
want to reduce the dose of Tegretol
19. Beck Scales: Eight, separate, self-report inventories designed to
assess different areas. 34. Experiencing irritability/depression/edginess?: best
assessment is mood questionnaire for bipolar, 7/13 bipolar
Scores from 0-63 likely
over 30 is severe 35. First line neuro-protective for bipolar: lithium
20. Best therapy for negative thinking: CBT, all or nothing 36. First symptom of metabolic syndrome?: large waist
thinking catastrophic thinking circumference
Humanistic therapy-self 37. Flonase interacts with what mood stabilizer?: Tegretol
Existential- reflection/self control/personal responsibility (inhibitor)
21. bipolar not taking medication: "tell me how the medication 38. Frontal lobe dementia: A form of dementia characterized by
works in your body" personality changes/social changes ,
39. Fungus on toenial: scrape toenail and sent for testing
40. GAD-7 scale : More than 15 severe
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
41. Grade 2/5 hoarse systolic heart murmur: aortic stenosis 62. MMSE part for thought disorder: proverb interpretation,
42. HAM-A: Hamilton Anxiety Scale, most commonly used abstract vs concrete interpretations
14 domains, 14=mild, 18-24= moderate, 25-30=severe 63. MMSE scores: 24-30 no cognitive impairment
18-23 mild cognitive impairment
Anxiety 25/15 severe 0-17 severe cognitive impairment
43. Hamilton Depression Scale: i. Severe 19- 23 (monitor for SI) 64. Neurotransmitters involved in alcoholism: dopamine and
ii. Moderate 14 - 18 gaba
iii. Mild 8 -13 65. NMS: -NMS is like S&M;
0-7 normal -you get hot (hyperpyrexia)
44. The health care policy is access, cost and ____: quality -stiff (increased muscle tone)
45. How does tegretol interact with cipro: cipro and -sweaty (diaphoresis)
erythromycin are inhibitors. Cause increased level of Tegretol. -BP, pulse, and respirations go up &
Black box warning -you start to drool
46. how do you get paid for medicare: CPT current procedural 66. NMS: neuroleptic malignant syndrome
code Severe fever
Changing LOC
47. ibuprofen + lithium: increases the serum level of lithium up to
Autonomic instability
double
Rigidity
48. just culture: refers to an organization's commitment to Sweating and drooling
accountability and a focus supporting universal safety in
health care. Find out the error ad where went wrong FEVERS- fever, encephalopathy, vitals instability, elevated
49. Keeping chronically mentally ill in the community?: ACT white blood cell count/cpk, rigidity
model 67. NMS labs: increased CPK, WBC
50. Kleinfelter's Syndrome: male with more than one X 68. Norepinephrine (NE): Synthesized in locus coeruleus arousal
chromosome (XXY), little to no sperm, fertility treatment and other functions like mood, hunger, and sleep
51. Labs for macrocytic anemia: Folic acid, vitamin B12, ESR/CRP, 69. Np notices teen with DKA leaving without eval: collaborate
HGB, MCV (liver) with ER to provide a psych assessment
52. Labs for rheumatoid arthritis: . ESR erythrocyte sedimentation 70. NSAIDs & ACE inhibitors effect: can double lithium levels
rate elevation. Synovial fluid analysis. X ray of joints.
71. nuchal rigidity: stiffness in cervical neck area, meningitis
Rheumatoid factor titer, CRP, Hgb
72. Nucleus basalis of Meynert: Alzheimer disease
53. Lab values concerning for patients on lithium: 4+ protein in
cognitive and memory function
urine, Leukocytosis, creatinine, BUN, Na,
73. nurse attacked 3 weeks ago and now scared to go to work:
54. Law that makes sure people with mental health issues get
Acute Stress Disorder, as it happened less than 1 month ago
the same financial treatment?: Parity Laws
74. OB/PMHNP in same clinic: increased access to mental health
55. Levels of Prevention: Primary: prevent/promotion, classes,
access
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster 75. ODD child: help the parents with positive reinforcement and
Tertiary: treat- to prevent further deterioration, rehab, parenting skills, limit setting, logical consequences,
restoration, day treatment, social skills consistency, power stuggle/control issues problematic,
parenting/family dysfunction exacerbates
56. Lithium level is 1.4: monitor for toxicity, toxicity=1.5, nausea,
vomiting 76. On Interferon and Lexapro: Interferon can cause depression,
increase Lexapro
57. Lithium toxicity: 1.5, 3 is an emergency, severe
diarrhea/nausea/vomiting, metallic taste, tremor, slurred 77. PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders
speech, number one intervention, give fluids, sweating give Associated with Streptococcal infections. OCD- recent strep
electrolytes too throat
58. locus coeruleus: a small nucleus in the reticular formation that 78. Patient abusing stimulants, what does NP assess for:
is involved in directing attention Insomnia and tremor, irritability, weight loss, nervous,
