Georgette Review PMHNP 2024-2025 Edition. Real Exam Questions & Answers. Graded A+, Exams of Nursing

Download Georgette Review PMHNP 2024-2025 Edition. Real Exam Questions & Answers. Graded A+ and more Exams Nursing in PDF only on Docsity! Georgette Review PMHNP 2024-2025 Edition. Real Exam Questions & Answers. Graded A+ A 16-year off boy presents with a long head, large ears, and hyper extensible joints, is very shy, and starts rocking and flapping his hands when he is upset. Which of the following is your most likely diagnosis? A. Tourette disorder B. Autism C. Fragile X D. Rett disorder - ANSFragile X a 17 year old arrives at the emergency department with nonspecific complaints The patient's temperature is 100.8, pulse rate and blood pressure are elevated, and pupils are dilated with decreased reaction to light. Two days ago, the patient began taking sertraline for the treatment of depression. the patient has a history of substance use and smoked marijuana one week ago. The diagnosis is - ANSserotonin syndrome A 23 year old woman is Brought in to to the ER after attempting to commit suicide by cutting her wrists. Which action by the PMHNP would be of highest priority initially? A. Assess her coping behaviors B. Assess her current level of suicidality C. Take her vital signs D. Asess her health history - ANStake her vital signs A 24 year olf female attempts suicide by overdose on an MAOI phenelzine. She is stabilized in the hospital. Ten days later she is started on venlafaxine and becomes tachycardia and diaphoretic, and develops myoclonic jerks. What condition is this? A. NMS B. Opisthotonos C. Akathisia D. Serotonin syndrome - ANSserotonin syndrome a 48 year off Caucasian male presents for his therapy appointment. He is sad about losing his wife recently to covid 19. He reports feeling thoughts of hurting himself. He has a past history of overdosing on propranolol several years ago. Which of the following places him at higher risk of suicide? A. Previous attempt B. Age C. Gender D. Marital Status - ANSA previous attempt A 64 year old caucasian male referred for treatment of refractory depression by his PCP reports continued lack of purpose, insomnia, decreased energy, reduced interest in pleasurable activities since losing his wife hit by a drunk driver 3 months ago. Which of the following is an assessment priority? A. Prior and current meds, dose, clinical response, side effects. B. Thoughts of self-harm, plan, intent, access C. Extent of alcohol use, and motivation to reduce to safe levels D. Sleep patterns and hygiene - ANSthoughts of self-harm, plan, intent, access A 69 year old man with diagnosis of delirium has symptoms of psychosis which include frightening auditory and visual hallucinations and paranoid delusions. Which of the following medications should be chosen first for this man's symptoms? A. Haloperidol B. Quetiapine C. Valium D. Olanzapine - ANShaloperidol. A 72 year old is brought in by her husband with increasing forgetfulness, decreased activity, and decreased appetite for 2 months. She has a history of hypertension and is being treated with lisinopril. The exam is normal and the mini mental status exam provides a score of 24 but she declines to answer some questions and needs to be urged to participate in the assessment. What is the most likely diagnosis? A. Alzheimers disease B. Vascular dementia C. Depression D. Delirium - ANSdepression A client experiencing difficulties with working memory, planning, and prioritizing, insight into his problems, and impulse control presents for assessment. In planning his care, the PMHNP should apply his knowledge that these symptoms represent problems with the A. frontal lobe B. Temporal lobe C. Parietal lobe D. Occipital lobe - ANSfrontal lobe A client presents with complaints of changes in appetite, feeling fatigued, problems with sleep-rest cycle, and changes in libido. What is the neuroanatomical areas off the brain that is responsible for the regulation of these functions? - ANSHypothalamus A client says to the PMHNP, Some days life is just not worth it. All my wife and I do is fight and scream. Things at home