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PMHNP exam > The Final Final Exam > Flashcards

The Final Final Exam Flashcards

1
Q

What are the 12 Cranial Nerves?

A 
Olfactory
Optic
Oculomotor
Trochlear
Trigeminal
Abducens
Facial
Vestibulocochlear
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2
Q

What is sensitivity?

A

Likelihood of true positive results with the disease

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3
Q

What is specificity?

A

Likelihood of a true negative result in those who are healthy (disease-free)

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4
Q

Cognitive behavioral therapy seeks to blank dysfunctional thoughts and behaviors.

A

modify

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5
Q

psychodynamic therapy seeks to discover unconscious blank or blank impulses

A

sexual and aggressive

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6
Q

Motivational interviewing seeks to blank motivation to blank behavior

A

increase and change

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7
Q

Valproate therapeutic level? how often?

A

50-120 mcg/ml, Monthly for the first several months and subsequently every 6-24 months

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8
Q

Common in blank poisoning with this antiseizure medication: thrombocytopenia and neutropenia, easy bruising, bleeding that won’t stop, slow healing wounds, high fever, liver failure and dysfunction, abdominal pain, nausea, vomiting, and jaundice

A

Valproate and select antiepileptic drugs (carbamazepine)

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9
Q

Screening for this allele with geentic testing in patients with Asian ancestry is recommended prior to starting carbamazepine

A

HLA-B 1502 allele

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10
Q

Lithium therapeutic level? how often?

A

acute treatment 0.8-1.2 mmol/L; maintenance 0.6-1.0 mmol/L. Check 12 hour post dose after 4 days on medications and then every 4-5 days during initial therapy

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11
Q

Blank explains changes in self-understanding, social relationships, and one’s relationship to society from infancy through later life. Erik Erikson is the primary theorist

A

Psychosocial theory

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12
Q

Blank psychology is a perspective that emphasizes looking at the whole individual and stresses concepts such as free will, self efficacy, and self actualization. Rather than concentrating on dysfunction, blank psychology strives to help people fulfill their potential and maximize their well-being

A

Humanistic psychology

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13
Q

blank explains personality in terms of unconscious psychological process (for example, wishes and fears of which we’re not fully aware), and contends that childhood experiences are crucial in shaping adult personality. The concepts of transference, counter transference, and defense mechanisms are all components. Sigmund Freud, Carl Jung, and Alfred Adler are well known for their development of psychodynamic theories.

A

Psychodynamic theory

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14
Q

blank are characterized by their focus on the idea that how and what people think leads to the arousal of emotions and that certain thoughts and beliefs lead to disturbed emotions and behaviors and others lead to healthy emotions and adaptive behavior.

A

Cognitive theories

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15
Q

This blank model posits that health behavior change involves progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination

A

transtheoretical model

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16
Q

The mother of psychiatric nursing

A

Hildegard E Peplau

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17
Q

Patient/Population, intervention, comparison, and outcomes. What abbreviation is used?

A

PICO

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18
Q

Blank is a substance which initiates a physiological response when combined with a receptor

A

agonist

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19
Q

Blank is a substance that interferes with or inhibits the physiological action of another

A

Antagonist

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20
Q

Blank is the unsolicited repetition of vocalizations made by another person (when repeated by the same person, it is called palilalia)

A

Echolalia

21
Q

Blank is derived from the amino acid tryptophan and is synthesized in the raphe nuclei of the brain stem. Is implicated in the regulation of sleep, mood, pain, and appetitie.

A

Serotonin

22
Q

Blank is an excitatory neurotransmitter necessary for learning and memory

A

glutamate

23
Q

blank is a potent inhibitory neurotransmitter that has an effect on motor control and vision. It also regulates anxiety

A

Gamma-Glutamate

24
Q

Dopamine, norepinephrine, and epinephrine are all blank.

A

Catecholamines

25
Q

Blank is characterized by acute onset (over 1-3 days) development of symptoms including mental status changes, hyperthermia, muscular rigidity, diaphoresis, tachycardia, labile blood pressure, and dysrhythmias. Laboratory findings commonly include an elevated serum creatine phosphokinase and an elevated white blood cell count as well as electrolyte abnormalities.

