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ACTUAL ADVANCED Georgette Review PMHNP. TEST BANK | COMPREHENSIVE TEST BANK WITH 100% CORRECT VERIFIED ANSWERS | ATTAIN A+ GRADE IN ONE ATTEMPT$17.99
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ACTUAL ADVANCED Georgette Review PMHNP.
TEST BANK | COMPREHENSIVE TEST BANK
WITH 100% CORRECT VERIFIED ANSWERS |
ATTAIN A+ GRADE IN ONE ATTEMPT
What to check prior to prescribing a stimulant? - ✔✔ANSW✔✔cardiac
history, family history of CVD and get an EKG prior to starting
Amphetamines are approved in children as young as - ✔✔ANSW✔✔3
Signs of stimulant abuse - ✔✔ANSW✔✔insomnia
tremors
heart palpiations
increased BP and HR
Rating scale for ADHD - ✔✔ANSW✔✔Connors and Vanderbilt
Must monitor in two settings
Hallmarks of borderline personality disorder - ✔✔ANSW✔✔impulsivity with
self-damaging behavior
Recurrent suicidal behavior
Treatment for Borderline - ✔✔ANSW✔✔DBT
Hallmarks of antisocial personality - ✔✔ANSW✔✔reckless disregard for
welfare of others
lack of remorse
indifference to the feelings of others
,INCREASED HOMICIDAL IDEATION --HIGH YIELD
Primarily in girls
normal development then decline
loss of purposeful hand movements
stereotypic hand movements --flapping of hands
deceleration of head growth - ✔✔ANSW✔✔Rett syndrome
Chronically moody, sad irritable for no reason - ✔✔ANSW✔✔Disruptive
mood dysregulation disorder
patient reacts grossly out of proportion to situation
sudden rage/anger outbursts - ✔✔ANSW✔✔Intermittent explosive disorder
Mnemonic for depression SIGECAPS - ✔✔ANSW✔✔Sleep disturbance
interest reduced
guilt and self-blame
energy loss and fatigue
concentration problems
appetite changes
psychomotor changes
suicidial thoughts
Neurotransmitters involved in depression - ✔✔ANSW✔✔DNS
dopamine, norepinephrine, serotonin
cognition and memory symptoms of MDD in older adults is often confused
with dementia related symptoms and is called - ✔✔ANSW✔✔pseudo
dementia = depression
Clients with pseudodementia/depression, have a __________________ of
symptoms. - ✔✔ANSW✔✔acute onset.
Dementia patients will have
Pseudodementia/depression will have - ✔✔ANSW✔✔dementia: lack of
answers or confabulate answers
pseudodementia: general responses "I Don't know"
,First line pharm treatment for depression due to safety -
✔✔ANSW✔✔SSRIs/SNRIs
Second line for depression - ✔✔ANSW✔✔TCAs
Reason TCAa are second line - ✔✔ANSW✔✔Can cause EKG changes
More lethal if taken in overdose attempt.
Reason to use ECT - ✔✔ANSW✔✔depression with psychotic features
treatment resistant depression
Which characteristic of fluoxetine provides the greatest degree of safety for
patients who have severe depression
A. Greater efficacy than an TCA
B. Less potential drug interaction
C. Less potential for injury with intentional overdose.
D. Less potential for suicidal thinking. - ✔✔ANSW✔✔less potential for
injury with intentional overdose.
Do no harm contracts reduce the risk of suicide - ✔✔ANSW✔✔NO
A 72 year old is brought in by her husband with increasing forgetfulness,
decreased activity, and decreased appetite for 2 months. She has a history
of hypertension and is being treated with lisinopril. The exam is normal and
the mini mental status exam provides a score of 24 but she declines to
answer some questions and needs to be urged to participate in the
assessment. What is the most likely diagnosis?
A. Alzheimers disease
B. Vascular dementia
C. Depression
D. Delirium - ✔✔ANSW✔✔depression
When many answers are remarkably similar, they are usually
_____________ - ✔✔ANSW✔✔wrong
, Interprofessional collaboration is encouraged. - ✔✔ANSW✔✔Collaborate is
usually right.
Delegate is usually wrong.
ADPIER - ✔✔ANSW✔✔Assessment, diagnosis, Plan, intervention,
evaluate, refer out last.
Lithium - ✔✔ANSW✔✔Normal 0.6-1.2
Lithium toxicity occurs at levels - ✔✔ANSW✔✔> 1.5
Signs of Lithium toxicity - ✔✔ANSW✔✔severe nausea, diarrhea, vomiting,
confusion, drowsiness, muscle weakness, heart palpitation, coarse hand
tremors, unsteady gait
Lithium is gold standard for - ✔✔ANSW✔✔MANIA
Lithium has evidence shown to - ✔✔ANSW✔✔reduce suicidal ideation
What does lithium cause in neonate, especially 1st trimester -
✔✔ANSW✔✔Ebstein anomaly (congenital heart defect)
dehydration and hyponatremia cause lithium levels to - ✔✔ANSW✔✔rise
Baseline labs before initiation of lithium - ✔✔ANSW✔✔TSH
creatinine (0.6-1.2)
BUN (10-20)
HCG (all psychotropics females 12-51)
EKG 50+
Urinalysis (check for proteins, 4+ may indicate kidney disease)
Side Effects of Lithium - ✔✔ANSW✔✔hypothyroidism
coase hand tremors with toxicity
maculopapular rash
diarrhea, vomiting, cramps--signs of toxicity. Monitor closely.
anorexia
t wave inversions
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