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Fitzgerald PMHNP QUESTIONS AND ANSWERS

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Fitzgerald PMHNP QUESTIONS AND
ANSWERS

1.​ 15-45% of homeless are recognized with - ANSWER-schizophrenia
1st era antihistamines - ANSWER-Chlorpheniramine
Diphenhydramine (Benadryl)
Brompheniramine
Promethazine (phenergan)
Cypropheptadine
Hydroxyzine (Atarax)

Interact with cytochrome P450 enzymes
2.​ 3 foremost styles of insecure attachment - ANSWER-1. Insecure-avoidant
2. Insecure-ambivalent
3. Insecure-disorganized
5 dopamine receptors - ANSWER-D1, D2, D3, D4, D5
3.​ 7-16 desk conversation abilties - ANSWER-
4.​ nine Provisions of the ANA Code of Ethics - ANSWER-1: appreciate for human dignity
2: nurse's primary dedication is the patient
3: protection of affected person privateness and confidentiality
four: nurse has authority, duty and authority
five: duties to self and others
6: nurse establishes and continues the moral environment
7: nurse advances the profession with contributions to investigate and scholarly
inquiry
eight: fitness is a frequent proper
nine: nurse have to articulate and assert values
5.​ 90% of serotonin is observed in which? - ANSWER-the gut
6.​ Abnormal motor conduct - ANSWER-troubles with aim-directed behavior leading to
activities of daily dwelling
7.​ Absolute Risk Reduction (ARR) - ANSWER-The threat in a manipulate organization
minus the hazard in a remedy institution
8.​ Acamprosate - ANSWER-*used with human beings who have achieved abstitence
*helps human beings continue to be abstinent via resotring stability among
acitivites with neurotransmisters GBA and glutamate
9.​ ACEs are commonplace... - ANSWER-sixty four% of adults have one
10.​Acetylcholine (ACh) is a neurotransmitter in which? - ANSWER-ANS: sympathetic and
parasympathetic nervous systems
11.​Acute mania - 1st line treatment - ANSWER--Lithium, valproate, carbamazepine,
SGA, -SGA adjunct w/lithium or divalproex

,12.​Acute mania - second line remedy - ANSWER--Carbamazepine ER, ECT, haloperidol
monotherapy
-Lithium + Divalproex
13.​Acute phase of psychosis - ANSWER--typical psychotics signs and symptoms
emerge
-stage whilst psychosis is easiest to recognize and diagnose
-most of the people start treatment at this section
14.​ADHD diagnositic standards - ANSWER-- several symptoms were present earlier
than age 12
- impairment should be present in at least 2 settings
- persisten for at the least 6 months
- practical interference; socially, academically, extracurricular
15.​ADHD differential prognosis and comorbidities - ANSWER-tension, melancholy,
mania, behavior problems, learning issues, tic issues
16.​ADHD Hyperactivity and Impulsivity - ANSWER-- Fidgets with or faucets hands or ft,
or squirms in seat,
- Leaves seat that in any other case require live
- Feels restless,
- Unable to play or take part in leisure sports quietly,
- Unable to be or secure being nonetheless for prolonged time,
- Talks excessively,
- Blurts out a solution before a query has been completed,
- Has hassle ready his or her flip,
- Interrupts or intrudes on others.
17.​ADHD Hyperactivity and Impulsivity - ANSWER-6 or extra of the following if 18+ (5 if
underneath 18)
18.​ADHD Inattention - ANSWER-6 or more of the following if 18+ (five if underneath 18)
- fails to offer close interest to details or ameks careless mistakes in sschoolwork,
work or orther activities
- difficultly sustaining interest in obligations or play activities
- does not appear to listen whilst spoken to at once
- does no longer comply with through on instructions and fails to finish
schoolwork, chores, or duties
- trouble organizing duties and activities
- avoids, dislikes, or is reluctant to have interaction in obligations that require
sustained mental attempt
- loses matters essential for obligations
- without difficulty distractted by way of extraneious stimuli
- forgetful in every day activities
-
19.​ADHD stats - ANSWER-* 7-8% of standard age kids, 2.5% of adults
20.​* 2:1 boys: ladies ratio
21.​ADHD remedy - ANSWER-conduct therapy + methylphenidate or amphetamines
(both phenethylamines), or atomoxetine (NeRI)

