PMHNP Mock Board Review (Fitzgerald) 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET, Exams of Nursing

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PMHNP Mock Board Review (Fitzgerald) 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) Prevention of Disease Immunization Counseling about Safety The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) Early Detection of Disease Blood Pressure Colonoscopy The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include: (x1) Minimizing Negative Outcomes from Disease Adjust therapy to avoid end organ damage Screen men for colorectal CA at ___ y/o age and women for Cervical/Breast CA at ___ y/o 50 y/o 21 y/o Up to 44% of patients taking Valproate (Depakote) will have elevated ___ ALT/AST The GGT ranges from ___ u/L and can be elevated due to ___ 0-45 u/L ETOH abuse The best measurement of kidney function is GFR and GFR is normal at ___ mL/min >90 mL/min If a patients Na levels are low (<35), they will ___ lithium which can result in the medical emergency of ___ and signs of this medical emergency include (x3) Lithium can cause (x2) making it hard to moniter NA levels and there is an increased risk of gouter and ___ for Pts on Lithium The medical emergency ___ is Tx with ___ (which should considered at levels >2.5 mEq/L absolutely be done if lithium levels reach ___ mEq/L) Reabsorb lithium Lithium Toxicity Hyperreflexia Arrhythmias Lithium Toxicity 4.0 mEq/L Nystagmus Gestalt Therapy Fitz Perls Confrontation Awareness How to replace ___ beliefs with ___ beliefs is cognitive restructuring and the core of ___ theory of psychopathology which is the basis of CBT created by ___ Irrational Beliefs Rational Beliefs Cognitive Theory of Psychopathology Beck The perception one has of their ability to perform a task to a certain level. An aspect of Bandura's Social ___ Theory Self-Efficacy Bandura's Social Cognitive Theory In Bowen's Family Theory, the individual can only be understood within their ___ and an increase in stable relationships is seen within the context of ___ (when compared to say... fusion which lacks boundaries) the goal is good ___ Social Context Triangulation Differentiation of Self Aphasia, agnosia and apraxia damage attributed to the ___ lobe Parietal Lobe The reward neural pathway is the ___ and the voluntary / involuntary movement neural pathway is the ___ Mesolimbic Pathway Nigrostriatal Pathway The action of any antipsychotic is to block the ___ receptor and the ___ receptor inhibits the formation of cAMP by inhibition of the enzyme ___ D2 adenylate cyclase Concomitant use of triptans and SSRI or SNRI antidepressants has led to an FDA warning for ___ (but the risk is low according to JAMA study) Tx for ___ is Cyproheptadine (Periactin), fluids and ___ to decrease seizure-like movement/muscle stiffness Serotonin Syndrome Benzos The ability of a Pt who had a stroke to regain the ability to speak by recruiting other areas of the brain to compensate for damaged regions is ___ Neural Plasticity African Americans patients are more likely to be ___ and over-diagnosed with (x2) Involuntarily Hospitalized Substance Abuse / Schizophrenia Sickness, unhappiness and role functioning from ___ leaving body in Latino culture is ___ Soul Susto The H.S.S.A. Mature Defense Mechanism Humor Suppression Sublimation Altruism Effective therapeutic technique in ___ Psychotherapy (IPT) is ___ Interpersonal Psychotherapy Role Playing Dantrium (Dantrolene) or Parlodel (Bromocriptine) are both used in the Tx of ___ NMS Lead Pipe Rigidity Tremors Dyskinesia Patient with bipolar most likely to be misdiagnosed with unipolar depression is ___ Bipolar II Mood disorder (i.e. Bipolar, MDD, SAD...) with typically an early age of onset Dysthymia (x3) Cat B psychiatric medications >50% Mood Disorders (i.e. MDD, Bipolar II, SAD...) Displaced feelings r/t significant people in the Pts past onto the PMHNP Transferance Emotional reaction by provider to the Patient based upon the providers past experiences Countertransferance In Cognitive Theory, developed by Piaget the x4 stages of cognitive development: Birth-2 (understanding object permanence) 2-7 (Language and Magical Thinking) 7-12 (Logic in understanding change - reversibility of water and ice) >12 (abstract thought) 1. Sensorimotor 2. Preoperational 3. Concrete Operational 4. Formal Operational ___ Model developed by Becker explains how beliefs influence behaviors and why healthy people may not use screening or prevention measures: Perception of S/S Perceived B/B As well as 'cues to action' - basically what is going to ____ Health Belief Model Susceptability / Seriousness Benefits / Barriers Motivate the Change ___ Model of ___ Precontemplation Contemplation Preparation Action Maintenance Trans-theoretical Model of Change Bandura's Social Cognitive Theory postulate that behavior is the result of ___ factors, ___ factors, and ___ which is the perception one has of their ability to ___ to a certain level Cognitive / Environmental Self-Efficacy Preform a Task x3 Phases of the therapeutic Nurse-Client Relationship (Peplau) ___ Introduction & creating Tx goals ___ Implementing Tx plan ___ Focus on self management {(x2) by client is expected} Orientation Working Termination (Regression/Resistance) Harry Stack Sullivan's ___Theory hypothesized that there are two drives for all behavior: ___ drive (i.e. sleep, hunger, sex) ___ drive (i.e. conforming to social norms) These desires form the hierarchy of needs (survival to____) Interpersonal Theory Satisfaction Drive Security Drive Self-Actualization Leininger's theory of ___ care is premised on regardless of the ___, the essence of nursing is the ___ Theory of Cultural Care Culture Care In Caring Theory, ___ proposed that the aspects of care that potentiate therapeutic healing and relationships are ___ Watson Curative Factors P I C O T Population Intervention Comparison Outcome Time