PMHNP Exam Reported Questions with correct Answers

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