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if an adolescent C/O abuse, even if they make the claim in the presence of the
parents, what should you do?
interview the teen w/o the parents; call CPS
What 3 neurotransmitters are associated with ADHD?
DA, NE, 5HT aka serotonin -->(DNS)
The Frontal cortex, Basal ganglia, Reticular Activating System are associated with
which psychiatric disorder?
ADHD
Inattentive Type ADHD demonstrates abnormalities in which part of the brain?
Prefrontal cortex
What should be done before placing a patient on stimulants for ADHD (priority)?
Cardiac history
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Excessive worry, apprehension, or anxiety about events or activities that occurs
more days than not for a period of at least 6 months is
GAD
if ADHD and tic both present, what is contraindicated?
Stimulants
if a stimulant was tried and provided some but not enough benefit (helped, but
not long enough) what can this mean?
the medication has been cleared from the body
What are the lower age limits for stimulants for ADHD?
AMPH = 3yrs MPH = 6yrs
When considering Clonidine or Guanfacine for a pt, the PMHNP knows?
Clonidine is more sedating than Guanfacine;
Guanfacine lasts longer than Clonidine
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What does thought process assess?
thoughts and ideas
A normal thought process is described as
Logical
Linear
Coherent
Goal-oriented
Moving from thought to thought and never getting to the point is called
Tangentiality ("goes on tangent")
Providing unnecessary detail but eventually getting to the point is called
Circumstantiality ("goes in circles")
Themes that occupy a patient's thoughts and perceptual disturbances is called
Thought content
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Thought content includes 3 items
Suicidal ideation
Homicidal ideation
Hallucinations/Delusions
Asking a patient to count backward from 100 by seven (serial 7s), or anything
going backwards measures what?
Concentration
Attention
Asking the year, season, date, month, and location measures
Orientation
Asking a patient to repeat "bed, red, ball" measures
Registration (ability to learn new material)
Asking a patient to repeat objects 5 minutes later measures