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PMHNP Psychopharm Exams 2024
PMHNP Psychopharm Exams 2024
[Show more]PMHNP Psychopharm Exams 2024
[Show more]What are the five factors that influence absorption? - Gastric emptying 
Time of contact with intestinal wall 
Bowel perfusion 
Food 
Formation of non-absorbable complexes 
 
Explain the hepatic first pass. - Part of the drug is metabolized by the liver before it reaches the blood. 
 
Explain bioava...
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Add to cartWhat are the five factors that influence absorption? - Gastric emptying 
Time of contact with intestinal wall 
Bowel perfusion 
Food 
Formation of non-absorbable complexes 
 
Explain the hepatic first pass. - Part of the drug is metabolized by the liver before it reaches the blood. 
 
Explain bioava...
The PMHNP is evaluating a 68-year-old man for symptoms of major depression. While assessing the appearance of the patient, an obvious left-sided ptosis is noted. Which cranial nerve is directly linked to this condition? 
a. III 
b. IV 
c. V 
d. VI - A 
 
A 55-year-old woman has been referred for a p...
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Add to cartThe PMHNP is evaluating a 68-year-old man for symptoms of major depression. While assessing the appearance of the patient, an obvious left-sided ptosis is noted. Which cranial nerve is directly linked to this condition? 
a. III 
b. IV 
c. V 
d. VI - A 
 
A 55-year-old woman has been referred for a p...
Once you graduate from an NP program, in order to prescribe you'll need: - -Advanced nurse prescriber license 
-DEA # 
 
What is the purpose of a DEA #? - Needed to prescribed scheduled drugs 
 
Rules for prescribing Schedule II drugs: - -Written script needed 
-1 month supply only 
-No refills 
 ...
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Add to cartOnce you graduate from an NP program, in order to prescribe you'll need: - -Advanced nurse prescriber license 
-DEA # 
 
What is the purpose of a DEA #? - Needed to prescribed scheduled drugs 
 
Rules for prescribing Schedule II drugs: - -Written script needed 
-1 month supply only 
-No refills 
 ...
The PMHNP knows that the study of how the body absorbs, distributes, metabolizes, and excretes a medication is known as: 
A. breakdown 
B. pharmacokinetics 
C. pharmacodynamics 
D. first-pass effect - B. pharmacokinetics 
 
After the drug is absorbed the substrate binds to protein for transport. Whi...
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Add to cartThe PMHNP knows that the study of how the body absorbs, distributes, metabolizes, and excretes a medication is known as: 
A. breakdown 
B. pharmacokinetics 
C. pharmacodynamics 
D. first-pass effect - B. pharmacokinetics 
 
After the drug is absorbed the substrate binds to protein for transport. Whi...
what term describes a scientific study that gathers multiple studies and analyzes them to draw a larger conclusion? - systematic review 
 
borderline personality disorder falls under which cluster of personality disorder traits? - B 
 
a 36 year old caucasian male arrives for his usual monthly medic...
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Add to cartwhat term describes a scientific study that gathers multiple studies and analyzes them to draw a larger conclusion? - systematic review 
 
borderline personality disorder falls under which cluster of personality disorder traits? - B 
 
