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DSM V reviews > Advance Practice Skills > Flashcards

Advance Practice Skills Flashcards

1
Q

What is a risk factor for developing dependent personality disorder?

A

chronic physical disorder in childhood

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2
Q

How many psychiatric domains are there is the DSM 5 Self-Rated Level 1 Cross-Cutting Symptom Measure adult tool?

A

13

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3
Q

Rather than ask about the patients feelings during a loss the PMHNP should…

A

Express empathy and ask about the whole situation or story as a means to better understand the patient’s feelings.

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4
Q

Severely withdrawn patients take time to comprehend because their thinking capacity is slowed. They also face issues with concentrating. Therefore the nurse practitioner should…

A

speak with the patient in very ismple terms

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5
Q

What is a preferred antipsychotic to treat patients with psychosis who have Parkinson’s Disease?

A

quetiapine

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6
Q

Having over controlling parents brings detrimental effects to the adolescent/pediatric patient and puts them at risk for?

A

PTSD

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7
Q

A nontraditional method that helps improve brain function and cognition to further assist with building resilience is:

A

engaging in regular physical exercise

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8
Q

If a patient reports nausea and vomiting, tremors, dry mouth, sweating, and increased thirst with a recent onset what screening tool would you use?

A

CAGE

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9
Q

If you suspect a patient of Borderline Personality Disorder what behaviors should you look into to confirm this suspicion?

A

Receive pleasure by self-destructive activities like cutting, promiscuous sexual activities

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10
Q

If you suspect someone of having histrionic personality disorder what would you ask more about?

A

If they feel jealous often and struggle to forgive

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11
Q

Can the CAGE questionnaire be used to diagnose alcohol use disorder?

A

No only suspected alcoholism

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12
Q

Once a rapport is established with the patient the nurse practitioner should next…

A

listen to the chief complaints in order to identify the patient’s concerns and prioritize an agenda

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13
Q

A possible eye side effect of taking too much of a stimulant would be?

A

Mydriasis (abnormally large and dilated pupils)

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14
Q

What medication is contraindicated for a depressed/anxious patient that binges and purges?

A

Buproprion

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15
Q

what is a risk factor for cyclothymic disorder?

A

Having a sibling with bipolar I

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16
Q

What is benzatropine used for?

A

Anti-tremor and improve walking for Parkinsons

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17
Q

What cluster of symptoms would indicate atropine psychosis?

A

confusion, diplopia, flush, and delirium

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18
Q

What is the MAST test used for?

A

to assess how a patient has felt and if they have experienced any issues in the past 12 months due to their drinking

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19
Q

A single episode of a panic attack may result in the diagnosis of?

A

a Panic attack…an isolated attack is not enough to qualify for panic disorder

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20
Q

What screening tool can be used to screen for alcohol and drug use in pregnant patients?

A

UNCOPE

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21
Q

Which is the only mood stabilizer that has acne as a possible side effect?

A

Lithium

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22
Q

What are signs of early withdrawal from opioids?

A

increased lacrimation, rinorrhea and piloerection

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23
Q

What are symptoms of lithium toxicity that a patient should report?

A

nausea, vomiting, abdominal pain, ataxia, tremors, blurred vision,

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24
Q

A child with no friends, receives poor grades, talks to shadows or pictures without delusions or hallucinations likely has…and should be asked

A

schizoid personality…about anxiety

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25
Q

On the Geriatric Dementia Scale what is severe?

A

12-15

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26
Q

Yale Brown Obsessive-Compulsive Scale what is severe?

A

24-31

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27
Q

The invention of words that are meaningless to others but are understood by the patient

A

neologism

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28
Q

Repeating or mimicking what others say repetitively

A

Echolalia

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29
Q

Automatic or semi automatic imitation or mimicking of movement

A

Echopraxia

30
Q

What age, according to Freud, does a child learn independency and control?

A

18 months to 3 years (anal)

31
Q

learning through interacting with the environment is a component of what type of therapy?

A

Behavior therapy

32
Q

Which type of therapy focuses on the overall needs of a human being

A

Humanistic therapy

33
Q

The action phase of the transtheoretical change theory lasts?

