Jessypeace

Psychoanalytic theory - Oral , anal, phallic, latency, and genital stages PsychoDYNAMIC or Individual: Adler - Recognized inferiority as driving force; strive for superiority; motivation is through social relatedness PsychoDYNAMIC or Individual Theory: Adler - Assume responsibility for growth Live a purposeful life Consciousness raising Intrapersonal conflicts Birth Order Existential: Frankl, May, Yalom - Stresses human EXISTENCE, choice, freedom and responsibility:Logotherapy: therapy ...

Deontological theory - An action is judged as good or bad based on the act itself regardless of the consequences Teleological theory - An action is judged as good or bad based on the consequences or outcome Virtue Ethics - Actions are chosen based on the moral virtues or the character of the person making the decision Four elements of negligence that must be established to prove malpractice - Duty Breach of Duty Proximate Cause Damages Phases of Policy Making - Formulation Implementati...

T4, FREE THYROXINE - 0.8-2.8 Increased In Graves Decreased In Hypothyroidism TSH - 2- 10 mu/l Normal values can range from 0.4 - 4.0 mIU/L (milli-international units per liter), Calcium, Ca++ - 8.8-10.5 <7.0, tetany >11.0, hyperparathyroidism >13.5, hypercalcemic coma, metastatic cancer Sodium, Na+ - 135-148 mEq/L hypernatremia - dehydration hypovolemia diabetes insipidus eating too much salt gastroenteritis drugs such as adrenocorticosteroids, methyldopa, hydrazine, coug...

The purpose of the ANCC PMHNP Scope and Practice is to - Define the role of the NP Primary Prevention - Actions that change overall background conditions to prevent some unwanted event or circumstance, such as injury, disease, or abuse. EX: Parenting skills classes for pregnant adolescents. In the N-C relationship - Primary focus is on the client and their needs After 24 hrs a patient wants to leave inpatient setting, the best nurse action - Tell client they cannot leave until a further as...

Characteristics of a Therapeutic Relationship Genuineness Acceptance Nonjudgement Authenticity Empathy Respect Professional boundaries Single most important goal in transformation of mental health care in the past two decades Recovery Sadness can be pathological when... It is disproportionate to events and sustained over a significant time period; It significantly impairs normal social functioning (occupational, social, school, relational) or somatic functioning (eating, sleep); it ...

The purpose of the American Nurses Association's Psychiatric-Mental Health Nursing: Scope and Standards of Practice is to a. Define the role and actions for the NP b. Establish the legal authority for the prescription of psychotropic medications c. Define the legal statutes of the role of the PMHNP d. Define the differences between the physician role and the NP role - A. The ANAs Psych-Mental Health Nursing Scope and Standards of Practice defines the role and actions of the nurse practiti...

AIMS - Abnormal Involuntary Movement Scale for 8 and older 12 item tool to assess symptoms of tardive dyskinesia for patients taking antipsychotics Rating 0-4, >2 to diagnose TD and reduce dose BARS - Barnes Akathisia Rating Scale for 8 and older 4 item tool to assess objective and subjective symptoms of akathisia with antipsychotics and/or SSRIs CRS-R - Connors Rating Scales - Revised for 3-17 ADHD Parent (80 items) and Teacher Scales (59 items) Low T-score of 61= mildly atypical; &gt...

PMHNP Role addresses.. - need to providence holistic holistic nursing care that doesn't artificially separate mind and body Who was the NP Role introduced by? - 1. NP role was introduced in by Loretta C. Ford and Henry K. Silver 2. The first nurse practitioners were pediatric NPs. What did June Mellow and Hildegard Peplau do? - June Mellow and Hildegard Peplau helped make psychiatric nursing a well-established, well-recognized, sub-specialty of nursing. Independent Practice Competencies ...

INITIAL STAGE: "CHIEF COMPLAINT" -History Of Presenting Problems -Social History -Developmental History -Family history -Personal Evaluation -Genetics -Culture , religion, spirituality -Past Psychiatric History -Medical History ( -Sleep -Substance use assessment - SYMPTOM OF PRESENTING PROBLEM-the patients words -Affective -Cognitive -Physical i.e "I am depressed" History of presenting problems - C- Characteristics of Symptoms O-Onset L-Lingering (how long has the symptoms ...

HLA-B 1502 - check for prior to starting carbamazepine o asia patient, FDA required. Increased risk of SJS in pts with the allele Medication that can induce Mania: - Steroids, Antidepressants in bipolar, isoniazid, disulfiram- antabase Medication that can induce depression - Beta blockers Benzos Antineoplastic drugs, accutane Steroids Interferon Some retroviral drugs Progesterone Inhibitors - lower dose of medication - Buproprion Clomipramine - tricyclic Clarithromycin Flouroquinol...

