PMHNP Certification Exam Prep complete solution

PMHNP Certification Exam Prep complete solution 1. autosomal dominant: genetic inheritance. will present in more than one gen- eration. 50/50 chance of passing on trait (Huningtons) 2. autosomal recessive: two copies must be present (cystic fibrosis 3. SLUMS: 11 items. Max 30, 27-30 normal for high school education, 21-60 mild neurocognitive disorder, 0-20 dementia 4. MMSE: 11 components. Max 30, no impairment 24-30 Delirium/dementia 18-23 mild, 0-7 severe 5. SLAP: suicide assessment. Social support, Lethality, Access to means, Plan/Previous attempt 6. Hamilton Anxiety Rating scale: most popular anxiety scale 7. Vanderbilt Assessment Scale: free ADHD assessment tool 8. Abnormal Involuntary Movement Scale (AIMS): total score is less important than monitoring areas of the body. 2 or more is positive. Question 7 examines trunk movements 9. PET scan: localizes mental activities, primarily as experimental basis and is very expensive 10. tender lymph node: classic sign of infection 11. rubbery lymph node: classic sign of lymphoma 12. soft lymph node: insignificant 13. nontender lymph node: classic sign of potential malignancy 14. lymph node size: insignificant if less than 2cm, 3cm in axilla and inguinal. but if supraclavicular fossa, >1cm is significant 15. lasts longest in the urine: cannabis. 3 days to 4 weeks 16. Medicare B screening coverage: for cervical, breast, prostate, colorectal cancer 17. top 4 killers of adults in US: heart disease, cancer, lower resp disease, CVA 18. lung cancer: highest cancer mortality in women and men, 19. primary prevention: PROMOTES health PRIOR. healthy diet, exercise, avoid- ing things 20. secondary prevention: focuses on early identification and treatment of exist- ing problems. includes REGULAR exams and screening like pap 21. tertiary prevention: rehab and restoration of health 22. hepatitis A vaccine: for military, travelers to endemic areas, men who have sex with men 23. low T4: indicates disease state is due to thyroid gland 24. hyperthyroid: low TSH, high or normal T4 mimics mania 25. hypothyroid: high TSH, low T4 mimics depression 26. Chlamydia treatment: zithromax OR doxy. report to health department 27. Gonorrhea: rocephin 250mg IM one dose + ziethromax 1gm one dose 28. Syphilis: benzathine penicillin G 2.4 million units IM. how often depends on the stage. doxy if allergic 29. Structure of the mind: Id: unconscious instinctual drives, pleasure principle Ego: rational, maintains harmony between id and superego Superego: perfection principles, forms the conscious 30. relief behaviors: actions, healthy and not healthy, to reduce stress 31. Goals of therapy: make the unconscious conscious and strengthen the ego so that behavior is based more on reality and less on instinctual drives 32. Interpersonal Therapy: Harry Stack Sullivan good me, bad