Georgette Review PMHNP.
A sixteen-yr off boy affords with a long head, big ears, and hyper extensible joints, could be
very shy, and starts offevolved rocking and flapping his hands while he is upset. Which of the
following is your maximum likely diagnosis?
A. Tourette sickness
B. Autism
C. Fragile X
D. Rett sickness - ANS-Fragile X
a 17 year vintage arrives at the emergency department with nonspecific lawsuits The
affected person's temperature is 100.8, pulse fee and blood strain are multiplied, and
students are dilated with decreased reaction to light. Two days in the past, the affected
person began taking sertraline for the remedy of depression. The patient has a history of
substance use and smoked marijuana one week ago. The prognosis is - ANS-serotonin
syndrome
A 23 12 months old woman is Brought in to to the ER after attempting to devote suicide by
means of cutting her wrists. Which action through the PMHNP would be of maximum priority
to begin with?
A. Assess her coping behaviors
B. Assess her modern-day level of suicidality
C. Take her essential signs
D. Asess her fitness history - ANS-take her critical signs and symptoms
A 24 yr olf female attempts suicide by overdose on an MAOI phenelzine. She is stabilized
within the health facility. Ten days later she is started out on venlafaxine and becomes
tachycardia and diaphoretic, and develops myoclonic jerks. What circumstance is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - ANS-serotonin syndrome
a 48 yr off Caucasian male provides for his therapy appointment. He is unhappy
approximately losing his spouse these days to covid 19. He reports feeling thoughts of
injuring himself. He has a past history of overdosing on propranolol numerous years in the
past. Which of the subsequent places him at higher risk of suicide?
A. Previous strive
B. Age
C. Gender
D. Marital Status - ANS-A previous attempt
A sixty four 12 months old caucasian male referred for treatment of refractory despair by
means of his PCP reports continued loss of motive, insomnia, reduced energy, reduced
,interest in pleasurable activities on account that losing his spouse hit by using a drunk
motive force 3 months in the past. Which of the subsequent is an evaluation precedence?
A. Prior and current meds, dose, scientific response, side effects.
B. Thoughts of self-harm, plan, rationale, get right of entry to
C. Extent of alcohol use, and motivation to lessen to safe ranges
D. Sleep styles and hygiene - ANS-thoughts of self-damage, plan, intent, access
A sixty nine 12 months vintage guy with prognosis of delirium has signs of psychosis which
consist of horrifying auditory and visual hallucinations and paranoid delusions. Which of the
following medicinal drugs have to be selected first for this man's signs?
A. Haloperidol
B. Quetiapine
C. Valium
D. Olanzapine - ANS-haloperidol.
A 72 year vintage is brought in via her husband with growing forgetfulness, decreased
activity, and reduced appetite for two months. She has a history of high blood pressure and
is being dealt with with lisinopril. The exam is everyday and the mini mental reputation exam
affords a score of 24 but she declines to answer some questions and desires to be urged to
participate inside the evaluation. What is the maximum probably prognosis?
A. Alzheimers disorder
B. Vascular dementia
C. Depression
D. Delirium - ANS-depression
A customer experiencing problems with working reminiscence, planning, and prioritizing,
perception into his issues, and impulse control presents for assessment. In planning his
care, the PMHNP must observe his understanding that these signs and symptoms represent
problems with the
A. Frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe - ANS-frontal lobe
A consumer gives with court cases of adjustments in urge for food, feeling fatigued,
problems with sleep-rest cycle, and adjustments in libido. What is the neuroanatomical
regions off the brain that is answerable for the law of those capabilities? -
ANS-Hypothalamus
A purchaser says to the PMHNP, Some days life is just now not well worth it. All my spouse
and I do is fight and scream. Things at home were be calmer and less difficult if I simply
wasn't there anymore." The maximum therapeutic reaction is:
