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Under HIPPA, what is the insurance policy that allows you to hold the company's insurance
for 18 months after leaving job? - correct answer-COBRA
T/F a patient has a right to make changes to their chart as well as see it - correct answer-
True
Summarize general goals for healthy people 2020 - correct answer-Increase the quality and
years of life while eliminating health disparities
What are the 5 conditions NPs are required to report? - correct answer-STDs like
Gonorrhea, Chlamydia, and Syphilis, as well as TB and HIV (as well as animal bites)
Nurse practitioners are legally required to report what kind of abuse, and what kind is
allowed to be left alone? - correct answer-Child and elder abuse, but domestic violence is
not required to be legally reported
What percentage of mental illnesses appear by the age of 18? - correct answer-75%
Genetic inheritance that will be present in more than one generation? - correct answer-
Autosomal dominant (rare) like Huntington’s disease
What is the difference between a normal grief response and a protracted grief response? -
correct answer-protractive grief response is a risk for pathology characterized by a loss of
self-esteem which does not happen with normal grief
What is the rate of schizophrenia admissions to the hospital when both parents are
infected by the illness? one parent? both bipolar? one bipolar? - correct answer-almost
40%, 7%, almost 25% and almost 5% respectively.
How would you treat someone who is psychotropic naive? - correct answer-use lower
doses due to no tolerance and no down regulation.
When asking a patient about medical history during a psychiatric interview, what diseases
should we pay particular attention to? Why? - correct answer-Autoimmune conditions
(possible use of steroids), metabolic syndrome like heart disease, hyperlipidemia, and
diabetes. These can be made worse in the presence of psychiatric illness or vice versa.
, Describe normal patterns of sleep - correct answer-Begin in Non-Rem (Stage 1), move into
deeper non-rem or slow wave sleep (Stages 2-4), 1st stage of Rem sleep 80-100 minutes
later and repeats with each REM stage lasting longer.
What kind of sleep declines markedly with organic brain dysfunction and is sensitive to
temperature extremes? - correct answer-REM
Describe REM Sleep - correct answer-Great EEG activation, muscle atonia, rapid eye
movements, muscle twitches, and breathing irregularities.
Describe Non-Rem Sleep - correct answer-minimal mental activity, inactive yet actively
regulated brain in a movable body.
Describe the pneumonic SLAP for assessing suicide - correct answer-Social support,
lethality, Access, Plan
DSM 5 criteria for Depression requires: - correct answer-at least 5 out of 8 symptoms in the
last 2 weeks- 1 being diminished interests/depressed mood, Sleep problems, guilt
(worthlessness/hopelessness), energy deficit, concentration problems, appetite problems,
psychomotor agitation or retardation, suicidality.
DIGFAST Pneumonic for assessing bipolar disorder - correct answer-Distractibility,
Indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness.
Pneumonic for OCD- CCR - correct answer-continuously, constantly, repetitious
Mental Status Exam Pneumonic- All Bad Subjects Are Tough Troubled Characters - correct
answer-Appearance, behavior, speech, affect, thought content/process, Cognitive exam.
Why do we ask people to interpret proverbs in the mini mental status exam? - correct
answer-to assess abstract versus concrete interpretations
What does a score of 30 mean on the MMSE? - correct answer-100% recall
MMSE 18-24 - correct answer-Moderate impairment
MMSE 17 or lower - correct answer-severe impairment
what is it called when you point to a pen, ask a patient to name it, and they cannot? -
correct answer-agnosia
What are the scores of the SLUMS mental status exam? - correct answer-high= 30, 0-20=
dementia