ANCC GEORGETTE REVIEW FOR BOARDS 2023, Exams of Nursing

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3 yr old play with self, says naughty things. Normal for which theorist - ✔Piaget Which cranial nerve for 14yr old clenching teeth - ✔Trigeminal, Cranial nerve V 16yr old falls with wrong crowd may have what disorder - ✔Conduct disorder Ace inhibitors are drug choice for what - ✔Heart failure, HTN Acute distress disorder must occur within what time frame - ✔1 month of trauma and resolve within the month Exposure to a major stressor with anxiety, dissociation, nightmares, sleep disturbances,concentration problems from trauma 3 weeks prior leads to what diagnosis - ✔Acute Stress Disorder If symptoms of traumatic event lead to anxiety ,nightmares, sleep issues, concentrationproblems and last past one month, what is the diagnosis - ✔PTSD

Med for adult with panic disorder - ✔Buspar What is used as a bridge medication for panic disorder when starting an SSRI or another antidepressant - ✔Benzodiazepine Term for fear of open spaces - ✔Agoraphobia Medication for Agoraphobia short term - ✔Benzodiazepine 3 SSRI to treat agoraphobia long term - ✔Prozac, Paxil, and Zoloft One SNRI to treat Agoraphobia long term - ✔Effexor What part of the brain regulates fear, anxiety, aggression - ✔Amygdala what style of therapy for a patient with anorexia - ✔Family therapy Hospitalization criteria for anorexia - ✔Weight loss over 30% in 6 months, heart rate less than 40, hypokalemia less than 3 mEq To qualify for anorexia Nervosa the BMI would be less than what - ✔18. an eating disorder in which an irrational fear of weight gain leads people to starve themselves - ✔Anorexia Nervosa Cell death in aging/elderly is known as what - ✔Apoptosis

A process of building on what works rather than focusing on and fixing what doesn't is known as what - ✔Appreciative Inquiry In this stage a person has no intent to change - ✔Precontemplation In this stage the person is thinking of change and aware of the problem but not committed to change - ✔Contemplation In this stage the person has made the decision to change and is ready for action - ✔ Preparation In this stage the person is engaging in specific actions to change - ✔Action This is taken 15 minutes before sex - ✔Avanafil (Stendra) Take this 45 minutes before sex - ✔Tadalafil (Cialis) and Vardenafil (Levitra) Take this one hour before sex - ✔Sildenafil (Viagra) According to Beck depression scale, 0-13 is considered - ✔Minimal Depression According to Beck depression scale, 14-19 is considered - ✔Mild Depression According to Beck depression scale, 20-28 is considered - ✔Moderate Depression According to Beck depression scale, 29-63 is considered - ✔Severe Depression Strong inhibitors of 2D6 (Big Freaking Problem) - ✔Bupropion, Fluoxetine, Paxil Can Asthma medication cause depression - ✔yes Can Buspar be taken during pregnancy - ✔Catagory B, only take if really needed Can Klonopin be taken during pregnancy -and baby can withdrawal ✔Category C, Avoid. Excretes in breastmilk

Strong inducers of 3A4 - ✔Carb and Barb (Carbazepine and Phenobarbital) Who is in charge of DEA - ✔State and Federal Clomipramine (Anafranil) treats - ✔OCD and depression DC Clozaril if ANC is below - ✔ 1000

DC clozaril if WBC is - ✔2000- Pt on clozaril with sores in mouth, fever, chills, chronic infections of gums or throat is indicative of what - ✔Agranulocytosis Anxiety, Alcohol and Substance abuse are comorbidities often associated with what diagnosis - ✔Bipolar Patient presents with constricted pinpoint pupils may indicate use of what - ✔Opiods Cytochrome P450 inducers increase or decrease serum level of other drugs - Decrease because they push the substrate out of the exit pathways ✔

Cytochrome P450 inhibitors increase or decrease serum level of other drugs - ✔ Increase because they block the enzymatic pathways, limiting excretion and lead totoxicity

This drug is an inducer of P450 and the patient will need a higher amount of drug to be effective - ✔Tobacco This drug acts in the same manner as antidiuretic hormone and makes less urine - ✔ desmopressin (DDAVP) Watch Depakote and Disulfiram because they can increase - ✔INR Spina Bifida can be cause by which drug - ✔Depakote Before giving a patient depakote you should check what lab - ✔HCG If a patient presents with dilated pupils you may suspect what - ✔Stimulant intoxication Flonase has steroids and is an inhibitor so it can lead to what with Tegretol - Increased level, so decrease the dose ✔

A patient with early onset HIV dementia will prsent with what - ✔Apathy (lack of interest), poor balance, slow cognitive function, brain shrinkage EMDR is recommended for what - ✔PTSD DBT is recommended for what - ✔BPD Why are females more likely to become alcoholic than men - ✔hormones

