ANCC PMHNP EXAM-WITH 100% VERIFIED SOLUTIONS-2024/2025, Exams of Nursing

Download ANCC PMHNP EXAM-WITH 100% VERIFIED SOLUTIONS-2024/2025 and more Exams Nursing in PDF only on Docsity! lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) ANCC PMHNP EXAM-WITH 100% VERIFIED SOLUTIONS-2024/2025 What is dissemination? Correct Answer: Getting the research information out to those who need to know it! Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article What does a 17 on MMSE mean? Correct Answer: Moderate cognitive impairment What is Tegretol in the CYP450 system? Correct Answer: Inducer -->will lower dose of Lamictal and BCP's What do BCP's do to Lamictal? Correct Answer: Inducer - will lower dose of Lamictal What is a Type I research error? Correct Answer: There IS a difference but you say there isn't a difference. What is a Type II research error? Correct Answer: There is NO difference but you say there is a difference. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) What is pseudo-dementia? Correct Answer: Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve. Is it normal for a 1 month old to have a palmar grasp? Correct Answer: Yes. What is a drug 1/2 life? Correct Answer: The time it takes for 50% of a drug to be eliminated from the body. What 3 atypicals can be used with teens? Correct Answer: Zyprexa, Abilify, Seroquel - low doses lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) What should you watch for with Tegretol? Correct Answer: Agranulocytosis and Hyponatremia What are the 3 CK muscle enzyme tests? Correct Answer: CKBB, CKMM, CKMB Which one of the 3 muscle enzymes are related to cardiac muscle damage? Correct Answer: CKMB What is the risk of a seriously elevated CKMB? Correct Answer: Polymyositis Rhabdo What is a normal CKMB? Correct Answer: 0.3 mcg/L What psychoactives does Detrol interact with? Correct Answer: Topamax KCL Zonegran What CN are you assessing when you have the patient shrug their shoulders? Correct Answer: CN XI - Spinal Accessory What do you see in labs with HIV & Dementia? Correct Answer: CD4 <200 Viral Load is high <20% get it with antiretroviral treatment lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) What is the scoring with the Beck Depression Inventory? Correct Answer: Self- Report - 0-63 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe What is sensitivity? Correct Answer: Helps rule-out disease = True Positive = Snout What is specificity? Correct Answer: Helps rule-in disease = True Negative = Spin What does a sed rate measure? Correct Answer: Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) What is a normal sed rate or ESR? Correct Answer: 0-22 males 0-29 females What is a retic count? Correct Answer: Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow. What does a decreased retic count indicate? Correct Answer: Anemia - acute or chronic bleeding What does an increased retic count indicate? Correct Answer: Bone marrow disorder or Vitamin Deficiency What does an abnormal retic ount indicate in general? Correct Answer: Doesn't diagnose anything. First step is ID source of the issue. What happens when you mix tegretol and macrolides? Correct Answer: Increase tegretol levels. What happens if a pregnant women takes Accutane? Correct Answer: Birth defects. What labs do you get with RA? Correct Answer: Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) What is an occurrence basis liability insurance? Correct Answer: "occurred" during the policy period, no matter when the claim is brought against the insured What is a claims made/based liability insurance? Correct Answer: provides coverage for a claim that is brought within the policy period, no matter when the loss occurred. Who sets the minimum requirements for NP's? Correct Answer: Board of Nursing State lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) What are the various controlled substance classes? Correct Answer: Schedule I - nobody has these - not good for health - heroin, PCP, MDMA, researchers can get it sometimes. Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate Schedule III - Moderate Abuse Potential - hydrocodone, codeine Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine Schedule V - Very low abuse potential - anti-tussives, lomotil What classes of CS's is the NP approved to prescribe? Correct Answer: Schedules III-V ONLY. Where does 50% of healthcare funds come from? Correct Answer: The government Who is eligible for Medicare? Correct Answer: >65 or under 65 with diability, ANY age with renal disease. What is incident to billing? Correct Answer: Means MD initiates treatment and NP is an extension of the care and directly under the supervision of the MD. Allows NP to get reimbursed at 100% rather than 85%. How are Medicaid benefits determined? Correct Answer: State determines qualification - Partnership between State and Fed Govt. