PMHNP Exam Reported Questions images, pmhnp with verified solutions

DBT (dialectical behavior therapy) relaxation muscle prior to DBT Greatest patient at risk for Violence Substance abuse EMDR (eye movement desensitization and reprocessing) eye movement desensitization and reprocessing What is dissemination? Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? Moderate cognitive impairment What is Tegretol in the CYP450 system? Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? Inducer - will lower dose of Lamictal What is a Type I research error? There IS a difference but you say there isn't a difference. What is a Type II research error? There is NO difference but you say there is a difference. What is pseudo-dementia? Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve. Is it normal for a 1 month old to have a palmar grasp? Yes. What is a drug 1/2 life? The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? HLAB-1502 When might you see toxic epidermal necrolysis? With worsening of SJS How many generations do you include for a genogram? 1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? Amino Acids What is epigenetics? Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? 10-25 yo When do females typically present with schizophrenia? 25-35 yo What does Erythromycin to trileptal? You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? Agranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? CKMB What is the risk of a seriously elevated CKMB? Polymyositis Rhabdo What is a normal CKMB? 0.3 mcg/L What psychoactives does Detrol interact with? Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? CD4 <200 Viral Load is high <20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? Self-Report - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity? Helps rule-out disease = True Positive = Snout What is specificity? Helps rule-in disease = True Negative = Spin What does a sed rate measure? Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. What is a normal sed rate or ESR? 0-22 males 0-29 females What is a retic count? Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow. What does a decreased retic count indicate? Anemia - acute or chronic bleeding What does an increased retic count indicate? Bone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? Doesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and macrolides? Increase tegretol levels. What happens if a pregnant women takes Accutane? Birth defects. What labs do you get with RA? Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis. CRP and ESR are both increased in RA but NOT in osteoarthritis. Where does the NP Code of Ethics come from? ANA When do you assume informed consent? Unconscious Incompetent Life Threatening Situation What are the legal ramifications of treating w/o informed consent? Same as with informed consent Who can declare a patient incompetent and appoint a guardian? Only a court Does impaired judgment mean one is incompetent? No. Can an advanced directive ever be revoked? Yes, at any time. What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? Nothing. They are all the same. Does the de facto rule of proxy apply in same sex marriages? No. How do Asians see HC providers? As in a position of authority. Expect to give instructions and help make decisions What does it mean when an Asian patient does not make eye contact with the NP? SIgn of respect What is the evil eye? When a stronger or more powerful person looks at a weaker person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness. How do you protect from the evil eye? Red ribbon on an infant Amulet for adults How do you treat for evil eye? Access traditional healer + traditional care. For there to be a duty to a patient, what must exist? Relationship What is a proximate cause? Connection between A + B. For there to be damages, what must exist first? Negligence What is an occurrence basis liability insurance? "occurred" during the policy period, no matter when the claim is brought against the insured