Purpose of Dopamine
Inhibition of prolactin production
Sleep
Learning
Attention
Pleasure and reward
Movement
Memory
Mood
What term best
... [Show More] describes the reelationship between an individual's health and a number of other variables, including the amoutn of healthcare consumed?
Health production function- math expression that shows the relationship between an individual's health and a number of other variables.
How much time should you allow for Celexa to provide its initial therapeutic effect and the patient to see an improvement in symptoms?
4-6 weeks
Clients have what rights?
Right to privacy and confidentiality
Right to least restrictive treatment measures
Right to consent and withdraw consent at any given time
Which inferential statistic determines whether the means of 2 groups are statistically different from each other?
t-test
enables one to reach conclusions that extend beyond the immediate data alone
(ANOVA tests the difference among 3 or more groups, Pearson's r correlation- tests the relationship between 2 variables, probability-likelihood, p value- probability of a particular result occurring by chance)
What symptoms would a patient exhibit if they were experiencing an excess serotonin?
Restlessness, agitation, myoclonus, vital sign abnormalilties
What term descries a colletion of individuals who coordinate lobbying efforts around a common interest and seek to influence policymakers?
Special interest group.
What are 3 phases of a therapeutic relationship between NP and pt?
1. Intro
2. Working-
3. Termination
The following describes what stage of a therapeutic relationship? Clarifying patient expectations, ID goals, treatment plan, preventative healthcare, measuring outcomes of care, reprioritizing plan
Working phase
Which type of family therapy uses genograms, structural mapping, emphasizes understanding to produce change in the family structure.
Structural family therapy
Symptoms of exess GABA
excess sleepiness, increased blood pressure, shallow breathing
Symptoms of insufficient GABA
Sz, trouble concentrating, insomnia, depression, anxiety
A Hamilton Anxiety score of 14-17 indicates what?
Mild Anxiety
A Hamilton Anxiety score of 18-24 indicates what?
Moderate Anxiety
A Hamilton Anxiety score of 25-30 indicates what?
Severe Anxiety
When would you not use seclusion and restraint?
Extremely unstable medical or psychiatric conditions
Delirious or demented patients unable to tolerate decreased stimulation
Overtly suicidal patients
When should you use seclusions and restraint?
Prevent significant disruption to treatment program or physical surroundings
Decrease sensory overstimulation
What is the difference between pharmacokinetics, and pharmaodynamics?
pharmacokinetics is whatthe body does to drugs, pharmacodynamics is what the drug does to the body
Problems with the frontal lobe could lead to what
personality changes
problems with the temporal lobe can lead to
aphasia and amnesia
problems with the occipital lobe can lead to
visual field defects
problems with the parietal lobe can lead to
densory perceptual disturbances and agnosia
This type of advanced nurse evaluates, diagnoses, and treats a wide range of medical conditions
nurse practitioner
This type of advanced practice nurse consults researches educates and coordinates care
Clinical nurse specialist
This type of advnaced practice nurse provides well-woman gyno care, management pregnancy, child birth, antipartum post partum.
Nurse midwife
According to Piaget wat what cognitive stage do children develop object permanence?
sensorimotor
Occurs when a patient is unabe to see others as somethimes good sometimes bad
splitting
what is the therapeautic dose of riseridone for an adolescent?
3 mg
What core comopetency is the NP demonstrating when she evaluates the appropriate use of seclusion and restraints?
NP core competency: Quality
What core competency is the NP demonstrating when participating in a special interest group?
NP core competency: Policy
By whom and where was the first NP role introduced?
Loretta C. Ford, Henry Silver; University of Colorado
What factors constrain the growth of the NP role?
Increased concerns over reinbursement fraud and abuse, reinbursement struggles, need for formal supervisory or collaborative relationships with physicians, overlapping scope of practice
What regulatory or statutory dimension provides different rules and regulations for each state?
Statutory law
What regulatory or statutory dimension forms a process by which an agency of state government grants permission to persons to engage in the practice of that profession?
Licensure
What regulatory or statutory dimension forms a process used to protect the public by ensuring a minimum level of professional competence.