were be calmer and simpler if I just wasn't there anymore." The most therapeutic response is: A. Do you mean yo are thinking about leaving your wife to moving out?" B. Tell me what you mean by "it would be simpler if you weren't there anymore." C. So you are thinking suicide might be an option for you? noreip serotonin ADPIER - ANSAssessment, diagnosis, Plan, intervention, evaluate, refer out last. Adverse effects of depakote - ANSalopecia hepatotoxicity (RUQ pain or brown/red urine--order LFTs) AST 5-40, ALT 5-35, yellowing of skin or eyes, fatigue Adverse reaction to Lamictal - ANSSteven Johnson's Syndrome Age of onset of schizophrenia in females - ANS25-35 Age of onset of schizophrenia in males - ANS18-25 Aimed at decaying disability and severity - ANStertiary Aimed at deceasing the number of new cases - ANSprimary prevention Alzheimers is cortical or subcortical dementia - ANScortical Amphetamines are approved in children as young as - ANS3 amygdala - ANSregulated emotion mediates mood emotional memories/meanings, fear, anxiety, stress emotion, aggression amygdala= - ANSemotional memory An 81 year old female with a history of vascular dementia is brought to the hospital for increased agitation and UTI. Which of the following features most distinguishes the effects of delirium from dementia? A. Altered level of consciousness B. Behavioral disturbances C. Cognitive deficits D. Language difficulties - ANSaltered level of consciousness Antabuse shouldn't be taken for at leas ________________ after drinking - ANS12 hours. Any form of screening is what Level of prevention - ANSsecondary Appraisal of the patient's SI plan, intent and access to implement plan would be documented in which part of standard psychiatric evaluation A Review of symptoms. B. Diagnosis C. Mental status exam D. History of presenting illness - ANSC mental status exam Area for expressive speech - ANSfrontal lobe Broca's Area Area for receptive speech and language comprehension - ANSTemporal lobe Wernicke's area Area of sensorimotor information exchange between two hemispheres - ANScorpus callosum Argues with authority - ANSoppositional defiant disorder Autism - ANSdeficits in social communication and social interaction across multiple settings autonomy vs shame and doubt - ANSearly childhood 1-3 years Avoid which class in delirium as it tends to prolong it - ANSbenzos babinski reflex normal until - ANSage 2 Baseline labs before initiation of lithium - ANSTSH creatinine (0.6-1.2) BUN (10-20) HCG (all psychotropics females 12-51) EKG 50+ Urinalysis (check for proteins, 4+ may indicate kidney disease) Before implementing/creating change of policy - ANSassess/address/identify potential organizational barriers and facilitators meet with stakeholders Bipolar Mnemonic (DIG FAST) - ANSDistractibility impulsivity grandiosity flight of ideas agitation, psychomotor sleep need decreased talkativeness, pressured speech Blockade of dopamine in this pathway can lead to increased prolactin levels - ANStuberoinfundibular pathway Both hemispheres of the brain are connected by the - ANScorpus callosum Bulimia, weight is ___________ - ANSwithin the normal range. Bull Shit CRAP GPS Induces my rage - ANSBarbituates St. Johns Wart Carbamazepine Rifampicin Alcohol Phenytoin Griseofulvin Phenobarbital Sulphonylureas CAGE screening tool - ANScut down, annoyed, guilty, eye opener Carbamazepine (tegretol) black box warning - ANSagranulocytosis (decrease WBCs) aplastic anemia (pallor, fatigue, HA, fever, nosebleeds, bleeding gums, skin rash, SOA) Carbamazepine and asians - ANSScreen for HLAB-1502 allele before initiating, due to high incidence of SJS if positive for allele. care is provided on a fair and equal basis - ANSjustice Cause of schizophrenia - ANSintrauterine insults prenatal exposure to toxins, including viral agents Cause of tourettes - ANSdopamine --hyperactivity of the dopamine system. caused by cardiovascular disease. Common in hypertension and CVD - ANSvascular dementia Cerebellum is responsible for - ANSgross motor skills fine motor skills balance Characteristics of therapeutic relationship - ANSGenuineness Acceptance