LMR Georgette's PMHNP Certification Exam.pdf

Which SSRI is most likely to cause insomnia? {{Ans- Fluoxetine (Prozac) What question is important to ask in the social history with a depressed patient? {{Ans- Alcohol intake (self-medicating) What BBW do all antidepressants have? {{Ans- Suicidal ideation (<24 yrs.) Suicidal ideation for children, adolescents, and young adults <24 years is a BBW with what medications? {{Ans- Anti depressants What question should ask all adolescent patients at each visit? {{Ans- Self harm (frequency and severity) Which 2 groups is it especially important to ask about SI at each visit? {{Ans- Adolescence Schizophrenics Why do children have a decreased placebo response with antidepressants? {{Ans- Few evidence-based studies What is the onset of schizophrenia in males? {{Ans- 18-25 What is the onset of schizophrenia in females? {{Ans- 25-35 What question should ask schizophrenic patients at each visit? {{Ans- SI What is the most likely diagnosis in a patient with homicidal ideation? {{Ans- Antisocial Personality Disorder What would yo expect to see on an MRI/Pet scan in a patient with schizophrenia? {{Ans- All structures decreased except ventricles Which class of agents should be avoided in patients with schizophrenia? {{Ans- Stimulants (increased DA) Which 3 structures in the brain are associated with aggressive and impulsive behavior? {{Ans- Prefrontal cortex Amygdala Hippocampus What is Assertive Community Treatment (ACT)? {{Ans- Form of rehabilitation post hospitalization for SMI Case management approach Patients with SMI who are discharged from the hospital should be referred to {{Ans- Assertive Community Treatment (ACT) Can patients receive Assertive Community Treatment (ACT) while in the hospital? {{Ans- No Which services can be provided in the home for SMI patients? {{Ans- Assertive Community Treatment (ACT) What is the best treatment program for SMI patients with poor medication adherence? {{Ans- Assertive Community Treatment (ACT) Social skills training in a schizophrenic patient is what type of prevention? {{Ans- Tertiary What are 3 benefits of aerobic exercise in schizophrenic patients? {{Ans- Increased cognition Quality of Life Long-term health How do you convert oral Haldol to IM (depot form)? {{Ans- 20 x daily dose When converting oral Haldol to depo form, what the maximum dose should administer? {{Ans- >100 mg (administer weekly if necessary) What is a delusion? {{Ans- A firm belief despite contrary evidence A firm belief despite contrary evidence is {{Ans- delusion How often is Haldol Decanoate typically administered? {{Ans- monthly How do you conduct a MSE in a preschooler (3-5 yo) {{Ans- Clinical observation (listen/observe) What is thought content? {{Ans- SI/HI, plan