Credentialing
What regulatory or statutory dimension determines the scope of practice and assures the public that a person has mastery of a specified body of knowledge.
Certification
HITECH(health information technology for economic and clinical health Act)
meaningful use incentive
charting system for physician order set
Incentive payment for sharing specific electronic health record(EHR)
Basic criteria for involuntary admission
danger to self or others
unable to care for self
poor nutritional intake
What are the four main components of HIPPA
To be educated, have access, the ability to request amendments and permission for disclosure
Voluntary Commitment entails
Admission, Client of all civils liberties, client consents to confinement
What is the communication process between the provider and the client that results in acceptance or rejection of the the proposed treatment
Informed Consent
Promoting well-being and doing good
Beneficence
Doing no harm
Nonmaleficence
Being true and loyal
fidelity
Doing for self
Autonomy
Telling the truth
Veracity
A male client approached the NP for a date. The NP went out on one date with the client, but ended the relationship due to this element of negligence
Breach of duty
What Act of 2009 requires incentive if payments, is a part of the meaningful use and can improve health outcomes
HITECH ( Heath Information Technology for economic health record)
Durable power of attorney contracts are or are not legally binding in all 50 states
Are legally binding in all 50 states
Living wills are or are not legally binding in all 50 states
Are not legally binding in all 50 states
All of the following are Cluster A personality disorders
Schizoid, Schizotypal Paranoid
What is another name for durable POA
a healthcare proxy
All of the following are Cluster B personality disorders
Histrionic, Borderline, Narcissistic, Antisocial
All of the following are Cluster C personality disorders
OCD, Dependent, Avoidant
Cluster A personality disorders can best be described as what?
Odd and eccentric
Cluster B personality disorders can best be described as what?
Dramatic and Erratic
Cluster C personality disorders can best be described as what?
Fearful and anxious
· No: Ibuprofen increases plasma levels of lithium
Would you give Ibuprofen to a patient receiving lithium?
What are the two main types of a Systematic Review?
· Meta- Analysis: Statistically analysis quantitative studies
· Meta Synthesis: Statistically analysis Qualitative Studies
What are the different types of Validity in research?
· External Validity: When the sample is representative of the population and the results can be generalized.
· Internal validity: When the independent variable causes a change in, he dependent variable.
· Probability: The likelihood of an event occurring
· Standard Deviation: Indication of possible deviation from the mean.
What is the most used legal substance?
ETOH ... See pg 296 of the purple book! Highest in the African American Population
What is the difference between Certification and Credentialing
· Certification is a process by which a professional organization certifies that an individual has net certain predetermines standards.
· Credentialing is a process that is used to protect the public by ensuring a minimum level of professional competence.
· Licensure: is a process by which an agency of state government grants permission to individuals to engage in practice
Different types of Therapy
· Klerman and Weissman created interpersonal Therapy.
· Sigmund Freud created Psychoanalytic Therapy.
· Anna Freud and Melanie Klein contribution sin Psychoanalytic Child Theory
· Aaron Beck- Created Cognitive Therapy
· Carl Rogers: Humanistic Therapy (Person Centered)
Murray Bowen: Family Therapy
Antidepressants that do not depend on the CYP2D6 for Metabolism.
Lexapro, Zoloft and Remeron
Medicare vs Medicaid
-Medicare - Over 65, Younger individuals with disabilities, individuals with End stage Renal Disease. Individuals in he need of a kidney transplant, individuals receiving social security for a disability of amyotrophic lateral sclerosis.
-Medicaid- Low-income children, Low income pregnant women, elderly and disabled individuals who qualify for the supplemental security income program
-If a woman is taking tamoxifen for Breast Cancer do not RX:
Paxil, Prozac, or Wellbutrin
Valerian Root
is considered a psychoactive herbal substance to treat insomnia, anxiety and restless.
Risk factor for developing a somatic disorder
Female
Lower Socioeconomic
Unemployed
Olde age
Fewer years of education
Recent stressful life events
Negative affectivity
Childhood sexual abuse
Comorbid psych condition
Perceived illness benefits
Sensitization of pain
Heighted attention to body sensation
-The difference between culture and ethnicity
Culture is learned behaviors, socially inherited characteristic.
