Psychiatric NP exam
COBRA - answers✔✔Under HIPPA, what is the insurance policy that allows you to hold the company's
insurance for 18 months after leaving job?
True - answers✔✔T/F a patient has a right to make changes to their chart as well as see it
Increase the quality and years of life while eliminating health disparities - answers✔✔Summarize
general goals for healthy people 2020
STDs like Gonorhea, Chlamydia, and Syphillis, as well as TB and HIV (as well as animal bites) -
answers✔✔What are the 5 conditions NPs are required to report?
Child and elder abuse, but domestic violence is not required to be legally reported - answers✔✔Nurse
practitioners are legally required to report what kind of abuse, and what kind is allowed to be left alone?
75% - answers✔✔What percentage of mental illnesses appear by the age of 18?
Autosomal dominant (rare) like huntington's disease - answers✔✔Genetic inheritance that will be
present in more than one generation?
protractive grief response is a risk for pathology characterized by a loss of self esteem which does not
happen with normal grief - answers✔✔What is the difference between a normal grief response and a
protracted grief response?
almost 40%, 7%, almost 25% and almost 5% respectively. - answers✔✔What is the rate of schizophrenia
admissions to the hospital when both parents are infected by the illness? one parent? both bipolar? one
bipolar?
use lower doses due to no tolerance and no down regulation. - answers✔✔How would you treat
someone who is psychotropic naive?
, Autoimmune conditions (possible use of steroids), metabolic syndrome like heart disease,
hyperlipidemia, and diabetes. These can be made worse in the presence of psychiatric illness or vice
versa. - answers✔✔When asking a patient about medical history during a psychiatric interview, what
diseases should we pay particular attention to? Why?
Begin in Non-Rem (Stage 1), move into deeper non-rem or slow wave sleep (Stages 2-4), 1st stage of
Rem sleep 80-100 minutes later and repeats with each REM stage lasting longer. - answers✔✔Describe
normal patterns of sleep
REM - answers✔✔What kind of sleep declines markedly with organic brain dysfunction and is sensitive
to temperature extremes?
Great EEG activation, muscle atonia, rapid eye movements, muscle twitches, and breathing
irregularities. - answers✔✔Describe REM Sleep
minimal mental activity, inactive yet actively regulated brain in a movable body. - answers✔✔Describe
Non Rem Sleep
Social support, lethality, Access, Plan - answers✔✔Describe the pneumonic SLAP for assessing suicide
at least 5 out of 8 symptoms in the last 2 weeks- 1 being diminished interests/depressed mood, Sleep
problems, guilt (worthlessness/hopelessness), energy deficit, concentration problems, appetite
problems, psychomotor agitation or retardation, suicidality. - answers✔✔DSM 5 criteria for Depression
requires:
Distractability, Indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness. -
answers✔✔DIGFAST Pneumonic for assessing Bipolar disorder
continuously, constantly, reptitious - answers✔✔Pneumonic for OCD- CCR
Appearance, behavior, speech, affect, thought content/process, Cognitive exam. - answers✔✔Mental
Status Exam Pneumonic- All Bad Subjects Are Tough Troubled Characters
COBRA - answers✔✔Under HIPPA, what is the insurance policy that allows you to hold the company's
insurance for 18 months after leaving job?
True - answers✔✔T/F a patient has a right to make changes to their chart as well as see it
Increase the quality and years of life while eliminating health disparities - answers✔✔Summarize
general goals for healthy people 2020
STDs like Gonorhea, Chlamydia, and Syphillis, as well as TB and HIV (as well as animal bites) -
answers✔✔What are the 5 conditions NPs are required to report?
Child and elder abuse, but domestic violence is not required to be legally reported - answers✔✔Nurse
practitioners are legally required to report what kind of abuse, and what kind is allowed to be left alone?
75% - answers✔✔What percentage of mental illnesses appear by the age of 18?
Autosomal dominant (rare) like huntington's disease - answers✔✔Genetic inheritance that will be
present in more than one generation?
protractive grief response is a risk for pathology characterized by a loss of self esteem which does not
happen with normal grief - answers✔✔What is the difference between a normal grief response and a
protracted grief response?
almost 40%, 7%, almost 25% and almost 5% respectively. - answers✔✔What is the rate of schizophrenia
admissions to the hospital when both parents are infected by the illness? one parent? both bipolar? one
bipolar?
use lower doses due to no tolerance and no down regulation. - answers✔✔How would you treat
someone who is psychotropic naive?
, Autoimmune conditions (possible use of steroids), metabolic syndrome like heart disease,
hyperlipidemia, and diabetes. These can be made worse in the presence of psychiatric illness or vice
versa. - answers✔✔When asking a patient about medical history during a psychiatric interview, what
diseases should we pay particular attention to? Why?
Begin in Non-Rem (Stage 1), move into deeper non-rem or slow wave sleep (Stages 2-4), 1st stage of
Rem sleep 80-100 minutes later and repeats with each REM stage lasting longer. - answers✔✔Describe
normal patterns of sleep
REM - answers✔✔What kind of sleep declines markedly with organic brain dysfunction and is sensitive
to temperature extremes?
Great EEG activation, muscle atonia, rapid eye movements, muscle twitches, and breathing
irregularities. - answers✔✔Describe REM Sleep
minimal mental activity, inactive yet actively regulated brain in a movable body. - answers✔✔Describe
Non Rem Sleep
Social support, lethality, Access, Plan - answers✔✔Describe the pneumonic SLAP for assessing suicide
at least 5 out of 8 symptoms in the last 2 weeks- 1 being diminished interests/depressed mood, Sleep
problems, guilt (worthlessness/hopelessness), energy deficit, concentration problems, appetite
problems, psychomotor agitation or retardation, suicidality. - answers✔✔DSM 5 criteria for Depression
requires:
Distractability, Indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness. -
answers✔✔DIGFAST Pneumonic for assessing Bipolar disorder
continuously, constantly, reptitious - answers✔✔Pneumonic for OCD- CCR
Appearance, behavior, speech, affect, thought content/process, Cognitive exam. - answers✔✔Mental
Status Exam Pneumonic- All Bad Subjects Are Tough Troubled Characters
