1. You see a patient for a routine medication visit. At the end of the session, the patient asks questions and the session ends up 50 minutes in length. You normally charge for the 30-minute appointment, but instead you charge for the 1-hour appointment. The 1-hour appointment includes a full body assessment that you did not perform. This violation is known as: - Over-coding - Super-coding - Down-coding - Up-coding Correct Ans:- - Up-coding Rationale: Up-coding is a fraudulent practice in...

What is the first line treatment for temporal arteritis? – High-dose steroids because it's an inflammatory response Why is an anecdotal or expert opinion lowest on the research hierarchy? – Can be a single person or a group of experts giving an opinion, but there is no research What is the screening test for temporal arteritis? – Elevated ESR and CRP as well Which condition causes bilateral stiffness lasting 30 minutes or more located in the shoulders, neck, hips, and torso; more ...

As a PMHNP, you are aware of antipsychotic medication side effects. Which of the following side effects of antipsychotic medications has an insidious, delayed-onset typically 1 to 2 years after initiation of the medication? a. Dry mouth b. Tardive dyskinesia c. Sedation d. Weight gain correct answer- B In evaluating a 4-year-old, one would expect which of the following delays in Asperger's Disorder? a. Language development b. Cognitive development c. Motor skills coordination d. So...

Stages of Change Model - answerTheoretical model describing a five-step process by which individuals give up bad habits and adopt healthier lifestyles. Pre-contemplation : No way in the world; won't do it Contemplation: thinking needs to make a change Preparation: resources to help take action Action: Quit Maintenance: keep doing it "PCPAM" SamE - answerOA, liver disease, depression --> increases serotonin- do not take with other antidepressants black cohosh/ wild yam - answerhot...

As a PMHNP, you are aware of antipsychotic medication side effects. Which of the following side effects of antipsychotic medications has an insidious, delayed-onset typically 1 to 2 years after initiation of the medication? a. Dry mouth b. Tardive dyskinesia c. Sedation d. Weight gain correct answer: B In evaluating a 4-year-old, one would expect which of the following delays in Asperger's Disorder? a. Language development b. Cognitive development c. Motor skills coordination d. Soc...

AIMS correct answer: Abnormal Involuntary Movement Scale for 8 and older 12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics Rating 0-4, >2 to diagnose TD and reduce dose BARS correct answer: Barnes Akathisia Rating Scale for 8 and older 4 item tool to assess objective and subjective symptoms of akathisia with antipsychotics and/or SSRIs CRS-R correct answer: Connors Rating Scales - Revised for 3-17 ADHD Parent (80 items) and Teacher Scales (5...

What direct-acting dopamine receptor agonist is recommended to be used in the treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade? A) benzotropine (Cogentin) B) bromocriptine (Parlodel) C) dantrolene (Dantrium) D) trihexyphenidyl (Artane) correct answer: A) Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a muscle relaxant. Benzotropine (Cogentin) and Trihe...

Hgb male correct answer: 13.5 to 17.5 g/dL Hgb female correct answer: 12.0 to 15.5 g/dl female male correct answer: 36% to 46 % 41% to 53% MCV (size of RBC) correct answer: 80 to100 fL >100 fl (macrocytic anemia) such as B12 deficiency (due to pernicious anemia) or folate deficiency <80 (microcytic anemia) such as iron deficiency or thalassemia trait Platelet count . correct answer: 140 − 415 × 103/mL Thrombocytopenia increased risk of bleeding Thrombocytosi...

Mood Disorders correct answer: Most common psych illnesses Primary characteristic is persistent disturbance in mood correct answer: Major Depressive Disorder Often occurs without precipitating event correct answer: MDD Object loss theory correct answer: Fairbairn, Winnicott & guntrip Aggression turned inward theory of MDD correct answer: Freud Cognitive Theory correct answer: Beck Learned Helplessness-Hopelessness Theory correct answer: Seligman Genetic predisposition...