Key Points Flashcards
PMHNP
Should you prescribe stimulants for Tics?
No. Intuniv or Strattera if the client is older than 6
Can SSRI’s cause anxiety in older adults?
Yes
Which antipsychotic causes less QT Prolongnation?
Latuda
Can you adjust a medication not in your scope of practice?
No, you need to collaborate with the other Provider. You can adjust the psychiatric medications because it is within your scope of practice.
What clients can benefit from Journaling?
BPD
What age can you diagnose Personality Disorders?
18 years or greater
Which personality disorder is similar to Schizophrenia?
Schizotypical, no typical delusions or hallucinations
What are some characteristics of ODD?
Occurs between the ages 6-17; usually not aggressive; therapy is the main focus with the child and parents
What SNRI used off label for ADHD?
Wellbutrin; if a client has depression and ADHD, you can use Wellbutrin to treat both
What is proteins are increased with autoimmune disease?
Cytokines
Can infection lead to increase CRP and WBC?
Yes
What histamine is implicated in insomnia?
H1 Receptors
What brain waves associated with insomnia?
Alpha brain wave activity
What are risk factors for insomnia?
Obesity, diabetes, smoking, HTN, and narrow airway
What lab is increased with Rheumatoid Arthritis?
Erythrocyte Sedimentation Rate (ESR)
What should you expect for an infant with and shrill like cry?
Increase intracranial pressure
What antidepressants may be used in clients with cancer?
Citolopram, Escitalopram, and Sertaline. Sertraline with less drug to drug interactions.
What antidepressants may be used in clients that are pregnant?
Sertraline
What mood stabilizer may be used in pregnancy?
Lamictal
What antidepressants can cause increase BP?
SNRI’s
What medications cause the least sexual side effects?
Wellbutrin and Remeron
Tegretol may decrease oral contraceptions levels if taking both. How do you treat the client?
Educate the client about the risk of becoming pregnant and using other precautions to prevent pregnancy.
What is the primary treatment for MTHFR?
Primarily affects Folate. May use vitamin b12 as a supplement.
What anti-anxiety may be used in pregnancy?
Buspar
What enzyme is responsible for digesting alcohol in our body?
Alcohol dehydrogenase
Women have less quantity of Alcohol dehydrogenase compared to men.
True. Reason why women are prone to become more toxicated than men.
If a client test positive for Romberg or Trendelenburg test, what do you do as a PMHNP?
Refer them out
What is the priority if the child complains of abuse in the presence of the parents?
Notify CPS. Then you can conduct the interview separately with the child and parent. Safety first.
What is the priority if the child complains of abuse in the absence of the parents?
Notify CPS. Safety first