Nonjudgment Authenticity Empathy Respect Professional boundaries Child-bearing aged women - ANScheck for pregnancy before starting mood stabilizer drug causes the opposite effect of the agonist. Binds to the same receptor but closes the channel - ANSinverse agonist drug does not fully activate the receptor - ANSpartial agonist Drugs/classes that can cause serotonin syndrome - ANSSSRI/TCA/MAOI/SNRI During patient education on sertraline, the PMHNP focuses upon the potential side effect of A. agranulocytosis B. hypernatremia C sexual dysfunction D weight loss - ANSsexual dysfunction emotional or behavioral reaction to a stressful event or change in person's life within 3 months of it happening. - ANSadjustment disorder Emphasizes accepting freedom and making responsible choices - ANSexistential therapy evidence from at least one RCT - ANSlevel 2 evidence evidence from systematic review or meta analysis of many RCTs - ANSlevel 1 evidence Exam ised to quantify cognitive status in adults - ANSmini mental status exam or may say Folstein Examples of subcortical dementia - ANSHuntington's disease Parkinson's disease AIDS dementia complex Exceptions to confidentiality - ANSpatient revels an intent to harm self or others. answering court orders, subpoenas, or summonses Excess dopamine in this area causes positive schizophrenic symptoms - ANSmeoslimbic pathway excessive worry more than 6 months - ANSGAD Executive functioning, thinking, planning, organizing, and problem solving, emotions, and behavioral control, personality - ANSfrontal lobe Extreme muscle regidity Mutism elevated CPK Myoglobinura (cherry colored urine) Elevated WBCs Elevated LFts - ANSsigns of NMS False belief firmly maintained despite evidence to the contrary - ANSdelusion Family systems therapy (VERY HIGH YIELD) - ANStriangles, triangulation, self- differentiation triangles are not good for the family Fetal alcohol syndrome - ANSEverything is low low weight, small features of the face. First line agent for psychotic symptoms of dementia - ANSantipsychotics avoid benzos First line pharm treatment for depression due to safety - ANSSSRIs/SNRIs Folstein/mini mental status registration/ability to learn new material - ANSrepeat after me, bed, bat, ball For 12 years, a 65 year old patient with bipolar affective disorder has been treated with lithium 900 mg daily. When oral HCTC 12.5 daily is added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium level is 2.0. The interaction of the lithium and the thiazide diuretic has induced: A. hypokalemia B. hyponatremia C. Increased renal clearance of lithium D. Decreased renal clearance of lithium - ANSA. decreased renal clearance of lithium For monitoring neutropenia in Clozaril, monitor - ANSANC Fragile X syndrome - ANSall their facial structures are larger. Freud Anal Stage - ANS1-3 years Erogenous zone: anus Freud Genital stage - ANS•puberty-adulthood •sexual urges reawaken & are directed to an individual outside the family circle •unresolved conflicts from previous stages arise •if conflict is resolved, capable of having a mature adult sexual relationship Freud latent stage - ANS6 to puberty Representation of sexual feelings Freud Oral Stage - ANS0-1 Erogenous zone: mough Freud Phallic Stage - ANS3-6 years Erogenous zone is genitals generatively vs stagnation virtue - ANScare key event: parenting Generativity vs stagnation - ANSmiddle adultgood 35-65 years goal of case management - ANSpromote quality and cost-effective outcomes. Goal of DBT - ANSreduce suicidal behaviors Goals of Assertive COMMUNITY Treatment - ANShelp people become more independent and integrate into the community reduce reliance on hospitals providing around the clock care. grasp palmar reflex disappear by - ANS5-6 months Hallmark signs of vascular dementia - ANScarotid bruits, fundoscopic abnormalities, and enlarged cardiac chambers Hallmarks of ADHD - ANSpersistent pattern of inattention or hyperactivity, impulsivity, or both. Hallmarks of antisocial personality - ANSreckless disregard for welfare of others lack of remorse indifference to the feelings of others INCREASED HOMICIDAL IDEATION --HIGH YIELD Hallmarks