Key Points

Question 1

Should you prescribe stimulants for Tics?

Answer 1

No. Intuniv or Strattera if the client is older than 6

Question 2

Can SSRI’s cause anxiety in older adults?

Answer 2

Yes

Question 3

Which antipsychotic causes less QT Prolongnation?

Answer 3

Latuda

Question 4

Can you adjust a medication not in your scope of practice?

Answer 4

No, you need to collaborate with the other Provider. You can adjust the psychiatric medications because it is within your scope of practice.

Question 5

What clients can benefit from Journaling?

Answer 5

BPD

Question 6

What age can you diagnose Personality Disorders?

Answer 6

18 years or greater

Question 7

Which personality disorder is similar to Schizophrenia?

Answer 7

Schizotypical, no typical delusions or hallucinations

Question 8

What are some characteristics of ODD?

Answer 8

Occurs between the ages 6-17; usually not aggressive; therapy is the main focus with the child and parents

Question 9

What SNRI used off label for ADHD?

Answer 9

Wellbutrin; if a client has depression and ADHD, you can use Wellbutrin to treat both

Question 10

What is proteins are increased with autoimmune disease?

Answer 10

Cytokines

Question 11

Can infection lead to increase CRP and WBC?

Answer 11

Yes

Question 12

What histamine is implicated in insomnia?

Answer 12

H1 Receptors

Question 13

What brain waves associated with insomnia?

Answer 13

Alpha brain wave activity

Question 14

What are risk factors for insomnia?

Answer 14

Obesity, diabetes, smoking, HTN, and narrow airway

Question 15

What lab is increased with Rheumatoid Arthritis?

Answer 15

Erythrocyte Sedimentation Rate (ESR)

Question 16

What should you expect for an infant with and shrill like cry?

Answer 16

Increase intracranial pressure

Question 17

What antidepressants may be used in clients with cancer?

Answer 17

Citolopram, Escitalopram, and Sertaline. Sertraline with less drug to drug interactions.

Question 18

What antidepressants may be used in clients that are pregnant?

Answer 18

Sertraline

Question 19

What mood stabilizer may be used in pregnancy?

Answer 19

Lamictal

Question 20

What antidepressants can cause increase BP?

Answer 20

SNRI’s

Question 21

What medications cause the least sexual side effects?

Answer 21

Wellbutrin and Remeron

Question 22

Tegretol may decrease oral contraceptions levels if taking both. How do you treat the client?

Answer 22

Educate the client about the risk of becoming pregnant and using other precautions to prevent pregnancy.

Question 23

What is the primary treatment for MTHFR?

Answer 23

Primarily affects Folate. May use vitamin b12 as a supplement.

Question 24

What anti-anxiety may be used in pregnancy?

Answer 24

Buspar

Question 25

What enzyme is responsible for digesting alcohol in our body?

Answer 25

Alcohol dehydrogenase

Question 26

Women have less quantity of Alcohol dehydrogenase compared to men.

Answer 26

True. Reason why women are prone to become more toxicated than men.

Question 27

If a client test positive for Romberg or Trendelenburg test, what do you do as a PMHNP?

Answer 27

Refer them out

Question 28

What is the priority if the child complains of abuse in the presence of the parents?

Answer 28

Notify CPS. Then you can conduct the interview separately with the child and parent. Safety first.

Question 29

What is the priority if the child complains of abuse in the absence of the parents?

Answer 29

Notify CPS. Safety first