A. Do you suggest yo are considering leaving your spouse to shifting out?"
B. Tell me what you imply with the aid of "it'd be easier if you weren't there anymore."
C. So you are thinking suicide might be an choice for you?
D. Remain silent. - ANS-B. Tell me what you mean via "it'd be less difficult if you were not
there anymore"
,A male affected person informs as person PMHNP that he has now not slept in 3 days, has
bad concentration, and denies fatigue. The affected person's prognosis is:
A. ADHD
B. Bipolar disorder
C. Panic ailment
D. Primary insomnia - ANS-bipolar sickness
A married girl patient has been in therapy with an grownup psychiatric and intellectual health
nurse practitioner for three months. The affected person's husband abuses alcohol and
refuses treatment. The night time before the subsequent scheduled appointment, the patient
phones the medical nurse professional stating that her husband is inebriated, violent, and
dangerous to kill her. The PMHNPs priority intervention is
A. To arrange for an emergency psychiatric intervention
B. Arrange for the woman's protection
C. Request a restraining order
D. Request to talk to the husband - ANS-Arrange for the lady's protection.
A affected person has been handled for the beyond several years with fluphenazine
(Prolixin). You tonic that he's drooling and has a moderate pill rolling movement of the arms.
These are EPS signs referred to as
A. Pseudo parkinsonism
b. Anticholinergic outcomes
C. Tardive dyskinesia
D. Acute dystonia - ANS-A. Pseudoparkinsonism
A affected person is recognized with schizophrenia. Which of the following might be the
suitable question for the PMHNP to invite while assessing aspect effects produced by way of
dopamine antagonism within the nigrostriatal pathway?
A. Are you experiencing constipation?
B. Are you experiencing pill rolling tremors, shuffling gait, and masks like facial expression?
C. Are you experiencing accelerated thirst?
D. Are you experiencing breast discharge? - ANS-Are you experiencing tablet rolling
tremors, shuffling gait, and mask like facial expression
A affected person with a regarded analysis of bipolar I sickness provides to your medical
institution complaining of manic signs and insomnia. Your patient has been strong on lithium
for the past six months To determine if a medicine alternate or boom is warranted, it's miles
crucial to gather extra information. You suspect a possible medication-caused manic episode
when the affected person endorses what?
A. She changed into these days located on a beta blocker for tension.
B. She changed into lately prescribed a benzo
C. She these days had a flare up of her rheumatoid arthritis and acquired remedy for one
week (aka a steroid)
D. She recently started out a brand new retroviral agent for hepatitis - ANS-currently dealt
with for RA
A week after elevating the dose of clomipramine, a affected person treated for depression
provides to the sanatorium with reports of trade in mental reputation, fever, and
, hyperreflexxia. As the treating PMHNP, you know these signs and symptoms are regular
with which of the subsequent?
A. NMS
B. EPS
C. Hypertensive disaster
D. Serotonin syndrome - ANS-serotonin syndrome
Absence of motion or problem beginning movement - ANS-akinesia
Treatment: cogentin
According to the modern-day scientific hints for treating a affected person with bipolar I
disease mania with psychotic functions, an person psychiatric and intellectual health nurse
practitioner prescribes:
A.) Lithium
B. Citalopram
C. Lamotrigine
D. Quetiapine - ANS-quetiapine
Acetylcholine is made - ANS-basal nucleus of Meynert
action in contemplation - ANS-help the individual find a trade method that is sensible,
acceptable, on hand, and effective.
Action in precontemplation - ANS-supply statistics to elevate awareness of the hassle,
however do not strive to inform the individual what to do.
Motion step in movement - ANS-guide and endorse
help accomplish steps for change.
Movement step in maintenance - ANS-assist the person become aware of the possibility of a
relapse
become aware of techniques to prevent relapse.
Action step in training - ANS-assist the person find the change method that is practical,
applicable, suitable, and effective.
Acute onset
altered degree of cognizance
inattenion
terrible diagnosis--1 12 months mortality price of is up to 40% - ANS-delirium
ADHD reasons DNS - ANS-dopamine
noreip
serotonin
ADPIER - ANS-Assessment, prognosis, Plan, intervention, evaluate, refer out final.
