what term describes a scientific study that gathers multiple studies and analyzes them to draw a larger conclusion?
systematic review
borderline
... [Show More] personality disorder falls under which cluster of personality disorder traits?
B
a 36 year old caucasian male arrives for his usual monthly medication appointment. diagnosed with schizophrenia & has been stabilized on haldol for 9 years. today he states he has an inner feeling of restlessness & inability to remain still. what type of E.P.S is suspected?
akathisia
which part of medicare provides optional coverage for beneficiaries?
part c
the cerebrum contains all of the following areas of the brain except one. cerebral cortex, brainstem, limbic system, or hypothalamus
brainstem
in a family systems context, what is the definition of morphogenesis?
a family's tendency to adapt to change when changes are necessary.
how does the body remove both serotonin and norepinephrine from the synaptic cleft?
an active re-uptake process
a 53 year old menopausal woman presents with complaints of anhedonia, depressed mood, & vasomotor symptoms. what medication effectively treats both vasomotor symptoms and depression?
desvenlafaxine/pristiq
it is an S.N.R.I.
which personality disorder is most likely to have fantasies of success?
narcissistic
who should receive a shingles vaccine?
anyone over the age of 60 who has had chickenpox
some states use the umbrella term advanced practice nurse to refer to all of the following except which one? nurse anesthetists, certified nurse midwife, mid-level providers, or nurse practitioners
mid-level providers
eating disorders are characterized by what?
disordered patterns of eating, accompanied by distress, disparagement, preoccupation, & a distorted perception of one's body shape
the federal government offered financial awards to encourage hospitals to implement meaningful use. the financial awards are tied to specific objectives related to the effective use of electronic health records. give 3 examples of this.
1. electronic prescribing
2. electronic medication interaction checks
3. computerized provider order entry
for an act to be considered criminal, it must have 2 components: actus reus & mens rea. what is actus reus?
voluntary conduct
which complementary & alternative medicine technique is based on manipulating the flow of energy throughout the body?
acupuncture
who authored the report crossing the quality chasm, which emphasized the need for inter professional collaboration in order to improve the quality of health care?
institute of medicine
is a durable power of attorney limited to terminal illness only?
no
what term describes a system where the insurer is not only the payer but also the provider of care?
managed care
what term best describes a public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market?
health alliance
freud would argue that adults who use 'biting' sarcasm as a defense mechanism are fixated in which psychosexual stage of development?
oral
what term is used to describe patients who injure themselves by self-mutilation but who do not wish to die?
parasuicide
what most accurately describes an individual with avoidant personality disorder?
these patients are timid and easily wounded by criticism from others
what are 3 reasons for homelessness?
mental illness, poverty, & inadequate public assistance
what is the primary goal of the AMA's scope of practice partnership initiative?
to limit patients' choice of which health care provider they can see for treatment
as a nurse practitioner you are expected to be competent in what areas?
policy, practice inquiry, and technology and information literacy
what term describes a digital version of a patient's medical file?
electronic health record
what term describes the death rate for a given population?
mortality rate
what action takes place during the working phase of a therapeutic relationship?
clarifying patient expectations and mutually identifying goals
at what age would you expect a child to sit alone with good coordination, imitate scribble, develop mild separation anxiety, and respond to social play such as peek-a-boo?
40 weeks or about 8 months old
physical exam findings of Rett syndrome include what?
seizures, irregular respirations, and scoliosis
what endocrine findings are suggestive of alcohol dependency?
testicular atrophy, sexual dysfunction, and gynecomastia
what is sexual identity?
it refers to whom someone is affectionately attracted
what are some examples of monoamine neurotransmitters?
dopamine, norepinephrine, and serotonin
what percent of the incarcerated population in the U.S. has a severe mental illness?
15 to 24 percent
statistically, gambling disorder is most prevalent among what ethnic/racial group?
african americans
what cranial nerve assessment tests smell, ensures patency of nasal passages, and is performed by having the client close the eyes to identify smells?
olfactory
what are the most common potentially law-breaking sexual behaviors?
voyeuristic acts
what psychiatric disorder is characterized by at least one psychotic symptom present for less than one month?
brief psychotic disorder
in almost every state, nurse practitioners are reimbursed at what percentage of the allowable physician rate?