Ethnicity: self-identified race, tribe, or nation
-Family Vs Community:
Family is defined as a group of adults and children who are usually related and carry out the essential functions of life.
Community; group of families sharing the same race, tribe, or culture.
Family Vs Community:
Family is defined as a group of adults and children who are usually related and carry out the essential functions of life.
Community; group of families sharing the same race, tribe, or culture.
Competency to be executed was established in the supreme Court
Ford Vs Wainwright
-Depolarization-
Influx of sodium and calcium into the cell
Repolarization
-Kt leaving the cell or Chloride entering the body.
Therapeutic Relationship:
Introduction: Boundaries, Agreed time frame
Working: Measuring, reprioritizing
Termination: long term plan of self-management, Reemergence of symptoms
Countertransference delt with Peer to Peer
Abilify
has the lowest risk of sedation of all Antipsychotics
the homeless population has a co-occurring Mental Health Issue and Substance Abuse. What Percent
50%
the most widely used psychoactive drug in the US.
Cannabis i
The first step in hearing your patient say they will kill someone;
you must notify the person that they are in danger and then call the police.
- Stages of Psychosexual Development (Freud)
- Oral- birth to 0-18
- Anal -12-18 to 3 years
- Phallic- 3to 5-6 years
- Latency- 5-6 to adolescence
- Genital- adolescence to adulthood
Stages of Erick Erikson
see image
Normal Labs Kt and NA
see results
Normal TSH
2-10mu/I see page 87
Normal lithium levels
0.5-1.2
Tests for Lithium
-Cardiac: ECG, especially in patients at risk of unmasking Brugada syndrome; cardiac function at baseline and at regular intervals thereafter-Endocrine: Thyroid function at baseline and at regular intervals thereafter-Metabolic: Lithium levels at baseline and at regular intervals thereafter-Renal: Renal function tests (e.g., urinalysis, urine specific gravity, serum creatinine, creatinine clearance), especially in patients who develop polyuria and/or polydipsia
And Pregnancy Test
Deferential Vs Inferential Statistics
see image
What is the assessment for ETOH Detox
CIWA
What is the assessment for Opioids Detox
COWS
ETOH Screening Test for Geriatrics
S-MAST /Known as the Alcohol Screening Test for Geriatric
What antidepressant can give false positive for Methamphetamines'
Wellbutrin
What antidepressants can give a false positive for Benzo
Zoloft
What Benzo can give a false positive for ETOH
Valium
Nyquil can give a false positive for what
methadone
Assessment for Benzo withdrawal
CNSDP
What area of the body if dysregulated can result in anxiety and panic
Vestibular Dysfunction
What developmental phase, if not accomplished, can result in Conversion disorder
Initiative vs guilt
Culture explanations
labels, attributes or features of a culturally recognized etiology for distress
Culture bound syndromes
Clusters of symptoms that tend to occur in or among individuals in a certain culture
Culture idioms
terms that are used to describe ways of sharing their experience of suffering
Norepinephrine
attention, focus, memory and learning (AFML)Apples falls more than leaves
Dopamine
Thinking, fine muscle action, reward ( TFR) Troy found Renee
GABA
Reduces Arousal Aggression and Anxiety ( AAA) Triple A Adam Asks Alison ( Two A's in GABA)
Serotonin
Regulates: Sleep, Mood, pain, and temp (SMPD)
Basil Ganglia
Somatic Motor Activity: initiates complex motor function and maintains tone posture and common reflexes
A common psyhoactive herbal supplement used to treat insomnia
Valerian root
Patient was previously accepting of treatment but now appears agitated. Presents with personality changes over the past year, memory impairment, asterixis, palmar erythema, peripheral edema, and a large ecchymotic area left elbow. Why?
Hepatic encephalopathy; the loss of brain function when a damaged liver does not remove toxins from the blood.
This patient has presented with at least four mood episodes in the past year. What additional specifier will the practitioner add to the diagnosis of depression?
