PMHNP board set QUESTIONS AND ANSWER
increase prolactin - ✔✔- Stop prolactin (stop the agent that cause increase prolactin)
3-year-old masturbates, play with self, says naughty things - ✔✔Normal for Piaget
5-year-old tells you 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 - ✔✔- Confidential (mom sits in lobby)
ACE inhibitors - ✔✔- HTN
ACE inhibitors are the drug of choice for what? - ✔✔- Heart failure/HTN
Acute stress disorder (ASD) - ✔✔- Can be 2 to 4 weeks ( less than a month)
ADPIE - ✔✔• Assessment: 1st step, subjective and objective data
• Diagnosis: analysis, formulation of nursing diagnosis
• Planning: prioritizing problems, determining goals, plan of care
• Implementation: nursing action (rather than medical action)
• Evaluating: comparing outcomes, communicate and document findings
,Adult panic disorder - ✔✔- Buspar
Lithium level 1.2 what are you concerned with - ✔✔- 4+ Ketones Labs for Kidney compromised it is
wrong Urine kidney problem
1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - ✔✔Lithium toxicity
Ibuprofen and lithium - ✔✔INCREASES the serum level up to double
Lab Values concerning for patient on Lithium: - ✔✔o Leukocytosis
o Creatinine
o BUN
o NA+
o 4 + PORTEIN in Urine
o + Pregnancy Test
Lithium toxicity - ✔✔o Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting,
metallic taste and SEVERE tremor.
. Aggressive patient to give - ✔✔- IM Geodon
agoraphobia - ✔✔fear of open spaces
Agoraphobia treatment - ✔✔*BZDs* - short term symptom relief
*SSRIs* - long-term maintenance
fluoxetine (Prozac)
paroxetine (Paxil)
sertraline (Zoloft)
,*SNRIs* - long-term maintenance
venlafaxine (Effexor)
*TCAs* - long-term maintenance
imipramine
Alprostadil (PGE1) - ✔✔• Ductal-dependent Congenital Heart Disease (all forms)
• 0.05-0.1 µg/kg/min IV/IO infusion initially, then 0.01-0.05 µg/kg/min IV/IO
In babies with congenital heart defects, it is used by slow injection into a vein to open the ductus
arteriosus until the surgery can be carried out. By injection into the penis or placement in the
urethra, it is used to treat erectile dysfunction .
Amygdala: - ✔✔- Fear, anxiety, and aggression
Amygdala - ✔✔- A limbic system structure involved in memory and emotion, anxiety, particularly fear
and aggression
Anorexia (SAFETY = KEY) - ✔✔- Set up family therapy (especially adolescent pts since they have no
control over food choices)
Anorexia admission criteria for hospitalization - ✔✔- Weight loss over 30 % over 6 months, severe
hypothermia (temp lower than 36 C or 96.8 F), heart rate less than 40 beats per minute, systolic
blood pressure less than 70 mm hg, and hypokalemia (less than 3 mEq/L).
anorexia nervosa - ✔✔- BMI less than 18.5
- BMI < 16 = AUTOMATIC ADMISSION
- An eating disorder in which an irrational fear of weight gain leads people to starve themselves
ANOVA (analysis of variance) - ✔✔an inferential statistical test for comparing the means of three or
more groups
Antidepressant takes - ✔✔4 to 6 weeks
, Prozac causes what? - ✔✔increase anxiety in elderly
Apoptosis - ✔✔programmed cell death in aging/elderly
Appreciative Inquiry - ✔✔- Dream (wishes or dreams of organization)
- Design (decide what you want to change)
- Destiny (make it happen, implanting change)
Appreciative Inquiry - ✔✔an organizational change strategy that directs the group's attention away
from its own problems and focuses participants on the group's potential and positive elements
Appreciative Inquiry - ✔✔an organizational change philosophy and process building organizations
around what works, rather than focusing on and trying to fix what doesn't work
Appreciative Inquiry - ✔✔- Identify the problem
- Analyze the problem
- Generate solutions
- Implement best solution
Assertive Community Treatment (ACT) - ✔✔community-based programs that provide many of the
services that are necessary for successful community living; includes case management, problem-
solving, social skills training, support, teaching on a 24/7 basis
Assertive questions - ✔✔- Use "I want", "I need", or "I feel" to convey basic assertions and get your
point across firmly. For example "I feel strongly that we need to bring in a third party to medicate this
disagreement" another example "Dave, your request has caught me off guard. I'll get back to you
within the half hour".
