Medical Knowledge and Terminology, Exams of Community Corrections

Download Medical Knowledge and Terminology and more Exams Community Corrections in PDF only on Docsity! PMHNP Exam Reported 340 Questions with Correct Answers Latest Update  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 Tigerton in the CYP450 system? - Correct Answer Inducer -->will lower dose of Laical and BCP's  What do BCP's due to Laical? - Correct Answer Inducer - will lower dose of Laical  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.  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 atypical can be used with teens? - Correct Answer Zyprexa, Ability, and Seroquel - low doses  What is a risk of using Tramadol? - Correct Answer Serotonin Syndrome as it is very serotonergic.  What is the allele seen in Asians that increase the risk of SJS? - Correct Answer HLAB-1502  When might you see toxic epidermal necrosis? - Correct Answer with worsening of SJS  How many generations do you include for a genogram? - Correct Answer 1st degree - mother, father, siblings  2nd degree - grandparents & cousins  3rd degree -  What does messenger RNA code for? - Correct Answer Amino Acids  What is epigenetics? - Correct Answer Factors that affect genes - environmental, smoking, stress, etc...  What part of the brain is involved with OCD? - Correct Answer Basal Ganglia  Occipital-Frontal  What happens to the brain during adolescence? - Correct Answer Dendritic pruning P a g e 1 | 22  Emotions are controlled by amygdala  By adulthood, PFC involved as well  When do males typically present with schizophrenia? - Correct Answer 10-25 you  When do females typically present with schizophrenia? - Correct Answer 25-35 you  What does Erythromycin to tripletail? - Correct Answer you will need to decreases the level because Tripletail (inducer) and erythromycin is an inhibitor  ACE Inhibitors are the drug of choice for what? - Correct Answer Heart Failure  HTN  What are some psychiatric side effects seen with some asthma drugs - Correct Answer Leukotriene receptor agonists - singular, accolade, silo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor  What should you watch for with Tigerton? - Correct Answer Agranulocytosis and Hypernatremia  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  Rhebok  What is a normal CKMB? - Correct Answer 0.3 mcg/L  What psychoactive does Detrol interact with? - Correct Answer Topamax  KCL  Zone ran  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  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 seed rate measure? - Correct Answer Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.  What is a normal seed rate or ESR? - Correct Answer 0-22 males  0-29 females P a g e 2 | 22  What must be signed prior to any healthcare in the state - Correct Answer Notice of Privacy Practices Statement?  What happens if a patient refuses to sign an ROI? - Correct Answer can decline to treat  Health plan may condition enrollment on provision of consent  When is HIPAA not required? - Correct Answer Emergency treatment  Substantial communication barriers and consent is inferred  Involuntary commitment  Is it ok to announce a patient's name in a waiting room? - Correct Answer Yes, no other way to give care.  Is it ok to leave a message on a patient's vim? - Correct Answer Yes, but should be limited.  What is the impact of steroid inhalers on children? - Correct Answer Slows bone growth and may decrease ultimate height.  What is the long-term impact of using steroid inhalers? - Correct Answer Cataracts, glaucoma, thinning of bones and skin  What is included in the treatment of fibromyalgia? - Correct Answer sleeping meds  Antidepressants  Pain meds  What psychoactive are first line treatment for fibro? - Correct Answer Cymbalta, Effexor  Elavil, Pamela  Lyrical, Gabapentin  Ultram, Benz’s  What is the purpose of telepsychiatry? - Correct Answer Increase the ability to reach rural and underserved areas.  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 bio amine hypothesis of depression? - Correct Answer Noradrenaline  Serotonin  Dopamine  Mao’s inhibit MAO's which break down neurotransmitters so allow increase in the amount in the synapse.  How do you test CN XII? - Correct Answer Stick out your tongue. P a g e 5 | 22  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.  Normal is 1500-8000 mm3  Can you take Bus par 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 Laical 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 Micro albumin?  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  What happens with a patient taking Lithium who decreases sodium intake? - Correct Answer Levels increase  What happens with a patient taking Lithium and drinks a lot of water? - Correct Answer Levels decrease  If a patient takes Risperdal and develops NMS, which other atypical should you avoid in the future? - Correct Answer Zyprexa  What happens when taking Lithium and NSAIDS? - Correct Answer NSAIDS can cause Lithium levels to increase and for the patient to become toxic!  What medications are at risk to cause SJS in the Asian population? - Correct Answer HLAB-1502 Allele increase risks of SJS.  Tripletail, Tigerton and other AED's.  