Rapid cycling
Which theorist believed that humans develop through learning, cmprehending, and cognition. Child's development is shaped through native endowment and factors.
Jean Piaget
Which statement most acurately describes grassroots lobbying
When nonpaid individuals contact their legislators to influence policy
Restless leg syndrome can be associated with compromised levels of what blood protein
ferritin
Anxiety and depression an be assoiated with compromised levels of what blood protein?
folic acid
What are the common with drawal symptoms assessed on the CIWA scale
n&v, tremors, paroxysmal sweats, agitation, tactile disturbances, ha, altered sensorium
Which theorist was the first person to develop specific phases of group
Irvin Yalom
Theoretical group phases developed by the first theorist to develop specific phases of group
Pregroup, forming, storming, norming, performing, adjourning
What vitamin is used in treating neurological disorders, diabetes, and premenstraul syndrome?
Vitamin E
What vitamin plays important roles in maintaining calcium absorption
Vitamin D
Acupuncture and acupressure
aid in the activity of endorphins by manipulating point of energy flow in the body
What vitamin plays important roles in the repair of tissue and enzymatic production of certain neurotransmitters
Vitamin C
What vitamin plays important roles in cell metabolism
Vitamin B
Biofeedback
Teaches a patient to control their own physiological responses
Massage
Increases blood circulation, lymph flow and enhances musculoskeletal tone
Aromatherapy
simulates the olfactory system to elicit feeling and memories
Technology Informatics Guiding Education Reform (TIGER)
A 10-year plan Nursing path toward computer and information technology Literacy
A Behavior Report Card
commonly used to treat ADHD( Bridges the gap between school, therapy and home)
schizophreniform disorder
Psychotic disorder involving the symptoms of schizophrenia but lasting less than 6 months. 1-6 months
schizoaffective disorder
Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder.
delusional disorder
a psychotic disorder in which the primary symptom is one or more delusions
brief psychotic disorder
brief episodes (lasting a month or less) of otherwise uncomplicated delusional thinking
Mental status of Autism
Little or no eye contact
flat or blunted affect
lack of emotional reciprocity
Stereotyped or repetitive motor mannerisms
medical care
Describes goods and services that maintain, improve or restore an individuals physicals; social or mental well-being
Same-e
Treats depression osteoarthritis and liver disease
omega-3 fatty acids
polyunsaturated fatty acids commonly found in fish oils that are beneficial to cardiovascular health
Tryptophan
Aiding in nitrogen balance, which is essential in creating serotonin
Pheochromocytoma
a benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine
Should be a differential for panic disorder
Shingles Vaccine
50 and over even if you have had or have not had the chicken pox
Vestibulocochlear
hearing and balance 8th Cranial Nerve
studies estimate
15-24% of those incarcerated have a mental health disorder
Trochlear
eye muscle movement
family systems therapy
psychotherapy that focuses on the family, rather than the individual, as the source of problems; family therapists challenge communication styles, disrupt pathological family dynamics, and challenge defensive conceptions in order to harmonize relationships among all members and within each member
Retinal Pigmentation
Thioridazine side effect
voyeuristic ACTS
ARE THE MOST COMMON POTENTIALLY LAW BREAKING SEXUAL BEHAVIOR
cyclothymic disorder
Chronic (at least 2 years) mood disorder characterized by alternating mood elevation and depression levels that are not as severe as manic or major depressive episodes.
bipolar disorder 1
full blown episodes of mania. MAY EXPEREINCE DEPPRSSION
Bipolar 2
hypomania and depression. EXPEREINCE AT LEAST ONE
Team Leadership Model Decision 1
Should the leader monitor the team or take action?
Team Leadership Model Decision 2
Should the leader intervene to meet the task or relational need?
Team Leadership Model Decision 3
Shoul the leader intervene internally or externally?
Harmless mentally ill patients cannot be confined against their will if they can survive outside case?
O'Conner vs Donaldson
Patients have the right to refuse any treatment and use an appeal process
Rennie vs Klein
This case is know for originating the insanity defense
Durham vs US [Show Less]