Most common issues for individual therapy - 1. losses 2. interpersonal conflicts 3. symptomatic presentations such as panic phobias, and negativity 4. Unfulfilled expectations at life transitions 5. Characterological issues such as narcissim or aggressiveness Psychoanalytic therapy - 1. Originated by Freud 2. believed that behavior is determined by unconsious motivations and instincual drives . 3. promotes change by the development of greater insight and awareness of maladaptive defe...

symptom presentation - affective, cognitive, physical autosomal dominant - genetic inheritance. will present in more than one generation. 50/50 chance of passing on trait (Huningtons) autosomal recessive - two copies must be present (cystic fibrosis prior to MSE - assessment includes ROS, VS, heart tone, lung sounds, neuro exam, muscle tone, rigidity SLUMS - 11 items. Max 30, 27-30 normal for high school education, 21-60 mild neurocognitive disorder, 0-20 dementia MMSE - 11 components. M...

Positive Romberg Sign - (r/t etoh) loss of balance that occurs when closing the eyes ETOH withdrawal delirium may result in? - Seizures or death DSM Severity for ETOH - Mild = 2-3 sx Moderate = 4-5 sx Severe = >= 6 sx DSM ETOH Remission Criteria - Early = >3 mos & <12 mos Substantial Remission = >12 mos Screening & Early Intervention scale for SUD - SBIRT Screening, Brief Intervention & Refereal to Treatment CAGE - Cut down Annoyed Guilty Eye-Opener >=2 is clinically ...

increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 3-year-old masturbates, play with self, says naughty things - Normal for Piaget 5-year-old tells you his brother sodomized him - - Tell mom don't leave him alone with patient and call CPS implement crisis 13-year-old want to smoke - - Ask him of his plan to stop smoking 14-year-old girl clenching her teeth - - Cranial nerve V-Trigeminal nerve 16-year-old falls with the wrong crowd - - Conduct disorder 16...

increase prolactin - - Stop prolactin (stop the agent that cause increase prolactin) 3-year-old masturbates, play with self, says naughty things - Normal for Piaget 5-year-old tells you his brother sodomized him - - Tell mom don't leave him alone with patient and call CPS implement crisis 13-year-old want to smoke - - Ask him of his plan to stop smoking 14-year-old girl clenching her teeth - - Cranial nerve V-Trigeminal nerve 16-year-old falls with the wrong crowd - - Conduct disorder 16...

A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse practitioner - interprets the findings as normally occurring during a rapid adolescent growth spurt Laboratory findings for a patient with an alcohol use disorder indicate increased liver function values and: - increased MCV and eleva...

Medicare Part A Coverage -Hospital insurance that covers inpatient and most skilled care. Mandatory copays for hospital days 21-150, getting higher with each period of time. Medicare Part A Eligibility ->65 in social security automatic enrollment Medicare Part A Cost -No cost if automatically qualified. 30-39 work quarters: ~$250/mo <30 work quarters: ~$450/mo Medicare Part B Coverage -Supplemental medical insurance. Outpatient services, care, physical/speech therapy, some home healt...

Which of the following is a contraindication to benzodiazepines? a. Acute alcohol intoxication b. Acute narrow angle glaucoma c. Psychosis d. All the above - a. Acute alcohol intoxication In the pharmacological treatment of psychosis, when antipsychotics are administered, which block dopamine, a secondary effect is blocking in another tract, which causes potential prolactin problems, such as gynecomastia in males. This tract is the: a. mesolimbic b. tuberoinfundibular c. nigrostrial do...

addiction dopamine, gaba OCD norepi and serotonin MDD DNS tourettes DNS ADHD DNS schizophrenia Serotonin GABA, glutamate ASD Serotonin GABA, glutamate Bipolar all DNS, GABA, Glutamate NT made in substantia nigra, nucleus accumbens, VTA Dopamine NT made in Locus coeruleus, medullary reticular formation norepinephrine

CAGE -items responses are scored either 1 or 0. A score 2 or higher is considered clinically significant OCD -obsessive thoughts interfere with your daily life -are you concern about things being contaminated, keeping things in perfect order -do you feel driven to perform certain acts over and over again? -have unwanted images or thought that you cant seem to get out of your head layman's explanation of mental illness -Abnormal functioning of neurotransmitters. Neuroanatomical difference...