NURS 1010 PMHNP EXAM WITH QUESTION AND
ANSWERS ASSURED SUCCESS
What part of the brain is involved with OCD? - ANSWER Basal
Ganglia Occipito-Frontal
What happens to the brain during adolescence? - ANSWER Dendritic
pruning Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - ANSWER You will need to decreases
the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER Heart
Failure HTN
What are some psychiatric side effects seen with some asthma drugs -
ANSWER Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia, SI,
tremor
What should you watch for with Tegretol? - ANSWER Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANSWER CKMB
,NURS 1010 PMHNP EXAM WITH QUESTION AND
ANSWERS ASSURED SUCCESS
What is the risk of a seriously elevated CKMB? - ANSWER
Polymyositis Rhabdo
What is a normal CKMB? - ANSWER 0.3 mcg/L
What psychoactives does Detrol interact with? - ANSWER
Topamax KCL
Zonegran
What CN are you assessing when you have the patient shrug their
shoulders? - ANSWER CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER CD4
<200 Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER Self-
Report - 0-63 0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER 0-22
males 0-29 females
What is a retic count? - ANSWER Measures % of reticulocytes in blood
(immature RBC's) Indicates whether enough RBC's are being produced by
bone marrow.
What does a decreased retic count indicate? - ANSWER Anemia - acute or
chronic bleeding
What does an increased retic count indicate? - ANSWER Bone marrow
disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWER Doesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSWER Increase
tegretol levels.
,NURS 1010 PMHNP EXAM WITH QUESTION AND
ANSWERS ASSURED SUCCESS
What happens if a pregnant women takes Accutane? - ANSWER Birth defects.
What labs do you get with RA? - ANSWER Sed rate, RF, ANA, C reactive
protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ANSWER ANA
When do you assume informed consent? - ANSWER
Unconscious Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSWER
Same as with informed consent
Who can declare a patient incompetent and appoint a guardian? - ANSWER
Only a court
Does impaired judgment mean one is incompetent? - ANSWER No.
Can an advanced directive ever be revoked? - ANSWER Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and
Attorney in Fact? - ANSWER Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - ANSWER No.
How do Asians see HC providers? - ANSWER As in a position of
authority. Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the
NP? - ANSWER SIgn of respect
What is the evil eye? - ANSWER When a stronger or more powerful person
looks at a weaker person - often infant/child resulting in a hex which
presents in illness such as HA, fever, diarrhea, disturbed sleep, increased
fussiness.
How do you protect from the evil eye? - ANSWER Red ribbon on an
infant Amulet for adults
How do you treat for evil eye? - ANSWER Access traditional healer +
traditional care.
For there to be a duty to a patient, what must exist? - ANSWER Relationship
What is a proximate cause? - ANSWER Connection between A + B.
, NURS 1010 PMHNP EXAM WITH QUESTION AND
ANSWERS ASSURED SUCCESS
For there to be damages, what must exist first? - ANSWER Negligence
What is an occurrence basis liability insurance? - ANSWER "occurred" during
the policy period, no matter when the claim is brought against the insured
What is a claims made/based liability insurance? - ANSWER provides coverage
for a claim that is brought within the policy period, no matter when the loss
occurred.
Who sets the minimum requirements for NP's? - ANSWER Board of
Nursing State
What are the various controlled substance classes? - ANSWER Schedule I -
nobody has these - not good for health - heroin, PCP, MDMA, researchers can
get it sometimes.
Schedule II - Significant Abuse Potential - morphine, methadone,
methyphenidate
Schedule III - Moderate Abuse Potential - hydrocodone, codeine
Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine
Schedule V - Very low abuse potential - anti-tussives, lomotil
What classes of CS's is the NP approved to prescribe? - ANSWER Schedules
III-V ONLY.
Where does 50% of healthcare funds come from? - ANSWER The government
Who is eligible for Medicare? - ANSWER >65 or under 65 with diability, ANY
age with renal disease.
What is incident to billing? - ANSWER Means MD initiates treatment and NP is
an extension of the care and directly under the supervision of the MD.
Allows NP to get reimbursed at 100% rather than 85%.
How are Medicaid benefits determined? - ANSWER State determines
qualification - Partnership between State and Fed Govt.
Must be impoverished
Must be US resident and low or very low income.
Can you have Medicare and Medicaid? - ANSWER Yes, impoverished elderly
but Medicaid is always payor of last resort.
