PMHNP Exam Reported Questions and answers
What is dissemination? - Ans - Getting the research information out to those who need to know it!
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Publication - highest level bvbv bvbv bvbv
Presenting at National Conference bvbv bvbv bvbv
Presenting at Local Conference bvbv bvbv bvbv
Journal Club where one person reviews an article
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What does a 17 on MMSE mean? - Ans - Moderate cognitive impairment
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is Tegretol in the CYP450 system? - Ans - Inducer -->will lower dose of Lamictal and BCP's
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What do BCP's do to Lamictal? - Ans - Inducer - will lower dose of Lamictal
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What is a Type I research error? - Ans - There IS a difference but you say there isn't a difference.
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What is a Type II research error? - Ans - There is NO difference but you say there is a difference.
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What is pseudo-dementia? - Ans - Cognitive impairment secondary to depression that clears when treated in
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the elderly. Dementia won't improve.
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Is it normal for a 1 month old to have a palmar grasp? - Ans - Yes.
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What is a drug 1/2 life? - Ans - The time it takes for 50% of a drug to be eliminated from the body.
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What 3 atypicals can be used with teens? - Ans - Zyprexa, Abilify, Seroquel - low doses
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What is a risk of using Tramadol? - Ans - Serotonin Syndrome as it is very serotonergic.
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What is the allele seen in Asians that increase the risk of SJS? - Ans - HLAB-1502
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When might you see toxic epidermal necrolysis? - Ans - With worsening of SJS
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How many generations do you include for a genogram? - Ans - 1st degree - mother, father, siblings
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2nd degree - grandparents & cousins
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3rd degree - bvbv bvbv
What does messenger RNA code for? - Ans - Amino Acids
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What is epigenetics? - Ans - Factors that affect genes - environmental, smoking, stress, etc...
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What part of the brain is involved with OCD? - Ans - Basal Ganglia
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Occipito-Frontal
What happens to the brain during adolescence? - Ans - Dendritic pruning
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Emotions are controlled by amygdala bvbv bvbv bvbv bvbv
1 /
bvbvbvbv
23
,By adulthood, PFC involved as well
bvbv bvbv bvbv bvbv bvbv
When do males typically present with schizophrenia? - Ans - 10-25 yo
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When do females typically present with schizophrenia? - Ans - 25-35 yo
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does Erythromycin to trileptal? - Ans - You will need to decreases the level because Trileptal(inducer)
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and erythromycin is a inhibitor
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ACE Inhibitors are the drug of choice for what? - Ans - Heart Failure
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HTN
What are some psychiatric side effects seen with some asthma drugs - Ans - Leukotriene receptor agonists
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvb
singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What should you watch for with Tegretol? - Ans - Agranulocytosis and Hyponatremia
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What are the 3 CK muscle enzyme tests? - Ans - CKBB, CKMM, CKMB
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - Ans - CKMB
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What is the risk of a seriously elevated CKMB? - Ans - Polymyositis
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Rhabdo
What is a normal CKMB? - Ans - 0.3 mcg/L
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What psychoactives does Detrol interact with? - Ans - Topamax
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - Ans - CN XI - Spinal
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Accessory
bvbv
What do you see in labs with HIV & Dementia? - Ans - CD4 <200
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Viral Load is high
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<20% get it with antiretroviral treatment
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What is the scoring with the Beck Depression Inventory? - Ans - Self-Report - 0-63
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0-13 - minimalbvbv bvbv
14-19 - mild bvbv bvbv
20-28 - moderate bvbv bvbv
29-63 - severe bvbv bvbv
What is sensitivity? - Ans - Helps rule-out disease = True Positive = Snout
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What is specificity? - Ans - Helps rule-in disease = True Negative = Spin
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does a sed rate measure? - Ans - Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
mm RBC's have descended in 1 hour.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is a normal sed rate or ESR? - Ans - 0-22 males
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2 /
bvbvbvbv
23
,0-29 females bvbv
What is a retic count? - Ans - Measures % of reticulocytes in blood (immature RBC's) Indicates whether
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enough RBC's are being produced by bone marrow.
