What differentiates atypical antipsychotics from first-generation antipsychotics?
a. 5HT2a receptor antagonist properties
b. 5HT2a receptor agonist properties
c. specific dopamine receptor 3 and 5HT2 blockade
d. dopamine receptor 2 antagonist properties
Give this one a try later!
a. 5HT2a receptor antagonist properties
Typical antipsychotics block D2 receptors
Atypical antipsychotics block D2 receptors and have 5HT2a antagonist
properties
A PMHNP in private practice is experiencing feelings of resentment toward a patient
who missed his last 2 appointments at the last minute because he forgot. Which of the
following is an example of a therapeutic response?
,A. "You seem ambivalent about seeking treatment."
B. "It's obvious you don't want to come for treatment."
C. "You knew you would have to be charged for missed appointments."
D. "Help me understand what's going on so we can figure out how to proceed."
Give this one a try later!
D. "Help me understand what's going on so we can figure out how to
proceed."
During the first session of therapy, the patient makes the following statement: "All my
other kids got through their drug use phase and were able to get on with their lives. I
have grounded him, taken away his privileges, and I even tried to cut out his
allowance but I'm just not sure what to do now?" What is the most appropriate
therapeutic response for the PMHNP to make?
A. therapeutic use of silence
B. "I wonder if locking him in his room was abusive."
C. "Maybe that depends on what you're trying to accomplish."
D. "Perhaps talking to his friends, coaches, and teachers would be helpful."
Give this one a try later!
C. "Maybe that depends on what you're trying to accomplish."
Helping clarify goals and establishing therapeutic alliances are essential in
the early phases of psychotherapy
A patient who is considering ECT for TRD inquires as to the number of sessions she
would likely require. Based on the best evidence currently available what is the best
response?
,A. 40
B. 20
C. 10
D. 4
Give this one a try later!
C. 10
Major depression treated with ECT usually requires 6-12 sessions.
Patients receiving ECT for catatonia can be treated with as little as 2-4
sessions.
Patients with psychosis or mania may require 20-40 treatments for positive
therapeutic response.
Which statistical test differentiates among three or more groups?
A. t-test
B. analysis of variance (ANOVA)
C. pearson's r correlation
D. probability
Give this one a try later!
B. analysis of variance (ANOVA)
A t-test is a type of inferential statistic used to determine if there is a
significant difference in means between two groups assuming normal
distribution. Pearson's r correlation is a number between -1 and 1 the
indicates the extent to which two variables are linearly related. Probability
is a ratio describing the extent to which something is likely to occur.
A 79-year old female with no past psychiatric history is admitted with new onset AH.
The patient states her most bothersome symptom is the voices which have kept her
, from sleeping through the night for the last 3 weeks and as a result, she is tired and
irritable. Which medication should the PMHNP order for bedtime for sleep?
A. olanzapine 2.5mg PO
B. lorazepam 1mg PO
C. chlorpromazine 50mg PO
D. sertraline 50mg PO
Give this one a try later!
A. olanzapine 2.5mg PO
The PMHNP is consulted to see a 70-year-old female who was admitted to the skilled
nursing facility 3 days ago from the hospital where she was treated for UTI,
pneumonia, and dehydration. The staff reports that the patient is restless and agitated,
awake most of the night, intermittently sleeping throughout the day, and has poor PO
intake. What should the PMHNP do first?
A. prescribe quetiapine 12.5mg PO at bedtime and every 6 hours as needed for
agitation
B. physical exam and diagnostic tests (CBC, BMP, and urinalysis)
C. transfer the patient to the ED
D. call family members for collateral information on her baseline functioning
Give this one a try later!
