Muchirigathiru1

What direct-acting dopamine receptor agonist is recommended to be used in the treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade? A) benzotropine (Cogentin) B) bromocriptine (Parlodel) C) dantrolene (Dantrium) D) trihexyphenidyl (Artane) - A) Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a muscle relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Ar...

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...

DBT (dialectical behavior therapy) - relaxation muscle prior to DBT Greatest patient at risk for Violence - Substance abuse EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and reprocessing What is dissemination? - 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? - M...

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...

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...

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 differe...

Tarasoff Principle - 1976 - duty to warn victims of potential harm from client Deontological Theory - Ethical theory that states an action is judged as good or bad based on the act itself regardless of the consequences Teleological Theory - Ethical theory that states an action is judged as good or bad based on the consequence or outcome Virtue ethics - ethical theory that states actions are chosen based on the moral virtues (eg. honesty, courage, compassion, wisdom, gratitude, self-respect...

Conrad, a 26-year-old male, is being treated for cuts after being arrested for breaking the windows in the home of his girlfriend, who has just told him that they are through. He has a history of having been physically abused by his father, setting fires as a child, treatment for substance abuse, and arrest for stealing a car. Which of the following personality disorders might the clinician consider? Question 1 options:a) Narcissistic b) Paranoid c) Antisocial d) Histrionic - Antisoc...

DBT (dialectical behavior therapy) - relaxation muscle prior to DBT Greatest patient at risk for Violence - Substance abuse EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and reprocessing What is dissemination? - 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? - M...

PMHNP Exam Reported Questions images, pmhnp DBT (dialectical behavior therapy) - relaxation muscle prior to DBT Greatest patient at risk for Violence - Substance abuse EMDR (eye movement desensitization and reprocessing) - eye movement desensitization and reprocessing What is dissemination? - 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 review...

What is dissemination? - 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? - Moderate cognitive impairment What is Tegretol in the CYP450 system? - Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? - Inducer - will lower dose of Lamictal What is a Type I research error?...

The purpose of the ANA's PMH Nsg: 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. Define the role and actions for the NP The trend in legal rulings on cases involving mental illness over the past 25 years has been to: A - Encourage juries to find de...

Mnemonic for Personality Disorders Antisocial - CORRUPT - Cluster B Conformity Obligations Ignored Reckless Disregard for safety (self & others) Remorse Hacking Underhanded Planning Insufficient Temper Tests used in ruling out BULIMIA - C - serum Ca2+ U - Urinalysis B - BUN S - Serum Glucose x5 signs of Anorexia and if the patient has reached a hibernation state expect to see ___ - Bradycardia Pigmentation of the chest Distended ABD Amenorrhea Peripheral Edema Hypothermia Rep...

What is the introduction phase of the nurse-client relationship? - Creates a trusting environment, establishing professional boundaries, establishing length of anticipated interaction, providing diagnostic evaluation, and setting mutually agreed-upon treatment objectives What is the working phase of the nurse-client relationship? - Clarifying client objectives and mutually set goals, implementing a treatment plan, monitoring health, undertaking preventative health care, measuring and evalua...

Which community-based program is a tertiary level intervention? A. educational sessions at the local community mental health center. B. national association of mental illness meetings that provide education and support. C. Partial hospitalization program that provides intensive group therapy for rehabilitation. D. 12 step organization support meetings, i.e. AA - C. Partial hospitalization program that provides intensive group therapy for rehabilitation. Utilitarianism - Healthcare resource...

What is an intervention for PTSD? - Breathing What is the production of RBCs - Erythropoesis If a pt has a low BMI, is anorexic, BP 86/50 what do you do? - Admit patient Pt is a cutter, NP instructs pt to do what? - Journal What part of the brain is ADHD found in? - prefrontal cortex Boy wants to be girl? - Pt emotional state vs developmental state Soldier's friend died in the war - Return to activities, prevnar, support groups PT used inhalants and feel funny? What do you do? - Refer to...

Outspoken opponent of NP role - Martha Rogers Treatment for AUD - Naltrexone 50mg daily to prevent relapse Acamprosate - resembles GABA and NMDA antagonist. Anti-craving drug used for maintenance therapy of alcohol withdrawal. Dose 2000 mg/day. Combining acamprosate and naltrexone may be more beneficial together Disulfiram- 250mg day - What drug is used to prevent alcohol consumption by blocking aldehyde dehydrogenase? Naloxone (Narcan) - opiate antagonist, reverses opioid induced resirat...

Which of the following statements does not reflect current understanding of neurotransmitter pathways implicated in anxiery disorders? A. Increase levels of CRF in amygdala, hippocampus and LC increase symptoms of anxiety. B. Decreaseing GABA in the Mesolimbic cortex diminishes symptoms of anxiery. C. Increasing serotoneric activity in the amygdala diminishes symptoms of anxiety. D. Decreasing NE in the LC diminishes symptoms of anxiety. - A, C & D are all correct so the answer is B As a ...

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...