PMHNP ACTUAL EXAM 2024 WITH COMPLETE UPDATED SOLUTIONS

When to assess a patient in restraints for face/face 1 hour then 8 hours therapeutic communication open ended, 'tell me' Reluctant/silent patient open ended questions Patients husband shows up but not the patient both people need to be present, reschedule Abnormal Trendelenburg Test Hip disease, refer child out, assessed during head to toe Hamilton Depression Scale i. Severe 19- 23 (monitor for SI) ii. Moderate 14 - 18 iii. Mild 8 -13 0-7 normal GAD-7 scale More than 15 severe HAM-A Hamilton Anxiety Scale, most commonly used 14 domains, 14=mild, 18-24= moderate, 25-30=severe Anxiety 25/15 severe Scope of practice comes from the state, board of nursing/american nurse association Elderly patient with dementia how do you know id can give consent Able to repeat back risks and benefits elements= nature/pupose of tx, risks/benefits of tx, risks/benefits not doing tx, alternatives, diagnosis/prognosis Patient moving states, what do you do with medication? send enough medication is standard of practice just culture refers to an organization's commitment to accountability and a focus supporting universal safety in health care. Find out the error ad where went wrong 2 classes of medications that should not be used together? Ace inhibitors and ARBs together Keeping chronically mentally ill in the community? ACT model Law that makes sure people with mental health issues get the same financial treatment? Parity Laws Brother sexually abusing sister make sure that he is not left alone with her and call CPS, mandatory reporter, arrange crisis therapy Kleinfelter's Syndrome male with more than one X chromosome (XXY), little to no sperm, fertility treatment clozaril wbc+anc If less than 950 discontinue the medication and get a repeat level, 1000 is the cutoff 1.5-2 cbc biweekly 1-1.5 hold, cbc q dayx 3 weeks less than 1- Stop medication 12.5initial, target 300-900mg/d once or bid schizophenrenia/pscyhosis agranulocytosis, seizures, myocarditis