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What does a decreased retic count indicate? - Ans - Anemia - acute or chronic bleeding
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What does an increased retic count indicate? - Ans - Bone marrow disorder or Vitamin Deficiency
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What does an abnormal retic ount indicate in general? - Ans - Doesn't diagnose anything. First step is ID
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
source of the issue.
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What happens when you mix tegretol and macrolides? - Ans - Increase tegretol levels.
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What happens if a pregnant women takes Accutane? - Ans - Birth defects.
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What labs do you get with RA? - Ans - Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps
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confirm diagnosis.
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CRP and ESR are both increased in RA but NOT in osteoarthritis.
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Where does the NP Code of Ethics come from? - Ans - ANA bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
When do you assume informed consent? - Ans - Unconscious
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Incompetent
Life Threatening Situation bvbv bvbv
What are the legal ramifications of treating w/o informed consent? - Ans - Same as with informed consent
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Who can declare a patient incompetent and appoint a guardian? - Ans - Only a court
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Does impaired judgment mean one is incompetent? - Ans - No.
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Can an advanced directive ever be revoked? - Ans - Yes, at any time.
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What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - Ans - Nothing.
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They are all the same.
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Does the de facto rule of proxy apply in same sex marriages? - Ans - No.
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How do Asians see HC providers? - Ans - As in a position of authority.
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Expect to give instructions and help make decisions bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does it mean when an Asian patient does not make eye contact with the NP? - Ans - SIgn of respect
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What is the evil eye? - Ans - When a stronger or more powerful person looks at a weaker person - often
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infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increase
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fussiness.
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How do you protect from the evil eye? - Ans - Red ribbon on an infant
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Amulet for adults bvbv bvbv
3 /
bvbvbvbv
23
What is dissemination? - Ans - Getting the research information out to those who need to know it!
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Publication - highest level bvbv bvbv bvbv
Presenting at National Conference bvbv bvbv bvbv
Presenting at Local Conference bvbv bvbv bvbv
Journal Club where one person reviews an article
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does a 17 on MMSE mean? - Ans - Moderate cognitive impairment
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is Tegretol in the CYP450 system? - Ans - Inducer -->will lower dose of Lamictal and BCP's
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What do BCP's do to Lamictal? - Ans - Inducer - will lower dose of Lamictal
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is a Type I research error? - Ans - There IS a difference but you say there isn't a difference.
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What is a Type II research error? - Ans - There is NO difference but you say there is a difference.
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What is pseudo-dementia? - Ans - Cognitive impairment secondary to depression that clears when treated in
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the elderly. Dementia won't improve.
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Is it normal for a 1 month old to have a palmar grasp? - Ans - Yes.
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What is a drug 1/2 life? - Ans - The time it takes for 50% of a drug to be eliminated from the body.
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What 3 atypicals can be used with teens? - Ans - Zyprexa, Abilify, Seroquel - low doses
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What is a risk of using Tramadol? - Ans - Serotonin Syndrome as it is very serotonergic.
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What is the allele seen in Asians that increase the risk of SJS? - Ans - HLAB-1502
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
When might you see toxic epidermal necrolysis? - Ans - With worsening of SJS
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
How many generations do you include for a genogram? - Ans - 1st degree - mother, father, siblings
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2nd degree - grandparents & cousins
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3rd degree - bvbv bvbv
What does messenger RNA code for? - Ans - Amino Acids
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is epigenetics? - Ans - Factors that affect genes - environmental, smoking, stress, etc...