a 36 year old caucasian male arrives for his usual monthly medic...
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 ...
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Add to cartNSAIDS - 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 ...
A 61 y/o married woman who has been sober from alcohol use disorder for 25 years relapsed 3 weeks ago. She reports drinking 1.5L of vodka and half a liter of scotch daily. On exam she is emotionally labile ranging from irritable to crying, slurring her words, bilateral upper extremity fine tremor. V...
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Add to cartA 61 y/o married woman who has been sober from alcohol use disorder for 25 years relapsed 3 weeks ago. She reports drinking 1.5L of vodka and half a liter of scotch daily. On exam she is emotionally labile ranging from irritable to crying, slurring her words, bilateral upper extremity fine tremor. V...
1. Scientific Foundation 
You are treating a patient for his first episode of major depression. You decide to initiate citalopram (Celexa). How much time should you allow for the medication to provide its initial therapeutic effect and the patient to see improvement of symptoms? 
8 months 
4 to 6 we...
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Add to cart1. Scientific Foundation 
You are treating a patient for his first episode of major depression. You decide to initiate citalopram (Celexa). How much time should you allow for the medication to provide its initial therapeutic effect and the patient to see improvement of symptoms? 
8 months 
4 to 6 we...
A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment? 
a. "It sounds as though you were uncomfortable with the content of your dream." 
b. "I unde...
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Add to cartA patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment? 
a. "It sounds as though you were uncomfortable with the content of your dream." 
b. "I unde...
Role of NP - State title protection. Board of nursing regulates practice. 
5 states have joint oversight with medical board. 
Scope of practice is determined by NP license. 
24 states are totally NPs are anonomous 
20 states require physician collaboration 
3 states have physician supervision 
Some ...
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Add to cartRole of NP - State title protection. Board of nursing regulates practice. 
5 states have joint oversight with medical board. 
Scope of practice is determined by NP license. 
24 states are totally NPs are anonomous 
20 states require physician collaboration 
3 states have physician supervision 
Some ...
In the early stages of iron deficient anemias, blood studies show: 
 
(a) macrocytic normochromic 
(b) microcytic hypochromic 
(c) normochromic normocytic 
(d) pancytopenic hypocytic - (a) normochromic normocytic 
 
A 14-year-old, male patient has some general concerns about eczema, as his twin brot...
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Add to cartIn the early stages of iron deficient anemias, blood studies show: 
 
(a) macrocytic normochromic 
(b) microcytic hypochromic 
(c) normochromic normocytic 
(d) pancytopenic hypocytic - (a) normochromic normocytic 
 
A 14-year-old, male patient has some general concerns about eczema, as his twin brot...
A 61-year-old married woman who has been sober from alcohol use disorder for 25 years relapsed 3 weeks ago. She reports drinking 1.5 L of vodka and half a liter of scotch daily. On exam she is emotionally labile ranging from irritable to crying, slurring her words, and exhibits a bilateral upper ext...
Preview 2 out of 7 pages
Add to cartA 61-year-old married woman who has been sober from alcohol use disorder for 25 years relapsed 3 weeks ago. She reports drinking 1.5 L of vodka and half a liter of scotch daily. On exam she is emotionally labile ranging from irritable to crying, slurring her words, and exhibits a bilateral upper ext...
3-1. All of the following are true of Healthy People 2020 except: 
 
A. It is funded by the pharmaceutical industry 
B. It is a national agenda that communicates a vision for improving health and achieving health equity of the U.S. population 
C. It provides a set of more than 1,200 specific, measur...
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Add to cart3-1. All of the following are true of Healthy People 2020 except: 
 
A. It is funded by the pharmaceutical industry 
B. It is a national agenda that communicates a vision for improving health and achieving health equity of the U.S. population 
C. It provides a set of more than 1,200 specific, measur...
Hydrochlorothiazide (HCTZ) - Which drug is associated with increased lipoprotein levels? 
 
 Furosemide (Lasix). 
 Hydrochlorothiazide (HCTZ). 
 Spironolactone (Aldactone). 
 Triamterene (Dyrenium). 
 
cerebellar functioning - The family nurse practitioner asks a patient to perform rapid, alternatin...
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Add to cartHydrochlorothiazide (HCTZ) - Which drug is associated with increased lipoprotein levels? 
 
 Furosemide (Lasix). 
 Hydrochlorothiazide (HCTZ). 
 Spironolactone (Aldactone). 
 Triamterene (Dyrenium). 
 
cerebellar functioning - The family nurse practitioner asks a patient to perform rapid, alternatin...
The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - Prevention of Disease 
 
Immunization 
 
Counseling about Safety 
 
The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - Early Detection of Dise...
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Add to cartThe goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - Prevention of Disease 
 
Immunization 
 
Counseling about Safety 
 
The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - Early Detection of Dise...
Core definition of APN - A function of educational and practice preparation and a constellation of primary criteria and core competencies. Direct clinical practice is the central competency and informs all the other competencies. 
 