B. physical exam and diagnostic tests (CBC, BMP, and urinalysis)
A PMHNP is about to start an 8-year-old girl on a stimulant for attention deficit
hyperactivity disorder (ADHD). Your clinical observations and rating scales
corroborate the diagnosis. What assessments need to be
completed before starting stimulant medication?
a. 5HT2a receptor antagonist properties
b. 5HT2a receptor agonist properties
c. specific dopamine receptor 3 and 5HT2 blockade
d. dopamine receptor 2 antagonist properties
Give this one a try later!
a. 5HT2a receptor antagonist properties
Typical antipsychotics block D2 receptors
Atypical antipsychotics block D2 receptors and have 5HT2a antagonist
properties
A PMHNP in private practice is experiencing feelings of resentment toward a patient
who missed his last 2 appointments at the last minute because he forgot. Which of the
following is an example of a therapeutic response?
,A. "You seem ambivalent about seeking treatment."
B. "It's obvious you don't want to come for treatment."
C. "You knew you would have to be charged for missed appointments."
D. "Help me understand what's going on so we can figure out how to proceed."
Give this one a try later!
D. "Help me understand what's going on so we can figure out how to
proceed."
During the first session of therapy, the patient makes the following statement: "All my
other kids got through their drug use phase and were able to get on with their lives. I
have grounded him, taken away his privileges, and I even tried to cut out his
allowance but I'm just not sure what to do now?" What is the most appropriate
therapeutic response for the PMHNP to make?
A. therapeutic use of silence
B. "I wonder if locking him in his room was abusive."
C. "Maybe that depends on what you're trying to accomplish."
D. "Perhaps talking to his friends, coaches, and teachers would be helpful."
Give this one a try later!
C. "Maybe that depends on what you're trying to accomplish."
Helping clarify goals and establishing therapeutic alliances are essential in
the early phases of psychotherapy
A patient who is considering ECT for TRD inquires as to the number of sessions she
would likely require. Based on the best evidence currently available what is the best
response?
,A. 40
B. 20
C. 10
D. 4
Give this one a try later!
C. 10
Major depression treated with ECT usually requires 6-12 sessions.
Patients receiving ECT for catatonia can be treated with as little as 2-4
sessions.
Patients with psychosis or mania may require 20-40 treatments for positive
therapeutic response.
Which statistical test differentiates among three or more groups?
A. t-test
B. analysis of variance (ANOVA)
C. pearson's r correlation
D. probability
Give this one a try later!
B. analysis of variance (ANOVA)
A t-test is a type of inferential statistic used to determine if there is a
significant difference in means between two groups assuming normal
distribution. Pearson's r correlation is a number between -1 and 1 the
indicates the extent to which two variables are linearly related. Probability
is a ratio describing the extent to which something is likely to occur.
A 79-year old female with no past psychiatric history is admitted with new onset AH.
The patient states her most bothersome symptom is the voices which have kept her
, from sleeping through the night for the last 3 weeks and as a result, she is tired and
irritable. Which medication should the PMHNP order for bedtime for sleep?
A. olanzapine 2.5mg PO
B. lorazepam 1mg PO
C. chlorpromazine 50mg PO
D. sertraline 50mg PO
Give this one a try later!
A. olanzapine 2.5mg PO
The PMHNP is consulted to see a 70-year-old female who was admitted to the skilled
nursing facility 3 days ago from the hospital where she was treated for UTI,
pneumonia, and dehydration. The staff reports that the patient is restless and agitated,
awake most of the night, intermittently sleeping throughout the day, and has poor PO
intake. What should the PMHNP do first?
A. prescribe quetiapine 12.5mg PO at bedtime and every 6 hours as needed for
agitation
B. physical exam and diagnostic tests (CBC, BMP, and urinalysis)
C. transfer the patient to the ED
D. call family members for collateral information on her baseline functioning
Give this one a try later!
B. physical exam and diagnostic tests (CBC, BMP, and urinalysis)
A PMHNP is about to start an 8-year-old girl on a stimulant for attention deficit
hyperactivity disorder (ADHD). Your clinical observations and rating scales
corroborate the diagnosis. What assessments need to be
completed before starting stimulant medication?
