LMR Georgette's PMHNP Final Exam (New 2024/ 2025 Update) Questions and Verified Answers| A Grade | 100% Correct
QUESTION
Which 3 drugs can increase
... [Show More] lithium levels by decreasing renal clearance?-
Answer:
NSAIDs (ibuprofen, indomethacin) Thiazides
ACE-Inhibitors
QUESTION
What is a toxic level of lithium?
Answer:
1.5 mEq/L or higher
QUESTION
At what level do you monitor lithium closely
(but not discontinue)?
Answer:
1.3 -1.4 mEq/L or higher
QUESTION
With suspected lithium toxicity, what is your initial action?
Answer:
D/C Lithium
Draw Lithium level
Your initial action is not vital signs
QUESTION
What is the appropriate action if lithium level is 1.5 mEq/L?
Answer:
D/C lithium
Check lithium level
QUESTION
What 2 conditions can increase lithium levels?
Answer:
Dehydration
Hyponatremia
QUESTION
If your patient taking lithium is on a hike, what do you recommend they do to prepare?
Answer:
Take extra water to avoid dehydration
Dehydration is a condition that can increase lithium levels
QUESTION
What birth defect can lithium cause?
Answer:
Ebstein anomaly (congenital heart defect)
QUESTION
When working with adolescents, parents often feel they have a right to know what is going on with their child, but the teen has a right to confidential- ity. This can create an .
Answer:
Ethical dilemma
QUESTION
When building a therapeutic alliance with adolescents, it is important to stress .
Answer:
CONFIDENTIALITY
What they say remains confidential unless
-concern for self-harm
-concern for harm to others
-concern for abuse, statutory rape, sexual assault (ex. a teenage patient romantically involved with an older adult)
QUESTION
Once an adolescent presents a complaint of abuse even in the presence of their parents/caregivers, what is your initial action?
Answer:
INTERVIEW ALONE
Then call CPS
QUESTION
What 3 neurotransmitters are associated with ADHD?
Answer:
DNS
DA
NE
5HT
QUESTION
The frontal cortex, basal ganglia, and reticular activating system are asso- ciated with which psychiatric disorder?
Answer:
ADHD
QUESTION
ADHD inattentive type demonstrates abnormalities in which part of the brain?
Answer:
Prefrontal cortex (PFC)
QUESTION
What priority action should be completed before placing a patient on stimulants for ADHD?
Answer:
CARDIAC HISTORY
QUESTION
Excessive worry, apprehension, or anxiety about events or activities that occurs more days than not for a period of at least 6 months is .
Answer:
General- ized anxiety disorder (GAD)
QUESTION
If a patient presents with a diagnosis of ADHD and a tic, what medication class is contraindicated?
Answer:
Stimulants
QUESTION
If a stimulant was tried and provided some but not enough benefit (helped, but not long enough) what can this mean? [Show Less]