3 criteria necessary to become an APRN - Graduate degree in the con...
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Add to cartCore definition of APN - A function of educational and practice preparation and a constellation of primary criteria and core competencies. Direct clinical practice is the central competency and informs all the other competencies. 
 
3 criteria necessary to become an APRN - Graduate degree in the con...
In order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to - take their medication at the prescribed times. 
 
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom tha...
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Add to cartIn order to promote therapeutic drug effects, the Nurse Practitioner should always encourage patients to - take their medication at the prescribed times. 
 
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom tha...
Which statement is true regarding bipolar disorder and pregnancy? 
1. A 
Clonazepam (Klonopin) does not carry an increased risk of major fetal malformations 
2. B 
Divalproex sodium (Depakote) is a safe alternative to lithium carbonate 
3. C 
Lithium (Lithane, Lithobid) is safe during the first and ...
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Add to cartWhich statement is true regarding bipolar disorder and pregnancy? 
1. A 
Clonazepam (Klonopin) does not carry an increased risk of major fetal malformations 
2. B 
Divalproex sodium (Depakote) is a safe alternative to lithium carbonate 
3. C 
Lithium (Lithane, Lithobid) is safe during the first and ...
What routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all ointments placed on the skin 
 
PO meds absorption pattern - Varies greatly due to: 
»»Stabil...
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Add to cartWhat routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all ointments placed on the skin 
 
PO meds absorption pattern - Varies greatly due to: 
»»Stabil...
THE NERVOUS SYSTEM - All human thoughts, feelings, and actions are seated in and start with actions of the 
nervous system. 
 
Necessary for the PMHNP's role functioning is an understanding of the following basic neuroanatomy and physiology: 
* Neurodeficits that underlie psychiatric disorders 
* A...
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Add to cartTHE NERVOUS SYSTEM - All human thoughts, feelings, and actions are seated in and start with actions of the 
nervous system. 
 
Necessary for the PMHNP's role functioning is an understanding of the following basic neuroanatomy and physiology: 
* Neurodeficits that underlie psychiatric disorders 
* A...
The NP is completing an intake interview with a 24 yo female with a hx of depression and anxiety. When discussing med options the pt states she is newly married and is trying to get pregnant. You discuss starting buspar dt "animal reproduction studies having failed to demonstrate a risk to fetus an...
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Add to cartThe NP is completing an intake interview with a 24 yo female with a hx of depression and anxiety. When discussing med options the pt states she is newly married and is trying to get pregnant. You discuss starting buspar dt "animal reproduction studies having failed to demonstrate a risk to fetus an...
Psychotropic Medications - Antidepressants, antipsychotics, mood stabilizers, anxiolytics, hypnotics, stimulants 
Organized by structure 
MOA 
Distinguished by subtle differences in molecular structure. 
 
Most psychotropics are lipophilic and highly protein bound; thus, older adults have more body ...
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Add to cartPsychotropic Medications - Antidepressants, antipsychotics, mood stabilizers, anxiolytics, hypnotics, stimulants 
Organized by structure 
MOA 
Distinguished by subtle differences in molecular structure. 
 
Most psychotropics are lipophilic and highly protein bound; thus, older adults have more body ...
A nurse is caring for a patient who has an infection. The healthcare provider has ordered an antimicrobial drug for the patient. The nurse understands that which of the following is the most important characteristic of this drug? 
 
A. That the drug will kill the microorganism 
B. That the drug wil...
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Add to cartA nurse is caring for a patient who has an infection. The healthcare provider has ordered an antimicrobial drug for the patient. The nurse understands that which of the following is the most important characteristic of this drug? 
 
A. That the drug will kill the microorganism 
B. That the drug wil...
Systemic opioid analgesics, such as morphine sulphate, may be used for maternal pain management. Which statement best describes the nursing considerations for administering systemic opiate analgesics? 
 
1. Systemic opioids are often administered up to the second stage of labour. 
2. An opioid antag...
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Add to cartSystemic opioid analgesics, such as morphine sulphate, may be used for maternal pain management. Which statement best describes the nursing considerations for administering systemic opiate analgesics? 
 
1. Systemic opioids are often administered up to the second stage of labour. 
2. An opioid antag...
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