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PMHNP Boards > LMR part 2 > Flashcards

LMR part 2 Flashcards

1
Q

Irvin Yalom characteristics of group therapy includes what
6 characteristics?

A

a. Instillation of hope
b. Universality
c. Group cohesiveness
d. Altruism
e. Interpersonal Learning
f. Appreciative Inquiry

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2
Q

Participants develop hope for creating a different life. Members are at different levels of hope, so they gain from others

A

Instillation of hope definition

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3
Q

Discover that others have similar problems, thoughts, feelings – they are not alone

A

Universality Definition

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4
Q

Attraction to group and others – sense of belonging

A

Group cohesiveness Definition

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5
Q

Sharing oneself with another and helping others

A

Altruism Definition

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6
Q

Interacting with others increases adaptive interpersonal relationships

A

Interpersonal learning definition

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7
Q

An approach to organization changes which focus on strengths rather than weaknesses

A

Appreciative Inquiry definition

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8
Q

What is PICA?

A

Eating things that are not food such as paint chips. (may be a sign of lead poisoning)

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9
Q

What are two neurotransmitters in Addiction?

A

GABA and Dopamine

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10
Q

Delusion definition

A

a. Firm belief maintained despite of evidence of the contrary
b. Cult
c. Church members are part of cult

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11
Q

What does it mean when a patient with anorexia complains of pain after eating/bloated/fullness?

A

Delayed Gastric Emptying

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12
Q

What three medications can delay gastric emptying?

A

a. Ranitidine
b. Famotidine
c. omeprazole

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13
Q

What medications can decrease the absorption of psychotropics? How long to wait between these two medications?

A

a. Antacids + PPI
b. Wait 2 hours between psychotropic and antacid administration

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14
Q

SSRIs can cause what in older adults?

A

It can cause increased anxiety

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15
Q

Make sure to avoid certain medications that cause paradoxical effect, what is an example of paradoxical effect?

A

This means that it causes the opposite effect.
Benzos is a medication that can have a paradoxical effect.

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16
Q

Citalopram can cause what?

A

Can cause QT prolongation

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17
Q

Citalopram:
a. Do not give adults more than how many mg daily?
b. What about older adults?

A

a. Adults more than 40mg a day.
b. Older adults no more than 20mg a day

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18
Q

Apoptosis definition

A

Death of a cell/neuronal loss

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19
Q

What is one way to assess depressed mood, emotional lability, and irritability?

A

Administer Mood Questionnaire

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20
Q

Sleep disorders or nightmares in children: What to assess and why?

A

Assess family patterns of nightmares due to genetic factors.

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21
Q

What are signs of lead poisoning? (Just read)

A

Developmental delay, learning difficulties, irritability, loss of appetite, weight loss, sluggishness/fatigue, abdominal pain, vomiting, constipation, hearing loss, seizures, PICA

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22
Q

What do you do for lead poisoning?

A

Order test for lead.
Lead is found in rural 1970s houses

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23
Q

When taking care of an infant that is about to die, it is important to what?

A

Give child to parents to allow to grieve for their loss.

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24
Q

Normal grief and loss in children (just read)

A

a. Psychoeducation on grief reactions/response
b. Encourage support group
c. Grief responses vary = no protocol on how to grieve.

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25
Q

Normal grief and loss in children example

A

a. If child lost mom, do not tell dad how child should grieve.
b. It’s most important to have intact family to make child adapt easily.

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26
Q

What are the neurotransmitters in mood disorders?

A

a. Dopamine, Norepi, Serotonin (DNS)
b. GABA
c. Glutamate

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27
Q

What are risk factors for osteoporosis?

A

a. smoking, caffeine,
b. Lack of weight bearing exercise,
c. Lack of diet rich in calcium and Vit D.

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28
Q

Enmeshment definition

A

The relationship between two or more people in which personal boundaries are unclear.

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29
Q

Enmeshment example

A

This can occur during countertransference- Therapist might be too emotionally attached to patient where boundaries are unclear.

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30
Q

What are the key elements of mindfulness meditation technique?