of borderline personality disorder - ANSimpulsivity with self-damaging behavior Recurrent suicidal behavior heat intolerant - ANShyperthyroid Highest rate of suicide in US - ANSnative Americans How many releases of information are required to release information on patients chemical and psychiatric care to a third party - ANS2 John is a 58 year old male patient with Bipolar 1 disorder and has been stable for 5 years on valproate and Seroquel. He was recently started on Flonase by his primary care. As the PMHNP, you are concerned that the addition of the Flonase may cause A. A hypertensive crisis B. SJS C. NMS D. a manic episode - ANSa manic episode Justification for an uncceptable behavior - ANSrationalization Lamotrigine is least likely to cause - ANSsedation or weight gain Limbic system responsible for - ANSemotions and memory Lithium - ANSNormal 0.6-1.2 Lithium has evidence shown to - ANSreduce suicidal ideation Lithium is gold standard for - ANSMANIA Lithium toxicity occurs at levels - ANS> 1.5 MAOI + tyramine causes - ANShypertensive crisis Mary is a 45-year-old African American female who has been treated on Isocarboxazid (Marplan) for over 6 years. Mary is going in for a surgical procedure. Which medication is strictly contraindicated with Isocarboxazid? A. Morphine B. NSAIDS C. Methylphenidate D. Acetaminophen - ANSAnswer: Methylphenidate Med used to increase GABA - ANSbenzos Fred flinstone needs a Zanny, Gabba dabba do. Medication that will make patient physically ill if combined with alcohol - ANSdisulfiram (Antabuse) Medications causing depression - ANSsteroids beta blockers interferon accutate some retroviral drugs antineoplastic drugs benzos progesterone Medications that can cause mania (very high yield) - ANSSteroids Antabuse Isoniazid Antidepressants in persons with bipolar Flonase memory, understanding, language - ANStemporal lobe method that uses journaling, cognitive restructuring - ANScognitive therapy. Mnemonic for depression SIGECAPS - ANSSleep disturbance interest reduced guilt and self-blame energy loss and fatigue concentration problems appetite changes psychomotor changes suicidial thoughts Moderate level on the Beck - ANS10-29 Moderate level on the HAM-D - ANS14-18 Moderate level on the MMSE - ANS10-20 Moderate level on the PHQ-9 - ANS10-14 Moderate on CIWA - ANS15 Moderate on COWS - ANS13-24 Moderate on GAD 7 - ANS10-14 Moderate withdrawal on CIWA - ANSscoring 15 Moderate withdrawal on COWS - ANS13-24 moro startle reflex disappear by - ANS5-6 months Most abundant inhibitory neurotransmitter in the brain - ANSGABA I don't have enough GABA, my anxiety is high Most excitatory neutransmitter - ANSglutamate motivational interviewing - ANSbased on trans theoretical model of change nonconfrontational ask open ended questions empatheic patient centered affirmations of the positive traits reflective listening MSE: Though process - ANSorganization of the patient's thoughts and ideas. MSE: Thought content - ANSrefers to themes that occupy the patient's thoughts and perceptual disturbances. Suicidal ideation/plan homicidal ideation/plan Muscle spasms ninth face, neck, tongue, back/neck muscles - ANSacute dystonia Neurotransmitters involved in ADHD - ANSDNS dopamine norepineph serotonin Neurotransmitters involved in depression - ANSDNS dopamine, norepinephrine, serotonin Non psych med that can cause serotonin syndrome - ANStriptans non-harm treatment for schizophrenia - ANSACT (assertive community treatment) Non-psych med that can cause TD - ANSReglan Norepinephrine is associated with - ANSmood disorders Normal AST and ALT - ANSAST 5-40 ALT 5-35 Normal Free T4 - ANS0.8-2.8 Normal TSH - ANS0.5-5.0 NP Core Competencies - ANSScientific Foundations Leadership Quality Practice Inquiry Technology and Information Literacy Policy 2-7 years - ANSmagical thinking egocentric pretend play PICOT - ANSPatient or problem intervention comparison outcome time playing with genitals normal in ages 3-6 - ANStrue Presence of symptoms of Parkinson's produced by D2 blockade in the nigrostriatal pathway - ANSPseudo-Parkinsonism Primarily in girls normal development then decline loss of