Assess when someone ready to quit drinking - ✔✔- See what stage they in ask when ready to start
treatment
States that change such as in health behaviors occurs in six predictable stages - ✔✔o
Precontemplation: The person has no intention to change.
increase prolactin - ✔✔- Stop prolactin (stop the agent that cause increase prolactin)
3-year-old masturbates, play with self, says naughty things - ✔✔Normal for Piaget
5-year-old tells you 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 - ✔✔- Confidential (mom sits in lobby)
ACE inhibitors - ✔✔- HTN
ACE inhibitors are the drug of choice for what? - ✔✔- Heart failure/HTN
Acute stress disorder (ASD) - ✔✔- Can be 2 to 4 weeks ( less than a month)
ADPIE - ✔✔• Assessment: 1st step, subjective and objective data
• Diagnosis: analysis, formulation of nursing diagnosis
• Planning: prioritizing problems, determining goals, plan of care
• Implementation: nursing action (rather than medical action)
• Evaluating: comparing outcomes, communicate and document findings
,Adult panic disorder - ✔✔- Buspar
Lithium level 1.2 what are you concerned with - ✔✔- 4+ Ketones Labs for Kidney compromised it is
wrong Urine kidney problem
1. NSAID, dehydration and Thiazides increases risk of Lithium toxicity - ✔✔Lithium toxicity
Ibuprofen and lithium - ✔✔INCREASES the serum level up to double
Lab Values concerning for patient on Lithium: - ✔✔o Leukocytosis
o Creatinine
o BUN
o NA+
o 4 + PORTEIN in Urine
o + Pregnancy Test
Lithium toxicity - ✔✔o Slurred speech, confusion, severe GI effect - diarrhea/nausea/vomiting,
metallic taste and SEVERE tremor.
. Aggressive patient to give - ✔✔- IM Geodon
agoraphobia - ✔✔fear of open spaces
Agoraphobia treatment - ✔✔*BZDs* - short term symptom relief
*SSRIs* - long-term maintenance
fluoxetine (Prozac)
paroxetine (Paxil)
sertraline (Zoloft)
,*SNRIs* - long-term maintenance
venlafaxine (Effexor)
*TCAs* - long-term maintenance
imipramine
Alprostadil (PGE1) - ✔✔• Ductal-dependent Congenital Heart Disease (all forms)
• 0.05-0.1 µg/kg/min IV/IO infusion initially, then 0.01-0.05 µg/kg/min IV/IO
In babies with congenital heart defects, it is used by slow injection into a vein to open the ductus
arteriosus until the surgery can be carried out. By injection into the penis or placement in the
urethra, it is used to treat erectile dysfunction .
Amygdala: - ✔✔- Fear, anxiety, and aggression
Amygdala - ✔✔- A limbic system structure involved in memory and emotion, anxiety, particularly fear
and aggression
Anorexia (SAFETY = KEY) - ✔✔- Set up family therapy (especially adolescent pts since they have no
control over food choices)
Anorexia admission criteria for hospitalization - ✔✔- Weight loss over 30 % over 6 months, severe
hypothermia (temp lower than 36 C or 96.8 F), heart rate less than 40 beats per minute, systolic
blood pressure less than 70 mm hg, and hypokalemia (less than 3 mEq/L).
anorexia nervosa - ✔✔- BMI less than 18.5
- BMI < 16 = AUTOMATIC ADMISSION
- An eating disorder in which an irrational fear of weight gain leads people to starve themselves
ANOVA (analysis of variance) - ✔✔an inferential statistical test for comparing the means of three or
more groups
Antidepressant takes - ✔✔4 to 6 weeks
, Prozac causes what? - ✔✔increase anxiety in elderly
Apoptosis - ✔✔programmed cell death in aging/elderly
Appreciative Inquiry - ✔✔- Dream (wishes or dreams of organization)
- Design (decide what you want to change)
- Destiny (make it happen, implanting change)
Appreciative Inquiry - ✔✔an organizational change strategy that directs the group's attention away
from its own problems and focuses participants on the group's potential and positive elements
Appreciative Inquiry - ✔✔an organizational change philosophy and process building organizations
around what works, rather than focusing on and trying to fix what doesn't work
Appreciative Inquiry - ✔✔- Identify the problem
- Analyze the problem
- Generate solutions
- Implement best solution
Assertive Community Treatment (ACT) - ✔✔community-based programs that provide many of the
services that are necessary for successful community living; includes case management, problem-
solving, social skills training, support, teaching on a 24/7 basis
Assertive questions - ✔✔- Use "I want", "I need", or "I feel" to convey basic assertions and get your
point across firmly. For example "I feel strongly that we need to bring in a third party to medicate this
disagreement" another example "Dave, your request has caught me off guard. I'll get back to you
within the half hour".
Assess when someone ready to quit drinking - ✔✔- See what stage they in ask when ready to start
treatment
States that change such as in health behaviors occurs in six predictable stages - ✔✔o
Precontemplation: The person has no intention to change.