Adverse outcomes of depakote - ANS-alopecia
A sixteen-yr off boy affords with a long head, big ears, and hyper extensible joints, could be
very shy, and starts offevolved rocking and flapping his hands while he is upset. Which of the
following is your maximum likely diagnosis?
A. Tourette sickness
B. Autism
C. Fragile X
D. Rett sickness - ANS-Fragile X
a 17 year vintage arrives at the emergency department with nonspecific lawsuits The
affected person's temperature is 100.8, pulse fee and blood strain are multiplied, and
students are dilated with decreased reaction to light. Two days in the past, the affected
person began taking sertraline for the remedy of depression. The patient has a history of
substance use and smoked marijuana one week ago. The prognosis is - ANS-serotonin
syndrome
A 23 12 months old woman is Brought in to to the ER after attempting to devote suicide by
means of cutting her wrists. Which action through the PMHNP would be of maximum priority
to begin with?
A. Assess her coping behaviors
B. Assess her modern-day level of suicidality
C. Take her essential signs
D. Asess her fitness history - ANS-take her critical signs and symptoms
A 24 yr olf female attempts suicide by overdose on an MAOI phenelzine. She is stabilized
within the health facility. Ten days later she is started out on venlafaxine and becomes
tachycardia and diaphoretic, and develops myoclonic jerks. What circumstance is this?
A. NMS
B. Opisthotonos
C. Akathisia
D. Serotonin syndrome - ANS-serotonin syndrome
a 48 yr off Caucasian male provides for his therapy appointment. He is unhappy
approximately losing his spouse these days to covid 19. He reports feeling thoughts of
injuring himself. He has a past history of overdosing on propranolol numerous years in the
past. Which of the subsequent places him at higher risk of suicide?
A. Previous strive
B. Age
C. Gender
D. Marital Status - ANS-A previous attempt
A sixty four 12 months old caucasian male referred for treatment of refractory despair by
means of his PCP reports continued loss of motive, insomnia, reduced energy, reduced
,interest in pleasurable activities on account that losing his spouse hit by using a drunk
motive force 3 months in the past. Which of the subsequent is an evaluation precedence?
A. Prior and current meds, dose, scientific response, side effects.
B. Thoughts of self-harm, plan, rationale, get right of entry to
C. Extent of alcohol use, and motivation to lessen to safe ranges
D. Sleep styles and hygiene - ANS-thoughts of self-damage, plan, intent, access
A sixty nine 12 months vintage guy with prognosis of delirium has signs of psychosis which
consist of horrifying auditory and visual hallucinations and paranoid delusions. Which of the
following medicinal drugs have to be selected first for this man's signs?
A. Haloperidol
B. Quetiapine
C. Valium
D. Olanzapine - ANS-haloperidol.
A 72 year vintage is brought in via her husband with growing forgetfulness, decreased
activity, and reduced appetite for two months. She has a history of high blood pressure and
is being dealt with with lisinopril. The exam is everyday and the mini mental reputation exam
affords a score of 24 but she declines to answer some questions and desires to be urged to
participate inside the evaluation. What is the maximum probably prognosis?
A. Alzheimers disorder
B. Vascular dementia
C. Depression
D. Delirium - ANS-depression
A customer experiencing problems with working reminiscence, planning, and prioritizing,
perception into his issues, and impulse control presents for assessment. In planning his
care, the PMHNP must observe his understanding that these signs and symptoms represent
problems with the
A. Frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe - ANS-frontal lobe
A consumer gives with court cases of adjustments in urge for food, feeling fatigued,
problems with sleep-rest cycle, and adjustments in libido. What is the neuroanatomical
regions off the brain that is answerable for the law of those capabilities? -
ANS-Hypothalamus
A purchaser says to the PMHNP, Some days life is just now not well worth it. All my spouse
and I do is fight and scream. Things at home were be calmer and less difficult if I simply
wasn't there anymore." The maximum therapeutic reaction is:
