Advance Practice Skills Flashcards
What is a risk factor for developing dependent personality disorder?
chronic physical disorder in childhood
How many psychiatric domains are there is the DSM 5 Self-Rated Level 1 Cross-Cutting Symptom Measure adult tool?
13
Rather than ask about the patients feelings during a loss the PMHNP should…
Express empathy and ask about the whole situation or story as a means to better understand the patient’s feelings.
Severely withdrawn patients take time to comprehend because their thinking capacity is slowed. They also face issues with concentrating. Therefore the nurse practitioner should…
speak with the patient in very ismple terms
What is a preferred antipsychotic to treat patients with psychosis who have Parkinson’s Disease?
quetiapine
Having over controlling parents brings detrimental effects to the adolescent/pediatric patient and puts them at risk for?
PTSD
A nontraditional method that helps improve brain function and cognition to further assist with building resilience is:
engaging in regular physical exercise
If a patient reports nausea and vomiting, tremors, dry mouth, sweating, and increased thirst with a recent onset what screening tool would you use?
CAGE
If you suspect a patient of Borderline Personality Disorder what behaviors should you look into to confirm this suspicion?
Receive pleasure by self-destructive activities like cutting, promiscuous sexual activities
If you suspect someone of having histrionic personality disorder what would you ask more about?
If they feel jealous often and struggle to forgive
Can the CAGE questionnaire be used to diagnose alcohol use disorder?
No only suspected alcoholism
Once a rapport is established with the patient the nurse practitioner should next…
listen to the chief complaints in order to identify the patient’s concerns and prioritize an agenda
A possible eye side effect of taking too much of a stimulant would be?
Mydriasis (abnormally large and dilated pupils)
What medication is contraindicated for a depressed/anxious patient that binges and purges?
Buproprion
what is a risk factor for cyclothymic disorder?
Having a sibling with bipolar I
What is benzatropine used for?
Anti-tremor and improve walking for Parkinsons
What cluster of symptoms would indicate atropine psychosis?
confusion, diplopia, flush, and delirium
What is the MAST test used for?
to assess how a patient has felt and if they have experienced any issues in the past 12 months due to their drinking
A single episode of a panic attack may result in the diagnosis of?
a Panic attack…an isolated attack is not enough to qualify for panic disorder
What screening tool can be used to screen for alcohol and drug use in pregnant patients?
UNCOPE
Which is the only mood stabilizer that has acne as a possible side effect?
Lithium
What are signs of early withdrawal from opioids?
increased lacrimation, rinorrhea and piloerection
What are symptoms of lithium toxicity that a patient should report?
nausea, vomiting, abdominal pain, ataxia, tremors, blurred vision,
A child with no friends, receives poor grades, talks to shadows or pictures without delusions or hallucinations likely has…and should be asked
schizoid personality…about anxiety
On the Geriatric Dementia Scale what is severe?
12-15
Yale Brown Obsessive-Compulsive Scale what is severe?
24-31
The invention of words that are meaningless to others but are understood by the patient
neologism
Repeating or mimicking what others say repetitively
Echolalia
Automatic or semi automatic imitation or mimicking of movement
Echopraxia
What age, according to Freud, does a child learn independency and control?
18 months to 3 years (anal)
learning through interacting with the environment is a component of what type of therapy?
Behavior therapy
Which type of therapy focuses on the overall needs of a human being
Humanistic therapy
The action phase of the transtheoretical change theory lasts?
less then six months
The maintenance phase of the transtheoretical change theory is how long?
Six months or longer
A medical emergency associated with the use of antipsychotics is
neuroleptic malignant syndrome
A patient treated with antipsychotics develops neuroleptic malignant syndrome (NMS) with muscle rigidity. The psychiatric-mental health nurse practitioner would expect abnormal laboratory values of
elevated creatinine phosphokinase
How does bulimia affect potassium levels?
hypokalemia
This dopamine pathway connects the ventral tegmental area to the nucleus accumbens and is associated with reward, motivation, and emotion
mesolimbic
These dopamine pathways are linked to cognitive function, executive function, and negative symptoms of schizophrenia
mesocortical
Following the proper technique of asking guided questions of the patient, the nurse practitioner will
ask for an elaborated response rather than just yes or no
The medication associated with a reduction in suicide and suicidal attempts for patients diagnosed with bipolar disorder and major depression is
lithium (Eskalith)
Which nursing standard deals with the planning and prioritization of expected outcomes and goals?
4
Which nursing standard deals with the collection of healthcare data required for diagnosis
1
Which nursing standard is related to analyzing the assessment data for diagnosis
2
Which nursing standard is related to the identification of expected outcomes and goals falls
3
Two risk factors for developing paranoid personality disorder are?
The male gender and having a relative with schizophrenia
A risk factor for obsessive-compulsive personality disorder is
having a first-degree relative with obsessive-compulsive personality disorder
What is partnering in a therapeutic relationship?
expression of commitment to the continued relationship
Substantial increases in body weight can be induced by several antipsychotic drugs, most notably olanzapine (Zyprexa) and clozapine (Clozaril). The neurobiological mechanism thought to cause weight gain is
antagonism of H1 histamine and 5-HT2C serotonin receptors
The patient has been diagnosed with Huntington’s disease. The psychiatric-mental health nurse practitioner understands the etiology of this disease is
depletion of inhibitory neurotransmitter gamma-aminobutyric acid (GABA)
While the psychiatric-mental health nurse practitioner is evaluating an older adult patient from a differing culture, the patient’s family offers a cultural explanation describing memory loss and confusion. To further assess this patient, the nurse practitioner determines that the most appropriate test is the
MINI-COG
What medication can be prescribed for aggression related to ODD?
Divalproex Sodium (Depakote)
A psychiatric-mental health nurse practitioner learns from a blood test report that a patient’s cortisol level is lower than normal. The nurse practitioner will assess the patient for?
PTSD
Too much norepinephrine may result in?
Schizophrenia
What combination of medications is helpful in treating delirium?
Haloperidol and Lorazepam
If a patient has BOTH ADHD and Tourette’s what medication should be prescribed?
Clonidine
What medication can be prescribed to help with nicotine withdrawal?
varenicline
If a patient with Parkinson’s disease has diplopia what medication should they not prescribe?
benzotropine
A patient reports insomnia lasting 2 months due to work stress. The psychiatric-mental health nurse practitioner will prescribe a drug that blocks
activities of orexin receptors
a commitment to obligation and duty that is executed as keeping promises
fidelity
When monitoring pediatric patients for bullying, it is important to recognize that girls are more likely than boys to use
relational aggression
What does the FEAR program acronym stand for?
F (feeling frightened), E (expecting bad things to happen), A (attitudes and actions that might help), R (results and rewards)
Coping Cats goal is?
recognize stressors and implement coping strategies
Another name for assisted inpatient psychiatric treatment is
involuntary commitment
Purpura is often a more serious side effect found in what medication?
amantadine
The nurse practitioner finds Russell’s sign, parotid swelling, and indications of dental caries. The nurse practitioner will evaluate for the diagnosis of
Bulimia
What neurotransmitter increases the risk for bleeding and bruising?
Acetylcholine
What resource is recommended for those with weight gain and a serious mental illness?
Dietary Approaches to Stop Hypertension (DASH) diet,
The Incredible Years BASIC program provides parents and children support through psychoeducational programs geared toward behavior and emotional disorders such as
ADHD
Alzheimer’s has what kind of plaques?
senile plaques
