Nurs PMHNP exam reported questions with
complete solutions 2022/2023 update
diarrhea, shivering, hyperreflexia/myoclonis, increased
temperature, vital sign instability, encephalopathy, restlessness,
sweating - signs of serotonin syndrome
. ESR erythrocyte sedimentation rate elevation. Synovial fluid
analysis. X ray of joints. Rheumatoid factor titer, CRP, Hgb - Labs
for rheumatoid arthritis
"tell me how the medication works in your body" - bipolar
not taking medication
*SIGECAPS* of Depression -
Sleep Interest
Guilt
Energ
y
Concentrati
on Appetite
psychomotor
retardation Suicide
^ prolactin - stop prolactin
0-63, over 30 severe, dont start medication just start
therapy - Beck inventory score of 10?
1 hour then 8 hours - When to assess a patient in restraints for
face/face
,Nurs PMHNP exam reported questions with
complete solutions 2022/2023 update
1.5, 3 is an emergency, severe diarrhea/nausea/vomiting, metallic
taste, tremor, slurred speech, number one intervention, give
fluids, sweating give electrolytes too - Lithium toxicity
3 year old masturbates, plays with self, says naught things -
normal for Piaget
4+ protein in urine, Leukocytosis, creatinine, BUN, Na, -
Lab values concerning for patients on lithium
5 year old tells u his brother sodomized him - Tell mom don't
leave him alone with patient and call CPS implement crisis
13 year old want to smoke - ask him of his plan to stop smoking
14 year old girl clenching her teeth - Cranial Nerve V-Trigeminal
nerve
16 year old falls with the wrong crowd - Conduct disorder
16 year old refuse treatment - Send to psych specialist for acting
out kids
16 year old shows up with mother for first therapy is -
confidential mom sits in lobby
24-30 no cognitive
impairment 18-23 mild
cognitive impairment
0-17 severe cognitive impairment - MMSE scores
,Nurs PMHNP exam reported questions with
complete solutions 2022/2023 update
25-35 - Age for schizophrenia female
70, 30, 20, 25 - zung, beck, PHQ9, HAM
A form of dementia characterized by personality changes/social
changes , - Frontal lobe dementia
A man states his wife was so good if he could only be like her.
what is this -
Intellectualizati
on or
deflecting
A pt states that she has been raped. What do you do - ensure
safety
a rare disorder found virtually exclusively in girls, is a
neurodevelopmental disorder in which the child usually develops
normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact,
decelerated head growth, and disinterest in play activities - Rhett
Syndrome
a small nucleus in the reticular formation that is involved in
directing attention - locus coeruleus
a string of nuclei in the midline of the midbrain and brainstem
that contain most of the serotonergic neurons of the brain -
raphe nuclei
, Nurs PMHNP exam reported questions with
complete solutions 2022/2023 update
ability to manage a checkbook, instrumental ADLs go first (meds,
phone, drive, house week, balancing check book), then ADLs
eating/dressing,
complete solutions 2022/2023 update
diarrhea, shivering, hyperreflexia/myoclonis, increased
temperature, vital sign instability, encephalopathy, restlessness,
sweating - signs of serotonin syndrome
. ESR erythrocyte sedimentation rate elevation. Synovial fluid
analysis. X ray of joints. Rheumatoid factor titer, CRP, Hgb - Labs
for rheumatoid arthritis
"tell me how the medication works in your body" - bipolar
not taking medication
*SIGECAPS* of Depression -
Sleep Interest
Guilt
Energ
y
Concentrati
on Appetite
psychomotor
retardation Suicide
^ prolactin - stop prolactin
0-63, over 30 severe, dont start medication just start
therapy - Beck inventory score of 10?
1 hour then 8 hours - When to assess a patient in restraints for
face/face
,Nurs PMHNP exam reported questions with
complete solutions 2022/2023 update
1.5, 3 is an emergency, severe diarrhea/nausea/vomiting, metallic
taste, tremor, slurred speech, number one intervention, give
fluids, sweating give electrolytes too - Lithium toxicity
3 year old masturbates, plays with self, says naught things -
normal for Piaget
4+ protein in urine, Leukocytosis, creatinine, BUN, Na, -
Lab values concerning for patients on lithium
5 year old tells u his brother sodomized him - Tell mom don't
leave him alone with patient and call CPS implement crisis
13 year old want to smoke - ask him of his plan to stop smoking
14 year old girl clenching her teeth - Cranial Nerve V-Trigeminal
nerve
16 year old falls with the wrong crowd - Conduct disorder
16 year old refuse treatment - Send to psych specialist for acting
out kids
16 year old shows up with mother for first therapy is -
confidential mom sits in lobby
24-30 no cognitive
impairment 18-23 mild
cognitive impairment
0-17 severe cognitive impairment - MMSE scores
,Nurs PMHNP exam reported questions with
complete solutions 2022/2023 update
25-35 - Age for schizophrenia female
70, 30, 20, 25 - zung, beck, PHQ9, HAM
A form of dementia characterized by personality changes/social
changes , - Frontal lobe dementia
A man states his wife was so good if he could only be like her.
what is this -
Intellectualizati
on or
deflecting
A pt states that she has been raped. What do you do - ensure
safety
a rare disorder found virtually exclusively in girls, is a
neurodevelopmental disorder in which the child usually develops
normally unitl about 6 to 18 months of age at which
characteristics of the syndrome emerge; characteristics include:
hypotonia (loss of muscle tone), reduced eye contact,
decelerated head growth, and disinterest in play activities - Rhett
Syndrome
a small nucleus in the reticular formation that is involved in
directing attention - locus coeruleus
a string of nuclei in the midline of the midbrain and brainstem
that contain most of the serotonergic neurons of the brain -
raphe nuclei
, Nurs PMHNP exam reported questions with
complete solutions 2022/2023 update
ability to manage a checkbook, instrumental ADLs go first (meds,
phone, drive, house week, balancing check book), then ADLs
eating/dressing,
