PMHNP exams Review 2
NSAIDS - ✔✔Increases Lithium Levels
Reliability - ✔✔consistency of measurement
Reliability is another term for consistency. If one person takes the same personality test several times
and always receives the same results, the test is reliable.
internal validity - ✔✔Refers to how well an experiment is done,
Was it done RIGHT
extent to which we can draw cause-and-effect inferences from a study
Qualitative - ✔✔Data in the form of recorded descriptions rather than numerical measurements.
Quantitative - ✔✔relating to, measuring, or measured by the quantity of something rather than its
quality.
Data in numbers
Biggest concern with EMR - ✔✔Privacy confidentiality
Scope of Practice - ✔✔STATE
Standards of Practice - ✔✔ANA
The standard of practice limitations imposed upon a healthcare provider are based on local regulations
and which of the following elements?
Beck Depression - ✔✔0-9: indicates minimal depression
10-18: indicates mild depression
19-29: indicates moderate depression
30-63: indicates severe depression.
Hamilton Depression Scale - ✔✔TOTAL ITEMS 1 TO 17: _______________
0-7=Normal
8 - 13 = Mild Depression
,14-18 = Moderate Depression
19 - 22 = Severe Depression
> 23 = Very Severe Depression
PHQ9 - ✔✔Score Depression severity Comments
0-4 Minimal depression
5-9 Mild depression
10-14 Moderate depression
15-19 Moderate Severe depression
20-27 Severe
0-4 Minimal or none Monitor; No TX
5-9 Mild Use clinical judgment (symptom duration, functional impairment) to determine necessity of
treatment
10-14 Moderate
15-19 Moderately severe
Warrants active treatment with psychotherapy, medications, or combination
20-27 Severe
Anorexia/Bulimia Admission to Hospital for Pediatrics - ✔✔American Academy of Pediatrics Criteria for
Inpatient Hospitalization in Eating Disorders
Anorexia nervosa
,Heart rate < 50 beats/min daytime; < 45 beats/min nighttime
Systolic blood pressure < 90 mm Hg
Orthostatic changes in pulse (> 20 beats/min) or blood pressure (> 10 mm Hg)
Arrhythmia
Temperature < 96°F
< 75% ideal body weight or ongoing weight loss despite intensive management
Body fat < 10%
Refusal to eat
Failure to respond to outpatient treatment
Bulimia nervosa
Syncope
Serum potassium < 3.2 mmol/L
Serum chloride < 88 mmol/L
Esophageal tears
Cardiac arrhythmias including prolonged QTc
Hypothermia
Suicide risk
Intractable vomiting
Hematemesis
Failure to respond to outpatient treatment
Anorexia Admission - ✔✔
How long does antidepressants work - ✔✔4-6 weeks
Yalom - ✔✔Yalom's eleven therapeutic factors that influence change and healing in group therapy:
, 1. The instillation of hope creates a feeling of optimism.
2. Universality helps group members realize that they are not alone in their impulses, problems, and
other issues.
3. Imparting information helps to educate and empower people with knowledge pertaining to their
specific psychological situation.
4. Altruism allows clients to gain a sense of value and significance by helping other group members.
5. Corrective recapitulation provides for the resolution of family and childhood events within the safety
of the group family.
6. Socializing techniques promote social development, tolerance, empathy, and other interpersonal
skills.
7. Through imitative behavior group members learn to adopt the coping strategies and perspectives of
other group members.
8. Interpersonal learning teaches clients how to develop supportive interpersonal relationships.
9. Group cohesiveness gives members a sense of acceptance, belonging, value, and security.
10. Catharsis releases suppressed emotions and promotes healing by disclosing information to group
members.
11. Existential factors incorporate learning how to just exist as part of something larger than oneself.
This factor brings a client into the awareness that life will continue on, with pain, death, sadness, regret,
NSAIDS - ✔✔Increases Lithium Levels
Reliability - ✔✔consistency of measurement
Reliability is another term for consistency. If one person takes the same personality test several times
and always receives the same results, the test is reliable.
internal validity - ✔✔Refers to how well an experiment is done,
Was it done RIGHT
extent to which we can draw cause-and-effect inferences from a study
Qualitative - ✔✔Data in the form of recorded descriptions rather than numerical measurements.
Quantitative - ✔✔relating to, measuring, or measured by the quantity of something rather than its
quality.
Data in numbers
Biggest concern with EMR - ✔✔Privacy confidentiality
Scope of Practice - ✔✔STATE
Standards of Practice - ✔✔ANA
The standard of practice limitations imposed upon a healthcare provider are based on local regulations
and which of the following elements?
Beck Depression - ✔✔0-9: indicates minimal depression
10-18: indicates mild depression
19-29: indicates moderate depression
30-63: indicates severe depression.
Hamilton Depression Scale - ✔✔TOTAL ITEMS 1 TO 17: _______________
0-7=Normal
8 - 13 = Mild Depression
,14-18 = Moderate Depression
19 - 22 = Severe Depression
> 23 = Very Severe Depression
PHQ9 - ✔✔Score Depression severity Comments
0-4 Minimal depression
5-9 Mild depression
10-14 Moderate depression
15-19 Moderate Severe depression
20-27 Severe
0-4 Minimal or none Monitor; No TX
5-9 Mild Use clinical judgment (symptom duration, functional impairment) to determine necessity of
treatment
10-14 Moderate
15-19 Moderately severe
Warrants active treatment with psychotherapy, medications, or combination
20-27 Severe
Anorexia/Bulimia Admission to Hospital for Pediatrics - ✔✔American Academy of Pediatrics Criteria for
Inpatient Hospitalization in Eating Disorders
Anorexia nervosa
,Heart rate < 50 beats/min daytime; < 45 beats/min nighttime
Systolic blood pressure < 90 mm Hg
Orthostatic changes in pulse (> 20 beats/min) or blood pressure (> 10 mm Hg)
Arrhythmia
Temperature < 96°F
< 75% ideal body weight or ongoing weight loss despite intensive management
Body fat < 10%
Refusal to eat
Failure to respond to outpatient treatment
Bulimia nervosa
Syncope
Serum potassium < 3.2 mmol/L
Serum chloride < 88 mmol/L
Esophageal tears
Cardiac arrhythmias including prolonged QTc
Hypothermia
Suicide risk
Intractable vomiting
Hematemesis
Failure to respond to outpatient treatment
Anorexia Admission - ✔✔
How long does antidepressants work - ✔✔4-6 weeks
Yalom - ✔✔Yalom's eleven therapeutic factors that influence change and healing in group therapy:
, 1. The instillation of hope creates a feeling of optimism.
2. Universality helps group members realize that they are not alone in their impulses, problems, and
other issues.
3. Imparting information helps to educate and empower people with knowledge pertaining to their
specific psychological situation.
4. Altruism allows clients to gain a sense of value and significance by helping other group members.
5. Corrective recapitulation provides for the resolution of family and childhood events within the safety
of the group family.
6. Socializing techniques promote social development, tolerance, empathy, and other interpersonal
skills.
7. Through imitative behavior group members learn to adopt the coping strategies and perspectives of
other group members.
8. Interpersonal learning teaches clients how to develop supportive interpersonal relationships.
9. Group cohesiveness gives members a sense of acceptance, belonging, value, and security.
10. Catharsis releases suppressed emotions and promotes healing by disclosing information to group
members.
11. Existential factors incorporate learning how to just exist as part of something larger than oneself.
This factor brings a client into the awareness that life will continue on, with pain, death, sadness, regret,