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Must be impoverished Must be US resident and low or very low income. Can you have Medicare and Medicaid? Correct Answer: Yes, impoverished elderly but Medicaid is always payor of last resort. Is dental care included in Medicaid? Correct Answer: Yes, <21 gets basic dental as part of the Medicaid plan. What is the purpose of HIPAA? Correct Answer: National standards for electronic HC transactions lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) What is the purpose of Motivational Interviewing? Correct Answer: Explore ambiguity Maintain passive position What is required for Medicare submission? Correct Answer: ICD 10 and narrative or CPT What is the neurotransmitter problem in Schizophrenia? Correct Answer: Excess dopamine in mesolimbic pathway. What is the neurotransmitter problem in ADHD? Correct Answer: Dopamine, norepinephrine and serotonergic dysfunction What is the benefit of play therapy? Correct Answer: Don't have to confront emotions head on. What neurotransmitters are involved in the bioamine hypothesis of depression? Correct Answer: Noradrenaline Serotonin Dopamine MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the amount in the synapse. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) How do you test CN XII? Correct Answer: Stick out your tongue. What CN are you testing when you have a patient clinch their jaw and assess temporal muscles? Correct Answer: CN V - Trigeminal What are two important things to measure when using Zyprexa? Correct Answer: Lipid level and abdominal circumference What is included in the mini-cognitive exam? Correct Answer: Clock, memory questions from MSE. What is HIV related dementia often mistaken for, especially at the beginning? Correct Answer: Depression What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil count) <1000? Correct Answer: Stop and repeat lab. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Normal is 1500-8000 mm3 Can you take Buspar during pregnancy? Correct Answer: Category B - ok if really needed. Can you take Klonopin during pregnancy? Correct Answer: Category C - avoid if possible; does excrete into breast-milk and infant could get withdrawal symptoms. What is the concern when prescribing Lamictal with Depakote? Correct Answer: Both are CYP450 inducers of the other and therefore together will lower the level of both drugs. Can asthma medications cause depression? Correct Answer: Yes. If a patient has muscle pain and red urine with an elevated leukocyte esterase. What lab do you order? Correct Answer: Microalbumin? What is often common to patients with fibro? Correct Answer: Sexual abuse How is telepsychiatry evaluated? Correct Answer: Outcome based - measure at intervals. What happens with a patient taking Lithium and who gets dehydrated? Correct Answer: Levels increase lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) and legs, cries, then pulls the arms and legs back in. A baby's own cry can startle him or her and trigger this reflex. This reflex lasts about 5 to 6 months. pincer grasp Correct Answer: 9 months Uses thumb and index finger (pincer grasp) to pick up small objects like Cheerios. Pt has MI looses his job stable on psych medications Correct Answer: Provide brief supportive therapy Latida and Geodon Correct Answer: Take with food Moro reflex absent Correct Answer: Do xray Health Care Policy Model Correct Answer: Access, Cost, Quality lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Pt wants to stop medications Correct Answer: explore reason for stopping Its their right 16 year old falls with the wrong crowd Correct Answer: Conduct disorder change agent Correct Answer: the person formally in charge of guiding a change effort Administrator 14 year old girl clenching her teeth Correct Answer: Cranial Nerve V-Trigeminal nerve Infant dying Correct Answer: Give child to parents and comfort parents borderline personality disorder Treatment Correct Answer: dialectical behavior therapy Aggressive patient give Correct Answer: IM geodon *SIGECAPS* of Depression Correct Answer: Sleep Interest lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Guilt Energy Concentration Appetite psychomotor retardation Suicide DIGFAST for mania Correct Answer: Distractibility Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talking increase 5 year old tells u his brother sodomized him Correct Answer: Tell mom don't leave him alone with patient and call CPS implement crisis lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Describes how to test a change: by trying it, observing the consequences, and then learning from those consequences. Appreciative Inquiry Correct Answer: an organizational change strategy that directs