Amygdala - Correct Answer Fear, Anxiety, and Aggression  Neurotransmitter for Addiction - Correct Answer Dopamine and GABA P a g e 6 | 22  Neurotransmitter for Mood Disorder - Correct Answer Serotonin and norepinephrine  Which drug affects Carbamazepine/tegretol - Correct Answer Erythromycin will cause toxic levels. Decrease Carbamazepine/tegretol  Signs and Symptoms of stimulant abuse - Correct Answer insomnia and tremor  Depakote check - Correct Answer HCG levels  Depakote causes - Correct Answer Spinal bifida  Grasp reflex. - Correct Answer an infantile reflex in which an infant closes her hand into a fist when her palm is touched  Stroking the palm of a baby's hand causes the baby to close his or her fingers in a grasp. The grasp reflex lasts until about 5 to 6 months of age.  Moro reflex. - Correct Answer the Moro reflex is often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out the arms 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 loses his job stable on psych medications - Correct Answer Provide brief supportive therapy  Latina and Geodon - Correct Answer Take with food  Moro reflex absent - Correct Answer Do x-ray  Health Care Policy Model - Correct Answer Access, Cost, Quality  Pt. wants to stop medications - Correct Answer explore reason for stopping  It’s 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  Guilt  Energy  Concentration P a g e 7 | 22  Little boy wet his sheets, what kind of therapy would you suggest - Correct Answer Behavior therapy  DDVAP acts in much the same manner as antidiuretic hormone. - Correct Answer makes less urine  Lithium level 1.2u what are you concerned with - Correct Answer 4+ Ketones  What does Depakote do to Laical - Correct Answer Increase laminate 200%?  Inducers of Cytochrome P450 (CYP450) - Correct Answer Barbiturates, phenytoin, carbamazepine, rifampin, St. John's Worth  A substance that speeds up a chemical reaction  Inhibitor - Correct Answer a substance that slows down or stops a chemical reaction  Cytochrome p450 inhibitors - Correct Answer CRACK AMIGOS  Cimetidine  Ritonavir  Acute Alcohol  Ciprofloxacin  Ketoconazole  Amiodarone  Macrolides  Isoniazid  Grapefruit juice  Omeprazole  Sulfonamides  Carb and Barb - Correct Answer decrease INR  Depakote and Disulfruram - Correct Answer Increase INR  GAL-Renal metabolized - Correct Answer Gabapentin Acamprostate Lithium  Grapefruit juice - Correct Answer One glass can reduce absorption by 47%  Blood levels will be increased  Trazodone (Desire) - Correct Answer Get EKG.  Trazodone (Desire) - 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  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 P a g e 10 | 22  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  Stereo genesis - 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  Clairol (Clozapine) - Correct Answer WBC-2500  ANC LESS than 1000 (950) dc medication  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  Rigidity of muscles  Mesolimbic system - Correct Answer POSITIVE symptoms of schizophrenia due to high dopamine  Negative symptoms of schizophrenia - Correct Answer the absence of appropriate behaviors (expressionless faces, rigid bodies)  Negative symptoms of schizophrenia - Correct Answer mesocorticol pathway  Neocortical pathway - Correct Answer VTA to prefrontal cortex  Negative symptoms  Nigrostriatal pathway - Correct Answer EPS DUE TO LOW DOPAMINE IN THIS AREA  Communication from SnPC of the basal ganglia to the striatum (caudate + putamen) of the BG via DA; used to initiate movement  PDSA model - Correct Answer PLAN-  Do-carry out  Study -examine results  Act-decide what action  Tanner's stages - Correct Answer  Tanner stages - Correct Answer  MMSE (Mini Mental State Examination) - - Correct Answer Stage  May be Normal 25-30  Mild/Early 21-24  Moderate 10-21 P a g e 11 | 22  Severe 0-9  A pt. states that she has been raped. What do you do - Correct Answer ensure safety  Hamilton D score of 28 - Correct Answer Assess for Suicide  Hamilton Depression Rating Scale - Correct Answer 17-21 questions  0-7 Normal  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  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 Opioids  Nystagmus - Correct Answer Phencyclidine  Conjunctiva injection, munchies (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? P a g e 12 | 22  Instillation of hope: Member recognizes that other members' success can be helpful and they develop optimism for their own improvement  Imparting information: Education or advice provided by the therapist or group members  Corrective: Opportunity to reenact critical family dynamics with group members in a corrective manner  Development of socializing techniques: The group provides members with an environment that fosters adaptive and effective communication  Imitative behavior: Members expand their personal knowledge and skills through the observation of Group members' self-exploration, working through and personal development  Cohesiveness: Feelings of trust, belonging and togetherness experienced by the group members  Existential factors: Members accept responsibility for life decisions  Catharsis: Members release of strong feelings about past or present experiences  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  Metabolic 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  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  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? P a g e 15 | 22  ...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?  If you checked YES to more than one of the above, have several of these ever happened during the same period of time?  