PMHNP Boards - Georgette's Exam With Questions And Answers

PMHNP Boards - Georgette's Exam With Questions And Answers When aamany aaanswers aaare aaremarkably aasimilar, aathey aaare aausually aa_____________ aa- aacorrect aaanswerswrong When aatwo aaanswers aaare aaopposites, aausually... aa- aacorrect aaanswersone aaof aathose aatwo aais aathe aacorrect aaanswer When aalooking aaat aaquestions aaabout aaintraprofessional aacommunication: aa________ aadon't aa_________. aa- aacorrect aaanswerscollaborate, aadont aadelegate If aaasked aato aadifferentiate aa#1 aafrom aa#2; aathink aawhat aais aaunique aaabout aa_______. aa- aacorrect aaanswers#1 If aaa aaquestion aaand aaan aaanswer aause aathe aasame aawords aaor aasynonyms, aathen aathat aaanswer aais aausually aa______. aa- aacorrect aaanswerscorrect If aaan aaanswer aahas aaabsolutes aa(only, aaalways) aait aais aausually aa_________. aa- aacorrect aaanswerswrong Levels aaof aaprioritization aato aause aawhen aaanswering aaquestions: aathree aalevels. aa- aacorrect aaanswers1. aaAirwa y, aabreathing, aacirculation 2. aaMaslowes aa- aaphysiological aaneeds aa(food, aawater, aawarmth, aarest), aasafey aaand aasecurity 3. aaNursing aaprocess: aaAssessment, aadiagnosis, aaplan, aaintervention, aaevaluate, aarefer aaout aalast Lithium aalevels aa- aaNormal aaand aaToxicity aa- aacorrect aaanswersNormal aa0.6-1.2 Toxicity aa> aa1.5 Lithium aatoxicity aaoccurs aaat aalevels aa- aacorrect aaanswers> aa1.5 Signs aaof aaLithium aatoxicity aa- aacorrect aaanswerssevere aanausea, aadiarrhea, aavomiting, aaconfusion, aadrowsiness, aamuscle aaweakness, aaheart aapalpitation, aacoarse aahand aatremors, aaunsteady aagait Lithium aais aagold aastandard aafor aa- aacorrect aaanswersMANIA Lithium aahas aaevidence aashown aato aa(2) aa- aacorrect aaanswers1. aareduce aasuicidal aaideation 2. aaNeuroprotective aatx aaof aachoice aafor aabipolar What aadoes aalithium aacause aain aaneonate, aaespecially aa1st aatrimester aa- aacorrect aaanswersEbstein aaanomaly aa(congenital aaheart aadefect) dehydration aaand aahyponatremia aacause aalithium aalevels aato aa- aacorrect aaanswersrise Baseline aalabs aabefore aainitiation aaof aalithium aa- aacorrect aaanswersTSH creatinine aa(0.6-1.2) BUN aa(10-20) HCG aa(all aapsychotropics aafemales aa12-51) EKG aa50+ Side aaEffects aaof aaLithium aaand aalithium aatoxicity aa- aacorrect aaanswersSIde aaEffects: aahypothyroidism, aacoarse aahand aatremors aawith aatoxicity, aadiarrhea, aaleukocytosis Toxicity: aaN/V, aaconfusion, aaconvulsions, aadrawsiness, aablurred aavision, aaslurred aaspeech, aamm aaweakness, aaheart aapalpitations, aacourse aahand aatremors, aaand aaunsteadiness aawhen aawalking aa(STOP aaand aacheck aalevels) Why aaare aaelderly aamore aasensitive aato aalithium aa(5) aa- aacorrect aaanswersDecreased aaintercellular aawater, aaprotein aabinding, aamm aamass, aaand aametabolism Increased aabody aafat MAOI aa+ aatyramine aacauses aa- aacorrect aaanswershypertensive aacrisis aa- aalife aathreatening aaand aaemergency Symptoms aaof aahypertensive aacrisis aa- aacorrect aaanswerselevated aaBP sudden aaexplosive aaoccipital aaheadache facial aaflushing palpitations pupillary aadilation diaphoresis fever Hypertensive aacrisis aaoccurs aawith aaMAOI aa+ aa- aacorrect aaanswersMEPERIDINE STIMULANTS TCAs asthma aameds antipsychotics Treatment aafor aahypertensive aacrisis aa- aacorrect aaanswersDC aaoffending aaagent Administer aaPHENTOLAMINE teratogenic aaeffects aaof aadepakote aa- aacorrect aaanswersneural aatube aadefects/spina aabifida Severe aaside aaeffect aaof aamood aastabilizers aa__ aa__ aa__ aa- aacorrect aaanswersSteven