A

a. Breathe awareness
b. Awareness of body sensation, thoughts or sounds

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31
Q

What can help build resilience in children?

A

Self esteem building exercises

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32
Q

When are yes/no, close ended questions appropriate? Example?

A

a. Unable to construct a chronological narrative
b. Ex: 10-year-old child who cannot construct a chronological narrative – use yes/no

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33
Q

You scheduled an appointment with a couple but only one showed up. What do you do next?

A

Reschedule appointment until both can be present

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34
Q

You are working in an office setting and you find out that a patient’s 5-year old son got sodomized/raped by 16 sister, what are the steps you have to do to handle this?

A

Do not let 5 year old alone with sibling, report to CPS, and arrange crisis therapy.

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35
Q

What is the Freud Phallic stage and what age?

A

The stage where 3-6 year olds play with their genitals and it’s normal

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36
Q

Boys develop enlargement/swellings/tenderness under nipples: What are the ages and when does it disappear?

A

They are ages 9-16 years old.
It disappears within 6 months.

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37
Q

What increases in rheumatoid arthritis?

A

Erythrocyte sedimentation rates (ESR)

38
Q

An infant has a shrill/high pitched cry. What do you suspect?

A

They have increased intracranial pressure

39
Q

An elderly female patient/post-menopausal woman is complaining of a decreased sex drive. What can this indicate?

A

a. Decreased levels of testosterone.
b. Decreased blood flow of the pelvic region

40
Q

Alcohol dehydrogenase definition

A

ETOH tolerance? This means that women are more likely to get drunk compared to men because they have a decreased amount.

41
Q

Men are more likely to develop ETOH induced liver compared to women: True or false

A

False
Women are more likely to develop ETOH induced liver problems copared to men.

42
Q

When psychiatric care provider added to a non- psych practice like OBGYN = increase mental health access

A

Just read

43
Q

Palmar reflex/grasp = until how many months?

A

This is when they grab someone’s finger.
5-6 months

44
Q

Moro reflex/grasp = until how many months?

A

This is when they startle because they feel like they are falling.
Until 5-6 months

45
Q

Babinski reflex/plantar = until how long? When should toes go inwards? How old for outwards?

A

a. Until 2 years- This is when toes go outwards
b. After 2 years is when toes go inwatds

46
Q

What is Phosphodiesterase (PDE5)? What it’s used for?

A

a. Viagra
b. Used for sexual dysfunction
c. It is rapidly absorbed

47
Q

What to check if a patient has Macrocytic normochromic anemia?

A

Check Vit B12 and folic acid

48
Q

Adolescents ADHD = substance use. Ex: you read an article and found out that adolescents with ADHD have a higher substance use – apply in your practice by screen all adolescent ADHD patients for substance use OR screen all substance use patients for ADHD

A

Just read

49
Q

What is acupuncture used for?

A

Used for pain and depression.

50
Q

What does Habeas corpus mean?

A

It’s the legal principal that protects patients against unlawful hospitalizations (mental illness)

51
Q

Symptoms for disseminated encephalomyelitis? Common in who?

A

Symptoms =
a. weakness
b. ataxia
c. confusion
d. paresthesia.

Common in children

52
Q

What does a provider do who someone who has asymmetrical body movements on extremities?

A

The complete a neuro exam for diagnosis

53
Q

PICOT- What level is evidence from systematic review or meta-analysis of all relevant RCTs?

A

Level 1

54
Q

PICOT- What level is evidence obtained from at least one well-designed RCT

A

Level 2

55
Q

What to review to establish patient diagnosis? What to do if unable to remember?

A

Review timeline of their symptoms.
If unable to remember, use anchor memory technique/link memorable events

56
Q

What is an example of something that is based on evidence?

A

Current journal articles

57
Q

What to do before you start a patient on a medication?

A

Assess patient’s knowledge and beliefs

58
Q

What can cause iatrogenic disease?

A

If adverse effects are not treated, this can cause iatrogenic disease

59
Q

Iatrogenic is common in what population?

A

Older adults, so assess medication history.

60
Q

What do you do if you are trying to create a policy for NPs worldwide?

