POSSIBLEA QUALITY UPDATED EXAMS

intense anxiety and/or avoidance of situations (eg, being in crowds or shopping malls, driving) that may be difficult to leave or in which help is not readily available if incapacitating panic-like symptoms were to develop Agoraphobia Agoraphobia is a common consequence of panic disorder, but the 2 disorders can also develop independently. True Although some clients with agoraphobia are completely homebound, many clients cope by actively ______________ situations that create anxiety; for ins...

Differential Dx - Diagnostic reasoning is the process of questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are drawn are based on evidence. This is a critical step for providers who are trying to uncover a cause, or diagnosis, for their clients' signs and symptoms. The provider's initial hypothesis is known as the differential diagnosis. The differential diagnosis, or differential, is a working list of potential problems that can be...

differential diagnosis - The provider's initial hypothesis -a working list of potential problems that can be associated with the initial or chief complaint -Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) • provides guidance for identifying psychiatric diagnoses Psychiatric assessment: History taking - -History of Present Illness -How long have you been feeling this way? -Did something happen in your life that may have triggered these emotions? -How is this current s...

differential diagnosis - The provider's initial hypothesis -a working list of potential problems that can be associated with the initial or chief complaint -Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) • provides guidance for identifying psychiatric diagnoses Psychiatric assessment: History taking - -History of Present Illness -How long have you been feeling this way? -Did something happen in your life that may have triggered these emotions? -How is this current s...

Medications for depression SSRIs SNRIs SDRIs TCAs MAOIs SSRIs -Action: inhibit 5-HT reuptake -Examples: citalopram, escitalopram, fluoxetine, paroxetine, sertraline -Adverse effects: • nausea • agitation • diarrhea • headache • weight gain • sexual side effects SNRIs -inhibit 5-HT reuptake -inhibit NE reuptake (↑ energy, focus) -increase DA in prefrontal cortex (↑ cognition) -Examples: desvenlafaxine, duloxetine, levomilnacipran, venlafaxine -Adverse ...

What should the PMHNP consider when prescribing chemical restraints? - -allergy status -prior med hx for adverse drug reactions r/t the meds ordered in the chemical restraint -state regulations regarding chemical restrains must be reviewed Are the PMHNP and other staff liable if the client has an allergic reaction or adverse side effects to the drugs used for chemical restraint? - No. The client has been court-ordered to take the prescribed medications and the standing order for chemical r...

Hypocalcemia - Deficits of Calcium cause Increased Neuromuscular Excitability. S/S: Trousseau's Chvostek Sign Diarrhea Circumoral Tingling Hyperactive Reflex Muscle twitching Dysrhythmias ECG abnormalities Decreased HF Decreased BP Anxiety, Irritability HyperCalcemia - Moans, Groans & Stones Constipation Bone Pain Stones - Renal Calculi Decreased DTR Severe Muscle weakness Cardiac Arrest: Increased HR then Decreased ECG Abnormalities: Heart Block, Short ST segments N/V ...

Slower - The Endocrine system is a major controlling system in the body that works ________ than that of the Nervous System. Nervous System - Other major body system that acts to maintain homeostasis. Hormones - The endocrine system uses chemical messengers called? nerve impulses - The nervous system uses _________ to communicate. circulatory system - What system transports hormones throughout the body? Receptors - All cells do not respond to endocrine system stimulation. Only tho...

SIADH syndrome of inappropriate antidiuretic hormone How should SIADH be managed? -treat the underlying cause (refer to table on page 1326) -monitor for fluid overload (high fluid level=high BP) -closely monitor electrolyte levels -neurologic assessments -one of the only times sodium is encouraged in diet What is the recommended fluid restriction for SIADH? 800-1000mL/day What precautions should be taken to ensure a safe environment for a patient with SIADH? -Seizure and fall precauti...

Slower - The Endocrine system is a major controlling system in the body that works ________ than that of the Nervous System. Nervous System - Other major body system that acts to maintain homeostasis. Hormones - The endocrine system uses chemical messengers called? nerve impulses - The nervous system uses _________ to communicate. circulatory system - What system transports hormones throughout the body? Receptors - All cells do not respond to endocrine system stimulation. Only tho...