PMHNP ANCC Certification 1 Exam with correct Answers

PMHNP ANCC Certification 1 Exam with correct Answers A rehab facility is requesting labs. What do you need to do before sending them over? - Answer ️️ -Obtain informed consent What ethnic group in the US has the highest rate of SI and SA? - Answer ️️ -Native Americans Which ethnic group may believe in a Healing Stick? - Answer ️️ -Native Americans Can traditional Native American healers receive a patient's health information? - Answer ️️ - Yes, with a request and informed consent from the patient. What is a normal TSH level - Answer ️️ -0.5-5.0 mU/L Does hypothyroidism have a TSH lower or higher than the normal level? - Answer ️️ -Higher TSH level and lower T3/T4 What is a serious side effect of Kava Kava - Answer ️️ -liver damage, must check LFT What are serious side effects of Divalproex Sodium (Depakote) - Answer ️️ -Hepatic toxicity and pancreatitis Can patients on Kava Kava receive benzodiazpines? - Answer ️️ -No, Kava Kava is used to treat insomnia. Therefore, sleeping agents and other medications that can cause a patient to be tired should be avoided. What are the symptoms of Stevens Johnson Syndrome and what two mood stablilzers carry a risk for SJS - Answer ️️ -Red rash, fever, body ahes, swollen face and tongue; carbamazepine and lamictal Which mood stabilizer has the lowest risk of weight gain? - Answer ️️ -Lamictal What tests should be completed prior to starting a patient on an atypical antipsychotic? - Answer ️️ -Lipid panel, A1C or serum glucose, BMI, and girth A patient is stable on Seroquel but has started to gain a substantial amount of weight. What should your next step be? - Answer ️️ -Continue the medication as it appears to be working, develop a nutritional and exercise plan for patient, if the patient continues to gain weight. Switch to medications Geodone, Abilify, or Lurasidone. What are the 3 As that are risk factors with Carbamazepine? - Answer ️️ -Aplastic anemia, agranulocytosis, Asian ethnicity What lab level requires the provider to immediately discontinue treatment with Clozapine? - Answer ️️ -ANC less than 1000 What is the therapeutic level for Lithium? - Answer ️️ -0.6-1.2 mEq/L What is the gold standard pharmacological treatment for mania? - Answer ️️ -Lithium What are signs of Lithium toxicity? - Answer ️️ -severe NVD, confusion, drowsiness, muscle weakness, heart palpitations, tremor, ataxia. Immediately discontinue lithium and recheck lithium level, then check vitals and ecg. What is the one antipsychotic shown to reduce the risk of suicide? - Answer ️️ -Clozapine Which medications reduce renal clearance of Lithium? - Answer ️️ -Thiazide, NSAIDS, ACE inhibitors and some other cardiac meds. What are the main symptoms of Neuroleptic Malignant Syndrome and what is the cause? - Answer ️️ -extreme muscle rigidity, mutism, elevated CPK, WBC and LFTs. How do you treat NMS? - Answer ️️ -discontinue offending agent, and start Bromocriptine or Dantrolene. What are the symptoms of serotonin syndrome and what causes it? - Answer ️️ -hyperflexia, myoclonic jerks, SS