PMHNP board set Question with complete solution 2023

PMHNP board set Question with complete solution 2023increase 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-year-old refuse treatment - Send to psych specialist for acting out kids 16-year-old shows up with mother for first therapy - Confidential (mom sits in lobby) ACE inhibitors - HTN ACE inhibitors are the drug of choice for what? - Heart failure/HTN Acute stress disorder (ASD) - Can be 2 to 4 weeks ( less than a month) ADPIE • Assessment: 1st step, subjective and objective data • Diagnosis: analysis, formulation of nursing diagnosis • Planning: prioritizing problems, determining goals, plan of care • Implementation: nursing action (rather than medical action) • Evaluating: comparing outcomes, communicate and document findings Adult panic disorder - Buspar Lithium level 1.2 what are you concerned with - 4+ Ketones Labs for Kidney compromised it is wrong Urine kidney problem 1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity Lithium toxicity Ibuprofen and lithium INCREASES the serum level up to double Lab Values concerning for patient on Lithium: o Leukocytosis o Creatinine o BUN o NA+ o 4 + PORTEIN in Urine o + Pregnancy Test Lithium toxicity o Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting, metallic taste and SEVERE tremor. . Aggressive patient to give - IM Geodon agoraphobia fear of open spaces Agoraphobia treatment BZDs - short term symptom relief SSRIs - long-term maintenance fluoxetine (Prozac) paroxetine (Paxil) sertraline (Zoloft) SNRIs - long-term maintenance venlafaxine (Effexor) TCAs - long-term maintenance imipramine Alprostadil (PGE1) • Ductal-dependent Congenital Heart Disease (all forms) • 0.05-0.1 µg/kg/min IV/IO infusion initially, then 0.01-0.05 µg/kg/min IV/IO In babies with congenital heart defects, it is used by slow injection into a vein to open the ductus arteriosus until the surgery can be carried out. By injection into the penis or placement in the urethra, it is used to treat erectile dysfunction . Amygdala: - Fear, anxiety, and aggression Amygdala - A limbic system structure involved in memory and emotion, anxiety, particularly fear and aggression Anorexia (SAFETY = KEY) - Set up family therapy (especially adolescent pts since they have no control over food choices) Anorexia admission criteria for hospitalization - Weight loss over 30 % over 6 months, severe hypothermia (temp lower than 36 C or 96.8 F), heart rate less than 40 beats per minute, systolic blood pressure less than 70 mm hg, and hypokalemia (less than 3 mEq/L). anorexia nervosa - BMI less than 18.5 - BMI < 16 = AUTOMATIC ADMISSION - An eating disorder in which an irrational fear of weight gain leads people to starve themselves ANOVA (analysis of variance) an inferential statistical test for comparing the means of three or more groups Antidepressant takes 4 to 6 weeks Prozac causes what? increase anxiety in elderly Apoptosis programmed cell death in aging/elderly Appreciative Inquiry - Dream (wishes or dreams of organization) - Design (decide what you want to change) - Destiny (make it happen, implanting change) Appreciative Inquiry an organizational change strategy that directs the group's attention away from its own problems and focuses participants on the group's potential and positive elements Appreciative Inquiry an organizational change philosophy and process building organizations around what works, rather than focusing on and trying to fix what doesn't work