PMHNP Certification Review: Questions and Answers, Exams of Nursing

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PMHNP certification review Questions &

Answers(RATED A)Correct 100%

LGBTQ adults are _______ as likely as heterosexual adults to experience a mental health condition. - ANSWER twice _______ percent of transgender adults report that the have considered suicide in the past year, compared to 4% of the overall population. - ANSWER 48 Surgery is considered after the person has successfully made the _______ change and is at least age ______. - ANSWER gender; 16 Side effects of testosterone treatment include... - ANSWER cardiovascular events, hyperlipidemia, increased blood pressure, depression and/or suicidal ideation __________ can interfere with hypoglycemic agents with increased lowering of sugar. - ANSWER Testosterone Prolonged use is related to breast cancer and decrease in bone density. - ANSWER Estrogen Defined as decisions, actions, and plans to achieve specific healthcare goals. - ANSWER Health policy Four components of health policy... - ANSWER Process, policy reform, policy environment, policy makers What is TIC - ANSWER Trauma Informed Care Name the high-risk behavior associated with the adverse experience category: Psychological abuse - ANSWER Smoking Name the high-risk behavior associated with the adverse experience category: Physical abuse - ANSWER Severe obesity Name the high-risk behavior associated with the adverse experience category: Sexual abuse - ANSWER Physical inactivity Name the high-risk behavior associated with the adverse experience category: Living with drug abuse - ANSWER Depressed mood Name the high-risk behavior associated with the adverse experience category: Living with a mental illness - ANSWER Suicide attempts

Name the high-risk behavior associated with the adverse experience category: Mother threatened by violence - ANSWER Alcoholism Name the high-risk behavior associated with the adverse experience category: Household member in prison - ANSWER Drug abuse, parental drug abuse, over 50 lifetime sexual partners, history of STI Stress Response - ANSWER Engagement of the hypothalamus-pituitary-adrenal axis and the sympathetic nervous system. Trauma-informed interventions aimed at families at risk. - ANSWER Primary preventions Trauma-informed interventions for children and families following an adverse event to mitigate the impact of the event and work toward prevention. - ANSWER Secondary preventions Trauma-informed interventions aimed at treating and reducing long-term consequences of ACEs (adverse childhood experiences). - ANSWER Tertiary preventions First line psychopharmacological treatment of EPS symptoms with antipsychotic use. - ANSWER Propranolol Second line psychopharmacological treatment of EPS symptoms with antipsychotic use.

• ANSWER Benzotropine There is evidence that supports an increase in _______ rate with use of benzodiazepines in schizophrenia. - ANSWER death Signs and symptoms include altered mental status, miotic pupils (pinpoint), slowed bowel sounds, normal to low HR and BP, and hypoventilation/respiratory depression. - ANSWER Opioid intoxication Signs and symptoms include GI distress, flu-like symptoms, dilated pupils, HTN, tachycardia, anxiety and irritability, insomnia, agitation, RLS, general restlessness, tremor, low-grade temperature, tactile sensitivity, yawning, sneezing, anorexia, dizziness, myalgia/arthralgias, and leg cramps. - ANSWER Opioid withdraw _________ my be outlasted by the opioid (depending on half-life) resulting in return to hypoventilation - ANSWER Naloxone Validated tool to quantify symptoms of opiate withdraw. - ANSWER Clinical Opiate Withdrawal Scale (COWS)

Buprenorphine is a ________ mu-opioid agonist and _________ receptor antagonist with a long half-life. - ANSWER partial; kappa A person needs to be in a moderate withdraw before buprenorphine is started, which is a COWS score of ___________. - ANSWER seven or greater Methadone is a long-acting _____ mu-receptor agonist. - ANSWER full Methadone and buprenorphine are effective and superior to ________ in relation to the treatment of opioid withdraw symptoms. - ANSWER clonidine Can be used in combination with opioid treatment and is most effective against the autonomic symptoms of sweating, diarrhea, intestinal cramps, nausea, anxiety, and irritability. - ANSWER Clonidine Pharmacological treatment for abdominal cramping associated with opiate withdrawal. - ANSWER Dicyclomine __________ and ____________ combined, are the most effective treatments of OUD and other addictions. - ANSWER medically assisted treatment; therapeutic program Meeting the person where they are at is the core concept of _________. - ANSWER motivational interviewing