NR547 / NR 547 Final Study Guide –
PMHNP EXAM
Acute management of acute bipolar II depression - ANS-Mood stabilizers and antipsychotics
Quetiapine monotherapy is suggested first line - Assess reaction after 2 weeks of treatment;
Lithium and lamotrigine are 2d-line options
Acute control of mania or hypomania - ANS-Provide preliminary control in a tranquil
environment with reduced stimuli, and attempt verbal de-escalation
lithium is powerful and ought to be considered first line
Other first-line initial options for monotherapy are divalproex sodium or an abnormal
antipsychotic which includes aripiprazole, asenapine, cariprazine, paliperidone, risperidone, or
quetiapine
First-line combination treatments with good proof include combos of lithium or divalproex
sodium and an peculiar antipsychotic along with risperidone, quetiapine, aripiprazole, or
asenapine.
Adjustment ailment with depressed mood - ANS-Adjustment Disorder with Depressed Mood,
additionally referred to as Situational Depression, might also on occasion experience nearly as
bleak as MDD, however a main difference is that it does no longer arise suddenly.
Rather, situational depression happens after there is a selected trauma-divorce, accident, dying
of loved one, a chief life trade...
Aggressive control of acute mania - ANS-Administration of a hastily performing nonoral
antipsychotic or benzodiazepine can be necessary.
Suggested first-line alternatives include intramuscular olanzapine, inhaled loxapine, or
intramuscular lorazepam.[
Antidepressant medications used to deal with depressive signs - ANS-SSRI
SNRI
TCS
MAOI's
,ASQ screening - ANS-The Ask Suicide-Screening Questions (ASQ) device is a short proven
device for use amongst both youth and adults.
Assessing Depression in Patients with Dementia - ANS-Self-reporting scales, including the
GDS, may be irrelevant.
Cornell Scale for Depression in Dementia may be used to display now not diagnose.
Bipolar - Sleep disruptions - ANS-If there's a suspicion of obstructive sleep apnea, frequently
comorbid with obesity, a nap take a look at might be recommended.
Bipolar and associated sickness due to some other medical circumstance - ANS-Prominent and
chronic disturbance of mood characterised by using elevated, expansive, or irritable temper and
abnormally increased activity or power that develops because the direct pathophysiological
effect of every other scientific circumstance (e.G. Hyperthyroidism, Cushing syndrome)
Bipolar commonplace comorbidities - ANS-Substance misuse disorders,
anxiety issues,
panic issues,
interest-deficit disease,
character ailment,
not unusual scientific situations" such as obesity, diabetes, hypertension, migraine, and irritable
bowel syndrome.
Bipolar sickness - ANS-A recurrent and regularly persistent mental illness marked with the aid of
episodes of hypomania or mania and melancholy, related to a trade or impairment in
functioning.
Bipolar I and II problems - ANS-These temper disorders consist of mood swings that range from
highs (mania) to lows (melancholy). It's occasionally tough to distinguish between bipolar
disease and depression.
Bipolar I Disorder Criteria - ANS-Characterized via manic episodes, which are wonderful periods
of abnormally and consistently accelerated, expansive, or irritable mood, with abnormally and
persistently accelerated energy or activity, lasting for as a minimum 1 week.
Lifetime prevalence of a first-rate depressive episode isn't always a requirement for analysis,
maximum human beings with bipolar I ailment will revel in a chief depressive episode in some
unspecified time in the future all through their lives.
At least 1 manic episode
Bipolar II standards - ANS-Characterized with the aid of a modern or beyond hypomanic
episode and a modern or past essential depressive episode.
, Hypomanic episodes present with comparable symptoms as mania but motive much less
impairment and are of shorter length, lasting for as a minimum 4 consecutive days
Never had a full manic episode; at least 1 hypomanic episode and at least 1 essential
depressive episode
Bipolar Rapid biking - ANS-Rapid-cycling bipolar disease is characterised by four or extra mood
episodes in a 12-month length; it is greater resistant to pharmacologic treatment and can be
worsened by way of conventional antidepressants
Bipolar screening - BSS - Bipolar Spectrum Scale - ANS-A self-rated instrument presented in
tale layout that is touchy to diffused signs and symptoms of bipolar ailment
Bipolar screening - MDQ - Mood ailment questionnaire - ANS-Non-diagnostic, self-rated device
that gives information to customers who may also want extra assessment.
Brain Magnetic Resonance Imaging - Bipolar - ANS-For new-onset mania or atypical
presentations, MRI is recommended best to rule out an organic etiology, together with mind
tumor or more than one sclerosis, although a few proof points to nonspecific complete brain and
local mind extent changes in organizations of sufferers with bipolar disease
Cause of Depression - ANS-Though the exact purpose is unknown, despair is motivated by
using genetic and environmental elements.
Stressful existence activities, inclusive of giving start or experiencing emotional trauma, can
contribute to the development of melancholy.
Center for Epidemiologic Studies Depression Scale (CES-D) - ANS-Designed for use inside the
popular population and is now used as a screener for depression in primary care settings.
It consists of 20 self-document gadgets, scored on a four-point scale, which degree principal
dimensions of depression experienced inside the beyond week.
The CES-D can be used for youngsters as young as 6 and thru older maturity. It has been
examined throughout gender and cultural populations and keeps constant validity and reliability.
The scale takes about 20 mins to administer, which include scoring.