purposeful hand movements stereotypic hand movements --flapping of hands deceleration of head growth - ANSRett syndrome primary sensory area of the brain - ANSparietal lobe Problem in the brain in schizophrenia - ANSenlarged ventricles, everything else decreases Problems in the frontal lobe can lead to - ANSpersonality changes, emotional changes, and intellectual changes, social skills problems, and behavior changes problems in the occipital lobe can lead to - ANSVisual field deficits, blindness and visual hallucinations. problems in the parietal lobe can lead to - ANSSensory-perceptual disturbances and agnosia(inability to perceive objects) R-L confusion Difficulty writing (agraphia) Aphasia(difficulty of language) Problems in the temporal lobe can lead to - ANSauditory hallucinations, aphasia, and amnesia Process for quality improvement - ANSplan, do, study, act process providing a personal with visual or auditory information about the autonomic physiologic functions of his or her body. - ANSbiofeedback promise keeping, integrity, honesty being respectful, competent and professional - ANSfidelity promoting well being and doing good - ANSbeneficence Pt education for lithimum - ANSstaying hydrated avoiding NSAIDS compliance Rating scale for ADHD - ANSConnors and Vanderbilt Must monitor in two settings Rating scale of opiate withdrawal - ANSCOWS Reason TCAa are second line - ANSCan cause EKG changes More lethal if taken in overdose attempt. Reason to use ECT - ANSdepression with psychotic features treatment resistant depression Recurrent visual hallucinations Parkinson features Adversely reacts to antipsychotics - ANSLewy body dementia---recurrent visual hallucinations. redirection of an impulse (usually aggression) onto a powerless substitute target - ANSdisplacement reflective practice - ANSdebriefing strategies goal: to improve practice Rennie v Klein Court Case - ANSinvoluntary patient not found incompetent, has a right to refuse psychotropic medications, Reporting your coworker to the board of nursing........ - ANSis usually the incorrect answer. Restlessness, inability to sit still. Pacing. Mistaken for anxiety. - ANSAkathisia Risk factors for OCD - ANSfirst degree relative and PANDAS--associated with strep infection, Sarah presents for her initial intake appointment with complaints of depression. She is being treated for hypertension and asthma by her primary care provider. Knowing that certain medications can cause or exacerbate depression, you obtain a complete medication history. Which of the following medications is known to exacerbate or cause depression? A. Omeprazole B. Propranolol C. Levothyroxine D. Clarithromycin - ANSPropranolol SBIRT FRAMES - ANSFeedback--tell them about their risk of their current alcohol use Responsibility--reinforce their responsibility for change Advice--based on facts about their drinking, offer simple and direct advice Menu--provide a menu of options for behavior change Empathetic interviewing--consider their perspective. Be non-judgemental Self-efficacy--encourage person to believe they can change. SBIRT stands for - ANSScreening, Brief Intervention, and Referral to Treatment Scale to test for alcohol withdrawal - ANSCIWA Score on CIWA that warrants PRN - ANSgreater than 8 Screenings for autism - ANSADOS M-CHAT ASQ Second line for depression - ANSTCAs Seeks to create an environment that encourages individuals to report mistakes so that the precursors to errors can be better understood in order to fix system issues - ANSjust culture of safety sensitive to cold, cold intolerant - ANShypothyroid Serious effect of SSRIs - ANSserotonin syndrome Serotonin discontinuation syndrome - ANSremember similar to alcohol withdrawal flu like symptoms Serotonin is a neurotransmitter that is implicated in sleep and mood. What area of the brain has a large majority of serotonin neurons? A. raphe nuclei B. Nucleus acumbuns C. Locus coeruleus D. Amygdala - ANSraphe nuclei Serotonin is associated with - ANSsleep and mood disorder Stark Law - ANSyou can't refer to family members for treatment of your patients. Strategic therapy - ANSparadoxical intervention--tell