NSC 884 ALL JEOPARDY REVIEW
QUESTIONS AND ANSWERS
Defines0the0role0of0Psychiatric0Mental0Health0Nursing0-0-0ans✔Scope0of0practice
Grants0licensure0and0credentials,0prescriptive0authority,0and0defines0disciplinary0groun
ds/procedures0-0-0ans✔State0nurse0practice0acts
Essential0components0of0PMHNP0practice0according0to0the0scope0of0practice0-
0ans✔identification,0prevention,0and0treatment
Potential0"judgement"0for0practitioners0who0diverge0from0the0Standards0of0Practice0-
0ans✔negligence
BP0screening0at0a0health0fair0would0be0considered0this0level0of0prevention0-0-
0ans✔secondary
Bioethical0principle0otherwise0known0as0"Do0no0harm"0-0-0ans✔nonmaleficence
PMHNP0agrees0to0treat0sister-in-
law.0This0situation0in0addressed0in0Provision030of0Ethical0Standards0and0would0be0con
sidered0-0-0ans✔dual0relationship
"Duty0to0self0and0others"0appropriately0highlights0this0critical0and0personal0ethical0prin
ciple0for0providers0-0-0ans✔self-care
An0individual0who0produces0a0podcase0dedicated0to0spreading0false,0damaging0inform
ation0about0a0local0PMHNP0could0be0charged0with0this0-0-0ans✔slander
In0addition0to0duty0to0treat,0below0standard0of0care0and0injury/
adverse0outcomes,0this0is0required0to0prove0malpractice0-0-
0ans✔direct0link0between0negligence0and0the0adverse0outcome
First0step0in0developing0differential0diagnosis,0could0it0be0-0-0ans✔medical0etiology
Legal0protection0for0providers0who0respond0to0emergent0situations0with0poor0outcome
s0-0ans✔Good0Samaritan0Law
,Current0goal0of0mental0health0treatment,0according0to0SAMHSA0-0-
0ans✔recovery0and0recovery0support
ANCC0certifies0the0PMHNP0to0treat0these,0and0only0these0domains0-0-
0ans✔mental0health0and0substance0abuse
Must0start0with0this0when0seeing0any0"stable"0patient0for0the0first0time0-0-0ans✔obtain/
review0signed0informed0consent
Which0medication0can0cause0agranulocytosis,0necessitating0the0immediate0DC0of0-
0ans✔treatment0-Clozaril
Intense,0involuntary0spasms0of0the0face,0neck,0tongue,0jaw,0and0trunk.0Reaction0to0-
0ans✔antipsychotic0medications0-0dystonia
Medications0shown0to0decrease0SI0-0-0ans✔lithium,0Clozaril,0and0esketamine
Essential0lab0work0order0for0the0patient0with0sudden0hyperthermia,0muscle0rigidity,0par
kinsonian0symptoms,0and0neurological0signs0-0-0ans✔CPK
Which0medication0can0cause0a0specific0medical0emergency0which0is0specific0to0men0-
0ans✔Trazodone
This0medical0emergency0can0mimic0anxiety0or0mania.0Labs0needed.0-0-
0ans✔thyrotoxicosis
Screening0tool0for0SI0-0-0ans✔CSSRS
Sudden0tremor,0muscle0rigidity,0diaphoresis,0diarrhea,0confusion,0hyperactive0reflexes,
0and0mood0lability0strongly0indicates0this0medication-induces0psychiatric0emergency0-
0ans✔serotonin0syndrome
This0medication0is0known0for0its0interaction0with0lamotrigine.0Dosing0will0need0to0be0ca
refully0adjusted0if0used0together.0-0-0ans✔Depakote
Lamotrigine0rash0can0be0caused0by0this0-0ans✔rapid0dose0titration
Hospitalization0may0be0necessary0for0a0patient0with0anorexia0nervosa0who0reaches0thi
s0"measurement"0-0-0ans✔under025%0normal0body0weight0for0age/sex
Preoccupation0with0developing,0rather0than0already0having,0a0serious0illness0-0-
0ans✔illness0anxiety0disorder
Psychotic0or0other0state0that0is0upsetting0and0inconsistent0with0self0-0-0ans✔ego-
dystonic
, A0"grave"0disease0that0can0cause0heat0intolerance,0HTN,0tremor,0weight0loss,0insomni
a,0mood0swings,0agitation,0and0possible0mania0-0-0ans✔hyperthyroidism
Hormone0highly0connected0to0mood0and0anxiety0in0both0males0and0females0-0-
0ans✔testosterone
