TEST BANK PMHNP Exam Reported Questions -2023 (341 questions with 100% complete answers)

What is dissemination? answer Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? answer Moderate cognitive impairment What is Tegretol in the CYP450 system? answer Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? answer Inducer - will lower dose of Lamictal What is a Type I research error? answer There IS a difference but you say there isn't a difference. What is a Type II research error? answer There is NO difference but you say there is a difference. What is pseudo-dementia? answer Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve. Is it normal for a 1 month old to have a palmar grasp? answer Yes. What is a drug 1/2 life? answer The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? answer Zyprexa, Abilify, Seroquel - low doses What is a risk of using Tramadol? answer Serotonin Syndrome as it is very serotonergic. What is the allele seen in Asians that increase the risk of SJS? answer HLAB-1502 When might you see toxic epidermal necrolysis? answer With worsening of SJS How many generations do you include for a genogram? answer 1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree - What does messenger RNA code for? answer Amino Acids What is epigenetics? answer Factors that affect genes - environmental, smoking, stress, etc... What part of the brain is involved with OCD? answer Basal Ganglia Occipito-Frontal What happens to the brain during adolescence? answer Dendritic pruning When do males typically present with schizophrenia? answer 10-25 yo When do females typically present with schizophrenia? answer 25-35 yo What does Erythromycin to trileptal? answer You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor ACE Inhibitors are the drug of choice for what? answer Heart Failure HTN What are some psychiatric side effects seen with some asthma drugs answer Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor What should you watch for with Tegretol? answer Agranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? answer CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? answer CKMB What is the risk of a seriously elevated CKMB? answer Polymyositis Rhabdo What is a normal CKMB? answer 0.3 mcg/L What psychoactives does Detrol interact with? answer Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? answer CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? answer CD4 <200 Viral Load is high <20% get it with antiretroviral treatment What is the scoring with the Beck Depression Inventory? answer Self-Report - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity? answer Helps rule-out disease = True Positive = Snout What is specificity? answer Helps rule-in disease = True Negative = Spin What is a normal sed rate or ESR? answer 0-22 males 0-29 females What is a retic count? answer Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow. bleeding What does an increased retic count indicate? answer Bone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? answer Doesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and macrolides? answer Increase tegretol levels. What happens if a pregnant women takes Accutane? answer Birth defects. What labs do you get with RA? answer Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis. CRP and ESR are both increased in RA but NOT in osteoarthritis. Where does the NP Code of Ethics come from? answer ANA When do you assume informed consent? answer Unconscious Incompetent Life Threatening Situation What are the legal ramifications of treating w/o informed consent? answer Same as with informed consent Who can declare a patient incompetent and appoint a guardian? answer Only a court Does impaired judgment mean one is incompetent? answer No. Can an advanced directive ever be revoked? answer Yes, at any time. What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? answer Nothing. They are all the same. Does the de facto rule of proxy apply in same sex marriages? answer No. How do Asians see HC providers? answer As in a position of authority. Expect to give instructions and help make decisions What does it mean when an Asian patient does not make eye contact with the NP? answer SIgn of respect What is the evil eye? answer When a stronger or more powerful person looks at a weaker person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness. How do you protect from the evil eye? answer Red ribbon on an infant Amulet for adults How do you treat for evil eye? answer Access traditional healer + traditional care. For there to be a duty to a patient, what must exist? answer Relationship What is a proximate cause? answer Connection between A + B.