the family member that they can worry for one hour of the day. Structural family therapy - ANSboundaries, hierarchies study of long term sequel of adverse childhood events found - ANSpositive relationship between heart disease, obesity, DM, unintended pregnancy, depression, anxiety, cancer, COPD, sleep disorders, dissociative disorders, and substance use disorder. substantia nigra - ANSmotor movements Suiciidal risk factors - ANSprevious attempt Male 45+ Female 55+ Divorced, single, separated white living alone psychiatric disorder physical illness substance abuse family history recent loss male gender Symptoms of hypertensive crisis - ANSelevated BP sudden explosive like headache facial flushing palpitations pupillary dilation diaphoresis fever symptoms of PTSD - ANShyperarousal, avoidance of stimuli associated with trauma, intrusive symptoms Tarasoff principal - ANSduty to warn telling the truth - ANSveracity tendency of some regions of the brine to react to repeated low-level bioelectrical stimulation, by progressively boosting synaptic discharges, thereby lowering seizure threshold (alcohol and benzos) - ANSkindling Teratogenic effects of benzos - ANSfloppy baby, cleft palate teratogenic effects of depakote - ANSneural tube defects/spina bifida Teratogenic effects of Depakote - ANSspina bifida teratogenic effects of lithium - ANSebstein anomaly (heart defect) (avoid, especially 1st trimester) Teratogenic effects of tegratol - ANSneural tube defect thalamus - ANSsensory relay for smell emotions, memory, and regulated affective behaviors The drug binds to the receptors and activates a biological response (opens the ion channel) - ANSagonist effect The neuroprotective treatment of choice for bipolar disorder is - ANSlithium The study of what the drug does to the body. - ANSPharmacodynamics therapy that changes the clients irrational beliefs and negative cognitive disortions - ANScognitive therapy. therapy that focuses on interpersonal issues causing distress to understand manage relationship problems - ANSinterpersonal therapy therapy that is person centered self-directed growth self-actualization - ANSHumanistic therapy therapy used for PTSD Goal: achieve adaptive resolution relate trauma from a negative thought to a positive thought - ANSEMDR Things to monitor and labs while on antispychotic - ANSserum glucose, serum lipid panel, weight, BMI, waist to hip ratio. liver and kidney function CBC Tourette's - ANSAt least 2 motor tics and at least one vocal tic have been present. Transtheoretical Model of Change - ANSPrecontemplation Contemplation Preparation Action Maintenance Relapse Treat COWS when score is greater than - ANS7 treatment approach that does not focus on full symptom resolution but emphasizes resilience and control over problems and life. Recovery isn't about getting rid of the problem, but recognizing and fostering their abilities, interests, and dreams. - ANSRecovery Model Treatment for akathisis 1st line 2nd line 3rd line - ANS1st: beta blocker 2nd: Cogentin 3rd: bnzodiazepine Treatment for Borderline - ANSDBT Treatment for CIWA - ANSscheduled meds plus diazepam treatment for conduct disorder - ANStarget mood and aggression. Treatment for COWS - ANSBuprenorphine (Suboxone) treatment for cultural syndrome - ANSbrief supportive therapy Treatment for hypertensive crisis - ANSDC offending agent Administer PHENTOLAMINE Treatment for NMS - ANSDC Offending agent Bromcriptine (parlodel) Dantrolene (muscle relaxant treatment for ODD - ANStherapy Treatment for pseudo parkinsonism - ANScogentin Treatment for serotonin syndrome - ANSDC offending agent Cyprophentadine Treatment for TD - ANSStop offending antipsychotic, reduce the dose, or switch to clozapine. COGENTIN WORSENS IT When treating older adults, you should keep in mind that they are more sensitive to issues of drug toxicity because of which of the following reasons? A. Decreased body fat B. Increased liver capacity C. Decreased protein binding D. Increased muscle concentration - ANSDecreased protein binding Where in the brain are abnormalities found causing ADHD - ANSfrontal cortex --high yield basal ganglia