A

less then six months

34
Q

The maintenance phase of the transtheoretical change theory is how long?

A

Six months or longer

35
Q

A medical emergency associated with the use of antipsychotics is

A

neuroleptic malignant syndrome

36
Q

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

A

elevated creatinine phosphokinase

37
Q

How does bulimia affect potassium levels?

A

hypokalemia

38
Q

This dopamine pathway connects the ventral tegmental area to the nucleus accumbens and is associated with reward, motivation, and emotion

A

mesolimbic

39
Q

These dopamine pathways are linked to cognitive function, executive function, and negative symptoms of schizophrenia

A

mesocortical

40
Q

Following the proper technique of asking guided questions of the patient, the nurse practitioner will

A

ask for an elaborated response rather than just yes or no

41
Q

The medication associated with a reduction in suicide and suicidal attempts for patients diagnosed with bipolar disorder and major depression is

A

lithium (Eskalith)

42
Q

Which nursing standard deals with the planning and prioritization of expected outcomes and goals?

A

4

43
Q

Which nursing standard deals with the collection of healthcare data required for diagnosis

A

1

44
Q

Which nursing standard is related to analyzing the assessment data for diagnosis

A

2

45
Q

Which nursing standard is related to the identification of expected outcomes and goals falls

A

3

46
Q

Two risk factors for developing paranoid personality disorder are?

A

The male gender and having a relative with schizophrenia

47
Q

A risk factor for obsessive-compulsive personality disorder is

A

having a first-degree relative with obsessive-compulsive personality disorder

48
Q

What is partnering in a therapeutic relationship?

A

expression of commitment to the continued relationship

49
Q

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

A

antagonism of H1 histamine and 5-HT2C serotonin receptors

50
Q

The patient has been diagnosed with Huntington’s disease. The psychiatric-mental health nurse practitioner understands the etiology of this disease is

A

depletion of inhibitory neurotransmitter gamma-aminobutyric acid (GABA)

51
Q

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

A

MINI-COG

52
Q

What medication can be prescribed for aggression related to ODD?

A

Divalproex Sodium (Depakote)

53
Q

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?

A

PTSD

54
Q

Too much norepinephrine may result in?

A

Schizophrenia

55
Q

What combination of medications is helpful in treating delirium?

A

Haloperidol and Lorazepam

56
Q

If a patient has BOTH ADHD and Tourette’s what medication should be prescribed?

A

Clonidine

57
Q

What medication can be prescribed to help with nicotine withdrawal?

A

varenicline

58
Q

If a patient with Parkinson’s disease has diplopia what medication should they not prescribe?

A

benzotropine

59
Q

A patient reports insomnia lasting 2 months due to work stress. The psychiatric-mental health nurse practitioner will prescribe a drug that blocks

A

activities of orexin receptors

60
Q

a commitment to obligation and duty that is executed as keeping promises

A

fidelity

61
Q

When monitoring pediatric patients for bullying, it is important to recognize that girls are more likely than boys to use

A

relational aggression

62
Q

What does the FEAR program acronym stand for?

A

F (feeling frightened), E (expecting bad things to happen), A (attitudes and actions that might help), R (results and rewards)

63
Q

Coping Cats goal is?

A

recognize stressors and implement coping strategies

64
Q

Another name for assisted inpatient psychiatric treatment is

A

involuntary commitment

65
Q

Purpura is often a more serious side effect found in what medication?

A

amantadine

66
Q

The nurse practitioner finds Russell’s sign, parotid swelling, and indications of dental caries. The nurse practitioner will evaluate for the diagnosis of

A

Bulimia

67
Q

What neurotransmitter increases the risk for bleeding and bruising?

A

Acetylcholine

68
Q

What resource is recommended for those with weight gain and a serious mental illness?

A

Dietary Approaches to Stop Hypertension (DASH) diet,

69
Q

The Incredible Years BASIC program provides parents and children support through psychoeducational programs geared toward behavior and emotional disorders such as

A

ADHD

70
Q

Alzheimer’s has what kind of plaques?

A

senile plaques

DSM V reviews (8 decks)

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