NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 10 pages. Originally published on StudyMerit.
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ANCC PMHNP Exam entire exam 16 studiers today Leave the first rating Students also studied Social Science Psychology Abnormal Psychology Save Groups Flashcard sets Study guides ANCC Review Questions (PMHNP I ... 21 terms secrethappy5 Preview LMR Georgette’s PMHNP Certificati ... 249 terms Hayden_Waugh Preview PMHNP Exam Reported Questions - ... 341 terms incrediblekem1 Preview Sample Teacher sep 3-year-old masturbates, play with self, says naughty things FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6 years old - This is NORMAL for children this age. Freud stages of psychosexual development PNEUMOIC - Old Age Parents Love Grandchildren Oral (0-18 months) Anal (18 months - 3 years) Phallic (3 years to 6 years) Latent (6 to 12) Genital (12 +) ACUTE STRESS DISORDER Depression, dissociation, recurring nightmares, sleep disturbances, problems in concentrations, reliving the event, dreams, flashbacks - UP to ONE MONTH - Less than 1 month. if LONGER than 1 month=PTSD 5-year-old tells you his brother sodomized him Tell mom don't leave him alone with patient and call CPS implement crisis Child is playing with doll in a sexual way - You SUSPECT sexual abuse Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE Calling CPS to report suspected Sexual Abuse - You HAVE to report but you have to have something (assessment data) to report - Assess = FIRST 13-year-old want to smoke ask him of his plan to stop smoking Terms in this set (507) Hide definitions
MMSE/ FOLSTEIN MMSE/FOLSTEIN Mr. Folstein had Benjamin Button's disease where he was normal from 30-25 yrs old, then deteriorated mildly from 24-21 yrs old, became moderately demented from 20-13 yrs old, until he reached age 11 where it was too severe to stay at home. Beck Depression Inventory Beck was 20 yrs old when he started medication & therapy. Unfortunately, at age 31 it became too SEVERE and was hospitalized. HAM-A Hamilton A started medication & therapy at 24 yrs old for moderate anxiety. Sadly, when he turned 27 yrs old he was hospitalized for SEVERE anxiety. HAM-D Hamilton D began medication & therapy at 14 yrs old. He later had a dose increase at age 17 for MODERATE/SEVERE depression. But soon after, it became SEVERE at age 23 & he was hospitalized. PHQ-9 (Patient Health Questionnaire) Penelope Q was just 10 yrs old when she started antidepressants & therapy. At age 15, she required a dose increase due to moderate/severe depression. It helped her until she turned 20 when it became SEVERE, and she had to be hospitalized. GAD-7 scale Gary was just 10 yrs old when he was treated with meds & therapy for anxiety. Yet his symptoms still worsened and at 15 yrs old he was hospitalized for SEVERE anxiety. HAM-D score of 19? Severe. Assess for SI, treat with meds & therapy. Beck score of 20 Moderate. Confirm diagnosis and treat with meds & therapy. PHQ-9 score of 15? Moderate. Confirm diagnosis & start therapy & meds PHQ-9 score of 21? Severe. Assess for SI, start therapy & meds. HAM-D score of 23? Severe. Assess SI, treat with meds & therapy. ZUNG Score of 70? Severe. Assess SI, treat with meds & therapy SLUM > Score 0 - 20 indicate dementia; 21 - 26 = mild neurocognitive disorder; 27 - 30 = normal. What is the WHODAS scale? (World Health Organization Disability Assessment Scale)? It is used instead of GAF. Measures multiple disabilities in multiple areas (cognition, work, social and interpersonal relations). The LOWER the number, the MORE SEVERE the impairment. For example, a score of 50 through 30 indicates SI with intent; a score of 30 and under indicates the need for hospitalization.
CIWA-Ar Start symptom-treatment medication PRN at 8, standing med at 15 (1st choice Diazepam lasts longer, UNLESS liver compromised then give Ativan). COWS Score/treatment? Start PRN meds (Clonidine) at 7, give suboxone or buprenorphine at 13. Mydriasis (of pupil) Dilated pupils (withdrawal sign, give Clonidine) Miosis? Pinpoint pupils (intoxication/overdose, give Naloxone) CAGE questionnaire -cut down, annoyed, guilty, eye opener Have you ever felt you should Cut down on your drinking? Have people Annoyed you by criticizing your drinking? Have you ever felt bad or Guilty about your drinking? Have you ever had a drink first thing in the morning to steady your nerves (Eye- opener)? How long to wait to take Disulfiram after alcohol use? 12 hours Meds approved for opioid withdrawal? Clonidine, buprenephrone, suboxone Opioid Toxicity/Overdose treatment? Naloxone Mnemonic for Alcohol Dependence Treatment (DAN): D=Disulfiram, A=Acamprosate, N=Naltrexone What do you do as pmhnp if 21 yr old female comes in for eval/assessment for meds and you see she's taking Accutane? Check hcg for pregnancy. Pregnant female patient presents and she is taking Accutane and 4 other medications. What is primary intervention? D/C Accutane and check hcg. What s/e can happen with Accutane & antidepressants? Worsen Depression What are the teratogenic risks for Depakote, lithium, carbamazepine? Depakote=spina bifida, Lithium= Ebstein anomaly, Carbamazepine=neural tube defects. What can benzos cause if taking while pregnant? Floppy baby syndrome, cleft palate. When determining risk factors for suicide in test questions, Count the risk factors if given options to choose from; the most risk factors are the highest risk for suicide. No risk factor is bigger than another.
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HEAL100 · Other
HEAL100 · Other
HEAL100 · Other
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