Science Medicine Psychiatry
PMHNP|LMR GEORGETTE’S CERTIFICATION
EXAM QUESTIONS AND VERIFIED ANSWERS
(100% CORRECT ANSWERS) A+ GRADED |
ALREADY PASSED!!
Save
Students also studied
Flashcard sets Study guides
Psych Rotation EOR: Substance Abu... Psychiatric Mental Health Nursing N... PMHNP ANCC Revie
Teacher 86 terms 50 terms 100 terms
Antinette_Kinelwa Preview Gladys_Kinyua Preview EDWIN_NYAMOITA
Assessment
Diagnosis
What does ADPIE stand for? Planning
Implementation
Evaluation
What should you do when a Ask her if it's happened before to assess for sleep issue patterns
mother reports her child woke
up screaming in the middle of
the night?
What do you do if a patient Scrape nail and send for testing
comes in with fungus on their
toenail?
What do you do if a patient on Check renal function
lithium has dark brown urine?
What do you do if a patient Check ANC level to assess for agranulocytosis
presents with fever while on
Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava, and
syndrome? Tryptophan
What labs are indicative of Elevated WBC (over 11,000) and elevated CPK
NMS?
muscle rigidity, hyperthermia, tachycardia, abnormal bp,
S/S of NMS
sweating, altered mental status, cherry colored urine
What should you do if a patient Check for rhabdo with CPK
presents with cherry colored
urine?
, hyperreflexia, muscle spasms, myoclonus (involuntary muscle
s/s of serotonin syndrome
jerk), fever, tachycardia, HTN, shits and shivers
What two medications to give bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
with NMS?
What medication to give during cyproheptadine (Periactin)- 5HT-2A receptor antagonist
SS?
What is the onset and typical Slow onset (1-2 weeks after changing or starting therapy) and
length of NMS? resolves within 9-14 days
Within 24 hours of starting/changing medication and resolves
What is the onset of SS?
within a few days
How do you distinguish NMS has a slower onset while acute dystonia occurs within hours
between NMS and acute
dystonia?
What happens with lithium and Increased risk of lithium toxicity (gout meds, ibuprophen,
NSAIDs? naproxen, etc.)
What happens with lithium and Increased risk of lithium toxicity related to the increased
ACE inhibitors? urination from the ACE inhibitors
Why should a patient on lithium Risk of fatal nephrotoxicity
avoid calcium channel blockers?
What is a fetal side effect of Epstein's anomaly
lithium?
What lab should you check for Specific gravity to assess for dehydration (dehydration is >1.015)
athletes on lithium?
What do you do if the lithium Do not give the next dose and assess for s/s
level is 1.3?
At what level is lithium toxicity a >3
medical emergency?
vomiting, diarrhea, slurred speech, hand tremor, dry
S/S of lithium toxicity
mouth/thirst, muscle weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat Synthroid
hypothyroidism caused by
lithium use?
What do you do if patient is Decreased lamictal dose by 50%
prescribed both depakote and
lamictal?
Depakote and pregnancy Spina bifida
What emergency may be Pancreatitis
occuring if patient on depakote
reports upper abdominal pain?
What lab should you check if LFTs
patient has right upper quadrant
pain and dark brown urine?
What lab means pregnancy? HCG
Treatment resistant schizophrenia, improves SI, and improves
Why is Clozaril used?
negative symptoms of schizophrenia
PMHNP|LMR GEORGETTE’S CERTIFICATION
EXAM QUESTIONS AND VERIFIED ANSWERS
(100% CORRECT ANSWERS) A+ GRADED |
ALREADY PASSED!!
Save
Students also studied
Flashcard sets Study guides
Psych Rotation EOR: Substance Abu... Psychiatric Mental Health Nursing N... PMHNP ANCC Revie
Teacher 86 terms 50 terms 100 terms
Antinette_Kinelwa Preview Gladys_Kinyua Preview EDWIN_NYAMOITA
Assessment
Diagnosis
What does ADPIE stand for? Planning
Implementation
Evaluation
What should you do when a Ask her if it's happened before to assess for sleep issue patterns
mother reports her child woke
up screaming in the middle of
the night?
What do you do if a patient Scrape nail and send for testing
comes in with fungus on their
toenail?
What do you do if a patient on Check renal function
lithium has dark brown urine?
What do you do if a patient Check ANC level to assess for agranulocytosis
presents with fever while on
Clozaril?
What can cause serotonin Antidepressants, St. John's Wort, Same-E, Kava Kava, and
syndrome? Tryptophan
What labs are indicative of Elevated WBC (over 11,000) and elevated CPK
NMS?
muscle rigidity, hyperthermia, tachycardia, abnormal bp,
S/S of NMS
sweating, altered mental status, cherry colored urine
What should you do if a patient Check for rhabdo with CPK
presents with cherry colored
urine?
, hyperreflexia, muscle spasms, myoclonus (involuntary muscle
s/s of serotonin syndrome
jerk), fever, tachycardia, HTN, shits and shivers
What two medications to give bromocriptine (Parlodel)- D2 agonist dantrolene- muscle relaxer
with NMS?
What medication to give during cyproheptadine (Periactin)- 5HT-2A receptor antagonist
SS?
What is the onset and typical Slow onset (1-2 weeks after changing or starting therapy) and
length of NMS? resolves within 9-14 days
Within 24 hours of starting/changing medication and resolves
What is the onset of SS?
within a few days
How do you distinguish NMS has a slower onset while acute dystonia occurs within hours
between NMS and acute
dystonia?
What happens with lithium and Increased risk of lithium toxicity (gout meds, ibuprophen,
NSAIDs? naproxen, etc.)
What happens with lithium and Increased risk of lithium toxicity related to the increased
ACE inhibitors? urination from the ACE inhibitors
Why should a patient on lithium Risk of fatal nephrotoxicity
avoid calcium channel blockers?
What is a fetal side effect of Epstein's anomaly
lithium?
What lab should you check for Specific gravity to assess for dehydration (dehydration is >1.015)
athletes on lithium?
What do you do if the lithium Do not give the next dose and assess for s/s
level is 1.3?
At what level is lithium toxicity a >3
medical emergency?
vomiting, diarrhea, slurred speech, hand tremor, dry
S/S of lithium toxicity
mouth/thirst, muscle weakness/twitching
Why check an EKG with lithium? Inverted T-waves
What medication should treat Synthroid
hypothyroidism caused by
lithium use?
What do you do if patient is Decreased lamictal dose by 50%
prescribed both depakote and
lamictal?
Depakote and pregnancy Spina bifida
What emergency may be Pancreatitis
occuring if patient on depakote
reports upper abdominal pain?
What lab should you check if LFTs
patient has right upper quadrant
pain and dark brown urine?
What lab means pregnancy? HCG
Treatment resistant schizophrenia, improves SI, and improves
Why is Clozaril used?
negative symptoms of schizophrenia
