PMHNP Exam Reported Questions with complete solutions 2023.

PMHNP Exam Reported Questions with complete solutions 2023. ANPS 8013 - correct answers.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? - correct answers.Moderate cognitive impairment What is Tegretol in the CYP450 system? - correct answers.Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? - correct answers.Inducer - will lower dose of Lamictal What is a Type I research error? - correct answers.There IS a difference but you say there isn't a difference. What is a Type II research error? - correct answers.There is NO difference but you say there is a difference. What is pseudo-dementia? - correct answers.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? - correct answers.Yes. What is a drug 1/2 life? - correct answers.The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? - correct answers.Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? - correct answers.Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? - correct answers.HLAB-1502 When might you see toxic epidermal necrolysis? - correct answers.With worsening of SJS How many generations do you include for a genogram? - correct answers.1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? - correct answers.Amino Acids What is epigenetics? - correct answers.Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? - correct answers.Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? - correct answers.Dendritic pruning Emotions are controlled by amygdala By adulthood, PFC involved as well When do males typically present with schizophrenia? - correct answers.10-25 yo When do females typically present with schizophrenia? - correct answers.25-35 yo What does Erythromycin to trileptal? - correct answers.You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? - correct answers.Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs - correct answers.Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? - correct answers.Agranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? - correct answers.CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? - correct answers.CKMB What is the risk of a seriously elevated CKMB? - correct answers.Polymyositis Rhabdo What is a normal CKMB? - correct answers.0.3 mcg/L What psychoactives does Detrol interact with? - correct answers.Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? - correct answers.CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? - correct answers.CD4 <200 Viral Load is high <20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? - correct answers.Self-Report - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity? - correct answers.Helps rule-out disease = True Positive = Snout What is specificity? - correct answers.Helps rule-in disease = True Negative = Spin What does a sed rate measure? - correct answers.Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. What is a normal sed rate or ESR? - correct answers.0-22 males 0-29 females What is a retic count? - correct answers.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? - correct answers.Anemia - acute or chronic bleeding What does an increased retic count indicate? - correct answers.Bone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? - correct answers.Doesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and macrolides? - correct answers.Increase tegretol levels. What happens if a pregnant women takes Accutane? - correct answers.Birth defects. What labs do you get with RA? - correct answers.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? - correct answers.ANA When do you assume informed consent? - correct answers.Unconscious Incompetent Life Threatening Situation What are the legal ramifications of treating w/o informed consent? - correct answers.Same as with informed consent Who can declare a patient incompetent and appoint a guardian? - correct answers.Only a court Does impaired judgment mean one is incompetent? - correct answers.No. Can an advanced directive ever be revoked? - correct answers.Yes, at any time. What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - correct answers.Nothing. They are all the same. Does the de facto rule of proxy apply in same sex marriages? - correct answers.No. How do Asians see HC providers? - correct answers.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? - correct answers.SIgn of respect What is the evil eye? - correct answers.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? - correct answers.Red ribbon on an infant Amulet for adults How do you treat for evil eye? - correct answers.Access traditional healer + traditional care. For there to be a duty to a patient, what must exist? - correct answers.Relationship What is a proximate cause? - correct answers.Connection between A + B. For there to be damages, what must exist first? - correct answers.Negligence What is an occurrence basis liability insurance? - correct answers."occurred" during the policy period, no matter when the claim is brought against the insured What is a claims made/based liability insurance? - correct des coverage for a claim that is brought within the policy period, no matter when the loss occurred.