Psychiatric Nurse Practitioner Exam Review Questions Answered Correctly Latest update 2024 (Rated 100%)

Psychiatric Nurse Practitioner Exam Review Questions Answered Correctly Latest update 2024 (Rated 100%) Advocating for a Patient - Answers Avoid judging or confronting Medication Contraindicated with Tics - Answers Stimulants Assessing Abuse Victims - Answers Provide a safe environment prior to assessment Reporting Child Abuse - Answers First interview separately, then report to CPS Suspected Child Abuse - Answers Report to CPS if suspected through play behavior Interviewing Inpatients - Answers Use a private room with partially open door Starting Adolescent Interviews - Answers Build rapport ensuring confidentiality Adolescent Interviews - Answers Conduct without parents present Confidentiality for Homosexual Adolescents - Answers Maintain confidentiality if requested Discharged Patient's Labs - Answers Obtain informed consent/ROI to fax labs Medical Evaluation Needed - Answers Refer out if beyond scope Patient Feeling Unwell - Answers Collect UDS and refer out for further evaluation Cultural Response and Mental Illness - Answers Offer brief supportive therapy, not medication Respecting Cultural Beliefs - Answers Respect cultural views before assessment Native American Views on Mental Illness - Answers View as an imbalance between individual and world Highest Suicidality Rate in US - Answers Native Americans Promoting Health in Diverse Locations - Answers Use multiple cultural education and assessment parameters Psychoeducation Basis - Answers Cultural context Allowing Traditional Healers - Answers Permit with ROI/informed consent considerations Normal TSH Range - Answers 0.5-5.0 Hyperthyroidism TSH Level - Answers <0.5 Hypothyroidism TSH Level - Answers >5.0 TSH & T3/T4 Relationship - Answers Inverse Hyperthyroidism Presentation - Answers Mania Hypothyroidism Presentation - Answers Depression Normal Depakote Level - Answers 50-125 Toxic Depakote Level - Answers 150+ Depakote Birth Defect - Answers Spina Bifida Depakote Toxicity Symptoms - Answers Disorientation, lethargy, decreased respiratory rate, N/V Hepatotoxicity Symptoms - Answers RUQ pain, reddish brown urine, jaundice, fatigue Normal AST Range - Answers 5-40 Normal ALT Range - Answers 5-35 Kava Kava Effects - Answers Liver damage, sedation Kava Kava Contraindication - Answers Avoid with benzos or sedatives Mood Stabilizer Associated with SJS - Answers Lamictal Mood Stabilizer with Least Weight Gain - Answers Lamictal SGAs with Least Weight Gain - Answers Ziprasidone, Abilify, Latuda Least Sedating SGA - Answers Abilify Routine Labs with SGAs - Answers BMI, hip to waist ratio, glucose, A1C, lipid panel Metabolic Syndrome Management with SGAs - Answers Nonpharm: exercise/nutrition; Pharm: switch to lower risk SGA Carbamazepine Side Effects - Answers Agranulocytosis, aplastic anemia Screening Prior to Carbamazepine in Asians - Answers HLAB1502 Allele for SJS risk D/C Carbamazepine for Agranulocytosis - Answers If ANC < 1000 with/without infection symptoms Lithium Therapeutic Range - Answers 0.6-1.2 Monitoring Lithium Levels at 1.3-1.4 - Answers Monitor levels D/C Lithium at 1.5+ - Answers Discontinue lithium Benefits of Lithium - Answers Mania treatment, neuroprotection, anti-suicidal effects Lithium Toxicity Symptoms - Answers N/V, polydipsia, polyuria, leukocytosis, tremor Suspected Lithium Toxicity Action - Answers Discontinue, check levels before VS Drugs Raising Lithium Levels - Answers NSAIDs, ace inhibitors, thiazides Education on Lithium - Answers Encourage extra water intake during activities NMS Symptoms - Answers Muscle rigidity, mutism, elevated CPK, myoglobinuria, increased WBCs, LFTs NMS Treatment - Answers Discontinue med, bromocriptine, dantrolene Serotonin Syndrome Symptoms - Answers Hyperreflexia, myoclonic jerks Serotonin Syndrome Causes - Answers SSRIs, SNRIs, MAOIs, -triptans Serotonin Syndrome Treatment - Answers Discontinue med, administer cyproheptadine SSRI to MAOI Washout Period - Answers 14 days Prozac to MAOI Washout Period - Answers 5-6 weeks Depression with Cancer Drug Choice - Answers Celexa or Lexapro for fewer interactions Depression with Low Energy Drug Choice - Answers Wellbutrin Depression with Sexual Problems Drug Choice - Answers Wellbutrin Wellbutrin Contraindications - Answers Avoid in seizure or eating disorders Neuropathic Pain and Depression Drugs - Answers Consider Wellbutrin for chronic pain and depression Wash out from Prozac to MAOI? - Answers 5-6 weeks Drug choice for patient that is depressed and also has cancer? - Answers Celexa or lexapro d/t fewer drug to drug interactions Drug choice for patient with low energy and fatigue with depression? - Answers Wellbutrin C/I for Wellbutrin? - Answers Seizure disorder or hx or present eating disorder Drug choices for patient with chronic neuropathic pain and depression? - Answers 1. SNRI (cymbalta)