PMHNP ANCC Certification 1 Exam with correct Answers

PMHNP ANCC Certification 1 Exam with correct Answers A rehab facility is requesting labs. What do you need to do before sending them over? - Answer ️️ -Obtain informed consent What ethnic group in the US has the highest rate of SI and SA? - Answer ️️ -Native Americans Which ethnic group may believe in a Healing Stick? - Answer ️️ -Native Americans Can traditional Native American healers receive a patient's health information? - Answer ️️ - Yes, with a request and informed consent from the patient. What is a normal TSH level - Answer ️️ -0.5-5.0 mU/L Does hypothyroidism have a TSH lower or higher than the normal level? - Answer ️️ -Higher TSH level and lower T3/T4 What is a serious side effect of Kava Kava - Answer ️️ -liver damage, must check LFT What are serious side effects of Divalproex Sodium (Depakote) - Answer ️️ -Hepatic toxicity and pancreatitis Can patients on Kava Kava receive benzodiazpines? - Answer ️️ -No, Kava Kava is used to treat insomnia. Therefore, sleeping agents and other medications that can cause a patient to be tired should be avoided. What are the symptoms of Stevens Johnson Syndrome and what two mood stablilzers carry a risk for SJS - Answer ️️ -Red rash, fever, body ahes, swollen face and tongue; carbamazepine and lamictal Which mood stabilizer has the lowest risk of weight gain? - Answer ️️ -Lamictal What tests should be completed prior to starting a patient on an atypical antipsychotic? - Answer ️️ -Lipid panel, A1C or serum glucose, BMI, and girth A patient is stable on Seroquel but has started to gain a substantial amount of weight. What should your next step be? - Answer ️️ -Continue the medication as it appears to be working, develop a nutritional and exercise plan for patient, if the patient continues to gain weight. Switch to medications Geodone, Abilify, or Lurasidone. What are the 3 As that are risk factors with Carbamazepine? - Answer ️️ -Aplastic anemia, agranulocytosis, Asian ethnicity What lab level requires the provider to immediately discontinue treatment with Clozapine? - Answer ️️ -ANC less than 1000 What is the therapeutic level for Lithium? - Answer ️️ -0.6-1.2 mEq/L What is the gold standard pharmacological treatment for mania? - Answer ️️ -Lithium What are signs of Lithium toxicity? - Answer ️️ -severe NVD, confusion, drowsiness, muscle weakness, heart palpitations, tremor, ataxia. Immediately discontinue lithium and recheck lithium level, then check vitals and