PMHNP BOARD SET WITH 280 QUESTIONS AND ANSWERS
Drug affects Flonase (just know that Flonase has interaction with Zatac & Tegretol - -- Zantac (histamine
2 blocker) antagonist
(ALL Steroids) can induce MANIA and DEPRESSION - If you have a patient with bipolar disorder who is
stable on a mood stabilizer and becomes manic after prescription of a steroid, the mood stabilizer will
need to be increased. If you have a patient with MDD who is stable on an antidepressant and becomes
depressed after starting a steroid, you may need to increased the antidepressant - just remember
though, make sure you understand what the question is asking - safety first
-- The question is pt. is on interferon, Wellbutrin and Lexapro. - -- increase Lexapro.
- Rationale: interferon induces depression and to help with that you increase Lexapro cause if you
increase Wellbutrin -> increases seizure risk
-. Aggressive patient to give - -- IM Geodon
-. Child reports Sexual abuse - -- Interview the young child and infants with parent
-. Culture questions : A man injects himself - -- "Tell me more about the medications"
-. Pt wants to stop medications - -- Explore reason for stopping it's their right
-· Patient taking lithium who decreases sodium intake? - -
-· Patient taking lithium who gets dehydrated? - -- Levels increased
-*SIGECAPS* of Depression - -- Sleep
- Guilt
- Energy
- Concentration
- Appetite
- Psychomotor retardation
- Suicide
-1. A pt states that she has been raped what do you do? - -- Ensure safety
-1. Change agent - -- The person formally in charge of guiding a change effort
- Administrator - Usually the person on top in the facility is responsible for being the change agent.
-1. Lesion in frontal cortex - -- Impaired cognitive functions
-1. Medicare - -- A federal program of health insurance for persons 65 years of age and older
-1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - -Lithium toxicity
-1. Pt with eating disorder states getting full - -- Bloating delayed Gastric emptying
,-1. What do you do when a patient is on Tegretol and their ANC < 1000? - -- Stop and repeat lab
- Normal is 1500-8000 mm3
-1. What do you see in labs with HIV dementia? - -- CD4 < 200
- Viral load is high
- < 20% get it with antiretroviral treatment
-1. What does an increased retic count indicate? - -- Bone marrow disorder or Vitamin deficiency
A reticulocyte count is a test to measure the level of reticulocytes in your blood. It's also known as a
retic count
ü Normal range: 0.5 percent to 1.5 percent
-1. What does Erythromycin to Trileptal? - -- Erythromycin is INHIBITOR which Increase Trileptal level
- You will need to decrease Trileptal dose
-1. What does it mean when an Asian patient does not make eye contact with the NP? - -- Sign of respect
-1. What does messenger RNA code for? - -- Amino Acids
-1. What happens if a patient refuses to sign an ROI (Release of information)? - -- Can decline to treat
- Health plan may condition enrollment on provision of consent
-1. What happens if a pregnant woman takes Accutane (treat acne)? - -- Birth defects
-1. What happens to the brain during adolescence? - -- Dendritic pruning
- Emotions are controlled by amygdala
- By adulthood, PFC involved as well
-1. What happens with a patient taking lithium and who drinks a lot of water? - -- Level decreased
-13-year-old want to smoke - -- Ask him of his plan to stop smoking
-14-year-old girl clenching her teeth - -- Cranial nerve V-Trigeminal nerve
-16-year-old falls with the wrong crowd - -- Conduct disorder
-16-year-old refuse treatment - -- Send to psych specialist for acting out kids
-16-year-old shows up with mother for first therapy - -- Confidential (mom sits in lobby)
-1Can you take Klonopin during pregnancy? - -- Category C: Avoid if possible; does excrete into breast-
milk and infant could get withdrawal symptoms
- Floppy baby
-3-year-old masturbates, play with self, says naughty things - -Normal for Piaget
, -5-year-old tells you his brother sodomized him - -- Tell mom don't leave him alone with patient and call
CPS implement crisis
-A client with Herpes Zoster - 3 weeks later experiences sleep difficulties and sad mood - -Adjustment
Disorder WITH Depressed Mood
-A man states his wife was so good if he could only be like her. What is this - -IDEALIZATION
-ACE inhibitors - -- HTN
-ACE inhibitors are the drug of choice for what? - -- Heart failure/HTN
-Acute stress disorder (ASD) - -- Can be 2 to 4 weeks ( less than a month)
-ADPIE - -• 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 - -- Buspar
-agoraphobia - -fear of open spaces
-Agoraphobia treatment - -*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) - -• 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 - -- A limbic system structure involved in memory and emotion, anxiety, particularly fear and
aggression
-Amygdala: - -- Fear, anxiety, and aggression
Drug affects Flonase (just know that Flonase has interaction with Zatac & Tegretol - -- Zantac (histamine
2 blocker) antagonist
(ALL Steroids) can induce MANIA and DEPRESSION - If you have a patient with bipolar disorder who is
stable on a mood stabilizer and becomes manic after prescription of a steroid, the mood stabilizer will
need to be increased. If you have a patient with MDD who is stable on an antidepressant and becomes
depressed after starting a steroid, you may need to increased the antidepressant - just remember
though, make sure you understand what the question is asking - safety first
-- The question is pt. is on interferon, Wellbutrin and Lexapro. - -- increase Lexapro.