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What part of the brain is involved with OCD? - Ans - Basal Ganglia
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Occipito-Frontal
What happens to the brain during adolescence? - Ans - Dendritic pruning
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Emotions are controlled by amygdala bvbv bvbv bvbv bvbv
1 /
bvbvbvbv
23
,By adulthood, PFC involved as well
bvbv bvbv bvbv bvbv bvbv
When do males typically present with schizophrenia? - Ans - 10-25 yo
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
When do females typically present with schizophrenia? - Ans - 25-35 yo
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does Erythromycin to trileptal? - Ans - You will need to decreases the level because Trileptal(inducer)
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
and erythromycin is a inhibitor
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ACE Inhibitors are the drug of choice for what? - Ans - Heart Failure
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
HTN
What are some psychiatric side effects seen with some asthma drugs - Ans - Leukotriene receptor agonists
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvb
singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What should you watch for with Tegretol? - Ans - Agranulocytosis and Hyponatremia
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What are the 3 CK muscle enzyme tests? - Ans - CKBB, CKMM, CKMB
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Which one of the 3 muscle enzymes are related to cardiac muscle damage? - Ans - CKMB
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is the risk of a seriously elevated CKMB? - Ans - Polymyositis
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Rhabdo
What is a normal CKMB? - Ans - 0.3 mcg/L
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What psychoactives does Detrol interact with? - Ans - Topamax
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
KCL
Zonegran
What CN are you assessing when you have the patient shrug their shoulders? - Ans - CN XI - Spinal
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Accessory
bvbv
What do you see in labs with HIV & Dementia? - Ans - CD4 <200
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
Viral Load is high
bvbv bvbv bvbv
<20% get it with antiretroviral treatment
bvbv bvbv bvbv bvbv bvbv
What is the scoring with the Beck Depression Inventory? - Ans - Self-Report - 0-63
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
0-13 - minimalbvbv bvbv
14-19 - mild bvbv bvbv
20-28 - moderate bvbv bvbv
29-63 - severe bvbv bvbv
What is sensitivity? - Ans - Helps rule-out disease = True Positive = Snout
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is specificity? - Ans - Helps rule-in disease = True Negative = Spin
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does a sed rate measure? - Ans - Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
mm RBC's have descended in 1 hour.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What is a normal sed rate or ESR? - Ans - 0-22 males
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
2 /
bvbvbvbv
23
,0-29 females bvbv
What is a retic count? - Ans - Measures % of reticulocytes in blood (immature RBC's) Indicates whether
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
enough RBC's are being produced by bone marrow.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does a decreased retic count indicate? - Ans - Anemia - acute or chronic bleeding
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does an increased retic count indicate? - Ans - Bone marrow disorder or Vitamin Deficiency
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does an abnormal retic ount indicate in general? - Ans - Doesn't diagnose anything. First step is ID
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
source of the issue.
bvbv bvbv bvbv bvbv
What happens when you mix tegretol and macrolides? - Ans - Increase tegretol levels.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What happens if a pregnant women takes Accutane? - Ans - Birth defects.
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What labs do you get with RA? - Ans - Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps
bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
confirm diagnosis.
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CRP and ESR are both increased in RA but NOT in osteoarthritis.
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Where does the NP Code of Ethics come from? - Ans - ANA bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv bvbv
When do you assume informed consent? - Ans - Unconscious
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Incompetent
Life Threatening Situation bvbv bvbv
What are the legal ramifications of treating w/o informed consent? - Ans - Same as with informed consent
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Who can declare a patient incompetent and appoint a guardian? - Ans - Only a court
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Does impaired judgment mean one is incompetent? - Ans - No.
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Can an advanced directive ever be revoked? - Ans - Yes, at any time.
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What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - Ans - Nothing.
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They are all the same.
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Does the de facto rule of proxy apply in same sex marriages? - Ans - No.
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How do Asians see HC providers? - Ans - As in a position of authority.
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Expect to give instructions and help make decisions bvbv bvbv bvbv bvbv bvbv bvbv bvbv
What does it mean when an Asian patient does not make eye contact with the NP? - Ans - SIgn of respect
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What is the evil eye? - Ans - When a stronger or more powerful person looks at a weaker person - often
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infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increase
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fussiness.
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How do you protect from the evil eye? - Ans - Red ribbon on an infant
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Amulet for adults bvbv bvbv
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