NR572 STUDY GUIDE 2026 MASTER
SOLUTION DIGEST
◉Sertraline dose for OCD. Answer: 50-150 mg/DAY
◉Inpatient rehab facility. Answer: Provides intensive rehabilitation
to patients who can do >3 hours/day of PT or OT
◉Qualifying conditions for inpatient rehab. Answer: CVA; congenital
deformity; amputation; multiple trauma; brain injury; severe
arthritis; joint replacement; polyarticular arthritis
◉Skilled Nursing Facility (SNF). Answer: Provides skilled care such
as wound care and rehabilitation
◉Long-term care hospital. Answer: Provides care for ICUlevel
patients requiring mechanical ventilation, dialysis, trach care, etc.
◉Hospice care. Answer: Services for incurable/serious illness with
life expectancy <6 months; goal is to minimize pain and prepare for
end of life
,◉Palliative care. Answer: Teambased holistic care to relieve pain,
stress; goal is quality of life improvement
◉Caregiver burden. Answer: Stress during prolonged home care,
often seen in chronic illness like dementia; leads to physical and
psychiatric illness in caregivers
◉Common challenges for caregivers. Answer: Memory
loss/agitation; emotional stress; behavior changes; medication
management; appointments; healthcare coordination
◉PSPIKES communication. Answer: Preparation; Setting;
Perception; Invitation; Knowledge; Empathy; Summary
◉PSPIKES: Preparation. Answer: Mentally prepare; review
information; plan emotional support; rehearse phrases
◉PSPIKES: Setting. Answer: Ensure privacy; avoid interruptions;
allocate time; bring tissues
◉PSPIKES: Invitation. Answer: Ask what the patient/family wants to
know; possible questions to guide the conversation
, ◉PSPIKES: Knowledge. Answer: Deliver bad news sensitively; check
understanding; use gentle phrases
◉PSPIKES: Empathy. Answer: Identify cause of emotions; empathize
with feelings
◉PSPIKES: Summary. Answer: Outline next steps and plans; help
reduce uncertainty
◉Contraindications to SSRIs. Answer: MAOIs or TCAs; avoid alcohol;
caution with liver/renal dysfunction, seizures, GI bleed, prolonged
QT, MI
◉SSRI examples. Answer: Fluoxetine, Sertraline, Fluvoxamine,
Citalopram, Escitalopram
◉Tricyclic antidepressants examples. Answer: Amitriptyline,
nortriptyline, imipramine, desipramine, clomipramine, doxepin,
amoxapine
◉MAOI examples. Answer: Nardil, Parnate (require special diet,
avoid cheese, chocolate, fish, caffeine)
SOLUTION DIGEST
◉Sertraline dose for OCD. Answer: 50-150 mg/DAY
◉Inpatient rehab facility. Answer: Provides intensive rehabilitation
to patients who can do >3 hours/day of PT or OT
◉Qualifying conditions for inpatient rehab. Answer: CVA; congenital
deformity; amputation; multiple trauma; brain injury; severe
arthritis; joint replacement; polyarticular arthritis
◉Skilled Nursing Facility (SNF). Answer: Provides skilled care such
as wound care and rehabilitation
◉Long-term care hospital. Answer: Provides care for ICUlevel
patients requiring mechanical ventilation, dialysis, trach care, etc.
◉Hospice care. Answer: Services for incurable/serious illness with
life expectancy <6 months; goal is to minimize pain and prepare for
end of life
,◉Palliative care. Answer: Teambased holistic care to relieve pain,
stress; goal is quality of life improvement
◉Caregiver burden. Answer: Stress during prolonged home care,
often seen in chronic illness like dementia; leads to physical and
psychiatric illness in caregivers
◉Common challenges for caregivers. Answer: Memory
loss/agitation; emotional stress; behavior changes; medication
management; appointments; healthcare coordination
◉PSPIKES communication. Answer: Preparation; Setting;
Perception; Invitation; Knowledge; Empathy; Summary
◉PSPIKES: Preparation. Answer: Mentally prepare; review
information; plan emotional support; rehearse phrases
◉PSPIKES: Setting. Answer: Ensure privacy; avoid interruptions;
allocate time; bring tissues
◉PSPIKES: Invitation. Answer: Ask what the patient/family wants to
know; possible questions to guide the conversation
, ◉PSPIKES: Knowledge. Answer: Deliver bad news sensitively; check
understanding; use gentle phrases
◉PSPIKES: Empathy. Answer: Identify cause of emotions; empathize
with feelings
◉PSPIKES: Summary. Answer: Outline next steps and plans; help
reduce uncertainty
◉Contraindications to SSRIs. Answer: MAOIs or TCAs; avoid alcohol;
caution with liver/renal dysfunction, seizures, GI bleed, prolonged
QT, MI
◉SSRI examples. Answer: Fluoxetine, Sertraline, Fluvoxamine,
Citalopram, Escitalopram
◉Tricyclic antidepressants examples. Answer: Amitriptyline,
nortriptyline, imipramine, desipramine, clomipramine, doxepin,
amoxapine
◉MAOI examples. Answer: Nardil, Parnate (require special diet,
avoid cheese, chocolate, fish, caffeine)
