WITH SOLUTIONS GRADED A+
▶ 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