the group's attention away from its own problems and focuses participants on the group's potential and positive elements Appreciative Inquiry Correct Answer: an organizational change philosophy and process building organizations around what works, rather than focusing on and trying to fix what doesn't work Appreciative Inquiry (AI) Correct Answer: Identify the problem Analyze the problem Generate Solutions Implement Best Solutions Discovery (Best of what is ) Dream (Wishes or dreams of Org) Design (Decide what you want to change) Destiny (Make it happen, Implenting Change) Appreciative Inquiry Correct Answer: Discovery (Best of what is ) Dream (Wishes or dreams of Org) lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Design (Decide what you want to change) Destiny (Make it happen, Implenting Change) CIWA-Ar Correct Answer: Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised 9 item symptom rating scale, max score 67; <10 does not warrant intervention Hispanic patient lost his parent complain stomach ache his pop couldn't fix what do you do Correct Answer: Validate his experience and provide care in a culturally specific way to that patient Native American wants his healer present Correct Answer: Involve mother of the patient and healer, mom was cleared for you to involve her 16 year old shows up with mother for first therapy is Correct Answer: confidential mom sits in lobby lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Patient acts out due to missing session what do you do Correct Answer: You relate to childhood abandonment and talk about it with the patient How do you assess the competency of a medical procedure Correct Answer: Identify a pen and recall 3 words Patient thinks someone has infiltrated the church because he watched it on TV 2 years ago, what diagnosis Correct Answer: Delusional disorder Increase ICP (signs and symptoms) Correct Answer: Baby Neuro cry Menopausal woman Correct Answer: Hormone therapy and replacement Patient on antidepressants for 3 weeks and attempted Suicide Correct Answer: Stop medication immediately You want to decrease seclusion on your unit who considered the primary change agent Correct Answer: Unit staff You are a lead NP over other NPs in a rural setting how would you go about the change Correct Answer: Make online form and have them vote on it 16 year old refuse treatment Correct Answer: Send to psych specialist for acting out kids lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) GAL-Renall metabolized Correct Answer: Gabapentin Acamprostate Lithium Grapefruit juice Correct Answer: One glass can reduce absorption by 47% Blood levels will be Increased Trazodone (Desyrel) Correct Answer: Get EKG. Trazodone (Desyrel) Correct Answer: Get an eye exam can cause Glaucoma Grapefruit juice or grapefruit Correct Answer: Increase trazodone PICOT Correct Answer: Patient population of interest Intervention of interest Comparison of interest Outcome Time lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) limbic system Correct Answer: A doughnut-shaped system of neural structures at the border of the brainstem and cerebral hemispheres; associated with emotions such as fear and aggression and drives such as those for food and sex. Includes the hippocampus, amygdala, and hypothalamus. Amygdala Correct Answer: A limbic system structure involved in memory and emotion, anxiety, particularly fear and aggression. PANDAS Correct Answer: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections OCD Mental Health Parity Act 1996 Correct Answer: ensure equal coverage for mental and physical illness equal life time and annual limits charge of DEA Correct Answer: state and federal Stereogenesis Correct Answer: identify an object without sight a sense that allows a person to recognize the size, shape, and texture of an object Sterogenesis abnormality in Correct Answer: parietal lobe Clozaril (Clozapine) Correct Answer: WBC-2500 ANC LESS than 1000 (950) dc medication lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) how treat child with depression Correct Answer: Zoloft and therapy 3 year old masturbates, plays with self, says naught things Correct Answer: normal for Piaget NMS treatment Correct Answer: Dantrolene: MUSCLE RELAXTION D2 agonists (e.g., bromocriptine). For NMS, think FEVER: Fever Encephalopathy Vitals unstable Elevated enzymes lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) 14-18 Moderate > 20 Severe Depression Beck Depression Inventory (BDI) Correct Answer: 0-13 Minimal depression 14-19 Mild Depression 20-28 Moderate Depression 29-63 Severe Depression Patient Health Questionnaire (PHQ-9) Correct Answer: 1-4 minimal 5-9 Mild depression 10-14 Moderate Depression 15-19 Moderate Severe Depression 20-27 Severe Depression A brief 9-item self-report questionnaire