QUESTIONS AND CORRECT ANSWERS
▶ scope of practice. Answer: has broad variations from state to state due
to outdated legislation
▶ standards of practice. Answer: gives authoritative statements regarding
quality and type of practice that should be provided
▶ standards of practice. Answer: offer a way to judge nature of care
provided; reflect expectation of care provided, professional agreement of
minimal acceptable level of performance; can be used to legally describe
standard of care
▶ cognitive therapy. Answer: type of therapy used when clients have
irrational beliefs, faulty conceptions, and negative distortions about
themselves
▶ existential therapy. Answer: therapy approach in which client reflects on
life and self-confrontation is encouraged
▶ akathisia. Answer: motor restlessness, inability to sit still, rocking,
pacing, constant motion of a unilateral limb, subjective sense of
restlessness
▶ Akinesia. Answer: absence of movement, difficulty initiating motion
▶ Dystonia. Answer: muscle spasticity
▶ Pseudo-Parkinson's. Answer: shuffling gait, motor slowing, mask-like
facial expression, pill-rolling, tremors, muscle rigidity
▶ Tardive dyskinesia (TD). Answer: involuntary abnormal muscle
movement of the mouth, tongue, face, and jaw that may progress to limbs;
can be irreversible; can occur as an acute process at the initiation of
treatment
,▶ 120 hours (five half-lives to reach steady state). Answer: Medication
with 24-hour half-life will require how many hours to reach a steady state in
the body
▶ steady-state. Answer: Point at which the amount of drug eliminated
between doses is equal to the dose administered
▶ half-life. Answer: time needed to clear 50% of medication from the
system
▶ Hope. Answer: Erik Erikson's stages of psychosocial development
virtues: Trust vs Mistrust
▶ Will. Answer: Autonomy vs shame and doubt
▶ purpose. Answer: Initiative vs guilt
▶ competence. Answer: Industry vs inferiority
▶ fidelity. Answer: identity vs role confusion
▶ love. Answer: intimacy vs isolation
▶ care. Answer: generatively vs stagnation
▶ wisdom. Answer: ego integrity vs despair
▶ mania. Answer: Indiscriminate enthusiasm typically found during MSE
(thought processes) for ______.
▶ anxiety. Answer: Goal-directed, organized, redirectable behaviors are
common thought processes that manifest with _____.
▶ electroconvulsive therapy (ECT). Answer: Non chemical therapy that
increases dopamine, serotonin, and norepinephrine; course typically
consists of 6-12 treatments and involves sedating the patient
, ▶ MDD (major depressive disorder). Answer: In 2/3 of cases _____ occurs
before a panic attack
▶ humanistic therapy. Answer: Builds on CBT techniques and Socratic
questioning focusing on the existential goal of purpose and meaning
▶ humanistic therapy. Answer: Specifically focuses on self growth and self
actualization, Finding meaning in life and it's circumstances
▶ existential therapy. Answer: Targets finding meaning and purpose in life
but is based on accepting reality and making responsible decisions
▶ interpersonal therapy (IPT). Answer: Time-limited therapy that focuses
on the present stressor
▶ DBT (dialectical behavior therapy). Answer: Therapy that stresses
emotional regulation, increasing stress tolerance, developing interpersonal
skills, and mindfulness.
▶ parens patriae. Answer: If a patient threatens to commit suicide, what
legal doctrine allows a nurse practitioner to involuntarily admit them
▶ Secondary gain. Answer: Patients with suicidal thoughts usually exhibit
severe hopelessness and believe that through suicide they will experience
_____ gain.
▶ Aripiprazole (Abilify). Answer: Which medication is least likely to cause
sedation while managing symptoms of schizophrenia
▶ Gag Rule. Answer: Prohibits nurse practitioners in a managed-care plan
I'm discussing alternative treatment options not covered by the insurance
plan
▶ Whether a mood stabilizing agent is prescribed (or antipsychotic).
Answer: Most important consideration when prescribing an antidepressant
to IND with known bipolar disorder
▶ Metasynthesis. Answer: Type of systematic review that analyzes a
collection of qualitative studies