abnormalities in the reticular activating system Where is norepinephrine produced - ANSlocus coeruleus and medullary reticular formation Which characteristic of fluoxetine provides the greatest degree of safety for patients who have severe depression A. Greater efficacy than an TCA B. Less potential drug interaction C. Less potential for injury with intentional overdose. D. Less potential for suicidal thinking. - ANSless potential for injury with intentional overdose. Which cytochrome enzyme is implicated as a tobacco inducer when an individual is treated with clozapine a. 2D6 b. 1A2 c. 2C19 d. 2C9 - ANS1A2 (want A 2 cigarette break) Which if the following antidepressants is associated with the most cardiovascular side effects? - ANSCitalopram--causes QT prolongation Which mood stabilizer is associated with potential life-threatening rash in the Asian population? A. Carbamazepine (tegretol) B. Depakote C. Lithium D. Lamictal - ANSA. Carbamazepine Which of the following medications has a unique mechanism that is both a norepinephrine and dopamine reuptake inhibitor? A. Bupropion (Wellbutrin) B. Sertraline (Zoloft) C. Clomipramine (Anafranil) D. Duloxetine (Cymbalta) - ANSbupropion Which of the following patients is at higher risk of suicidie? A. 30 year old married African American female with previous attempt B. A 35 year old single Asian male with previous suicide attempt C. A 38 year old single African American male who is manager of a bank D. A 68 year off single Caucasian male with depression - ANSD. 68 year old single, caucasian male, depression Which of the following physical exam findings would help the PMHNP differentiate anorexia nervosa from bulimia nervosa? A. Russell sign B. Low BMI C. Erosion of dental enamel D. Hypertrophy of salivary glands - ANSLow BMI Which of these brain structures puts emotional meaning on a stimulus, forms, emotional memories and is involved with rage and fear - ANSamygdala Which serotonin receptor antagonism makes an antipsychotic "atypical" - ANS5HT2A Which type of dementia can cause depression, motor symptoms, and apathy - ANSsubcortical While working with an older male client, the nurse begins to think that the client reminds her of her grandfather and responds as if she is the granddaughter. The nurse is developing which of the following? A. Empathy B. Modeling C. Transference D. Countertransference - ANSD Countertransferance who identifies our scope of practice - ANSstate board of nursing Who invented DBT - ANSMarsha Linehan used for borderline personality disorder with liver damage ALT - ANSrises to 50x normal Yalom's Curative Factors - ANS- Altruism: giving of oneself to help others - Catharsis: relieving of emotions by expressing one's feelings - Universality: recognizing shared feelings and that one's problems are not unique - Existential factors: address accepting the fact that respons. for change comes from w/in oneself - Self-understanding: discovering and accepting unknown parts of oneself - Family reenactment: understanding what is was like growing up in one's family through group exp. - Guidance: accepting advice from other members - Identification: benefiting from imitation of the positive behaviors of other group members - Instillation of hope: experiencing optimism through observing improvement of other members - Interpersonal learning: occurs when receiving feedback from grp members re: one's bx (input), learning successful ways of relating to group members (output) You are treating a client with schizophrenia who takes clozapine. What lab values will indicate the client needs to discontinue treatment? A. WBC less than 1800 and ANC less than 1200 B. ANC less than 1,000 C. WBC less than 5,000 D. ANC less than 2000 - ANSAnswer: ANC less than 1000 Your patient with bipolar disorder is admitted to a medical hospital. The internist contacts your office and asks whether the lithium you prescribed him is effecting his ECG. How do you respond? A. Lithium can prolong the QT interval B. Lithium has no effect on his ECG C. Lithium can invert the t waves D. Lithium can shorten the PR interval - ANSAnswer: Lithium can invert the t waves.