ANCC PMHNP PSYCH MENTAL HEALTH NP EXAM NEWEST
2024-2025 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT VERIFIED ANSWERS(DETAILED ANSWERS)|100%
... [Show More]
GUARANTEED PASS!|GRADED A+
What is the lactation risk for Vibrid? - ANSWER-currently
unknown.
What warning do all anti-depressants carry? - ANSWER-Black
box warning about suicide
Describe an appropriate Fluoxetine taper? - ANSWER-A taper
for Fluoxatine/ Prozac is not needed due to its long half-life
(up to 144 hours). It takes about 5 weeks to achieve steady
state and will self-taper
What is Serotonin Syndrome? - ANSWER-Toxic levels of
serotonin. Can be due to doses of SSRIs (including attempted
overdoses), interactions between SSRIs and MAOIs or SSRIs
and Tramadol
List Serotonin syndrome symptoms? - ANSWER-These
symptoms overlap with Neuroleptic Malignant Syndrome:
Elevations in: Blood Pressure, Pulse, Temp, muscle rigidity,
drooling, sweating.
These symptoms are distinct to Serotonin Syndrome: clonus,
agitated confusion, hyper reflexia & bowel sounds; diarrhea
Describe Neonatal effects of antidepressants? - ANSWER-if
Mom is on an SSRI baby will have 'discontinuation syndrome'
crankiness, irritability for up to a few days
What are lactation risk categories? - ANSWER-L1, safest; L2,
safer; L3, moderately safe; L4, possibly hazardous there is
positive evidence of risk; L5, contraindicated - significant
documented risk.
Are there any drugs in the L1 category? - ANSWERAcetaminophen ('cause everyone can take tylenol), some of
the penicillin (moldy bread; gross but relatively safe), depoprovera (injectable or implantable BC only)
What psychiatric drugs are L4 - ANSWER-Lithium (crosses
breast milk), some of the older antipsychotics (so just think
'use SGAs in lactation')
Are any drugs in the L5 category? - ANSWER-Ziprasadone/
Geodon (some question of it being L4), Doxepine /Sinequan
(TCA) and cocaine.
Fetal exposure to Lithium as been associated with what birth
defects? - ANSWER-1-polyhydramnios which is excessive
amniotic fluid;
2-reversible changes in thyroid function;
3-fetal and neonatal cardiac arrhythmias;
4-hypoglycemia;
5-nephrogenic diabetes insipidus;
6-premature delivery; and
7-floppy infant syndrome similar to that seen with
benzodiazepine exposure
List symptoms of neonatal Lithium toxicity - ANSWER-1-
flaccidity, 2-lethargy, and 3-poor suck reflexes, which may
persist for more than 7 days.
What are the risk categories from drugs use in pregnancy -
ANSWER-A-controlled studies show no risk, B-no evidence of
risk in humans; C-risk cannot be ruled out; D-positive
evidence of risk; X-contraindicated in pregnancy [Show Less]