COMPREHENSIVE GUIDE TO PSYCHIATRIC-MENTAL
HEALTH NURSE PRACTITIONER PRACTICE QUESTIONS
AND ANSWERS
abnormalities in mood, behavior, and thinking are caused by
alterations in neurotransmitters and their function in the brain
common neurotransmitters
serotonin, dopamine, norepinephrine
fxn of neurotransmitters
released when electrical impulses pass along the axon and transmit the impulse across
the synapse
action of psychotropic drugs
enhance, inhibit, or block the transmission of certain neurotransmitters
Smoking increases the metabolism of
antipsychotics and benzodiazepines
,Sodium in the diet influences the half life of a what drug
Lithium
Slow metabolizers of atypical antipsychotics
greater than 1/3 of blacks
Slow metabolizers of benzos
Asians
Slow metabolizers are at risk for
toxicity
discontinuation syndrome
a condition that can occur following the interruption, dose reduction, or discontinuation
of antidepressant drugs, including selective serotonin re-uptake inhibitors (SSRIs) or
serotonin-norepinephrine reuptake inhibitors (SNRIs).
rebound or relapse of symptoms can occur with ________ syndrome
discontinuation
guideline for tx of mental illness
emotional responses beyond ordinary life
, depression and psychosis generally need
medical treatment
titration of medication
starting dose low and increasing based on SE's and response
if side effects occur...
hold med or reduce dose
why should you only start one new med at a time?
if SE's occur, you won't know what med caused it
psychosis defined
hallucinations: sensory experience without stimulation
delusions: fixed false belief
why should delusions not be challenged?
makes the person hold on to them tighter and makes them defensive
HEALTH NURSE PRACTITIONER PRACTICE QUESTIONS
AND ANSWERS
abnormalities in mood, behavior, and thinking are caused by
alterations in neurotransmitters and their function in the brain
common neurotransmitters
serotonin, dopamine, norepinephrine
fxn of neurotransmitters
released when electrical impulses pass along the axon and transmit the impulse across
the synapse
action of psychotropic drugs
enhance, inhibit, or block the transmission of certain neurotransmitters
Smoking increases the metabolism of
antipsychotics and benzodiazepines
,Sodium in the diet influences the half life of a what drug
Lithium
Slow metabolizers of atypical antipsychotics
greater than 1/3 of blacks
Slow metabolizers of benzos
Asians
Slow metabolizers are at risk for
toxicity
discontinuation syndrome
a condition that can occur following the interruption, dose reduction, or discontinuation
of antidepressant drugs, including selective serotonin re-uptake inhibitors (SSRIs) or
serotonin-norepinephrine reuptake inhibitors (SNRIs).
rebound or relapse of symptoms can occur with ________ syndrome
discontinuation
guideline for tx of mental illness
emotional responses beyond ordinary life
, depression and psychosis generally need
medical treatment
titration of medication
starting dose low and increasing based on SE's and response
if side effects occur...
hold med or reduce dose
why should you only start one new med at a time?
if SE's occur, you won't know what med caused it
psychosis defined
hallucinations: sensory experience without stimulation
delusions: fixed false belief
why should delusions not be challenged?
makes the person hold on to them tighter and makes them defensive