hypertension, tachycardia
59. masturbating 3 year old: Phallic stage is normal 3-6 years old
79. Patient cold what labs to get?: Check TSH.
60. Medication for NMS?: Dantrolene and bromocriptine
80. patient continues to say "I dont know": depression, not
61. Medicine that can cause mania: steroids/prenisolone,
dementia
antabuse, isoniazid,
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
PMHNP ANCC REVIEW
Study online at quizlet.com/_7cmduo
1. 2 classes of medications that should not be used together?: 22. Brother sexually abusing sister: make sure that he is not left
Ace inhibitors and ARBs together alone with her and call CPS, mandatory reporter, arrange
2. 5HT: raphe nucleus crisis therapy
3. 14 year old with no axillary hair, has not gotten her period 23. Can disclose info to medicare /CMS without consent: ...
yet: Normal tanner stage, start by 16 24. Clenched teeth?: CN 5 Trigeminal (masseter or masticatory
4. 65 year old started on a SSRI: may experience an increase in muscle).
anxiety in elderly, expect increased side effects, do an EKG 25. clozaril wbc+anc: If less than 950 discontinue the medication
5. Abnormal Trendelenburg Test: Hip disease, refer child out, and get a repeat level, 1000 is the cutoff
assessed during head to toe 1.5-2 cbc biweekly
1-1.5 hold, cbc q dayx 3 weeks
6. Accutane: can cause depression and birth defects
less than 1- Stop medication
7. ACE inhibitors: -pril, CHF 12.5initial, target 300-900mg/d once or bid
8. Acetylcholine (ACh): nucleus basalis of meynert schizophenrenia/pscyhosis
9. adjustment disorder: reaction to a specific life event (identified agranulocytosis, seizures, myocarditis (inflammed heart muscle
stressor), symtoms within 3 monhts but no more than 6 -chest pain,diff breath)
months. Think about a patient move wg, increase lipids/glucose
10. Adolescent with substance abuse and working out has REMS pharmacy need clozaril registry to dispense
muscle aches: urine is red colored- hematuria, concerned for to start: WBC must be >_3500 and ANC >_2000
rhabdomyolysis (muscle breakdown), WBC + ANC weekly q6months, then every 2w q6months, then
monthly
11. Age for schizophrenia female: 25-35
26. Dark brown urine: check LFT,
12. Aggression in brain: Stimulation of the amygdala results in
augmented aggressive behavior 27. DEA regulation monitoring: State and Federal, PMP
hypothalamus, is believed to serve a regulatory role in 28. dopamine production: substantia nigra and ventral tegmental
aggression area
13. Anorexic teenager with pain when eating: refeeding 29. Early signs of aids dementia: memory, inattention,
syndrome causes delayed gastric emptying concentration changes, worry over decreased cognition
14. Apoptosis?: neuron loss because of suffocation, enzyme 30. Elderly female with decreased sex drive: check testosterone
breakdown level
15. Appreciate Inquiry: strengths and competencies. What is being 31. Elderly patient with dementia how do you know id can give
done currently and assessment of strenghts, no problem consent: Able to repeat back risks and benefits
focused, 3 steps are discovery, understanding, amplifying elements= nature/pupose of tx, risks/benefits of tx,
16. assertive inquiry: ... risks/benefits not doing tx, alternatives, diagnosis/prognosis
17. Autistic child not responding to your verbal commands: this 32. EPS types: Tardive dyskinesia happen after years (eps is a
is normal, repetitive patterns of bx, impaired social precursor). Acute dystonia (hours), Parkinsons (weeks),
interactions, verbal/nonverbal communication common Akathisia (days)
18. Beck inventory score of 10?: 0-63, over 30 severe, dont start 33. Erythromycin and Tegretol: Erythromycin is an inhibitor
medication just start therapy (H=high level). If on Tegretol and Erythromycin together would
want to reduce the dose of Tegretol
19. Beck Scales: Eight, separate, self-report inventories designed to
assess different areas. 34. Experiencing irritability/depression/edginess?: best
assessment is mood questionnaire for bipolar, 7/13 bipolar
Scores from 0-63 likely
over 30 is severe 35. First line neuro-protective for bipolar: lithium
20. Best therapy for negative thinking: CBT, all or nothing 36. First symptom of metabolic syndrome?: large waist
thinking catastrophic thinking circumference
Humanistic therapy-self 37. Flonase interacts with what mood stabilizer?: Tegretol
Existential- reflection/self control/personal responsibility (inhibitor)
21. bipolar not taking medication: "tell me how the medication 38. Frontal lobe dementia: A form of dementia characterized by
