NURSING TEST

Medications PMHNP Questions and Answers correct Corticoidsteroids causes anxiety, mood changes, psychosis, and delirium Benzos and antiulcer agents cause mood changes NSAIDs cause psychosis When to suspend Clozapine ANC levels less than 500 Rare side effect of Quetiapine Cataract formation Higher incidence of EPS with Risperidone >6 mg doses Monitoring what with Ziprasidone QTc Lurasideon needs what to be effective take with food to in...

PMHNP Psychotherapy and Related Theories Discuss gifts. Over time, patients may develop a bond with NPs they trust and may feel grateful to the NP for the care provided and want to express thanks, but the NP must make sure to maintain professional boundaries: * Gifts: Patients often offer gifts to NPs to show their appreciation, but older adults, especially those who are weak and ill or have a cognitive impairment, may be taken advantage of easily. Patients may offer valuables and may somet...

Exam Edge PMHNP review Questions and Answers correct Which of the following mood stabilizing agents would be considered an antimanic? D) Lithium 3 multiple choice options valproic acid is considered to be a: B) Anticonvulsant 3 multiple choice options The psychiatric mental health nurse practitioner is reviewing symptoms and patient history for an adolescent male. She sees that he is fair-skinned with blue eyes, has a wide smiling mouth with a thin upper lip, a small head circ...

PMHNP Exam Questions and Answers correct The Nurse Practice Act of every state -Provides title protection (who may be called a nurse practitioner)-Defines advanced practice -Prevailing state laws that define the scope of practice (what NPs may do) -Places restrictions on practice-Sets NP credentialing requirements (e.g., edu requirements,certification) Statutory law -Rules and regulations differ for each state -May further define scope of practice and practice requirements -May pro...

PMHNP certification review Questions and Answers correct LGBTQ adults are _______ as likely as heterosexual adults to experience a mental health condition. twice _______ percent of transgender adults report that the have considered suicide in the past year, compared to 4% of the overall population. 48 Surgery is considered after the person has successfully made the _______ change and is at least age ______. gender; 16 Side effects of testosterone treatment include... ca...

Neurotransmitters for the ANCC PMHNP EXAM Questions and Answers correct Dopamine The psychiatric presentation of psychosis or positive symptoms of schizophrenia is thought to be due to this neurotransmitter. acetylcholine Neurotransmitter with the general function of: attention, memory, thirst, mood regulation, REM sleep, sexual behavior, and muscle tone. acetylcholine Deficit of this neurotransmitter can lead to lack of inhibition and decreased memory. It can also cause euphor...

Last Minute Review PMHNP part 1 Questions and Answers correct What should you do if a child reports being abused? Interview the child separately and report to CPS. What should you do if you observe a child playing with a doll/toy in a sexual way? Immediately report to CPS. How should you conduct an interview with an inpatient? In a private area with the door open/partially open. Why is it important to build therapy rapport with adolescents? To establish trust and confid...

PMHNP Ethics-Legal-QI Questions and Answers correct Scope of practice ● Determined by state legislature (state BON) ● Defines NP roles & actions ● Identifies competencies assumed to be held by all NPs who function in a particular role ● Varies broadly from state to state. Some states may require additional certifications Standards of Practice Quality of practice does not change based on location. ● Determined by ANA. ● Guidelines/Protocols/recommendations ● Reflect expect...

PMHNP ancc Questions and Answers correct Depakote black box and caution Pancreatitis and hepatoxicity Depakote teratogenic effec Spina bifida (neural tube effect) Clozapine metabolized by P450 enzyme cyp1A2 Cerebellum Balance and coordination frontal lobe function Largest and most developed Affect ability to express speech BROCAS area Clock drawing test used to assess? What lobe? Used to assess executive function and cognitive dysfunction of right parie...

Menumonics for PMHNP Board Review Questions and Answers correct serotonin affects many DOMAINS within the body Depression - mood regulation Obsession Migraines Anxiety Intestines - 90% of serotonin in GI tract Nausea Sexual serotonin syndrome can be recognized by its Shits & SHIVERS shits (diarrhea) Shivering Hyperreflexia Increased temperature Vital sign instability Encephalopathy Restlessness Sweating dopamine's effects in the central nervous system = DOPAMINE ...