- Rationale: interferon induces depression and to help with that you increase Lexapro cause if you
increase Wellbutrin -> increases seizure risk
-. Aggressive patient to give - -- IM Geodon
-. Child reports Sexual abuse - -- Interview the young child and infants with parent
-. Culture questions : A man injects himself - -- "Tell me more about the medications"
-. Pt wants to stop medications - -- Explore reason for stopping it's their right
-· Patient taking lithium who decreases sodium intake? - -
-· Patient taking lithium who gets dehydrated? - -- Levels increased
-*SIGECAPS* of Depression - -- Sleep
- Guilt
- Energy
- Concentration
- Appetite
- Psychomotor retardation
- Suicide
-1. A pt states that she has been raped what do you do? - -- Ensure safety
-1. Change agent - -- The person formally in charge of guiding a change effort
- Administrator - Usually the person on top in the facility is responsible for being the change agent.
-1. Lesion in frontal cortex - -- Impaired cognitive functions
-1. Medicare - -- A federal program of health insurance for persons 65 years of age and older
-1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - -Lithium toxicity
-1. Pt with eating disorder states getting full - -- Bloating delayed Gastric emptying
,-1. What do you do when a patient is on Tegretol and their ANC < 1000? - -- Stop and repeat lab
- Normal is 1500-8000 mm3
-1. What do you see in labs with HIV dementia? - -- CD4 < 200
- Viral load is high
- < 20% get it with antiretroviral treatment
-1. What does an increased retic count indicate? - -- Bone marrow disorder or Vitamin deficiency
A reticulocyte count is a test to measure the level of reticulocytes in your blood. It's also known as a
retic count
ü Normal range: 0.5 percent to 1.5 percent
-1. What does Erythromycin to Trileptal? - -- Erythromycin is INHIBITOR which Increase Trileptal level
- You will need to decrease Trileptal dose
-1. What does it mean when an Asian patient does not make eye contact with the NP? - -- Sign of respect
-1. What does messenger RNA code for? - -- Amino Acids
-1. What happens if a patient refuses to sign an ROI (Release of information)? - -- Can decline to treat
- Health plan may condition enrollment on provision of consent
-1. What happens if a pregnant woman takes Accutane (treat acne)? - -- Birth defects
-1. What happens to the brain during adolescence? - -- Dendritic pruning
- Emotions are controlled by amygdala
- By adulthood, PFC involved as well
-1. What happens with a patient taking lithium and who drinks a lot of water? - -- Level decreased
-13-year-old want to smoke - -- Ask him of his plan to stop smoking
-14-year-old girl clenching her teeth - -- Cranial nerve V-Trigeminal nerve
-16-year-old falls with the wrong crowd - -- Conduct disorder
-16-year-old refuse treatment - -- Send to psych specialist for acting out kids
-16-year-old shows up with mother for first therapy - -- Confidential (mom sits in lobby)
-1Can you take Klonopin during pregnancy? - -- Category C: Avoid if possible; does excrete into breast-
milk and infant could get withdrawal symptoms
- Floppy baby
-3-year-old masturbates, play with self, says naughty things - -Normal for Piaget
, -5-year-old tells you his brother sodomized him - -- Tell mom don't leave him alone with patient and call
CPS implement crisis
-A client with Herpes Zoster - 3 weeks later experiences sleep difficulties and sad mood - -Adjustment
Disorder WITH Depressed Mood
-A man states his wife was so good if he could only be like her. What is this - -IDEALIZATION
-ACE inhibitors - -- HTN
-ACE inhibitors are the drug of choice for what? - -- Heart failure/HTN
-Acute stress disorder (ASD) - -- Can be 2 to 4 weeks ( less than a month)
-ADPIE - -• 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 - -- Buspar
-agoraphobia - -fear of open spaces
-Agoraphobia treatment - -*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) - -• 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 - -- A limbic system structure involved in memory and emotion, anxiety, particularly fear and
aggression
-Amygdala: - -- Fear, anxiety, and aggression