works in your body" personality changes/social changes ,
39. Fungus on toenial: scrape toenail and sent for testing
40. GAD-7 scale : More than 15 severe
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
, quizletpmhnp_organized quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
41. Grade 2/5 hoarse systolic heart murmur: aortic stenosis 62. MMSE part for thought disorder: proverb interpretation,
42. HAM-A: Hamilton Anxiety Scale, most commonly used abstract vs concrete interpretations
14 domains, 14=mild, 18-24= moderate, 25-30=severe 63. MMSE scores: 24-30 no cognitive impairment
18-23 mild cognitive impairment
Anxiety 25/15 severe 0-17 severe cognitive impairment
43. Hamilton Depression Scale: i. Severe 19- 23 (monitor for SI) 64. Neurotransmitters involved in alcoholism: dopamine and
ii. Moderate 14 - 18 gaba
iii. Mild 8 -13 65. NMS: -NMS is like S&M;
0-7 normal -you get hot (hyperpyrexia)
44. The health care policy is access, cost and ____: quality -stiff (increased muscle tone)
45. How does tegretol interact with cipro: cipro and -sweaty (diaphoresis)
erythromycin are inhibitors. Cause increased level of Tegretol. -BP, pulse, and respirations go up &
Black box warning -you start to drool
46. how do you get paid for medicare: CPT current procedural 66. NMS: neuroleptic malignant syndrome
code Severe fever
Changing LOC
47. ibuprofen + lithium: increases the serum level of lithium up to
Autonomic instability
double
Rigidity
48. just culture: refers to an organization's commitment to Sweating and drooling
accountability and a focus supporting universal safety in
health care. Find out the error ad where went wrong FEVERS- fever, encephalopathy, vitals instability, elevated
49. Keeping chronically mentally ill in the community?: ACT white blood cell count/cpk, rigidity
model 67. NMS labs: increased CPK, WBC
50. Kleinfelter's Syndrome: male with more than one X 68. Norepinephrine (NE): Synthesized in locus coeruleus arousal
chromosome (XXY), little to no sperm, fertility treatment and other functions like mood, hunger, and sleep
51. Labs for macrocytic anemia: Folic acid, vitamin B12, ESR/CRP, 69. Np notices teen with DKA leaving without eval: collaborate
HGB, MCV (liver) with ER to provide a psych assessment
52. Labs for rheumatoid arthritis: . ESR erythrocyte sedimentation 70. NSAIDs & ACE inhibitors effect: can double lithium levels
rate elevation. Synovial fluid analysis. X ray of joints.
71. nuchal rigidity: stiffness in cervical neck area, meningitis
Rheumatoid factor titer, CRP, Hgb
72. Nucleus basalis of Meynert: Alzheimer disease
53. Lab values concerning for patients on lithium: 4+ protein in
cognitive and memory function
urine, Leukocytosis, creatinine, BUN, Na,
73. nurse attacked 3 weeks ago and now scared to go to work:
54. Law that makes sure people with mental health issues get
Acute Stress Disorder, as it happened less than 1 month ago
the same financial treatment?: Parity Laws
74. OB/PMHNP in same clinic: increased access to mental health
55. Levels of Prevention: Primary: prevent/promotion, classes,
access
safety initiatives, education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster 75. ODD child: help the parents with positive reinforcement and
Tertiary: treat- to prevent further deterioration, rehab, parenting skills, limit setting, logical consequences,
restoration, day treatment, social skills consistency, power stuggle/control issues problematic,
parenting/family dysfunction exacerbates
56. Lithium level is 1.4: monitor for toxicity, toxicity=1.5, nausea,
vomiting 76. On Interferon and Lexapro: Interferon can cause depression,
increase Lexapro
57. Lithium toxicity: 1.5, 3 is an emergency, severe
diarrhea/nausea/vomiting, metallic taste, tremor, slurred 77. PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders
speech, number one intervention, give fluids, sweating give Associated with Streptococcal infections. OCD- recent strep
electrolytes too throat
58. locus coeruleus: a small nucleus in the reticular formation that 78. Patient abusing stimulants, what does NP assess for:
is involved in directing attention Insomnia and tremor, irritability, weight loss, nervous,
hypertension, tachycardia
59. masturbating 3 year old: Phallic stage is normal 3-6 years old
79. Patient cold what labs to get?: Check TSH.
60. Medication for NMS?: Dantrolene and bromocriptine
80. patient continues to say "I dont know": depression, not
61. Medicine that can cause mania: steroids/prenisolone,
dementia
antabuse, isoniazid,
quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf quizletpmhnp_organized.pdf