A. Do you suggest yo are considering leaving your spouse to shifting out?"
B. Tell me what you imply with the aid of "it'd be easier if you weren't there anymore."
C. So you are thinking suicide might be an choice for you?
D. Remain silent. - ANS-B. Tell me what you mean via "it'd be less difficult if you were not
there anymore"
,A male affected person informs as person PMHNP that he has now not slept in 3 days, has
bad concentration, and denies fatigue. The affected person's prognosis is:
A. ADHD
B. Bipolar disorder
C. Panic ailment
D. Primary insomnia - ANS-bipolar sickness
A married girl patient has been in therapy with an grownup psychiatric and intellectual health
nurse practitioner for three months. The affected person's husband abuses alcohol and
refuses treatment. The night time before the subsequent scheduled appointment, the patient
phones the medical nurse professional stating that her husband is inebriated, violent, and
dangerous to kill her. The PMHNPs priority intervention is
A. To arrange for an emergency psychiatric intervention
B. Arrange for the woman's protection
C. Request a restraining order
D. Request to talk to the husband - ANS-Arrange for the lady's protection.
A affected person has been handled for the beyond several years with fluphenazine
(Prolixin). You tonic that he's drooling and has a moderate pill rolling movement of the arms.
These are EPS signs referred to as
A. Pseudo parkinsonism
b. Anticholinergic outcomes
C. Tardive dyskinesia
D. Acute dystonia - ANS-A. Pseudoparkinsonism
A affected person is recognized with schizophrenia. Which of the following might be the
suitable question for the PMHNP to invite while assessing aspect effects produced by way of
dopamine antagonism within the nigrostriatal pathway?
A. Are you experiencing constipation?
B. Are you experiencing pill rolling tremors, shuffling gait, and masks like facial expression?
C. Are you experiencing accelerated thirst?
D. Are you experiencing breast discharge? - ANS-Are you experiencing tablet rolling
tremors, shuffling gait, and mask like facial expression
A affected person with a regarded analysis of bipolar I sickness provides to your medical
institution complaining of manic signs and insomnia. Your patient has been strong on lithium
for the past six months To determine if a medicine alternate or boom is warranted, it's miles
crucial to gather extra information. You suspect a possible medication-caused manic episode
when the affected person endorses what?
A. She changed into these days located on a beta blocker for tension.
B. She changed into lately prescribed a benzo
C. She these days had a flare up of her rheumatoid arthritis and acquired remedy for one
week (aka a steroid)
D. She recently started out a brand new retroviral agent for hepatitis - ANS-currently dealt
with for RA
A week after elevating the dose of clomipramine, a affected person treated for depression
provides to the sanatorium with reports of trade in mental reputation, fever, and
, hyperreflexxia. As the treating PMHNP, you know these signs and symptoms are regular
with which of the subsequent?
A. NMS
B. EPS
C. Hypertensive disaster
D. Serotonin syndrome - ANS-serotonin syndrome
Absence of motion or problem beginning movement - ANS-akinesia
Treatment: cogentin
According to the modern-day scientific hints for treating a affected person with bipolar I
disease mania with psychotic functions, an person psychiatric and intellectual health nurse
practitioner prescribes:
A.) Lithium
B. Citalopram
C. Lamotrigine
D. Quetiapine - ANS-quetiapine
Acetylcholine is made - ANS-basal nucleus of Meynert
action in contemplation - ANS-help the individual find a trade method that is sensible,
acceptable, on hand, and effective.
Action in precontemplation - ANS-supply statistics to elevate awareness of the hassle,
however do not strive to inform the individual what to do.
Motion step in movement - ANS-guide and endorse
help accomplish steps for change.
Movement step in maintenance - ANS-assist the person become aware of the possibility of a
relapse
become aware of techniques to prevent relapse.
Action step in training - ANS-assist the person find the change method that is practical,
applicable, suitable, and effective.
Acute onset
altered degree of cognizance
inattenion
terrible diagnosis--1 12 months mortality price of is up to 40% - ANS-delirium
ADHD reasons DNS - ANS-dopamine
noreip
serotonin
ADPIER - ANS-Assessment, prognosis, Plan, intervention, evaluate, refer out final.
Adverse outcomes of depakote - ANS-alopecia
