Exam (elaborations)
PMHNP Final Exam 1 With Complete Solutions
- Course
- Institution
PMHNP Final Exam 1 With Complete Solutions
[Show more]
Seller
Follow
LeCrae
Reviews received
Content preview
PMHNP Final Exam 1 With Complete Solutions_______ is produced in the locus ceruleus of the pons Ans:- Norepinephrine
The hallmark symptom in _______ is a disturbance of consciousness accompanied by
changes in cognitive function Ans:- delirium
Disturbance of consciousness develops over a short time, usually hours to days is
seen in _______ Ans:- delirium
How are Sleep-rest cycle different in patients with delirium? Ans:- clients are
awake at night andsleep during the day.
Impaired _______ and ______ memory is seen in patients with delirium Ans:- recent
and intermediate
Symptoms of delirium resolve within ? Ans:- 3 to 6 months
Delirium Mnemonic Ans:- D-Drugs
E-electrolyte abnormality
L-low oxygen saturation
I-infection
R-reduced sensory input
I-intracranial
U-urinary or renal retention
M-myocardial
What is the most common type of dementia? Ans:- Alzheimer's
__________ has a Gradual onset and progressive decline without focal neurological
deficits Ans:- Dementia of Alzheimer's type (DAT)
What are the hallmark signs of Dementia of Alzheimer's type (DAT) Ans:- amyloid
deposits and neurofibrillary tangles senile plaques
What changes in the brain are seen in DAT? Ans:- Diffuse cerebral atrophy and
enlarged ventricles
Which neurotransmitters are decreased in DAT? Ans:- acetylcholine (ACh) and
norepinephrine
___________is Often induced by traumatic experiences such as physical/sexual
abuse, or betrayal by a trusted individual Ans:- Dissociative amnesia
Clinical features of _____________ includes An inability to recall important personal
information, usually of a traumatic/stressful nature, that is inconsistent with
ordinary forgetting Ans:- Dissociative amnesia
localized amnesia is the disruption of Ans:- an event or period of time
,selective amnesia is the disruption of Ans:- Specific aspect of an event
generalized amnesia is the disruption of Ans:- Identity or life history
purposeful travel or bewildered wandering that is associated with amnesia for
identity or for other important autobiographical information Ans:- dissociative
fugue
inability to learn new info Ans:- Anterograde amnesia
inability to recall previously remembered info Ans:- Retrograde amnesia
Which TCA is used in the treatment of OCD? Ans:- Clomipramine
Which substances may cause dementia? Ans:- Alcohol
· Heavy metals
· Carbon monoxide
·Pseudodementia r/t meds ( anticholinergics)
inhalants
Which SSRIs have a sedative effect? Ans:- Citalopram (Celexa)
Escitalopram (Lexapro)
Fluvoxamine (Luvox)
Paroxetine (Paxil)
Sertraline (Zoloft)
Which TCAs have a sedative effect? Ans:- Amitriptyline (Elavil)
Doxepin (Sineqan)
Which other antidepressants may cause sedation? Ans:- Mirtazapine (Remeron)
Nefazodone (Serzone)
Trazodone
What are side effects of trazadone? Ans:- Sedation, nausea, headache,
hypotension, priapism
Wellbutrin (NDRI) can be used to treat which disorders? Ans:- -Antidepressant
(mood disorders, unipolar affective disorders and depressive disorders)
-attention deficit hyperactive disorder
-smoking cessation.
Wellbutrin is contraindicated in clients with Ans:- SZ disorder
eating disorder
What is Considered first-line agents for chronic anxiety disorders? Ans:- Selective
serotonin reuptake inhibitors (SSRIs)
black box warning for SSRIs in children, adolescents, and young adults Ans:-
increased risk for suicide
, Which benzo have a short half life? Ans:- Alprazolam (Xanax)
Lorazepam (Ativan)
Which benzo have a long half life? Ans:- Clonazepam (Klonopin)
Diazepam (Valium)
Medications used to treat anxiety works on which system? Ans:- directly or
indirectly on GABA
Benzodiazepines with short/long half life have More severe withdrawal and more
rebound anxiety Ans:- short
Which non- benzo anxiolytics can be used to treat anxiety Ans:- Buspirone
(Buspar)
Tiagabine (Gabitril)
Gabapentin(Neurontin)
Propranolol (Inderal)
Males greater than ______ yrs old are have a risk factor associated with suicide
Ans:- 45 yr. old
females greater than ______ yrs old are have a risk factor associated with suicide
Ans:- 55 yr.s old
Which Benzodiazepines or hypnotics used for insomnia is long acting and should be
avoided in older adults Ans:- Flurazepam (Dalmane)
Pharmacological Management for insomnia include: Ans:- §Melatonin
§Benzodiazepines or hypnotics
Nonbenzodiazepine hypnotics
§Antidepressants
Classification?
Zaleplon (Sonata)
•Zolpidem (Ambien)
•Eszopiclone (Lunesta) Ans:- Nonbenzodiazepine hypnotics used for insomnia
•Classification?
Flurazepam (Dalmane)
•Temazepam (Restoril)
•Triazolam (Halcion) Ans:- Benzodiazepines or hypnotics used for insomnia
Which antidepressant use to treat insomnia should be avoided in older adults?
Ans:- Doxepin (Sinequan)
Classification?
•Amitriptyline (Elavil), Doxepin (Sinequan)
•Mirtazapine (Remeron), Desyrel (Trazadone) Ans:- Antidepressants used for
insomnia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77858 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now