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PMHNP Mock Board Review (Fitzgerald) Exam Questions And Answers Latest Update The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - Correct answer-Prevention of Disease Immunization Counseling about Safety The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - Correct answer-Early Detection of Disease Blood Pressure Colonoscopy The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include: (x1) - Correct answer-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 - Correct answer-50 y/o 21 y/o Up to 44% of patients taking Valproate (Depakote) will have elevated ___ - Correct answer-ALT/AST The GGT ranges from ___ u/L and can be elevated due to ___ - Correct answer-0-45 u/L ETOH abuse The best measurement of kidney function is GFR and GFR is normal at ___ mL/min - Correct answer->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) - Correct answer-Reabsorb lithium Lithium Toxicity Hyperreflexia Arrhythmias Lithium Toxicity 4.0 mEq/L 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 ___ - Correct answer-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 - Correct answer-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 ___ - Correct answer-Social Context Triangulation Differentiation of Self Aphasia, agnosia and apraxia damage attributed to the ___ lobe - Correct answer-Parietal Lobe The reward neural pathway is the ___ and the voluntary / involuntary movement neural pathway is the ___ - Correct answer-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 ___ - Correct answer-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 - Correct answer-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 ___ - Correct answer-Neural Plasticity African Americans patients are more likely to be ___ and over-diagnosed with (x2) - Correct answer- Involuntarily Hospitalized Substance Abuse / Schizophrenia Sickness, unhappiness and role functioning from ___ leaving body in Latino culture is ___ - Correct answer-Soul Susto The H.S.S.A. Mature Defense Mechanism - Correct answer-Humor Suppression Sublimation Altruism Effective therapeutic technique in ___ Psychotherapy (IPT) is ___ - Correct answer-Interpersonal Psychotherapy Role Playing Dantrium (Dantrolene) or Parlodel (Bromocriptine) are both used in the Tx of ___ - Correct answer-NMS Lead Pipe Rigidity Tremors Dyskinesia Patient with bipolar most likely to be misdiagnosed with unipolar depression is ___ - Correct answer- Bipolar II Mood disorder (i.e. Bipolar, MDD, SAD...) with typically an early age of onset - Correct answer-Dysthymia (x3) Cat B psychiatric medications - Correct answer-Busparone (Buspar) Clozapine (Closaril) Lurasidone (Latuda) Displaced feelings r/t significant people in the Pts past onto the PMHNP - Correct answer-Transferance Emotional reaction by provider to the Patient based upon the providers past experiences - Correct answer-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) - Correct answer-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 ____ - Correct answer-Health Belief Model Susceptability / Seriousness Benefits / Barriers Motivate the Change ___ Model of ___ Precontemplation Contemplation Preparation Action Maintenance - Correct answer-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 - Correct answer-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} - Correct answer-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____) - Correct answer-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 ___ - Correct answer-Theory of Cultural Care Culture Care In Caring Theory, ___ proposed that the aspects of care that potentiate therapeutic healing and relationships are ___ - Correct answer-Watson Curative Factors P I C O T - Correct answer-Population Intervention Comparison Outcome Time