PMHNP board set Exam with complete solutions

PMHNP board set Exam with complete solutions increase prolactin - Answer ️️ -- Stop prolactin (stop the agent that cause increase prolactin) 3-year-old masturbates, play with self, says naughty things - Answer ️️ -Normal for Piaget 5-year-old tells you his brother sodomized him - Answer ️️ -- Tell mom don't leave him alone with patient and call CPS implement crisis 13-year-old want to smoke - Answer ️️ -- Ask him of his plan to stop smoking 14-year-old girl clenching her teeth - Answer ️️ -- Cranial nerve V-Trigeminal nerve 16-year-old falls with the wrong crowd - Answer ️️ -- Conduct disorder 16-year-old refuse treatment - Answer ️️ -- Send to psych specialist for acting out kids 16-year-old shows up with mother for first therapy - Answer ️️ -- Confidential (mom sits in lobby) ACE inhibitors - Answer ️️ -- HTN ACE inhibitors are the drug of choice for what? - Answer ️️ -- Heart failure/HTN Acute stress disorder (ASD) - Answer ️️ -- Can be 2 to 4 weeks ( less than a month) ADPIE - Answer ️️ -• Assessment: 1st step, subjective and objective data • Diagnosis: analysis, formulation of nursing diagnosis • Planning: prioritizing problems, determining goals, plan of care • Implementation: nursing action (rather than medical action) • Evaluating: comparing outcomes, communicate and document findings Adult panic disorder - Answer ️️ -- Buspar Lithium level 1.2 what are you concerned with - Answer ️️ -- 4+ Ketones Labs for Kidney compromised it is wrong Urine kidney problem 1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - Answer ️️ -Lithium toxicity Ibuprofen and lithium - Answer ️️ -INCREASES the serum level up to double Lab Values concerning for patient on Lithium: - Answer ️️ -o Leukocytosis o Creatinine o BUN o NA+ o 4 + PORTEIN in Urine o + Pregnancy Test Lithium toxicity - Answer ️️ -o Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic taste and SEVERE tremor. . Aggressive patient to give - Answer ️️ -- IM Geodon agoraphobia - Answer ️️ -fear of open spaces Agoraphobia treatment - Answer ️️ -*BZDs* - short term symptom relief *SSRIs* - long-term maintenance fluoxetine (Prozac) paroxetine (Paxil) sertraline (Zoloft) *SNRIs* - long-term maintenance venlafaxine (Effexor) *TCAs* - long-term maintenance imipramine Alprostadil (PGE1) - Answer ️️ -• Ductal-dependent Congenital Heart Disease (all forms) • 0.05-0.1 μg/kg/min IV/IO infusion initially, then 0.01-0.05 μg/kg/min IV/IO In babies with congenital heart defects, it is used by slow injection into a vein to open the ductus arteriosus until the surgery can be carried out. By injection into the penis or placement in the urethra, it is used to treat erectile dysfunction . Amygdala: - Answer ️️ -- Fear, anxiety, and aggression Amygdala - Answer ️️ -- A limbic system structure involved in memory and emotion, anxiety, particularly fear and aggression Anorexia (SAFETY = KEY) - Answer ️️ -- Set up family therapy (especially adolescent pts since they have no control over food choices) Anorexia admission criteria for hospitalization - Answer ️️ -- Weight loss over 30 % over 6 months, severe hypothermia (temp lower t