Treatment for Encopresis includes - ✔scheduled toilet time, incentives A patient on erythromycin the provider should increase or decrease xanax level - ✔ increase First sign of temprofrontal dementia - ✔Behavior and personality changes Which drugs are metabolized by renal (kidney) - ✔GAL, Gabapentin, Acomprosate, Lithium For duty to warn what must exist - ✔relationship An alcoholic with liver problems should be given which drug - ✔Ativan The issue with grapefruit juice is that it is an inhibitor or inducer? -can reduce absorption by 47% and blood level of drug will be increased ✔Inhibitor, one glass

A patient on trazodone drinking grapefruit juice would need the dose to be decreased or increased - ✔Increase dose Stroking palm of baby hand causes baby to grasp and close hand, this reflex lasts how long - ✔5-6 months of age Greatest patient at risk of violence - ✔Substance Abuse Hamilton Anxiety Scale rates 14-17 as - ✔Mild anxiety Hamilton rating scale rates 18-24 as - ✔Moderate anxiety Hamilton rating scale rates 25-30 as - ✔Severe anxiety According to Hamilton Depression scale, normal rating falls between - ✔0- According to Hamilton Depression scale, moderate depression is rated - ✔14- Hamilton rating scale considers severe depression as - ✔bigger than 20 A patient with a Hamilton D score of 28 should be assessed for what - ✔Suicide Asians see healthcare providers as what - ✔position of authority, expect to give instructions and help with decisions How to assess for competency of amedical procedure - ✔Identify a pen and recall 3 words

How to protect an infant from evil eye - ✔Red ribbon How to protect an adult from evil eye - ✔Amulet How to test cranial nerve XII - ✔Stick out tongue How is telepsychiatry evaluated - ✔Outcome based How many generations included in genogram - ✔ 3 Only FDA approved pediatric depression med - ✔Prozac Only FDA approved OCD treatment for pediatric and teens - ✔Prozac, zoloft, fluvoxamine, and clomipramine Muscle pain, red urine, elevated leukocyte esterase what lab should be ordered - ✔ microalbumin A patient develops NMS after taking Risperdal, what other atypical should be avoided - ✔Zyprexa What part of the brain regulate impulsivity - ✔Pre-frontal cortex Symptoms in baby of increased ICP - ✔Baby neuro cry This drug can cause depression - ✔Interferon This drug decreases seizure threshold - ✔Wellbutrin If a patient is on wellbutrin and Lexapro with increased depression, what should be done - ✔Increase the Lexapro, not the wellbutrin Is dental care included in Medicaid - ✔Yes less than 21 it is included Medication for kids with panic disorder include - ✔Clonidine and Guanfacine Education for patient on Latuda or Geodon - ✔Take with food A patient with a lesion in frontal cortex may show what - ✔Impaired cognitive function Kid with nightmares screams out in night but doesnt remember next morning. Whatshould you do - ✔Inquire about sleep disorder in family

Little boy wet sheets, what therapy recommended - ✔Behavioral This system is associated with fear and aggression and drives for food and sex - ✔ Limbic Medicare A covers - ✔Inpatient Medicare B covers - ✔prescription medical equipment, outpatient Medicare D covers - ✔drugs Indural, a beta blocker is contraindicated with -stimulation ✔Albuterol due to risk of increased CNS

Mesocortical pathway reduced dopamine causes -schizophrenia ✔Negative symptoms of

Mesolimbic pathway increased dopamine leads to - ✔Positive symptoms schizophrenia Negative symptoms of schizophrenia (expressionless) which pathway - ✔mesocortical Neurotransmitter for addiction - ✔Dopamine and GABA Neurotransmitter for mood disorder - ✔Serotinin and Norepinephrine EPS occurs due to low dopamine in this area - ✔Nigrostriatal pathway NMS treatment with this muscle relaxer - ✔Dantrolene NMS treatment - ✔Dantrolene D2 agonists (e.g., bromocriptine). For NMS, think FEVER:Fever EncephalopathyVitals unstable Elevated enzymesRigidity of muscles

Pt on antidepressant 3 weeks and attempts suicide what do you do - ✔Stop the med Dizzy, Tremor, sweating, what diagnosis - ✔hypoglycemia Pt stops smoking, what to do to dose of zyprexa - ✔Decrease

Mini cognition test that is quick and requires minimal training - ✔clock drawing Prozac increases what in elderly - ✔Anxiety Problem in parietal lobe causes what - ✔Difficult writing, Aphasia (language), agnosia unable to perceive objects Pt taking breathing treatments shouldn't take - ✔MAOI or TCA Schizophrenia in males age to develop - ✔18- schizophrenia in female age to develop - ✔25- If a patient cant identify an object in hand with eyes closed it signifies what and shows an issue where in the brain - ✔Stereognosis, parietal lobe Meds for social anxiety disorder include - ✔Beta blocker, propranolol Steroids can cause what - ✔mania Tegretol is well known for what - ✔Agranulocytosis Check what lab on tegretol - ✔ANC and WBC