ANSWERS ASSURED SUCCESS
What part of the brain is involved with OCD? - ANSWER Basal
Ganglia Occipito-Frontal
What happens to the brain during adolescence? - ANSWER Dendritic
pruning Emotions are controlled by amygdala
By adulthood, PFC involved as well
When do males typically present with schizophrenia? - ANSWER 10-25 yo
When do females typically present with schizophrenia? - ANSWER 25-35 yo
What does Erythromycin to trileptal? - ANSWER You will need to decreases
the level because Trileptal(inducer) and erythromycin is a inhibitor
ACE Inhibitors are the drug of choice for what? - ANSWER Heart
Failure HTN
What are some psychiatric side effects seen with some asthma drugs -
ANSWER Leukotriene receptor agonists - singulair, accolade, zyflo =
agitation, aggression, anxiety, hallucinations, depression, insomnia, SI,
tremor
What should you watch for with Tegretol? - ANSWER Agranulocytosis and
Hyponatremia
What are the 3 CK muscle enzyme tests? - ANSWER CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle damage? -
ANSWER CKMB
,NURS 1010 PMHNP EXAM WITH QUESTION AND
ANSWERS ASSURED SUCCESS
What is the risk of a seriously elevated CKMB? - ANSWER
Polymyositis Rhabdo
What is a normal CKMB? - ANSWER 0.3 mcg/L
What psychoactives does Detrol interact with? - ANSWER
Topamax KCL
Zonegran
What CN are you assessing when you have the patient shrug their
shoulders? - ANSWER CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia? - ANSWER CD4
<200 Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory? - ANSWER Self-
Report - 0-63 0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
What is sensitivity? - ANSWER Helps rule-out disease = True Positive = Snout
What is specificity? - ANSWER Helps rule-in disease = True Negative = Spin
What does a sed rate measure? - ANSWER Inflammation (ESR - Erythrocyte
Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR? - ANSWER 0-22
males 0-29 females
What is a retic count? - ANSWER Measures % of reticulocytes in blood
(immature RBC's) Indicates whether enough RBC's are being produced by
bone marrow.
What does a decreased retic count indicate? - ANSWER Anemia - acute or
chronic bleeding
What does an increased retic count indicate? - ANSWER Bone marrow
disorder or Vitamin Deficiency
What does an abnormal retic ount indicate in general? - ANSWER Doesn't
diagnose anything. First step is ID source of the issue.
What happens when you mix tegretol and macrolides? - ANSWER Increase
tegretol levels.
,NURS 1010 PMHNP EXAM WITH QUESTION AND
ANSWERS ASSURED SUCCESS
What happens if a pregnant women takes Accutane? - ANSWER Birth defects.
What labs do you get with RA? - ANSWER Sed rate, RF, ANA, C reactive
protein, CBC, CMP, CRP - helps confirm diagnosis.
CRP and ESR are both increased in RA but NOT in osteoarthritis.
Where does the NP Code of Ethics come from? - ANSWER ANA
When do you assume informed consent? - ANSWER
Unconscious Incompetent
Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSWER
Same as with informed consent
Who can declare a patient incompetent and appoint a guardian? - ANSWER
Only a court
Does impaired judgment mean one is incompetent? - ANSWER No.
Can an advanced directive ever be revoked? - ANSWER Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and
Attorney in Fact? - ANSWER Nothing. They are all the same.
Does the de facto rule of proxy apply in same sex marriages? - ANSWER No.
How do Asians see HC providers? - ANSWER As in a position of
authority. Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the
NP? - ANSWER SIgn of respect
What is the evil eye? - ANSWER When a stronger or more powerful person
looks at a weaker person - often infant/child resulting in a hex which
presents in illness such as HA, fever, diarrhea, disturbed sleep, increased
fussiness.
How do you protect from the evil eye? - ANSWER Red ribbon on an
infant Amulet for adults
How do you treat for evil eye? - ANSWER Access traditional healer +
traditional care.
For there to be a duty to a patient, what must exist? - ANSWER Relationship
What is a proximate cause? - ANSWER Connection between A + B.
, NURS 1010 PMHNP EXAM WITH QUESTION AND
ANSWERS ASSURED SUCCESS
For there to be damages, what must exist first? - ANSWER Negligence
What is an occurrence basis liability insurance? - ANSWER "occurred" during
the policy period, no matter when the claim is brought against the insured
What is a claims made/based liability insurance? - ANSWER provides coverage
for a claim that is brought within the policy period, no matter when the loss
occurred.
Who sets the minimum requirements for NP's? - ANSWER Board of
Nursing State
What are the various controlled substance classes? - ANSWER Schedule I -
nobody has these - not good for health - heroin, PCP, MDMA, researchers can
get it sometimes.
Schedule II - Significant Abuse Potential - morphine, methadone,
methyphenidate
Schedule III - Moderate Abuse Potential - hydrocodone, codeine
Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine
Schedule V - Very low abuse potential - anti-tussives, lomotil
What classes of CS's is the NP approved to prescribe? - ANSWER Schedules
III-V ONLY.
Where does 50% of healthcare funds come from? - ANSWER The government
Who is eligible for Medicare? - ANSWER >65 or under 65 with diability, ANY
age with renal disease.
What is incident to billing? - ANSWER Means MD initiates treatment and NP is
an extension of the care and directly under the supervision of the MD.
Allows NP to get reimbursed at 100% rather than 85%.
How are Medicaid benefits determined? - ANSWER State determines
qualification - Partnership between State and Fed Govt.
Must be impoverished
Must be US resident and low or very low income.
Can you have Medicare and Medicaid? - ANSWER Yes, impoverished elderly
but Medicaid is always payor of last resort.