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 Hirschfield, MD  YES NO  Patient comes with vague symptoms depression irritability - Correct Answer BECK Depression scale  DISSEMINATED ENCEPHALOMYELITIS - Correct Answer Assess for asymmetry of extremities  Along with this pattern, the patients usually get neurological symptoms which may include:  Confusion, drowsiness, and even coma  Unsteadiness and falling  Visual blurring or double vision (occasionally)  Trouble swallowing  Weakness of the arms or legs  Fever  HA  CBT (cognitive behavioral therapy) - Correct Answer Anxiety  Popular integrative therapy that combines cognitive (thinking) and behavior therapy  Impulsivity (ADHD) - Correct Answer Pre-Frontal Cortex  Involves hasty actions taken without consideration of possible negative consequences to self or others; it often shows up as a kind of social intrusiveness, such as excessively interrupting others.  Patient shows symptoms of dizziness, tremors, sweating, What Medical Diagnosis - Correct Answer Hypoglycemia  NSAIDS - Correct Answer Lithium toxicity  Interferon - Correct Answer Causes depression  Beck Depression Inventory (BDI) - Correct Answer Intimate therapy for a child with a score of 10  A questionnaire useful for determining the level of depressive symptoms that a person is reporting  Zantac (ranitidine) - Correct Answer affects Flonase  Greatest patient at risk for Violence - Correct Answer Substance abuse P a g e 16 | 22  DBT (dialectical behavior therapy) - Correct Answer relaxation muscle prior to DBT  Pt. on Lithium - Correct Answer Prescribe Synthroid  Zantac (ranitidine) - Correct Answer H2 antagonist  H2 BLOCKER  Tigerton (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 - 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. - Develop a way for homeless individuals to read their TB skin test, if necessary, and to transfer the results back to the fat  Collar 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 me/L).  Culture question: A man injects himself - Correct Answer "tell me more about the medications" P a g e 17 | 22  ^ Coumadin  Erythromycin - Correct Answer ^ Xanax levels  Disulfiram - Correct Answer ^ Coumadin  Pt. with Eating disorder states getting full - Correct Answer Bloating delayed Gastric emptying  Reliability - Correct Answer consistency  Biggest Concern with EHR - Correct Answer Confidentiality  Qualitative - Correct Answer Measures in natural setting i.e.? observation  Quantitative - Correct Answer Data that is in numbers  Internal validity - Correct Answer Was research done right?  Extent to which we can draw cause-and-effect inferences from a study  I don't know answers - Correct Answer pseudo dementia  Interferon - Correct Answer decrease Wilburton  ^ 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  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 Leukemia 1 month ago. What do you expect - Correct Answer He would think he is being punished for 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.  ECT THERAPY - Correct Answer GET CERTIFIED P a g e 20 | 22  Lesion in frontal cortex - Correct Answer Impaired cogitate functions  Child in foster homes 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 gastric emptying. Early diagnosis and intervention is critical since delay may result in gastric necrosis, perforation, shock, and death. - Correct Answer decreased gastric motility check measure the stomach  Tegument (Cimetidine) - Correct Answer Prevents acid from backing up into the esophagus and causing heartburn  Pt. moving to another state - Correct Answer Give enough meds  Pt. on Zoloft BMI 26 - Correct Answer BMI  Sildenafil (Viagra) - Correct Answer 1 hour prior to sex  Tadalafil (Cialis) - Correct Answer 45 minutes prior to sex  Vardenafil (Levitra) - Correct Answer 45 minutes prior to sex  Avanafil (Standard) - Correct Answer 15 minutes prior to sex  Alprostadil (PGE1) - Correct Answer • Ductal-dependent Congenital Heart Disease (all forms) • 0.05-0.1 µg/kg/min IV/IO infusion initially, then 0.01-0.05 µg/kg/min IV/IO  Females more likely to become an alcoholic than man - Correct Answer due to hormones  Apoptosis - Correct Answer cell death in aging/elderly  Solution therapy - Correct Answer conducted through direct observation of clients' responses to a series of precisely constructed questions.  Nap wants to implement a certain policy in nursing. - Correct Answer start with nurse manager  Turner Syndrome - Correct Answer a chromosomal disorder in females in which either an X chromosome is missing, making the person XO instead of XX, or part of one X chromosome is deleted.  Delayed puberty, short id, 10-16 years old  Amenorrhea  Web neck, osteoporosis, lymphedema, poor social skills  Prozac causes what? - Correct Answer increased anxiety in elderly  Proposing (Winepress) - Correct Answer nightmares  ACE inhibitors - Correct Answer HTN P a g e 21 | 22  Recovery Model - Correct Answer A model that is patient/consumer-centered, is hopeful and empowering, and emphasizes the person and the future rather than the illness and the present.  Recovery Model Intervention - Correct Answer  Motivational interviewing - Correct Answer a collaborative, person-centered form of guiding to elicit and strengthen motivation for change  MOTIVATIONAL INTERVIEWING - Correct Answer MAY WE TALK ABOUT  YOU’RE TEST SHOWS  YOU ARE VERY COURAGEOUS  YOU WANT TO CHANGE, BUT  LET’S SEE IF I GOT IT  KIDS receive to many calories use to staff letting him eat food - Correct Answer Meet with dietician, discuss with manager P a g e 22 | 22