85 percent
which part of medicare provides optional coverage for outpatient pharmaceuticals?
part D
which class of medications would be most appropriate for treating a patient stabilized on haldol that is exhibiting mild pseudo-parkinson's symptoms?
muscarinic 1 agonist
patient switched to halodol last week presents with oriented to self, fever of 105.3, heart rate 126, breath rate 22, extremities are stiff and rigid, WBCs of 14, creatinine of 2.6. what is the most serious complication of her presentation?
rhabdomyolsis
what is the primary purpose of the corpus callosum?
connect right and left hemispheres and facilitate sensorimotor information exchange
what medication can produce a false positive for methamphetamines?
prozac/fluoxetine
what medication can produce a false positive for benzodiazepines?
zoloft/sertraline
what medication can produce a false positive for cocaine?
motrin
what food product can produce a false positive for morphine or heroin?
poppy seeds
how do managed care organizations control health care costs?
bargain with medical practices for reduced rates on visits
autism spectrum disorder can present with what deficits?
lack of social reciprocity, insistence on sameness, & nonverbal communication
what are the general functions of norepinephrine?
alertness, focused attention, learning, & memory
what are the general functions of dopamine?
thinking, fine muscle action, & reward-seeking behavior
what are the general functions of GABA?
reduces arousal, aggression, & anxiety
what are the general functions of serotonin?
regulates sleep, pain, mood states, & temperature
what is an example of a psychological preventative factor that protects someone from developing a psychiatric disorder?
healthy ego defenses
compared with physicians, nurse practitioners save the consumer & the insurance company what percent of costs?
20 percent
a person who is proficient in the use of software, hardware selection, & computer maintenance possesses what skill?
computer competency
what underlying psychiatric disorder is not linked to insomnia?
oppositional defiant disorder
the institutional review board ensures what?
1. risks to participants are minimized
2. participant selection is equitable
3. adverse events are reported
4. risks & benefits are evaluated
5. informed consent is obtained & documented
6. data safety monitoring plans are implemented when indicated
what are signs & symptoms of stevens johnsons syndrome?
facial swelling, tongue swelling, macules/papules/burning confluent red rash, skin sloughing, pro-dromal headache, malaise, arthralgia, & painful mucous membranes may occur before rash
what is stevens johnsons syndrome?
immune reaction to a foreign antigen that can occur with exposure to any anticonvulsant drug
what is the therapeutic range for lithium?
0.6-1.2
If first onset of manic symptoms occurs after age 40, what is likely the cause?
another medical condition
what are the side effects of lithium toxicity?
slurred speech, confusion, coarse hand tremors, severe GI effect
what medications when taken with lithium can double the level?
NSAIDs and ACE inhibitors
which personality disorder is most likely to be excessively scrupulous?
obsessive-compulsive
what EPS has a mask like appearance and a shuffling gait?
pseudo-parkinson's
what findings do you expect to support autism spectrum disorder?
flat or blunted affect, little or no eye contact, and lack of emotional reciprocity
what psychiatric medication is an inducer of the hepatic cytochrome P450 enzyme?
carbamazepine
intimate partner violence is defined as what?
physical, emotional, economic, or sexual pain and injury that is intentionally inflicted by a person's intimate partner
what term describes the amount that people spend before their health insurance pays for the cost of health care?
deductible
what cranial nerve assessment tests for tactile perception of the facial skin?
trigeminal
which act incentivizes pharmaceutical companies to develop drugs to treat rare disease?
orphan drug act
true or false: females have an earlier age of onset than males in obsessive-compulsive disorder
false
in a hospital psychiatric consultation setting, what is one of the most common mental illness diagnoses?
adjustment disorder
what are the systemic effects of hypothyroidism?
decreased libido, constipation, & weight gain
an NP helps a local school district implement a new DARE program. this is an example of what type of prevention strategy?
primary prevention
following fda labeling, what medication can be started at age 3 for A.D.D.?
amphetamines
what area of the brain has been indicated to modulate pain and can help explain how transcranial magnetic stimulation can help decrease pain?
prefrontal cortex
when assessing an elderly patient complaining of tinnitus, the PMHNP would associate what finding with an acoustic neuroma?
unilateral tinnitus, ringing in the affected ear
the statement that 'this group has enabled me to not feel so alone' is an example of which yalom curative factor?
universality
what medication is not currently indicated for the maintenance phase of treatment in bipolar 1, but has shown efficacy in treatment of acute manic or mixed episodes?
extended release carbamazepine
which medication is strictly contraindicated with selegiline, an M.A.O.I.?
meperidine/demerol
what is the current understanding of dopamine pathways and clinical symptoms in schizophrenia?
negative symptoms are due to hypoactivity of mesocortical dopaminergic tract & positive symptoms are due to hyperactivity in the mesolimbic tract
primary deficit may be mesocortical tract where dopamine function is diminished & decreasing inhibitory effects of the mesolimbic tract [Show Less]