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Exam (elaborations)

pmhnp exam prep

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Exam of 107 pages for the course pmhnp at pmhnp (pmhnp exam prep)

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Pmhnp
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Pmhnp
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Uploaded on
December 23, 2024
Number of pages
107
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • pmhnp
  • pmhnp exam prep

Content preview

2024X




PMHNPXExamXPrepX(2024)X||XWithXQuestionsX&X100%XCorrectXSolutions




CONCEPTIALXRESEARCH

,Pocket PMHNP Exam (2024) || Questions &
X X X X X X




Answers (Graded A+)
X X X




1.XScientificXFoundation

AX29-year-

oldXAfricanXAmericanXfemaleXwasXdiagnosedXwithXschizophreniaXapproximatelyXthreeXyea

rsXago.XAfterXmanyXtrialsXofXantipsychotics,XsheXwasXfinallyXstabilizedXonXhaloperidolXdurin

gXtheXpastXsixXmonths.XThreeXweeksXagoXsheXbeganXexhibitingXmildXpseudo-

Parkinson'sXsymptoms.

WhichXclassXofXmedicationsXwouldXbeXmostXappropriateXforXtreatingXtheseXsideXeffects?

MuscarinicX1Xantagonist

HistamineX1Xantagonist

AlphaX1XadrenergicXagonist

CholinesteraseXinhibitorX-XANSWERX-XCorrectXanswer:XMuscarinicX1Xantagonist

ExtrapyramidalXsymptomsXareXdrug-

inducedXsideXeffectsXthatXaffectXmotorXfunctioningXandXmuscleXmovement.XExtrapyramida

lXsymptomsXareXassociatedXwithXaXdeficiencyXofXdopamineXandXanXexcessXofXacetylcholin

eXinXtheXnigrostriatalXpathway.XAXcommonXtypeXofXextrapyramidalXsymptomXisXcalledXpseu

do-Parkinson's,XwhichXpresentsXwithXaXshufflingXgait,XmotorXslowing,Xmask-

likeXfacialXexpression,Xtremors,XandXmuscleXrigidity.XMuscarinicX1XantagonistXmedicationsX

reduceXtheXeffectsXofXexcessXacetylcholineXandXrelieveXextrapyramidalXsymptoms.

Reference:

,Johnson,XK.,X&XVanderhoef,XD.XPsychiatric-

MentalXHealthXNurseXPractitionerXReviewXManual,XFourthXEdition.XPgX251-252.




1.XScientificXFoundation

AsXaXnurseXpractitioner,XyouXareXresponsibleXforXassessingXcranialXnervesXasXaXpartXofXthe

neurologicalXexam.XWhatXcranialXnerveXassessmentXtestsXhearing?
X




OculomotorXnerveX(CNXIII)

TrochlearXnerveX(CNXIV)

VestibulocochlearXnerveX(CNXVIII)

TrigeminalXnerveX(CNXV)X-XANSWERX-

CorrectXanswer:XVestibulocochlearXnerveX(CNXVIII)
X




OlfactoryXnerveX(CNXI)

TheXolfactoryXnerveXtransmitsXinformationXtoXtheXbrainXregardingXaXperson'sXsenseXofXsme

ll.XThisXcranialXnerveXassessmentXisXperformedXbyXhavingXtheXclientXcloseXtheirXeyesXtoXid

entifyXfamiliarXodors.

OpticXnerveX(CNXII)

TheXopticXnerveXtransmitsXinformationXtoXtheXbrainXregardingXaXperson'sXvision.

OculomotorXnerveX(CNXIII)

TheXoculomotorXnerveXhelpsXcontrolXmuscleXmovementsXofXtheXeyes.XTheXoculomotorXner

veXprovidesXmovementXtoXmostXofXtheXmusclesXthatXmoveXtheXeyeballXandXupperXeyelid,Xk

, nownXasXextraocularXmuscles.XTheXoculomotorXnerveXalsoXhelpsXwithXinvoluntaryXfunction

sXofXtheXeye.

TrochlearXnerveX(CNXIV)

TheXtrochlearXnerveXisXalsoXinvolvedXinXeyeXmovement.XTheXtrochlearXnerve,XlikeXtheXocul

omotorXnerve,XoriginatesXinXtheXmidbrain.XItXpowersXtheXcontralateralXsuperiorXobliqueXmu

scleXthatXallowsXtheXeyeXtoXpointXdownwardXandXinward.

TrigeminalXnerveX(CNXV)

TheXtrigeminalXnerveXisXtheXlargestXcranialXnerveXandXhasXbothXmotorXandXsensoryXfunctio

ns.XItsXmotorXfunctionsXhelpXaXpersonXtoXchewXandXclenchXtheXteethXandXgivesXsensationXt

oXmusclesXinXtheXtympanicXmembraneXofXtheXear.XThisXtestXisXperformedXbyXtouchingXtheXf

aceXandXcornealXreflexXofXtheXeyeXwithXaXwispXofXcottonXandXpin-

prickingXtheXskinXandXmucosaXtoXtestXtouch.

AbducensXnerveX(CNXVI)

TheXabducensXnerveXalsoXhelpsXcontrolXeyeXmovements.XItXhelpsXtheXlateralXrectusXmuscl

e,XwhichXisXoneXofXtheXextraocularXmuscles,XtoXturnXtheXgazeXoutward.

FacialXnerveX(CNXVII)

TheXfacialXnerveXfunctionsXtoXproduceXfacialXexpressionsXandXhasXbothXmotorXandXsensor

yXfunctions.

VestibulocochlearXnerveX(CNXVIII)
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