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This document offers over 200 verified questions and answers designed to prepare students for the pmhnp exam. it covers a wide range of topics, including personality disorders, medication management, neurotransmitters, and ethical considerations in psychiatric nursing. The questions are challenging and require a deep understanding of psychiatric concepts, making it a valuable resource for exam preparation.
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analyzes them to draw a larger conclusion?: systematic review
disorder traits?: B
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
cerebral cortex, brainstem, limbic system, or hypothalamus: brainstem
family's tendency to adapt to change when changes are necessary.
synaptic cleft?: an active re-uptake process
depressed mood, & vasomotor symptoms. what medication effectively treats both vasomotor symptoms and depression?: desvenlafaxine/pristiq it is an S.N.R.I.
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cissistic
chickenpox
the following except which one? nurse anesthetists, certified nurse midwife, mid- level providers, or nurse practitioners: mid-level providers
accompanied by distress, disparagement, preoccupation, & a distorted perception of one's body shape
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.:
& mens rea. what is actus reus?: voluntary conduct
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ship?: clarifying patient expectations and mutually identifying goals
imitate scribble, develop mild separation anxiety, and respond to social play such as peek-a-boo?: 40 weeks or about 8 months old
respirations, and scoliosis
atrophy, sexual dysfunction, and gynecomastia
norepinephrine, and serotonin
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illness?: 15 to 24 percent
group?: african americans
passages, and is performed by having the client close the eyes to identify smells?: olfactory
voyeuristic acts
tom present for less than one month?: brief psychotic disorder
age of the allowable physician rate?: 85 percent
ceuticals?: part D
stabilized on haldol that is exhibiting mild pseudo-parkinson's symp- toms?: muscarinic 1 agonist
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 presenta- tion?: rhabdomyolsis
hemispheres and facilitate sensorimotor information exchange
prozac/fluoxetine
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anxiety
states, & temperature
someone from developing a psychiatric disorder?: healthy ego defenses
insurance company what percent of costs?: 20 percent
computer maintenance possesses what skill?: computer competency
tional defiant disorder
minimized
tongue swelling, macules/papules/burning confluent red rash, skin slough- ing, pro- dromal headache, malaise, arthralgia, & painful mucous membranes may occur before rash
can occur with exposure to any anticonvulsant drug
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cause?: another medical condition
coarse hand tremors, severe GI effect
and ACE inhibitors
obsessive-compulsive
son's
blunted affect, little or no eye contact, and lack of emotional reciprocity
10 / example of which yalom curative factor?: universality
treatment in bipolar 1, but has shown efficacy in treatment of acute manic or mixed episodes?: extended release carbamazepine
meperidine/demerol
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
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5ht2a receptor antagonism and d2 receptor antagonism
drawal symptoms in a patient with co-morbid what?: hepatic disease
ics?: decreased cerebral ventricles
brain is affected?: right hemisphere
stein's anomaly
individual is treated on clozapine?: 1a2, as tobacco use decreases, then the dose needed will decrease, inducer speeds up metabolism, less drug available
used in the treatment of neuroleptic malignant syndrome to help lower the dopamine receptor blockade?: parlodel
w.b.c.s of 2,000 to 3, granulocytes of 1,000 to 1,
sion?: repression is involuntary and suppression is voluntary
reduce the risk of suicide in schizophrenia?: clozapine
patients taking SSRIs at risk for what?: serotonin syndrome
comes has been associated with what quality in group leaders?: being overly
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anxiety. what area of the brain has a large majority of norepinephrine neu- rons?: locus coeruleus & medullary reticular formation
episodes women are more likely to have depressive episodes & rapid cycling
principle?: pharmacodynamics
competent care are:: respect, advocacy, partnership
group psychotherapy due to the intense transferences and countertransfer- ences that are likely to develop?: borderline personality disorder
places they might have trouble obtaining help if they become scared
: aggression
falling asleep and waking later than desired?: delayed sleep phase type
goal of what kind of therapy?: existential
encing symptoms of schizophrenia but have been ill for only 1 to 6 months?- : schizophreniform disorder
case?: ford versus wainwright
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tells the truth?: veracity
that N.P.s have the responsibility to do what?: understand and shape the land- scape of health care technology
encing abuse?: depressive traits, passive behaviors, & co-dependence
adult men with alcohol use disorder in a forensic setting-particular to forensic setting
falling asleep and waking progressively later than desired?: non-24-hour sleep- wake type
16 / threats perceived
magical thinking, experiences unusual perceptions, paranoid ideations, eccen- tric appearance/behavior, constricted affect, unusual thinking/speech, lacks close friends, ideas of reference, anxiety in social situations, rule out psychotic/pervasive disorders
pulsive, moodiness, paranoia/dissociation under stress, unstable self-image, labile intense relationships, suicidal gestures, inappropriate anger, vulnerability to aban- donment, emptiness
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provocative behavior, relationships considered more than they are, attention center, influenced easily, style of speech-impressionistic, make-up, exaggerated emotions
grandiose, requires attention, arrogant, need to be special, dreams of success/pow- er, inter personally exploitative, others-not recognized, sense of entitlement, envious
surance required, expressing disagreement difficult, life responsibilities assumed by others, initiating projects difficult, alone, nurture seeking, companionship sought urgently when one ends, exaggerated fears of caring for self
affect, indifferent to criticism/praise, sexual little interest, tasks solitary, absence of close friends, neither denies/enjoys close relationships, takes pleasure in few activities
conform to law, obligations ignored, reckless disregard for safety, remorseless, underhanded, planning insufficient, temper
preoccupies thoughts in social settings, restraint in relationships due to fear of shame, inhibited in new relationships, needs to be sure of being liked before engaging, gets around occupational activities involving interpersonal contact, em- barrassment, self view of inferior
SCRIMPER: stubborn, cannot discard worthless objects, rule obsessed, inflexible, miserly, perfectionistic, excludes leisure, reluctant to delegate
: glutamate
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cypromine
anticholinergic side effects, hepatocellular jaundice, arrythmia, anorexia
fluvoxamine, fluoxetine, sertraline, paroxetine, escitalopram, citalopram
dizziness, serotonin syndrome, stimulated CNS, reproductive/sexual dysfunction, insomnia
ziprasidone, clozapine, olanzapine, quetiapine, aripiparzole
schizophrenia and bipolar
thioridazine, perphenazine, fluphenazine, chlorpromazine
sedation, hypotension, akathisia, dermatological SEs, extrapyramidal
carbs and good times. oxcarbmazapine, lamotrigine, lithium, valproic acid, carbamazepine, gabapentin, topiramate
desvenlafaxine, venlafaxine, & duloxetine
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blockers, gabapentin, hydroxyzine, guanfacine, clonidine, prazosin
Diazepam, lorazepam, temazepam, midazolam, alprazolam, chlordiazepoxide
dation, Seizures
disulfiram, acamprosate, naltrexone, topiramate
Carbamazepine Lamotrigine