used as a screening tool to assess severity of depression; widely used by health care providers, in validity is well established, particularly for identifying severe depression. Hamilton Anxiety Rating Scale (HAM-A) Correct Answer: 14-17 Mild Anxiety 18-24 Moderate Anxiety 25-30 Severe Anxiety Yale-Brown Obsessive Compulsive Scale (Y-BOCS) Correct Answer: OCD 0-7 subclinical lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) 8-15 Mild 16-23 Moderate 24-31 Severe 32-40 Extreme PTSD (Post Traumatic Stress Disorder) Correct Answer: EMDR EMDR (eye movement desensitization and reprocessing) Correct Answer: eye movement desensitization and reprocessing Dilated pupils Correct Answer: Stimulant intoxication constricted (pinpoint) pupils Correct Answer: Opiods nystagmus Correct Answer: Phencyclidine lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) conjuctival injection, muchies (super hungry), psychomotor slowness? Correct Answer: Marijuana Marijuana Correct Answer: a drug, often smoked, whose effects include euphoria, impairment of judgment and concentration and occasionally hallucinations; rarely reported as addictive Boy states that he wishes to be a girl and tells you not to tell his parent s Correct Answer: Don't tell ODD what will you do to prevent it from becoming Conduct disorder Correct Answer: Therapy to target mood and aggression Herpes rooster 3 weeks later sleep difficulties and sad mood Correct Answer: Depression Schizophrenia in males Correct Answer: 18-25 years old Schizophrenia in Women Correct Answer: 25-35 years old signs of amphetamine intoxication Correct Answer: Tears, Runny nose, restlessness, HTN, Tremors, Insomnia Co-morbidities of bipolar Correct Answer: Anxiety, alcohol and substance abuse Big Freaking Problems Correct Answer: Bupropion Fluoxetine Paxil lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) quasi-experimental design Correct Answer: Research method similar to an experimental design except that it makes use of naturally occurring groups rather than randomly assigning subjects to groups. The ventricle enlargement observed in clients with Correct Answer: schizophrenia is most often accompanied by Encopresis Treatment Correct Answer: Behavior management: toilet refusal behavior, scheduled toileting time, incentives. Prevention of constipation Counseling Medication that contradicts albuterol Correct Answer: Adderall (amphetamine / dextroamphetamine) Advair Diskus (fluticasone / salmeterol) lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) amoxicillin (Amoxil, Trimox, Apo-Amoxi, Moxatag, Amoxicot, DisperMox, Biomox, Moxilin, Wymox) Ativan (lorazepam) Atrovent (ipratropium) azithromycin (Zithromax, Azithromycin Dose Pack, Z-Pak, Zmax) Benadryl (diphenhydramine) caffeine Flonase (fluticasone nasal) ibuprofen ipratropium (Atrovent, Ipratropium Inhalation Solution, Atrovent HFA, Ipratropium Inhalation Aerosol) Lasix (furosemide) metoprolol (Metoprolol Succinate ER, Metoprolol Tartrate, Lopressor, Toprol-XL, Kapspargo Sprinkle) Mucinex (guaifenesin) oxycodone (OxyContin, Roxicodone, Xtampza ER, OxyIR, Oxaydo, Dazidox, Oxyfast, Oxecta, RoxyBond, Oxydose, Percolone, M-Oxy, ETH-Oxydose, Endocodone, Roxicodone Intensol) prednisone (Deltasone, Rayos, Sterapred, Prednicot, Sterapred DS, Liquid Pred, Meticorten, Orasone, Prednicen-M) Singulair (montelukast) Spiriva (tiotropium) Symbicort (budesonide / formoterol) Tylenol (acetaminophen) lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Vitamin B12 (cyanocobalamin) Vitamin D3 (cholecalciferol) Zyrtec (cetirizine) t-tests Correct Answer: statistical measure: test means of 2 independent samples, significantly different? ANOVA (analysis of variance) Correct Answer: 3 OR MORE an inferential statistical test for comparing the means of three or more groups Pearson's r Correct Answer: a statistic that measures the direction and strength of the linear relation between two variables that have been measured on an interval or ratio scale p-value Correct Answer: The probability of results of the experiment being attributed to chance. LEVEL OF SIGNGNIFICANCE lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Interpersonal learning- input Members gain personal insight about their interpersonal impact through feedback provided from other members Interpersonal learning- output Members provide an environment that allows members to interact in a more adaptive manner Self-understanding: m embers gain insight into psychological motivation underlying behavior and emotional reactions Metobolic syndrome Correct Answer: group of signs and symptoms including insulin resistance, obesity characterized by excessive fat around the waist and abdomen, hypertension, hyperglycemia, elevated triglycerides, and low levels of HDL NAMI Correct Answer: national alliance