aaJohnson's aaSyndrome Signs aaof aaStevens aajohnson aasyndrome aa(SJS) aa- aacorrect aaanswersFEVER aa--high aayield facial aaswelling tongue aaswelling burning aapapule aarashe skin aasloughing prodromal aaheadache painful aamucus aamembranes Side aaeffects aaof aavalproic aaacid/divalproex aasodium aa- aacorrect aaanswershepatotoxicity aaand aapancreatitis Carbamazepine aa(tegretol) aablack aabox aawarning aa- aacorrect aaanswersagranulocytosis aa(decrease aaWBCs) aplastic aaanemia aa(pallor, aafatigue, aaHA, aafever, aanosebleeds, aableeding aagums, aaskin aarash, aaSOB) Carbamazepine aaand aaasians aa- aacorrect aaanswersFDA aaREQUIRED aaccreen aafor aaHLAB -1502 aaallele aabefore aainitiating, aadue aato aahigh aaincidence aaof aaSJS aaif aapositive aafor aaallele Child -bearing aaaged aawomen aa(Tegretol) aa- aacorrect aaanswerscheck aafor aapregnancy aabefore aastarting aamood aastabiliz er start aaon aafolic aaacid aato aasupport aaneural aatube aadevelopment aaduring aathe aafirst aamonth aathat aaa aawoman aais aapregnant aa(0.4-0.5 aamg aadaily) Clozaril/clozapine aacan aacause aa- aacorrect aaanswersagranulocytosis aaand aaneutropenia For aamonitoring aaneutropenia aain aaClozaril, aamonitor aawhat aalab aa- aacorrect aaanswersANC aaonly aa(not aain aaconjunction aawith aaWBCs) DC aaclozaril aaif aaANC aa- aacorrect aaanswersless aathan aa1000, aarisk aaof aaneuropenia Normal aa2500 -6000 DC aaclozaril aaif aaWBC aa- aacorrect aaanswers2000 -3000, aarisk aaof aaagranulocytosis Normal: aa4500 -11000 Frequency aaof aaclozaril aalabs aa- aacorrect aaanswersFirst aasix aamonths aa- aaweekly Next aasix aamonths aa- aaevery aatwo aaweeks Then aamonthly aaif aaANC aanormal When aaon aaclozaril aamonitor aafor aa- aacorrect aaanswerssigns aaand aasymptoms aaof aainfection: aasudden aafever, aachills, aasore aathroat, aaweakness Your aapatient aawith aabipolar aadisorder aais aaadmitted aato aaa aamedical aahospital. aaThe aainternist aacontacts aayour aaoffice aaand aaasks aawhether aathe aalithium aayou aaprescribed aahim aais aaeffecting aahis aaECG. aaHow aado aayou aarespond? A. aaLithium aacan aaprolong aathe aaQT aainterval B. aaLithium aahas aano aaeffect aaon aahis aaECG C. aaLithium aacan aainvert aathe aat aawaves D. aaLithium aacan aashorten aathe aaPR aainterval aa- aacorrect aaanswersAnswer: aaLithium aacan aainvert aathe aat aawaves. Mary aais aaa aa45-year-old aaAfrican aaAmerican aafemale aawho aahas aabeen aatreated aaon aaIsocarboxazid aa(Marplan) aafor aaover aa6 aayears. aaMary aais aagoing aain aafor aaa aasurgical aaprocedure. aaWhich aamedication aais aastrictly aacontraindicated aawith aaIsocarboxazid? A. aaMorphine B. aaNSAIDS C. aaMethylphenidate D. aaAcetaminophen aa- aacorrect aaanswersAnswer: aaMethylphenidate You aaare aatreating aaa aaclient aawith aaschizophrenia aawho aatakes aaclozapine. aaWhat aalab aavalues aawill aaindicate aathe aaclient aaneeds aato aadiscontinue aatreatment? A. aaWBC aaless aathan aa1800 aaand aaANC aaless aathan aa1200 B. aaANC aaless aathan aa1,000 C. aaWBC aaless aathan aa5,000 D. aaANC aaless aathan aa2000 aa- aacorrect aaanswersAnswer: aaANC aaless aathan aa1000 If aagiven aaduring aapregnancy, aasocium aavalproate aacan aacause aawhich aaof aathe aafollowing aamedical aaproblems aain aathe aababy? A. aaSJS B. aaEbstein's aaanomaly C. aaSpina aabifida D. aaCleft aapalate aa- aacorrect aaanswersA. aaSpina aabifida Which aamood aastabilizer aais aaassociated aawith aapotential aalife-threatening aarash aain aathe aaAsian aapopulation? A. aaCarbamazepine aa(tegretol) B. aaDepakote C. aaLithium D. aaLamictal aa- aacorrect aaanswersA. aaCarbamazepine