Georgette PMHNP
Comprehensive Prep for Psychiatric Nurse Practitioner Exam Final
answers Psychotherapeutic Theories
Mary is a 45-year-old African American female who has been treated on Isocarboxazid
(Marplan) for over 6 years. Mary is going in for a surgical procedure. Which medication is
strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen
Answer: Methylphenidate
You are treating a client with schizophrenia who takes clozapine. What lab values will indicate
the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000
Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which of the following medical problems
in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate
A. Spina bifida
Which mood stabilizer is associated with potential life-threatening rash in the Asian population?
A. Carbamazepine (tegretol)
B. Depakote
,C. Lithium
D. Lamictal
A. Carbamazepine
Bulimia, weight is ___________
within the normal range.
Pharm treatment for bulimia
Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa
low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia
there is none
therapy
Which of the following physical exam findings would help the PMHNP differentiate anorexia
nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands
Low BMI
If a patient is depression, low energy, fatigued, you would prescribe
Wellbutrin
Wellbutrin is contraindicated in patients with
,seizure disorder or conditions that increase risk of seizures such as eating disorder.
Which of the following medications has a unique mechanism that is both a norepinephrine and
dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta)
bupropion
CLozaril is metabolized by
cytochrome P450 enzyme CYP1A2
INducers
induce metabolism and therefore decrease serum levels of other drugs that are substrates
Smoking will do what to drug levels
decrease therapeutic levels of the drug
Bull Shit CRAP GPS Induces my rage
Barbituates
St. Johns Wart
Carbamazepine
Rifampicin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulphonylureas
If your patient is a smoker you will need ___________doses of their medication.
higher
Inhibitors
, inhibit metabolism and therefore increase levels of the drug.
SICKFACES.com for Inhibitors
Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Alcohol
Chloramphenicol
Erythromycin
Sulfonamine
Cipro
Omeprazole
Metronidazole
When many answers are remarkably similar, they are usually _____________
wrong
Interprofessional collaboration is encouraged.
Collaborate is usually right.
Delegate is usually wrong.
ADPIER
Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium
Normal 0.6-1.2
Lithium toxicity occurs at levels
> 1.5
Signs of Lithium toxicity
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
Comprehensive Prep for Psychiatric Nurse Practitioner Exam Final
answers Psychotherapeutic Theories
Mary is a 45-year-old African American female who has been treated on Isocarboxazid
(Marplan) for over 6 years. Mary is going in for a surgical procedure. Which medication is
strictly contraindicated with Isocarboxazid?
A. Morphine
B. NSAIDS
C. Methylphenidate
D. Acetaminophen
Answer: Methylphenidate
You are treating a client with schizophrenia who takes clozapine. What lab values will indicate
the client needs to discontinue treatment?
A. WBC less than 1800 and ANC less than 1200
B. ANC less than 1,000
C. WBC less than 5,000
D. ANC less than 2000
Answer: ANC less than 1000
If given during pregnancy, socium valproate can cause which of the following medical problems
in the baby?
A. SJS
B. Ebstein's anomaly
C. Spina bifida
D. Cleft palate
A. Spina bifida
Which mood stabilizer is associated with potential life-threatening rash in the Asian population?
A. Carbamazepine (tegretol)
B. Depakote
,C. Lithium
D. Lamictal
A. Carbamazepine
Bulimia, weight is ___________
within the normal range.
Pharm treatment for bulimia
Fluoxetine
SSRIs and TCAs effective in reducing binging and purging
Signs of anorexia nervosa
low BMI
Amennorrhea
Emaciation
Bradycardua
Hypotension
Pharm treatment for anorexia
there is none
therapy
Which of the following physical exam findings would help the PMHNP differentiate anorexia
nervosa from bulimia nervosa?
A. Russell sign
B. Low BMI
C. Erosion of dental enamel
D. Hypertrophy of salivary glands
Low BMI
If a patient is depression, low energy, fatigued, you would prescribe
Wellbutrin
Wellbutrin is contraindicated in patients with
,seizure disorder or conditions that increase risk of seizures such as eating disorder.
Which of the following medications has a unique mechanism that is both a norepinephrine and
dopamine reuptake inhibitor?
A. Bupropion (Wellbutrin)
B. Sertraline (Zoloft)
C. Clomipramine (Anafranil)
D. Duloxetine (Cymbalta)
bupropion
CLozaril is metabolized by
cytochrome P450 enzyme CYP1A2
INducers
induce metabolism and therefore decrease serum levels of other drugs that are substrates
Smoking will do what to drug levels
decrease therapeutic levels of the drug
Bull Shit CRAP GPS Induces my rage
Barbituates
St. Johns Wart
Carbamazepine
Rifampicin
Alcohol
Phenytoin
Griseofulvin
Phenobarbital
Sulphonylureas
If your patient is a smoker you will need ___________doses of their medication.
higher
Inhibitors
, inhibit metabolism and therefore increase levels of the drug.
SICKFACES.com for Inhibitors
Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Alcohol
Chloramphenicol
Erythromycin
Sulfonamine
Cipro
Omeprazole
Metronidazole
When many answers are remarkably similar, they are usually _____________
wrong
Interprofessional collaboration is encouraged.
Collaborate is usually right.
Delegate is usually wrong.
ADPIER
Assessment, diagnosis, Plan, intervention, evaluate, refer out last.
Lithium
Normal 0.6-1.2
Lithium toxicity occurs at levels
> 1.5
Signs of Lithium toxicity
severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation,
coarse hand tremors, unsteady gait