on mental illness help families of mentally ill: education, support groups health literacy Correct Answer: a person's capacity to learn about and understand basic health information and services, and to use these resources to promote one's health and wellness health literacy Correct Answer: Man taking insulin asking him to read blood glucose level lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) inferential statistics Correct Answer: numerical data that allow one to generalize- to infer from sample data the probability of something being true of a population Mood Disorder Questionnaire (MDQ)-SCREENING Correct Answer: Mood Disorder Questionnaire Patient Name Date of Visit Please answer each question to the best of your ability 1. Has there ever been a period of time when you were not your usual self and... ...you felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble? ...you were so irritable that you shouted at people or started fights or arguments? ...you felt much more self-confident than usual? ...you got much less sleep than usual and found that you didn't really miss it? ...you were more talkative or spoke much faster than usual? ...thoughts raced through your head or you couldn't slow your mind down? lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) ...you were so easily distracted by things around you that you had trouble concentrating or staying on track? ...you had more energy than usual? ...you were much more active or did many more things than usual? ...you were much more social or outgoing than usual, for example, you telephoned friends in the middle of the night? ...you were much more interested in sex than usual? ...you did things that were unusual for you or that other people might have thought were excessive, foolish, or risky? ...spending money got you or your family in trouble? 2. If you checked YES to more than one of the above, have several of these ever happened during the same period of time? 3. How much of a problem did any of these cause you - like being unable to work; having family, money or legal troubles; getting into arguments or fights? No problems Minor problem Moderate problem Serious problem This instrument is designed for screening purposes only and not to be used as a diagnostic tool. Permission for use granted by RMA Hirschfeld, MD YES NO Patient comes with vague symptoms depression irritability Correct Answer: BECK Depression scale DISSEMINATED ENCEPHALOMYELITIS Correct Answer: Assess for asymmetry of extremities lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Pt on Lithium Correct Answer: Prescribe Synthroid Zantac (ranitidine) Correct Answer: H2 antagonist H2 BLOCKER Tegretol (carbamazepine) Correct Answer: INDUCES Flonase primary prevention Correct Answer: Actions that change overall background conditions to prevent some unwanted event or circumstance, such as injury, disease, or abuse. Secondary prevention examples Correct Answer: - Implement blood pressure and cholesterol screening; give a treadmill stress test. - Health screenings - Skin screenings for cancer lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) - teach an asthmatic client to recognize and avoid exposure to asthma triggers and assist the family to implement specific protection strategies such as replacing carpets, keeping air systems clean and free of mold, staying inside when the pollution level is high, and avoiding pets. - mammography to detect breast cancer, Papanicolaou (Pap) smears to detect cervical cancer, colonoscopy for early detection of colon cancer, prenatal screening of pregnant women to screen for gestational diabetes - Provide mental health interventions after stressful events. - The public health nurse provides toxin screenings for migrant workers who may be exposed to pesticides. - Implement a family-planning program to prevent unintended pregnancies for young couples who attend the local community health center. - Encourage clients who are pregnant to participate in prenatal care and Special Supplemental Nutrition Program for Women, Infants and Children to increase the number of healthy babies and reduce the costs related to preterm baby care. - Use case finding to identify existing health problems in your caseload and the population served by your agency. Timely, holistic assessments and interventions can slow disease trajectories and promote healing and health. - Assess disaster victims and triage for care. - Investigate an outbreak of flulike illness in a local school. - Provide programs in child development and behavior management for families who have not yet abused their children but whose children are brought to the attention of social authorities for aggressive behavior problems. