NURSING 101 ANCC PMHNP BOARD EXAM 2022 Questions and Answers

NURSING 101 ANCC PMHNP BOARD EXAM 2022 Questions and Answers. 15% will die by suicide Beck Depression Inventory (BDI) - ANSWER The 21 symptoms and attitudes contained in the BDI reflect the intensity of the depression; items receive a rating of zero to three to reflect their intensity and are summed linearly to create a score which ranges from 0 to 63. The 21 items included reflect a variety of symptoms and attitudes commonly found among clinically depressed individuals scores from 0 through 9 indicate no or minimal depression; scores from 10 through 18 indicate mild to moderate depression; scores from 19 through 29 indicate moderate to severe depression; scores from 30 through 63 indicate severe depression. PHQ-9 - ANSWER 0-27 5to 9=mild 10-14=moderate 15-19=mod severe 20+=severe Hamilton Depression Rating Scale (HDRS) - ANSWER In general the higher the total score the more severe the depression. HAM-D score level of depression: 10 - 13 mild; 14-17 mild to moderate; 17 moderate to severe. Assessment is recommended at two weekly intervals. Symptoms of hypertensive crisis - ANSWER Sudden, explosive-like headache, usually in occipital region; increased BP, facial flushing, palpitations; pupillary dilation; diaphoresis and fever. Treatment of hypertensive crisis - ANSWER Dc MAOI give phentolamine-blocks norepinephrine Stabilize fever Reevaluate diet and adherence, reiterate med guidelines Tyramine - ANSWER A precursor to norepinephrine Indirectly acting sympathomimetic prototype: releases or displaces norepinephrine from stores in nerve endings. Usually inactive by the oral route because of high first pass effect but will cause potentially lethal hypertensive responses in patients taking MAO inhibitors Serotonin syndrome symptoms - ANSWER Similar to NMS but caused by serotonin medications, and has HYPERreflexive muscle activity Agitation Restlessness Rapid heart rate and elevated body Headache Diaphoresis, shivering, goosebumps Confusion, fever, seizures, unconscious discontinuation syndrome - ANSWER 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). Flu like symptoms Fatigue and lethargy Myalgia Decreased concentration N/V Impaired memory Paresthesias Irritability, anxiety, insomnia Crying Dizziness and vertigo kindling - ANSWER -The process of neuronal membrane threshold sensitivity dysfunction -brain is overly sensitive to electrical stimuli neuronal firing occurs even w/o stimuli bipolar disorder incidence and demographics - ANSWER 0.7% of general population affects 2.3 million American adults mean onset is early 20s Ataques de nervios (Culture-bound syndromes) - ANSWER Latino cultural bound syndrome-Usually provoked by disruptions in family bonds and may have s/s of trembling,crying,and screaming Khyal attacks - ANSWER Wind attacks are a common manifestation among Cambodian and other Asian cultures, commonly manifest in neck soreness and tinnitus