A

Host online forum/survey for feedback

61
Q

What do you do if you are trying to implement a new policy at a job site but your colleagues are against you?

A

Discuss with them how new policy can improve quality of patient care

62
Q

How to ensure continuous improvement of quality care outpatient clinic?

A

Develop an instrument to monitor clinical outcomes

63
Q

How to ensure continuous quality improvement when treating patient with mental illness like depression/anxiety?

A

Use a rating scale to determine baseline scores and at regular intervals during treatment

64
Q

Autoimmune diseases increase what?

A

Increased cytokine levels

65
Q

Desmopressin can cause what?

A

Can cause enuresis (decreases urine production)

66
Q

Why can’t you look at a patient’s social media?

A

It’s violating patient’s trust

67
Q

What is an example of conflict of interest policy?

A

pharmaceutical companies promise to pay off student loans for NPs if they prescribe their medications

68
Q

If a patient is on a medication but then the FDA releases a black box warning on medication and the patient is asking you about the BB warning. What should you do?

A

Research benefits and risks of continued use of medication

69
Q

How to apply using off label use of medication?

A

Full disclosure documentation (benefits/risks) and evidence that supports off label use.

70
Q

Risk factors for sleep apnea?

A

Excess weight
obesity
DM
smoking
HTN
narrowed airways

71
Q

What does reflective practice mean?

A

Debriefing strategies after event/cause

72
Q

What some legal issues of telemed?

A

confidentiality and medical errors.

73
Q

Jurisdiction authority over what?

A

jurisdiction authority over licensure

74
Q

A SUD is attending intensive, structured outpatient program. What if they are still blaming other for their issues?

A

If they are still blaming others for their issues, they may not be ready to transfer to less intensive/less structured program.

75
Q

If SUD are able to identify coping skills?

A

They are able to transfer to less intensive program

76
Q

Tarasoff principle: What is it?

A

It is Duty to warn.
This means we can notify potential victims of imminent danger of HI clients.

77
Q

Rennie v Klein case: What is it?

A

An involuntary committed patient who has not been found competent, absent of emergency, has a qualified right to refuse psychotropic medications.

78
Q

What is Donaldson v O’connor?

A

a. Confinement
b. It is unconstitutional to commit a person involuntary (for the longest time) who is not DTO/DTS.
*Donald duck can’t be confined

79
Q

Erikson’s:
Appreciation of independence and relatedness

A

Trust vs Mistrust

80
Q

Erikson’s:
Acceptance of the cycle of life, from integration to disintegration.

A

Autonomy vs shame

81
Q

Erikson’s:
Humor, empathy, resilience

A

Initiative vs guilt

82
Q

Erikson’s:
Humility, acceptance of the course of one’s life and unfulfilled hopes

A

Industry vs Inferiority

83
Q

Erikson’s:
Sense of complexity of relationships; value of tenderness and loving freely

A

Intimacy vs Isolation

84
Q

Erikson’s:
Caritas, caring for others and agape, empathy and concern

A

Generativity vs stagnation

85
Q

Erikson’s:
Existential identify; a sense of integrity strong enough to withstand physical disintegration

A

Integrity/Ego vs Despair

86
Q

Ability to learn how things work to understand and organize.
School age: 6-12

A

Industry vs Inferiority (1)

87
Q

Ability to work, sense of competency and achievement

A

Industry vs Inferiority (2)

88
Q

Friends and classmates play a role in how children progress through this stage.

A

Industry vs Inferiority (3)

89
Q

Through proficiency at play and schoolwork, children are able to develop a sese of competency and pride in their abilities

A

Industry vs Inferiority (4)

90
Q

Unfavorable outcome; A sense of inferiority to understand and organizing

A

Industry vs Inferiority (5)

91
Q

a. Ages 2-7
b. Magical thinking is normal
c. Normal to dream about monsters

A

Piaget’s Theory: Pre-operational

92
Q

Piaget’s Theory: Formal Operational

A

a. 11+ years old
b. Abstract logic
Ex: science project, test hypothesisi.

PMHNP Boards (12 decks)

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