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) - Develop a way for homeless individuals to read their TB skin test, if necessary, and to transfer the results back to the facility at which the skin test was administered. - To prevent the spread of disease - Notify partners and trace contacts (HIV) Collab with OB NP questions Correct Answer: wants to establish a relationship so Mental Health can be reached by more people anorexia nervosa Correct Answer: BMI less than 18.5 an eating disorder in which an irrational fear of weight gain leads people to starve themselves Anorexia admission Criteria for hospitalization includes: Correct Answer: weight loss over 30% over 6 months, severe hypothermia (temperature lower than 36°C or 96.8°F), heart rate less than 40 beats per minute, systolic blood pressure less than 70 mm Hg, and hypokalemia (less than 3 mEq/L). lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) venlafaxine (Effexor) *TCAs* - long-term maintenance imipramine social anxiety disorder Correct Answer: BetaBlocker Propanolol Tourette syndrome Correct Answer: involuntary, spasmodic, twitching movements; uncontrollable vocal sounds; and inappropriate words TICS for 1 year Has to occur by 18 years old Usually occurs by 3-9 years old Steroids Correct Answer: Cause mania Assertive Question (2) Correct Answer: Use "I want", "I need" or "I feel" to convey basic assertions and get your point across firmly. For example, "I feel strongly that we need to bring in a third party to mediate this disagreement." For example, you might say "Dave, your request has caught me off guard. I'll get back to you within the half hour." Testing for fungal infections Correct Answer: shavings of toes lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Pt on Lithium with temp, right flank pain, brown colored urine, What do you? Correct Answer: LFT Medication Management Correct Answer: By state and federal Kid with night mares screaming out doesn't remember the next morning what do you do Correct Answer: Ask about sleep disorder in family PT taking a breathing treatment albuterol/proventil Correct Answer: Do not take MAOI or TCA Pt in with Sob, Fatigue. When you assess the thinnest part of the skin , you notice s/s Correct Answer: Sensitivity Correct Answer: Sensitivity = TP / (TP + FN) lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) Specifity Correct Answer: TN peer consultation Correct Answer: Mutual Benefit Critical and Supportive Shared discussion and accountability The regular engagement of two or more colleagues to give and receive feedback Tegretol (carbamazepine) Correct Answer: ANC/WBC Paplau Correct Answer: what nurses do WITH pts not TO pts - nurse as a therapeutic tool - therapeutic use of self - care for the person as well as the illness - think exclusively of patients as persons, not as a dx phases: 1. orientation 2. working 3. termination roles of the nurse - stranger - resource person - teacher - leader - surrogate - conselor lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) interferon Correct Answer: decrease Wellbutrin ^ prolactin Correct Answer: stop prolactin EPS Correct Answer: ^ risk for TD Assess when someone ready to quit drinking Correct Answer: See what stage they in Ask when ready to start tx lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) To check for Dementia Correct Answer: Have the patient tell you risk/benefits test capacity dairy log Correct Answer: CBT treating a 6 y/o pt WHO HAS dx with Luekemia 1 month ago. What do you expect Correct Answer: He would think he is being punished fro doing something wrong antidepressant takes Correct Answer: 5 weeks 13 year old want to smoke Correct Answer: ask him of his plan to stop smoking placement of chronically mental ill Correct Answer: ACT Assertive Community Treatment Assertive Community Treatment (ACT) Correct Answer: community-based programs that provide many of the services that are necessary for successful community living; includes case management, problem-solving, social skills training, support, teaching on a 24/7 basis BRUISE on the padded part of his arms Correct Answer: Say I see you have bruises on your arm Ask what happened medication errors on a new floor when NP starts working. Correct Answer: educate the staff on policies on how to handle med errors. lOMoAR cPSD| 12263423 Downloaded by Anna Maina ([email protected]) ECT THERAPY Correct Answer: GET CERTIFIED lesion in frontal cortex Correct Answer: Impaired cogitate functions child in foster homer 5 years poor eye contact, isolated self, eat without difficulty Correct Answer: autism A man states his wife was so good if he could only be like her. what is this Correct Answer: Intellectualization or deflecting rare complication of anorexia nervosa binge/purge subtype that results from gastrointestinal abnormalities, including decreased gastric motility and delayed