PMHNP Mock Board Review (Fitzgerald) 68 Questions with Verified Answers
The goal of primary prevention is the ___ of disease and examples of primary
... [Show More] 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
Nystagmus
Polydipsia / Polyuria
Peripheral Edema
To initiate a Pt on the 3rd line antipsychotic ___ the ANC needs to be over ___ and stop treatment if ANC is ___ - CORRECT ANSWER Clozapine (Clozaril)
ANC >1,500
ANC<1,000
Normal TSH levels - CORRECT ANSWER 0.4-4.0
High TSH (0.4-4.0 mlU/ mL normal)
and
Low T4 (10-27 pmol/L normal) - CORRECT ANSWER Hypothyroidism
Low TSH (0.4-4.0 mlU/ mL normal)
and
High T4 (10-27 pmol/L normal) - CORRECT ANSWER Hyperthyroidism
Defense mechanisms are derived out of Freud's ___ Models (Id, Ego, SuperEgo) - CORRECT ANSWER Psychoanalytic
Birth order was stressed by ___ who recognized ___ as a driving force and created ___ theory - CORRECT ANSWER Adler
Inferiority (think Inferiority Complex)
Personality Theory
Attachment Theory was developed by ___ and the purpose of attachment is to ensure closeness and stability through a ___ in development
Healthy attachment is ___ attachment in both children and adults - CORRECT ANSWER Bowlby
Secure Base (Sense of Security for child)
Secure Attachment
unconditional positive regard was created by ___ who believed that Pts would develop ___ & self-acceptance - CORRECT ANSWER Carl Rogers
Self-Awareness
Maslow's Hierarchy of Needs includes physiological, safety, love/belonging, esteem, and ___ (the highest need) is also known as ___ psychology - CORRECT ANSWER Self-Actualization
Humanistic Psychology
Therapeutic Theory that focuses on the 'here and now' is ___ Therapy and was developed by Fitz ___
A Gestalt Therapist may ask directive questions utilizing ___ to elicit the client to have increased ___ and decreased avoidance. - CORRECT ANSWER Gestalt Therapy
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)
Due to QT prolongation, max dose of Citalopram (Celexa) is ___ in adults over ___. - CORRECT ANSWER 20 mg
>60 y/o
SSRI withdrawal syndrome is ___ but not ___ - CORRECT ANSWER Bothersome
Deadly
John Bowlby developed ___ with the idea that the caregiver provides (x2) creating a stable base for the child - CORRECT ANSWER Attachment Theory
Safety/Security
A credential is used to provide ___ to the public by ensuring a minimum level of competence and title protect of psychiatric nurse practitioners for certification is provided by the ___
Scope of practice for any NP is determined by ___ - CORRECT ANSWER Protect
American Nurses Association (ANA)
State Law
To be deemed incompetent requires a ___
A durable power of attorney for health care designates in writing an agent to act on behalf of an individual medically and should be considered for patients with chronic ___ - CORRECT ANSWER Court Ruling
Psychiatric Disorders
When considering probability is lies between ___ (something not possible) and ___ (something that will occur on every instance) and in order for the p value to have SIGNIFICANCE it must by ___ - CORRECT ANSWER 0
1
<.05
The ___ Report ensures that all investigators or participants in research must pass a test on protection of human subjects - CORRECT ANSWER Belmont Report
Treatment of choice for trichomonas vaginalis is the oral antibiotic ___ - CORRECT ANSWER Metronidazole (Flagyl)
If insomnia is presenting in later years, this may be due to ___ rhythms, but is common in Pts with ___ - CORRECT ANSWER Chronobiological Rhythms
Alzheimer's
Insomnia lasting a few days caused by travel or mild stress is ___ and responds to relaxation techniques
Short-term insomnia is considered to be <___, and BH disorders cause >___% of chronic insomnia and the BH type of Dx most common to cause insomnia are ___ - CORRECT ANSWER Transient Insomnia
<3 weeks
>50%
Mood Disorders (i.e. MDD, Bipolar II, SAD...)
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
Process of Quality Improvement
P
D
S
A - CORRECT ANSWER Plan - Plan the Change
Do - Carry out the Plan
Study - Examine results
Act - Improve the process (based on decision influenced by outcome)
The bundle of ___ matter (called ___) that connects the left and right hemispheres of the brain allowing for decussation of sensorimotor exchange - CORRECT ANSWER White Matter
Corpus Callosum
Issues with hearing of memory are associated with the ___ region of the brain - CORRECT ANSWER Temporal
Another name for the striatum is the ___ and issues with the ___ can lead to bradykinesis, hyperkinesia, dystonia (___) - CORRECT ANSWER Basal Ganglia
EPS
While the precursor for neurotransmitters NE / DA is ___ the precursor for the indole 5HT is ___ - CORRECT ANSWER Tyrosine
Tryptophan
Substance P, Endorphins and Enkephalins are all classified as ___ - CORRECT ANSWER Neuropeptides
overweight BMI
obese BMI - CORRECT ANSWER 26-29.9
30-35
Aspect of Gestalt Therapy - Taking action towards self that we wish someone else would do for us - CORRECT ANSWER Retroflection
Aspect of Gestalt Therapy - Organism and Environment have poor differentiation (dysfunctional closeness) - CORRECT ANSWER Confluence
Aspect of Gestalt Therapy - Assigning aspect of self to others in an effort to dismiss their feelings (i.e. ___ guilt because you feel guilty) - CORRECT ANSWER Projection
(projecting guilt because you feel guilty)
Aspect of Gestalt Therapy - Blindly accepting someone else's view - CORRECT ANSWER Introjection
Normal Thyroxine (T4) Levels ranges ___ pmol/L - CORRECT ANSWER 10-27 pmol/L
Parse's ___ theory examines every persons perspective meaning of ___ - CORRECT ANSWER Human Becoming Theory
Quality of Life [Show Less]