Asthma,0COPD,0both0symptoms0and0medications0used0to0treat0almost0always0cause0
patients0problems0with0this0type0of0distress0-0-0ans✔anxiety
Hot0flashes,0mood0swings,0insomnia.0Imbalances0here0can0look0like0several0psych0dia
gnoses0-0-0ans✔gonadal0hormones
Low0in0Addison's0and0high0in0Cushing's,0this0hormone0is0closely0associated0with0anxie
ty0and0mood0swings0-0-0ans✔cortisol
Acute0medical0episode0with0confusion,0disorganized0speech0and0behaviors,0and0anxie
ty.0May0seem0intoxicated0-0-0ans✔hypoglycemia
Monitor0cardiac0patients0for0this0disorder.0It0is0linked0to0increased0mortality0following0a
n0MI0-0-0ans✔depression
This0hormone0is0associated0with0circadian0rhythms0and0may0also0be0linked0to0depres
sion,0anxiety,0and0memory0-0-0ans✔melatonin
Thyroid0concentration0is0normal,0but0TSH0is0slightly0elevated.0Patient0isn't0responding0
adequately0to0antidepressants0and0CBT.0What0could0be0missing?0-0-
0ans✔subclinical0hypothyroidism
This0alternative0to0opioid0pain0relief0can0lower0seizure0threshold0if0taken0with0SSRI0-
0ans✔tramadol
This0antidepressant0is0often0the0preferred0medication0for0treating0depression0and0anxi
ety0in0lactating0moms0dure0to0low0transmission0in0breastmilk0-0-0ans✔Zoloft
Considered0"normal"0in0new0moms.0Moods0can0be0sad,0irritable,0anxious,0but0usually0
resolves0within020weeks0of0delivery0-0-0ans✔baby0blues
Mom0can't0care0for0baby.0Has0constant,0yet0unwanted,0thoughts0of0poisoning,0drownin
g,0smothering,0or0harming0baby0in0some0other0way.0Most0likely0diagnosis0-0-
0ans✔postpartum0OCD
Common0in0many0psychiatric0illnesses,0this0deficit0is0highly0linked0to0overall0illness0an
d0symptoms0must0be0assessed0and0addressed0-0-0ans✔sleep
First0line0treatment0recommendation0for0opiate-addicted0pregnant0patients0-0-
0ans✔MAT
QUESTIONS AND ANSWERS
Defines0the0role0of0Psychiatric0Mental0Health0Nursing0-0-0ans✔Scope0of0practice
Grants0licensure0and0credentials,0prescriptive0authority,0and0defines0disciplinary0groun
ds/procedures0-0-0ans✔State0nurse0practice0acts
Essential0components0of0PMHNP0practice0according0to0the0scope0of0practice0-
0ans✔identification,0prevention,0and0treatment
Potential0"judgement"0for0practitioners0who0diverge0from0the0Standards0of0Practice0-
0ans✔negligence
BP0screening0at0a0health0fair0would0be0considered0this0level0of0prevention0-0-
0ans✔secondary
Bioethical0principle0otherwise0known0as0"Do0no0harm"0-0-0ans✔nonmaleficence
PMHNP0agrees0to0treat0sister-in-
law.0This0situation0in0addressed0in0Provision030of0Ethical0Standards0and0would0be0con
sidered0-0-0ans✔dual0relationship
"Duty0to0self0and0others"0appropriately0highlights0this0critical0and0personal0ethical0prin
ciple0for0providers0-0-0ans✔self-care
An0individual0who0produces0a0podcase0dedicated0to0spreading0false,0damaging0inform
ation0about0a0local0PMHNP0could0be0charged0with0this0-0-0ans✔slander
In0addition0to0duty0to0treat,0below0standard0of0care0and0injury/
adverse0outcomes,0this0is0required0to0prove0malpractice0-0-
0ans✔direct0link0between0negligence0and0the0adverse0outcome
First0step0in0developing0differential0diagnosis,0could0it0be0-0-0ans✔medical0etiology
Legal0protection0for0providers0who0respond0to0emergent0situations0with0poor0outcome
s0-0ans✔Good0Samaritan0Law
,Current0goal0of0mental0health0treatment,0according0to0SAMHSA0-0-
0ans✔recovery0and0recovery0support
ANCC0certifies0the0PMHNP0to0treat0these,0and0only0these0domains0-0-
0ans✔mental0health0and0substance0abuse
Must0start0with0this0when0seeing0any0"stable"0patient0for0the0first0time0-0-0ans✔obtain/
