LMR - GEORGETTE'S 2024 NEWEST GEORGETTE'S PMHNP CERTIFICATION EXAM REVIEW DETAILED QUESTIO, Exams of Nursing

Download LMR - GEORGETTE'S 2024 NEWEST GEORGETTE'S PMHNP CERTIFICATION EXAM REVIEW DETAILED QUESTIO and more Exams Nursing in PDF only on Docsity! LMR - GEORGETTE'S 2024 NEWEST GEORGETTE'S PMHNP CERTIFICATION EXAM REVIEW DETAILED QUESTIONS AND GUARANTEED ANSWERS ALREADY GRADED A+. Which eating disorder typically has a normal weight and the person is outgoing? - ANSWER>>bulimia nervosa What should you check before starting a child on a stimulant? - ANSWER>>physical exam, pulse, weight, height, bp, ECG, family cardiac history Should people with fixed false beliefs be challenged? - ANSWER>>NO what prevention are flu vaccines? - ANSWER>>primary Which medication is approved by the FDA for binge eating? - ANSWER>>Lisdexamfetamine Which medication is approved by the FDA for all stages of Alzheimer's dementia? - ANSWER>>Donepezil Which medication can be prescribed to a person with anorexia to help them gain weight? - ANSWER>>olanzapine What medication should you not prescribe with opioids? - ANSWER>>naltrexone Write the CIWA scale - ANSWER>>5-12 mild 13-24: moderate 25-36 mod severe 36 severe The belief that people have been replaced by imposters is - ANSWER>>capgras syndrome a combination of fluoxetine and _____ are approved for bipolar depression - ANSWER>>olanzapine which stimulant is approved for age 3-6 - ANSWER>>amphetamine which stimulant is approved for age 6-8 - ANSWER>>methylphenidate Which ADHD screening is for school age children - ANSWER>>Vanderbilt Which ADHD screening is for preschoolers - ANSWER>>Conners GAD scoring - ANSWER>>0-4: no anxiety 5-9: mild 10-14: moderate 15-21 severe Which medication can be used in AUD and opioid use disorder? - ANSWER>>naltrexone which antidepressant has the lowest risk of bleeding - ANSWER>>mirtazapine Which medication is approved by the FDA for PTSD? - ANSWER>>paroxetine What part of the brain does TMS target - ANSWER>>dorsolateral prefrontal cortex Kidney stones are a dangerous side effect of - ANSWER>>topamax 5As - ANSWER>>assess, advise, agree, assist, arrange Primary neurotransmitters in EPS - ANSWER>>dopamine and acetylcholine which meds shouldn't be given with alcohol - ANSWER>>phenelzine (MAOI) neurotransmitters in tourette syndrome - ANSWER>>dopamine, serotonin, glutamate treatment resistant depression is caused by - ANSWER>>dysregulation of HPA axis MMSE scale - ANSWER>>0-10: severe 10-20: moderate 21-24: mild 25-30 nothing Normal prolactin levels for men? - ANSWER>>20 Normal prolactin levels for women? - ANSWER>>25 Which CYP450 enzyme metabolizes clozaril? - ANSWER>>1A2 Cigarettes are inducers of what CYP450 enzyme? - ANSWER>>1A2 Patients with anorexia complain of pain, bloating, and fullness with eating due to? - ANSWER>>delayed gastric emptying Other causes of delayed gastric emptying? - ANSWER>>Ranitidine, famotidine, and omeprazole What to monitor for in older adults on SSRIs? - ANSWER>>Increased anxiety and hyponatremia Paradoxical effect? Examples? Intervention? - ANSWER>>Opposite reaction from expected; i.e. BZDs -> increased anxiety or trazodone -> insomnia; avoid med in future Patient with BPD has depressed mood and emotional lability, what is your treatment? - ANSWER>>depakote EMDR stages? - ANSWER>>1. Desensitization 2. Instillation 3. Body scan Area of brain indicated in ADHD? Its functions? - ANSWER>>1. Dorsolateral prefrontal cortex; executive function, cognitive processes, and attention 2. Basal ganglia 3. Abnormalities of reticular activating system 4. Abnormalities of prefrontal cortex = inattentive type GAD timeline? - ANSWER>>6+ months Thought to be cause of Autism? - ANSWER>>DYSFUNCTION OF MIRROR NEURON Patient presents with irritability and labile mood. Screener? - ANSWER>>MDQ Nightmares in children can be due to? - ANSWER>>Genetic factors - is there a family pattern of nightmares? What lobe causes social skills to be affected? - ANSWER>>Frontal lobe Humanistic therapy? - ANSWER>>Person-centered, SELF-ACTUALIZATION, & SELF-DIRECTED GROWTH Strategic therapy? - ANSWER>>PARADOXICAL STRATEGY Reframe belief system Straightforward directive Interpersonal therapy - ANSWER>>Interpersonal issues & marital conflict; lasts 12-16 weeks Solution-focused therapy? - ANSWER>>MIRACLE QUESTIONS Exception finding Scaling questions Structural family therapy? - ANSWER>>Ans- HIERARCHIES BOUNDARIES Genograms Family system therapy? {{Ans- TRIANGLES SELF-DIFFERENTIATION Genograms What to check with rheumatoid arthritis? - ANSWER>>ESR Hierarchy of evidence? - ANSWER>>Systematic review or meta-analysis of all RCTs 2. One or more well-designed RCT Infant with shrill cry = ? - ANSWER>>increased intracranial pressure 9-16 yo boy with tenderness, swelling, and breast enlargement? - ANSWER>>- Normal for up to 6 months Reason for decreased sex drive in elderly women? - ANSWER>>Decreased testosterone & decreased blood flow to pelvic region How to increase psychiatric access to those who need it the most? - ANSWER>>integrated care Phosphodiesterase (PDS) medications? - ANSWER>>Viagra Are rapidly absorbed after PO administration Disseminated encephalomyelitis = - ANSWER>>Paresthesia, fatigue, and asymmetrical body movements especially of the extremities. NEED NEURO EXAM Pt can't remember time frame? { - ANSWER>>Anchor memory/link memory Prior to teaching you should first? - ANSWER>>Assess current knowledge Iatrogenic s/s? - ANSWER>>Caused by medication or surgery Assess medication hx Methadone can cause? - ANSWER>>cardiac arrhythmias SBIRT? - ANSWER>>screen for SUD What drugs should be avoided with Kava Kava? - ANSWER>>Alprazolam CNS depressants (e.g., phenobarbital, zolpidem) What herbal supplement is sued for anxiety, stress, and insomnia? - ANSWER>>kava kava A patient with what medical condition is at risk for lithium toxicity? - ANSWER>>cardiac failure (hyponatremia) If a depressed patient is taking a triptan for migraines, what should you prescribe for depression? - ANSWER>>bupropion Which 2 groups is it especially important to ask about SI at each visit? - ANSWER>>adolescent schizophrenia Why do children have a decreased placebo response with antidepressants? - ANSWER>>few evidence based studies Which 3 structures in the brain are associated with aggressive and impulsive behavior? - ANSWER>>prefrontal cortex amygdala hippocampus