Exam Edge

The process by which drugs are absorbed, distributed within the body, metabolized, and excreted. → Pharmacokinetics The study of what the drug does to the body → Pharmacodynamics Rate of dissolution Surface area Blood flow Lipid solubility pH partitioning → Factors Affecting Drug Absorption Blood flow to tissues Ability to exit the vascular system Blood-brain barrier Protein-binding capacity → Factors Affecting Drug Distribution 2 0 2 4 /2025 | © copyright | This work m...

During what trimester is a pregnant woman most at risk for adverse drug reactions with potential long term consequences? → 1st trimester (fetus most at risk d/t rapid growth) What is BEERS criteria? → Recommendations of medications inappropriate for elderly (65 and older), prescriber ultimately decides What is the CYP450 (cytochrome P450) → liver enzyme system where medications are metabolized, can either be inducers or inhibitors and create drug-drug interactions CYP450 induce...

Mental Status Exam (MSE) → -best tool for establishing a psychiatric diagnosis → -combination of observations, impressions, & interpretation of client responses → -Eval of patients: → • appearance → • behavior → • speech → • affect → • thought process → • thought content → • cognition mental health → "a state of well-being in which every individual realizes his or her own potential, can cope with normal stresses of life, can work productively ...

Psychiatric interview → the process by which psychiatric assessment is conducted → -primary tasks → • building a therapeutic alliance between the PMHNP & client → • obtaining a database of psychiatric info about the client → • establishing a dx → • negotiating a tx plan Therapeutic Alliance → a feeling that you should create over the course of the diagnostic interview, a sense of rapport, trust, and warmth → -most important goal of the interview process → -t...

Consciousness → Being aware of one's own existence, feelings, and thoughts and of the environment. This is the most elementary of mental status functions. Language → Using the voice to communicate one's thoughts and feelings. This is a basic tool of humans, and it's loss has a heavy social impact on the individual. Mood → The client's state of mind or prevalent emotional state. It is typically self-reported. It is more durable and a prolonged display of feelings that...

What should the PMHNP consider when prescribing chemical restraints? → -allergy status → -prior med hx for adverse drug reactions r/t the meds ordered in the chemical restraint → -state regulations regarding chemical restrains must be reviewed Are the PMHNP and other staff liable if the client has an allergic reaction or adverse side effects to the drugs used for chemical restraint? → No. → The client has been court-ordered to take the prescribed medications and the standing ...

Substance Use Disorder → Occurs when the recurrent use of a substance, such as alcohol or drugs, causes clinically significant impairment, including health problems, disability, or failure to meet responsibilities at home, work, or school. When does drug use typically begin? → Adolescence Common Comorbidities of substance use disorder → Anxiety disorders → depression → bipolar disorder → psychotic illness → borderline personality disorder → antisocial personality...

Early (1-3 years) signs of AD → short term memory deficits → disoriented to date → diminished recall of recent events → mild language and decision-making deficits → mild problem copying figures (clock drawing) → social withdrawal → mood change → personality changes → problems with managing finances Middle (2-8 years) stage of AD → disoriented to date and place → may get lost in familiar places → impaired learning new skills → agitation, aggression, restles...

What are the five 5 P's → partners, practices, past history of STI, protection, prevention of pregnancy (and pleasure) hypospadias → abnormal congenital opening of the male urethra on the undersurface of the penis epispadias → congenital defect in which the urinary meatus is located on the upper surface of the penis or on the side nagele's rule → identify LMP, subtract 3 months, add 7 days and one year difference between presumptive and positive s/s → presumptive (pr...