,22.​Adjustment Disorder with Depressed Mood - ANSWER-Psychological symptoms gift
within three months of the stressor and do now not meet the diagnostic criteria for
different depressive disorders.
23.​Adolescence: a long time - ANSWER-early age: 10-13
center age: 14-17
late age: 18-21
24.​ADPIE - Nursing Process - ANSWER-Assessment
Diagnosis
Planning
Implementation
Evaluation
25.​Age associated changes issues - ANSWER-decrease % body weight as water -->
less reserve = more dehydrated --> multiplied hazard for orthostatic hypotension
26.​Agoraphobia criteria - ANSWER-Fear/tension approximately >2 conditions:
1. Using public transportation
2. Being in open areas
3. Being in enclosed areas
four. Status in line or in a crowd
5. Being outdoor the house by myself.
Lasts >6 months. Significant social or occupational disorder.
27.​Akathisia - ANSWER-motor restlessness, wanting to "jump from your pores and
skin"
28.​Alanine aminotransferase (ALT) - ANSWER-- Measurement of liver function; enzyme.
- 0-40 units/L
29.​Alcohol dependence treatment - ANSWER-acamprosate, naltrexone, topiramate,
gabapentin
30.​Alcohol Screening tools - ANSWER-*Michighan Alcohlism Screening Test (MAST)
*CAGE - 2 or greater advise drinking troubles
*AUDIT (Alcohol use disorders identification test) - usefull w/university students,
minorities, and women
31.​Alcohol withdrawal physiologic homeostasis - ANSWER-glucose, thiamine = help to
prevent Korsakoffs syndrome (alcohol amnesic ailment)
32.​Alcohol withdrawal scale - ANSWER-CIWA
33.​Alkaline Phosphatase (ALP) - ANSWER-- Elevated tiers imply bone, gallbladder or
liver disorders
- Range: 30-a hundred and twenty worldwide untils/L
34.​Alzheimer's sickness (AD) prevalence - ANSWER-- AD= 50-70% of all cases of
dementia
35.​Alzheimer's disorder first symptoms - ANSWER-reminiscence loss
36.​Amygdala - ANSWER-connects the expereince with emotion, conditioned studying
37.​Amygdala outcomes of damage - ANSWER-Irritability, anger, aggression
38.​Amygdala key features - ANSWER-Regulates primary, powerful feelings: worry,
rage, sexual preference

, 39.​Amygdala precise psychiatric situations - ANSWER-PTSD, panic do, despair, autism,
and schizophrenia
40.​Anorexia Nervosa - ANSWER-An consuming disorder characterised with the aid of
an obstinate and willful refusal to consume, a distorted body image, and an
excessive fear of being fat
*in girls, amenorrhea, the absence of as a minimum three consecutive menstrual
cycles
41.​Anorexia nervosa - scientific complications - ANSWER-hypothermia, structured edema,
bradycaria, hypotension, lanugo, amenorrhea, electrolyte disturbances, ECG
complications
42.​anorexia nervosa - analysis - ANSWER-- onset in adolescence or young maturity
43.​- suicide quotes 18x greater
44.​- mortality rates: 5-18% due to scientific complications
45.​anorexia nervosa subtypes - ANSWER-1. Restricting kind
46.​2. Binge-ingesting/purging type
47.​anorexia treatment - ANSWER-1. First intention is to repair nutritional country (may also
want hospitalization)
48.​2. Behavioral remedy and supervised weight gain programs
49.​three. A few antidepressants (amitriptyline, paroxetine, mirtazapine) can be used
however play a small position in treatment. (DO NOT use bupropion - can lower seizure
threshold for malnourished)
50.​anorexia/bulimia nervosa best treatment - ANSWER-CBT with medicinal drug
51.​Another way to say temper - ANSWER-Affect
52.​Anticholinergics detrimental outcomes - ANSWER-Dry mouth or throat
53.​Nasal congestion
54.​Heart palpitations
55.​Gastrointestinal distress
56.​Headache
57.​Coughing
58.​Anxiety
59.​Anticholinergics are STRONGLY related to... - ANSWER-INCREASED hazard of
dementia
60.​Antidepressant discontinuation syndrome - ANSWER-A set of symptoms that may occur
after abrupt cessation, or marked reduction in dose, of an antidepressant medicine that
have been taken continuously for at least 1 month.
61.​Antidepressants associated with prolong qt c language - ANSWER-Citalopram >
40mg/day
62.​Tricyclic antidepressants
63.​venlafaxine and mirtazapine
64.​Antipsychotic retailers are commonly powerful for acute mania - ANSWER-cariprazine
and risperidone
65.​Antipsychotics - ANSWER-anti-dopamine
66.​OR
67.​blocking dopamine
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