PMHNP Mock Exam 2 Questions and Answers correct A PMHNP is assessing a child with suspected autism. Which biomarker is associated with autism and can be measured in whole blood? Elevated serotonin levels The PMHNP is reviewing a genetic study of a family with a history of mental illness. The genetic study included affected sib-pair (ASP) analysis to identify potential genetic markers. What is the main advantage of using ASP analysis in this study? It can account for genetic heterogenei...

PB PMHNP Review Qs Questions and Answers correct Which is true about pharmacological treatment of anxiety and older adults? A. Course of treatment is generally shorter than for younger adults. B. Drugs that are highly oxidized are more unpredictable than drugs that are mostly conjugated. C. The therapeutic dose of SSRIs is generally lower than for younger adults. D. High lipophilic drugs have a more linear elimination in older adults. Fee. Drugs that are highly oxidized or more unpredictab...

Fitzgerald PMHNP Questions and Answers correct Theory - self-actualization Maslow Absolute Risk Reduction (ARR) The risk in a control group minus the risk in a treatment group The concomitant use of MAOIs and St. John's wort can lead to serotonin syndrome Relative Risk Reduction (RRR) The percentage of risk removed by the treatment True randomization sample no bias in sample selection Stratified sample a selective reproduction of the population ...

PMHNP ancc Questions and Answers correct Depakote black box and caution Pancreatitis and hepatoxicity Depakote teratogenic effec Spina bifida (neural tube effect) Clozapine metabolized by P450 enzyme cyp1A2 Cerebellum Balance and coordination frontal lobe function Largest and most developed Affect ability to express speech BROCAS area Clock drawing test used to assess? What lobe? Used to assess executive function and cognitive dysfunction of right parie...

Review 2 PMHNP Questions and Answers correct NSAIDS Increases Lithium Levels Reliability consistency of measurement Reliability is another term for consistency. If one person takes the same personality test several times and always receives the same results, the test is reliable. internal validity Refers to how well an experiment is done, Was it done RIGHT extent to which we can draw cause-and-effect inferences from a study Qualitative Data in the form of recorded de...

Day before PMHNP BC exam----to remember Questions and Answers correct _________ from the VTA to limbic areas might be related to positive symptoms of schizophrenia. A) Hyperactivation 3 multiple choice options ___________ might in part explain cognitive and negative symptoms of schizophrenia. Hypofunction of the mesocortical pathway what causes EPS? D2 blockade of the nigrostriatal pathway what increases prolactin blood levels D2 blockade in the tuberoinfundibular path...

•Last minute review for PMHNP Questions and Answers correct Lithium (Li) Normal: 0.6-1.2 Lithium toxicity can occur at 1.5 or higher Gold standard for treating manic episodes Has anti-suicide effects in bipolar Neuroprotective tx of choice for Bipolar Before Rx, Check: TSH, Creatinine,BUN, UA (4+ protein = kidney disease), HCG for females of childbearing age (12-51 years) Lithium s/e: hypothyroidism, find hand tremors, maculopapular rash, GI upset, diabetes insipidus (polyu...

PMHNP Certification "Purple Book" Chapter 11 Questions and Answers correct The inability to test reality. Psychotic False sensory experience without stimuli being present. Hallucinations A false belief firmly maintained despite evidence to the contrary. Delusions Problems with information organization and interpretation that is best assessed in the speech patterns of clients. Disorganized thinking Unusual behavior ranging from childlike silliness to anger. ...

PMHNP EXAM PREP Questions and Answers correct Process of quality improvement (PDSA-plan, do, study, act) Quality Improvement : designed to improved systems, decrease cost, and improve productivity ethnic group with highest suicide rate Native Americans Thyroid-Stimulating Hormone TSH: level 0.5-5 · Hypothyroidism mimic symptoms of What labs would you see? depression ·T4 and T3 low= hypothyroidism TSH above 5 S&S of Hypothyroidism (Myxedema)...

PMHNP Test - Domain 5 - Ethical & Legal Principles Questions and Answers correct Who determines NP scope of practice? State legislative statutes - aka State Board of Nursing (BON) Nurse Practice Act - Varies widely from state to state Who is the certifying body for PMHNPs? American Nurses Credentialing Center (ANCC), which is a subsidiary of the American Nurses Association (ANA) What is scope of practice? Defines NP roles & actions Identifies competencies assumed to be ...