NU 673 Midterm Exam Question and
Answer Grade A+ Complete Study Pack
• Psychiatric H& P components -✓✓Onset
duration
characteristics
associated aggravating factors
relieving factors
treatment and summary.
• Psychiatric Assessment -✓✓establish therapeutic relationship of
acceptance empathy professionalism respect gather data review the
purpose consider safety issues communication skills screening tools
developmental assessment differential diagnosis assess precipitating
events stressors biological social psychological develop a treatment plan
that safe based on evidence and culture competent must instill hope to
decrease anxiety provide education and follow up labs and referrals to
neuropsych testing therapy education psychotropic meds reassurance
follow up plan.
• objective MSE scales in which examiner rates patient -✓✓cooperative
conversate without acute distress orientation dress for agencies than
cycle motor activity iContact euthymic affect fall even congruent with
reported mood of speech is spontaneous normal rate appropriate volume
and tone with no problems expressing self thought content is normal
elicited content denies suicide denies homicidal process appears linear
coherent goal directed cognition appears grossly intact with appropriate
attention span and concentration and average fund of knowledge
judgment appears fair insight appears fair the patient is able to articulate
needs is motivated for compliance adherence to medication regime is
willing and able to participate with treatment disposition and discharge
planning.
,• Psychiatric Interview -✓✓the most important element in the evaluation
and care of persons with mental illness
• Psychiatric H&P -✓✓
• psychiatric goals -✓✓
• psychiatric treatment -✓✓
• PMHNP mental health Anxiety assessment tools -✓✓GAD-7:
5-9 mild,
10-14 mod,
15-21 severe
HAM- A:
14-17 mild,
18-24 mod,
25-30 severe
• PMHNP depression rating tool -✓✓HAM-D:
0-7 norm,
8-13 mild,
14-18 mod,
19-22 sv,
23 severly severe
PQH-9:
1-4 min,
5-9 mild,
10-14 mod,
15-19 sev mod, >20 sv
Beck Depression Inventory (BDI)
0-13 min depression
, 14-19 mild depression
20-28 mod depression
29-63 severe depression
• Bipolar Spectrum Diagnostic Scale (BSDS) -✓✓BSDS
0-6 high unlike
7-12 low risk
13-19 mod
20-25 high likely
• social determinants of health -✓✓The conditions in which people are
born, grow, live, work, and age, shaped by the distribution of money,
power, and resources at global, national, and local levels
• Serotonin Syndrome -✓✓With any drug that increases 5-HT (e.g.,
MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus,
cardiovascular instability, flushing, diarrhea, seizures. A patient who
presents with an excess of serotonin is likely experiencing serotonin
syndrome. Serotonin syndrome is classified by restlessness, agitation,
myoclonus, and vital sign abnormalities. Patients with a deficit of
serotonin would present with depression, sleep dysregulation, and loss of
appetite.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
• Stevens-Johnson Syndrome -✓✓erythema multiforme
• extrapyramidal symptoms -✓✓involuntary fine motor tremors, rigidity,
uncontrollable retlessness, acute dystonia.
• Neuro Malignant Hyperthermia -✓✓related to Dopamine 2 drop.
• Neuromalignant syndrome -✓✓excessive dopamine blockage and
increased muscle tone. autonomic dysfunction
Answer Grade A+ Complete Study Pack
• Psychiatric H& P components -✓✓Onset
duration
characteristics
associated aggravating factors
relieving factors
treatment and summary.
• Psychiatric Assessment -✓✓establish therapeutic relationship of
acceptance empathy professionalism respect gather data review the
purpose consider safety issues communication skills screening tools
developmental assessment differential diagnosis assess precipitating
events stressors biological social psychological develop a treatment plan
that safe based on evidence and culture competent must instill hope to
decrease anxiety provide education and follow up labs and referrals to
neuropsych testing therapy education psychotropic meds reassurance
follow up plan.
• objective MSE scales in which examiner rates patient -✓✓cooperative
conversate without acute distress orientation dress for agencies than
cycle motor activity iContact euthymic affect fall even congruent with
reported mood of speech is spontaneous normal rate appropriate volume
and tone with no problems expressing self thought content is normal
elicited content denies suicide denies homicidal process appears linear
coherent goal directed cognition appears grossly intact with appropriate
attention span and concentration and average fund of knowledge
judgment appears fair insight appears fair the patient is able to articulate
needs is motivated for compliance adherence to medication regime is
willing and able to participate with treatment disposition and discharge
planning.
,• Psychiatric Interview -✓✓the most important element in the evaluation
and care of persons with mental illness
• Psychiatric H&P -✓✓
• psychiatric goals -✓✓
• psychiatric treatment -✓✓
• PMHNP mental health Anxiety assessment tools -✓✓GAD-7:
5-9 mild,
10-14 mod,
15-21 severe
HAM- A:
14-17 mild,
18-24 mod,
25-30 severe
• PMHNP depression rating tool -✓✓HAM-D:
0-7 norm,
8-13 mild,
14-18 mod,
19-22 sv,
23 severly severe
PQH-9:
1-4 min,
5-9 mild,
10-14 mod,
15-19 sev mod, >20 sv
Beck Depression Inventory (BDI)
0-13 min depression
, 14-19 mild depression
20-28 mod depression
29-63 severe depression
• Bipolar Spectrum Diagnostic Scale (BSDS) -✓✓BSDS
0-6 high unlike
7-12 low risk
13-19 mod
20-25 high likely
• social determinants of health -✓✓The conditions in which people are
born, grow, live, work, and age, shaped by the distribution of money,
power, and resources at global, national, and local levels
• Serotonin Syndrome -✓✓With any drug that increases 5-HT (e.g.,
MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus,
cardiovascular instability, flushing, diarrhea, seizures. A patient who
presents with an excess of serotonin is likely experiencing serotonin
syndrome. Serotonin syndrome is classified by restlessness, agitation,
myoclonus, and vital sign abnormalities. Patients with a deficit of
serotonin would present with depression, sleep dysregulation, and loss of
appetite.
-Treatment: cyproheptadine (5-HT2 receptor antagonist).
• Stevens-Johnson Syndrome -✓✓erythema multiforme
• extrapyramidal symptoms -✓✓involuntary fine motor tremors, rigidity,
uncontrollable retlessness, acute dystonia.
• Neuro Malignant Hyperthermia -✓✓related to Dopamine 2 drop.
• Neuromalignant syndrome -✓✓excessive dopamine blockage and
increased muscle tone. autonomic dysfunction
