Psychiatric NP exam (all answers are 100% correct)

Under HIPPA, what is the insurance policy that allows you to hold the company's insurance for 18 months after leaving job? correct answers COBRA T/F a patient has a right to make changes to their chart as well as see it correct answers True Summarize general goals for healthy people 2020 correct answers Increase the quality and years of life while eliminating health disparities What are the 5 conditions NPs are required to report? correct answers STDs like Gonorhea, Chlamydia, and Syphillis, as well as TB and HIV (as well as animal bites) Nurse practitioners are legally required to report what kind of abuse, and what kind is allowed to be left alone? correct answers Child and elder abuse, but domestic violence is not required to be legally reported What percentage of mental illnesses appear by the age of 18? correct answers 75% Genetic inheritance that will be present in more than one generation? correct answers Autosomal dominant (rare) like huntington's disease What is the difference between a normal grief response and a protracted grief response? correct answers protractive grief response is a risk for pathology characterized by a loss of self esteem which does not happen with normal grief What is the rate of schizophrenia admissions to the hospital when both parents are infected by the illness? one parent? both bipolar? one bipolar? correct answers almost 40%, 7%, almost 25% and almost 5% respectively. How would you treat someone who is psychotropic naive? correct answers use lower doses due to no tolerance and no down regulation. When asking a patient about medical history during a psychiatric interview, what diseases should we pay particular attention to? Why? correct answers Autoimmune conditions (possible use of steroids), metabolic syndrome like heart disease, hyperlipidemia, and diabetes. These can be made worse in the presence of psychiatric illness or vice versa. Describe normal patterns of sleep correct answers Begin in Non-Rem (Stage 1), move into deeper non-rem or slow wave sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes later and repeats with each REM stage lasting longer. What kind of sleep declines markedly with organic brain dysfunction and is sensitive to temperature extremes? correct answers REM