A

Neuroleptic malignant syndrome

26
Q

Blank is a potentially life threatening and is characterized by mental status changes as well as neuromuscular alteration/abnormalities. Common physical findings include hyperthermia, rigidity, agitation, akathisia, tremor, dry mucus membranes, increased bowel sounds, dilated pupils, and hyperreflexia. Neuromuscular symptoms are more commonly experienced in the lower extremities. Hypertension and tachycardia are also common physicals findings.

A

Selective serotonin syndrome

27
Q

Blank1 is characterized by “lead-pipe” rigidity, whilst blank2 is characterized by hyperreflexia and clonus (involuntary muscle contractions)

A

blank1 Neuroleptic malignant syndrome

blank 2 serotonin syndrome

28
Q

Diagnosis of blank are met when the clinical presentation is dominated by at least three of the following criteria: stupor, catalepsy, wavy flexibility, mutism, negativism, posturing, mannerisms, stereotypy, agitation or excessive motor activity, grimacing, echolalia, and echopraxia.

A

catatonia

29
Q

There are no specific laboratory tests used in the diagnosis of blank, however in malignant blank the white blood cell count may be elevated, creatinine kinase may be elevated, and the serum iron level may be decreased.

A

catatonia

30
Q

Serum bicarbonate levels are not affected by malignant catatonia but may be decreased in patients with blank

A

selective serotonin syndrome

31
Q

In blank catatonia, common signs and symptoms include staring, posturing, mutism, inhibited movement and negativism. Speech and spontaneous movement may be reduced and in severe cases stupor may occur.

A

retarded

32
Q

blank catatonia is characterized by hyperkinesis, restlessness, frenzy, and combativeness.

A

Excited

33
Q

blank catatonia is a potentially life-threatening condition characterized by fever, delirium, rigidity, and autonomic instability. The symptoms of blank may also mimic those of neuroleptic malignant syndrome

A

malignant

34
Q

Signs and symptoms of what toxicity? nausea, vomiting, diarrhea, prolonged QTc interval, bradycardia, sluggishness, ataxia, confusion, tremors, and agitation. In severe cases, seizures and encephalopathy occurs

A

Lithium toxicity

35
Q

Medications with the potential to increase this drug level include NSAIDs, thiazide diuretics, ACE inhibitors, metronidazole, and tetracycline antibiotics

A

Lithium

36
Q

Potassium sparing diuretics and theophylline have the potential to decrease this medication level

A

Lithium

37
Q

blank is a lower adaptive defense mechanism defined as reacting to unacceptable thoughts or impulses as if outside of oneself

A

Projection

38
Q

blank is defined as reshaping external reality, for example, hallucinations or delusions

A

distortion

39
Q

blank is the absence of conscious awareness of behaviors of the coexistence of separate mental systems or identities

A

dissociation

40
Q

blank is the excessive use of intellect to avoid feelings or experiences

A

intellectualization

41
Q

Blank is the inability to recognize familiar objects by touch alone

A

astereognosis

42
Q

blank is the inability to recognize letters or numbers when traced on the skin

A

agraphesthesia

43
Q

MAO A or B: is responsible for the metabolization of phenylethylamine

A

MAO-B

44
Q

MAO A or B: is responsible for the breakdown of serotonin and norepinephrine

A

MAO-A

45
Q

Food and beverages that should be strictly avoid include draft beers, vermouth, all aged cheeses including any food items that contain aged cheeses, all aged smoked, pickled or cured meats, fish or poultry, soy products, fava or broad beans, any over ripened or dried fruit including avocado and bananas and all aged or fermented soy and yeast products

A

MAOs

46
Q

The six principles include safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment, choice and voice, and cultural, historical and gender issues

A

SAMHSA Trauma Informed Principles

47
Q

Allows parents to access their minor’s educational records

A

The family Educational Rights and Privacy Act, FERPA.

48
Q

Blank is a motor speech disorder in which the muscles that are used to produce speech are damaged, paralyzed, or weakened.

A

Dysarthria

49
Q

Blank is a genetic disorder in which excess copper builds up in the body. Symptoms are typically related to the brain and liver. Liver-related symptoms include vomiting, weakness, fluid build up in the abdomen, swelling of the legs, yellowish skin and itchiness

A

Wilson’s disease

PMHNP exam (6 decks)

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