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Exam (elaborations)

PMHNP board set QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)

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PMHNP board set QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)

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PMHNP IQ
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PMHNP IQ











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Institution
PMHNP IQ
Course
PMHNP IQ

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Uploaded on
September 27, 2024
Number of pages
68
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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PMHNP board set


1.increase prolactin: - Stop prolactin (stop the agent that cause increase

prolactin)

2.3-year-old masturbates, play with self, says naughty things: Normal for

Pi- aget

3.5-year-old tells you his brother sodomized him: - Tell mom don't leave

him alone with patient and call CPS implement crisis

4.13-year-old want to smoke: - Ask him of his plan to stop smoking

5.14-year-old girl clenching her teeth: - Cranial nerve V-Trigeminal nerve

6.16-year-old falls with the wrong crowd: - Conduct disorder

7.16-year-old refuse treatment: - Send to psych specialist for acting out

kids

8.16-year-old shows up with mother for first therapy: - Confidential (mom

sits in lobby)


,9.ACE inhibitors: - HTN

10.ACE inhibitors are the drug of choice for what?: - Heart failure/HTN

11.Acute stress disorder (ASD): - Can be 2 to 4 weeks ( less than a month

12.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

13.Adult panic disorder: - Buspar

14.Lithium level 1.2 what are you concerned with: - 4+ Ketones Labs for

Kidney compromised it is wrong Urine kidney problem

15.1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity: -

Lithium toxicity

16.Ibuprofen and lithium: INCREASES the serum level up to double

17.Lab Values concerning for patient on Lithium:: o Leukocytosis



,o Creatinine

o BUN

o NA+

o 4 + PORTEIN in Urine

o + Pregnancy Test

18.Lithium toxicity: o Slurred speech, confusion, severe GI effect -

diarrhea/nau- sea/vomiting, metallic taste and SEVERE tremor.

19.. Aggressive patient to give: - IM Geodon

20.agoraphobia: fear of open spaces

21.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

22.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

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