Started on a medication then comes back in 2 weeks?✔✔Increase the dose after 1-2 weeks,
therapeutic effects 4-6 weeks
Zantac is for what?✔✔H2 inhibitor
Best therapy for negative thinking✔✔CBT, all or nothing thinking catastrophic thinking
Humanistic therapy-self
Existential- reflection/self control/personal responsibility
Patient is borderline and suicidal what therapy?✔✔DBT, goal to decrease emotional
reactivity/crisis bxs and self validation.
Tics what advise?✔✔fairly common in children and will often remit on its own, ADHD
concomittant
ODD child✔✔help the parents with positive reinforcement and parenting skills, limit setting,
logical consequences, consistency, power stuggle/control issues problematic, parenting/family
dysfunction exacerbates
Fungus on toenial✔✔scrape toenail and sent for testing
Age for schizophrenia female✔✔25-35
bipolar not taking medication✔✔"tell me how the medication works in your body"
, patient has neuropathic pain, what medication will help? gabapentin not helping✔✔Alpha 2
delta, pregabalin- lyrica
When opening independent practice✔✔consider cost and revenue, must calculate the time
spent with patient vs time spent on risk called indirect vs direct processing
Can disclose info to medicare /CMS without consent✔✔
First line neuro-protective for bipolar✔✔lithium
What to check in terms of depakote in young girl✔✔check HCG, blackbox for pregnancy, can
cause spinal bifida-tetrogenic, also check LFTs, CBC
assertive inquiry✔✔
Appreciate Inquiry✔✔strengths and competencies. What is being done currently and
assessment of strenghts, no problem focused, 3 steps are discovery, understanding, amplifying
Np notices teen with DKA leaving without eval✔✔collaborate with ER to provide a psych
assessment
MMSE part for thought disorder✔✔proverb interpretation, abstract vs concrete interpretations
Teen commits suicide, NP does presentation✔✔to teens in order to normalize the grieving
process