Children's Depression Inventory - ANS-may be utilized in both educational and clinical settings
to evaluate depressive signs in kids and youth
(7-17 years antique)
CDI 2 can aid inside the early identity of depressive signs, the diagnosis of despair and
associated disorders, in addition to, the tracking of remedy effectiveness
PMHNP EXAM
Acute management of acute bipolar II depression - ANS-Mood stabilizers and antipsychotics
Quetiapine monotherapy is suggested first line - Assess reaction after 2 weeks of treatment;
Lithium and lamotrigine are 2d-line options
Acute control of mania or hypomania - ANS-Provide preliminary control in a tranquil
environment with reduced stimuli, and attempt verbal de-escalation
lithium is powerful and ought to be considered first line
Other first-line initial options for monotherapy are divalproex sodium or an abnormal
antipsychotic which includes aripiprazole, asenapine, cariprazine, paliperidone, risperidone, or
quetiapine
First-line combination treatments with good proof include combos of lithium or divalproex
sodium and an peculiar antipsychotic along with risperidone, quetiapine, aripiprazole, or
asenapine.
Adjustment ailment with depressed mood - ANS-Adjustment Disorder with Depressed Mood,
additionally referred to as Situational Depression, might also on occasion experience nearly as
bleak as MDD, however a main difference is that it does no longer arise suddenly.
Rather, situational depression happens after there is a selected trauma-divorce, accident, dying
of loved one, a chief life trade...
Aggressive control of acute mania - ANS-Administration of a hastily performing nonoral
antipsychotic or benzodiazepine can be necessary.
Suggested first-line alternatives include intramuscular olanzapine, inhaled loxapine, or
intramuscular lorazepam.[
Antidepressant medications used to deal with depressive signs - ANS-SSRI
SNRI
TCS
MAOI's
,ASQ screening - ANS-The Ask Suicide-Screening Questions (ASQ) device is a short proven
device for use amongst both youth and adults.
Assessing Depression in Patients with Dementia - ANS-Self-reporting scales, including the
GDS, may be irrelevant.
Cornell Scale for Depression in Dementia may be used to display now not diagnose.
Bipolar - Sleep disruptions - ANS-If there's a suspicion of obstructive sleep apnea, frequently
comorbid with obesity, a nap take a look at might be recommended.
Bipolar and associated sickness due to some other medical circumstance - ANS-Prominent and
chronic disturbance of mood characterised by using elevated, expansive, or irritable temper and
abnormally increased activity or power that develops because the direct pathophysiological
effect of every other scientific circumstance (e.G. Hyperthyroidism, Cushing syndrome)
Bipolar commonplace comorbidities - ANS-Substance misuse disorders,
anxiety issues,
panic issues,
interest-deficit disease,
character ailment,
not unusual scientific situations" such as obesity, diabetes, hypertension, migraine, and irritable
bowel syndrome.
Bipolar sickness - ANS-A recurrent and regularly persistent mental illness marked with the aid of
episodes of hypomania or mania and melancholy, related to a trade or impairment in
functioning.
Bipolar I and II problems - ANS-These temper disorders consist of mood swings that range from
highs (mania) to lows (melancholy). It's occasionally tough to distinguish between bipolar
disease and depression.
Bipolar I Disorder Criteria - ANS-Characterized via manic episodes, which are wonderful periods
of abnormally and consistently accelerated, expansive, or irritable mood, with abnormally and
persistently accelerated energy or activity, lasting for as a minimum 1 week.
Lifetime prevalence of a first-rate depressive episode isn't always a requirement for analysis,
maximum human beings with bipolar I ailment will revel in a chief depressive episode in some
unspecified time in the future all through their lives.
At least 1 manic episode
Bipolar II standards - ANS-Characterized with the aid of a modern or beyond hypomanic
episode and a modern or past essential depressive episode.
, Hypomanic episodes present with comparable symptoms as mania but motive much less
impairment and are of shorter length, lasting for as a minimum 4 consecutive days
Never had a full manic episode; at least 1 hypomanic episode and at least 1 essential
depressive episode
Bipolar Rapid biking - ANS-Rapid-cycling bipolar disease is characterised by four or extra mood
episodes in a 12-month length; it is greater resistant to pharmacologic treatment and can be
worsened by way of conventional antidepressants
Bipolar screening - BSS - Bipolar Spectrum Scale - ANS-A self-rated instrument presented in
tale layout that is touchy to diffused signs and symptoms of bipolar ailment
Bipolar screening - MDQ - Mood ailment questionnaire - ANS-Non-diagnostic, self-rated device
that gives information to customers who may also want extra assessment.
Brain Magnetic Resonance Imaging - Bipolar - ANS-For new-onset mania or atypical
presentations, MRI is recommended best to rule out an organic etiology, together with mind
tumor or more than one sclerosis, although a few proof points to nonspecific complete brain and
local mind extent changes in organizations of sufferers with bipolar disease
Cause of Depression - ANS-Though the exact purpose is unknown, despair is motivated by
using genetic and environmental elements.
Stressful existence activities, inclusive of giving start or experiencing emotional trauma, can
contribute to the development of melancholy.
Center for Epidemiologic Studies Depression Scale (CES-D) - ANS-Designed for use inside the
popular population and is now used as a screener for depression in primary care settings.
It consists of 20 self-document gadgets, scored on a four-point scale, which degree principal
dimensions of depression experienced inside the beyond week.
The CES-D can be used for youngsters as young as 6 and thru older maturity. It has been
examined throughout gender and cultural populations and keeps constant validity and reliability.
The scale takes about 20 mins to administer, which include scoring.
Children's Depression Inventory - ANS-may be utilized in both educational and clinical settings
to evaluate depressive signs in kids and youth
(7-17 years antique)
CDI 2 can aid inside the early identity of depressive signs, the diagnosis of despair and
associated disorders, in addition to, the tracking of remedy effectiveness