review0signed0informed0consent
Which0medication0can0cause0agranulocytosis,0necessitating0the0immediate0DC0of0-
0ans✔treatment0-Clozaril
Intense,0involuntary0spasms0of0the0face,0neck,0tongue,0jaw,0and0trunk.0Reaction0to0-
0ans✔antipsychotic0medications0-0dystonia
Medications0shown0to0decrease0SI0-0-0ans✔lithium,0Clozaril,0and0esketamine
Essential0lab0work0order0for0the0patient0with0sudden0hyperthermia,0muscle0rigidity,0par
kinsonian0symptoms,0and0neurological0signs0-0-0ans✔CPK
Which0medication0can0cause0a0specific0medical0emergency0which0is0specific0to0men0-
0ans✔Trazodone
This0medical0emergency0can0mimic0anxiety0or0mania.0Labs0needed.0-0-
0ans✔thyrotoxicosis
Screening0tool0for0SI0-0-0ans✔CSSRS
Sudden0tremor,0muscle0rigidity,0diaphoresis,0diarrhea,0confusion,0hyperactive0reflexes,
0and0mood0lability0strongly0indicates0this0medication-induces0psychiatric0emergency0-
0ans✔serotonin0syndrome
This0medication0is0known0for0its0interaction0with0lamotrigine.0Dosing0will0need0to0be0ca
refully0adjusted0if0used0together.0-0-0ans✔Depakote
Lamotrigine0rash0can0be0caused0by0this0-0ans✔rapid0dose0titration
Hospitalization0may0be0necessary0for0a0patient0with0anorexia0nervosa0who0reaches0thi
s0"measurement"0-0-0ans✔under025%0normal0body0weight0for0age/sex
Preoccupation0with0developing,0rather0than0already0having,0a0serious0illness0-0-
0ans✔illness0anxiety0disorder
Psychotic0or0other0state0that0is0upsetting0and0inconsistent0with0self0-0-0ans✔ego-
dystonic
, A0"grave"0disease0that0can0cause0heat0intolerance,0HTN,0tremor,0weight0loss,0insomni
a,0mood0swings,0agitation,0and0possible0mania0-0-0ans✔hyperthyroidism
Hormone0highly0connected0to0mood0and0anxiety0in0both0males0and0females0-0-
0ans✔testosterone
Asthma,0COPD,0both0symptoms0and0medications0used0to0treat0almost0always0cause0
patients0problems0with0this0type0of0distress0-0-0ans✔anxiety
Hot0flashes,0mood0swings,0insomnia.0Imbalances0here0can0look0like0several0psych0dia
gnoses0-0-0ans✔gonadal0hormones
Low0in0Addison's0and0high0in0Cushing's,0this0hormone0is0closely0associated0with0anxie
ty0and0mood0swings0-0-0ans✔cortisol
Acute0medical0episode0with0confusion,0disorganized0speech0and0behaviors,0and0anxie
ty.0May0seem0intoxicated0-0-0ans✔hypoglycemia
Monitor0cardiac0patients0for0this0disorder.0It0is0linked0to0increased0mortality0following0a
n0MI0-0-0ans✔depression
This0hormone0is0associated0with0circadian0rhythms0and0may0also0be0linked0to0depres
sion,0anxiety,0and0memory0-0-0ans✔melatonin
Thyroid0concentration0is0normal,0but0TSH0is0slightly0elevated.0Patient0isn't0responding0
adequately0to0antidepressants0and0CBT.0What0could0be0missing?0-0-
0ans✔subclinical0hypothyroidism
This0alternative0to0opioid0pain0relief0can0lower0seizure0threshold0if0taken0with0SSRI0-
0ans✔tramadol
This0antidepressant0is0often0the0preferred0medication0for0treating0depression0and0anxi
ety0in0lactating0moms0dure0to0low0transmission0in0breastmilk0-0-0ans✔Zoloft
Considered0"normal"0in0new0moms.0Moods0can0be0sad,0irritable,0anxious,0but0usually0
resolves0within020weeks0of0delivery0-0-0ans✔baby0blues
Mom0can't0care0for0baby.0Has0constant,0yet0unwanted,0thoughts0of0poisoning,0drownin
g,0smothering,0or0harming0baby0in0some0other0way.0Most0likely0diagnosis0-0-
0ans✔postpartum0OCD
Common0in0many0psychiatric0illnesses,0this0deficit0is0highly0linked0to0overall0illness0an
d0symptoms0must0be0assessed0and0addressed0-0-0ans✔sleep
First0line0treatment0recommendation0for0opiate-addicted0pregnant0patients0-0-
0ans✔MAT
