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Which medication class worsen TICS? - answer- stimulants
Safety Contract as an answer choice is often - answer- incorrect.
Safety plan is ok but not Contract.
Behavioral management and supports starts when? - answer- upon admission or as
soon as patient is admitted.
The best place to interview a patient is - answer- private room with door partially open.
Not in patient bedroom or day room.
Confidentiality for adolescents exists. Parents don't get to know non dangerous things. -
answer- Confidentiality for kids short of harm to themself or others.
cultural syndrome - answer- a set of symptoms specific to the culture in which they
occur. Not a mental illness. May just need brief supportive therapy
Cultural assessment also known as - answer- cultural formulation interview
when serving a multicultural population - answer- ethnospecific assessment parameters
Which ethnic group in united states has highest rate of suicide and suicide attempts? -
answer- Native American
Susto (Latin America) - answer- Severe anxiety, rapid heartbeat, and fear of black
magic
Supernatural beings, strangers.
"Susto=Fright"
Ataque de nervios ("attack of nerves") - answer- similar to panic disorder, but may
include symptoms like aggression/screaming and suicidal impulses. Puerto Rican.
wind-cold illness - answer- Traditional Chinese Medicine that feels external factors
invade body to cause illness.
wind-heat illness - answer- Traditional Chinese Medicine that feels external factors
invade body to cause illness. More focused on fever, dehydration, heat.
, Apoptosis - answer- cell death, cell disintegration/shrinkage
Thyroid-stimulating hormone (TSH) levels - answer- 0.5-5.0Mu/L
Symptoms of hypothyroidism mimic - answer- depression
Symptoms of hyperthyroidism mimic - answer- Mania
divalproex sodium (Depakote) can cause what teratogenic effect (pregnancy - answer-
spina bifida
divalproex sodium (Depakote) can cause - answer- Hepatotoxicity and also pancreatitis
Kava Kava can cause - answer- hepatotoxicity and sedation
Metoprolol (Lopressor) should not be taken with - answer- fluoxetine and others
Ziprasidone, Quetiapine, Haloperidol, Citalopram all can cause - answer- QT
prolongation
Abilify, Lurasidone, Olanzapine are less likely to cause - answer- QT prolongation
Safest SSRI for patients with heart issues - answer- Sertraline, Escitalopram
Lamotrigine (Lamictal) can cause - answer- Steven Johnsons Syndrome - Severe
rash/fever/ body aches
Lamotrigine is the mood stabilizer that causes the least - answer- weight gain
Antipsychotics that cause least weight gain - answer- Ziprasidone, Aripiprazole,
Lurasidone
Patients taking antipsychotics need to routinely check - answer- BMI, hip-waist ratio for
abdominal obesity, glucose, and lipid panel
Labs for a new patient that has never done lab work. - answer- CMP , Lipid Panel, A1C.
(Others: CBC, etc.
What does CMP measure? - answer- comprehensive metabolic panel: it evaluates
kidney and liver electrolyctes glucose and overall metaboic health
Patient with gout and hepatitis what lab to do - answer- Uric Acid Levels, Liver function
test, CBC