PSYCHIATRIC NP practice exam
Under HIPPA, what is the insurance policy that allows you to hold the company's
insurance for 18 months after leaving job?
- answers-COBRA
T/F a patient has a right to make changes to their chart as well as see it
- answers-True
Summarize general goals for healthy people 2020
- answers-Increase the quality and years of life while eliminating health disparities
What are the 5 conditions NPs are required to report?
- answers-STDs like Gonorhea, Chlamydia, and Syphillis, as well as TB and HIV
(as well as animal bites)
Nurse practitioners are legally required to report what kind of abuse, and what kind
is allowed to be left alone?
- answers-Child and elder abuse, but domestic violence is not required to be legally
reported
What percentage of mental illnesses appear by the age of 18?
- answers-75%
Genetic inheritance that will be present in more than one generation?
- answers-Autosomal dominant (rare) like huntington's disease
What is the difference between a normal grief response and a protracted grief
response?
- answers-protractive grief response is a risk for pathology characterized by a loss
of self esteem which does not happen with normal grief
What is the rate of schizophrenia admissions to the hospital when both parents are
infected by the illness? one parent? both bipolar? one bipolar?
- answers-almost 40%, 7%, almost 25% and almost 5% respectively.
, How would you treat someone who is psychotropic naive?
- answers-use lower doses due to no tolerance and no down regulation.
When asking a patient about medical history during a psychiatric interview, what
diseases should we pay particular attention to? Why?
- answers-Autoimmune conditions (possible use of steroids), metabolic syndrome
like heart disease, hyperlipidemia, and diabetes. These can be made worse in the
presence of psychiatric illness or vice versa.
Describe normal patterns of sleep
- answers-Begin in Non-Rem (Stage 1), move into deeper non-rem or slow wave
sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes later and repeats with
each REM stage lasting longer.
What kind of sleep declines markedly with organic brain dysfunction and is
sensitive to temperature extremes?
- answers-REM
Describe REM Sleep
- answers-Great EEG activation, muscle atonia, rapid eye movements, muscle
twitches, and breathing irregularities.
Describe Non Rem Sleep
- answers-minimal mental activity, inactive yet actively regulated brain in a
movable body.
Describe the pneumonic SLAP for assessing suicide
- answers-Social support, lethality, Access, Plan
DSM 5 criteria for Depression requires:
- answers-at least 5 out of 8 symptoms in the last 2 weeks- 1 being diminished
interests/depressed mood, Sleep problems, guilt (worthlessness/hopelessness),
energy deficit, concentration problems, appetite problems, psychomotor agitation
or retardation, suicidality.
DIGFAST Pneumonic for assessing Bipolar disorder
- answers-Distractability, Indiscretion, grandiosity, flight of ideas, activity
increase, sleep deficit, talkativeness.
Under HIPPA, what is the insurance policy that allows you to hold the company's
insurance for 18 months after leaving job?
- answers-COBRA
T/F a patient has a right to make changes to their chart as well as see it
- answers-True
Summarize general goals for healthy people 2020
- answers-Increase the quality and years of life while eliminating health disparities
What are the 5 conditions NPs are required to report?
- answers-STDs like Gonorhea, Chlamydia, and Syphillis, as well as TB and HIV
(as well as animal bites)
Nurse practitioners are legally required to report what kind of abuse, and what kind
is allowed to be left alone?
- answers-Child and elder abuse, but domestic violence is not required to be legally
reported
What percentage of mental illnesses appear by the age of 18?
- answers-75%
Genetic inheritance that will be present in more than one generation?
- answers-Autosomal dominant (rare) like huntington's disease
What is the difference between a normal grief response and a protracted grief
response?
- answers-protractive grief response is a risk for pathology characterized by a loss
of self esteem which does not happen with normal grief
What is the rate of schizophrenia admissions to the hospital when both parents are
infected by the illness? one parent? both bipolar? one bipolar?
- answers-almost 40%, 7%, almost 25% and almost 5% respectively.
, How would you treat someone who is psychotropic naive?
- answers-use lower doses due to no tolerance and no down regulation.
When asking a patient about medical history during a psychiatric interview, what
diseases should we pay particular attention to? Why?
- answers-Autoimmune conditions (possible use of steroids), metabolic syndrome
like heart disease, hyperlipidemia, and diabetes. These can be made worse in the
presence of psychiatric illness or vice versa.
Describe normal patterns of sleep
- answers-Begin in Non-Rem (Stage 1), move into deeper non-rem or slow wave
sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes later and repeats with
each REM stage lasting longer.
What kind of sleep declines markedly with organic brain dysfunction and is
sensitive to temperature extremes?
- answers-REM
Describe REM Sleep
- answers-Great EEG activation, muscle atonia, rapid eye movements, muscle
twitches, and breathing irregularities.
Describe Non Rem Sleep
- answers-minimal mental activity, inactive yet actively regulated brain in a
movable body.
Describe the pneumonic SLAP for assessing suicide
- answers-Social support, lethality, Access, Plan
DSM 5 criteria for Depression requires:
- answers-at least 5 out of 8 symptoms in the last 2 weeks- 1 being diminished
interests/depressed mood, Sleep problems, guilt (worthlessness/hopelessness),
energy deficit, concentration problems, appetite problems, psychomotor agitation
or retardation, suicidality.
DIGFAST Pneumonic for assessing Bipolar disorder
- answers-Distractability, Indiscretion, grandiosity, flight of ideas, activity
increase, sleep deficit, talkativeness.
