pg. 1 PMHNP Exam Reported Questions with Correct Verified Answers -Latest Update 2024.
When do you assume informed consent? - ANSWER - Unconscious Incompetent Life Threatening Situation
What are the legal ramifications of treating w/o informed consent? - ANSWER - Same as with informed consent
Does the de facto rule of proxy apply in same sex marriages? - ANSWER - No.
How do Asians see HC providers? - ANSWER - As in a position of authority. Expect to give instructions and help make decisions
What does it mean when an Asian patient does not make eye contact with the NP? - ANSWER - SIgn of respect
What is the evil eye? - ANSWER - When a stronger or more powerful person looks at a weaker person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness.
How do you protect from the evil eye? - ANSWER - Red ribbon on an infant Amulet for adults
How do you treat for evil eye? - ANSWER - Access traditional healer + traditional care.
For there to be a duty to a patient, what must exist? - ANSWER – Relationship
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pg. 2 Who can declare a patient incompetent and appoint a guardian? - ANSWER - Only a court
Does impaired judgment mean one is incompetent? - ANSWER - No.
Can an advanced directive ever be revoked? - ANSWER - Yes, at any time.
What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? - ANSWER - Nothing. They are all the same.
What is a proximate cause? - ANSWER - Connection between A + B.
For there to be damages, what must exist first? - ANSWER - Negligence
What is an occurrence basis liability insurance? - ANSWER - "occurred" during the policy period, no matter when the claim is brought against the insured
What is a claims made/based liability insurance? - ANSWER - provides coverage for a claim that is brought within the policy period, no matter when the loss occurred.
Who sets the minimum requirements for NP's? - ANSWER - Board of Nursing State
What are the various controlled substance classes? - ANSWER - Schedule I - nobody has these - not good for health - heroin, PCP, MDMA, researchers can get it sometimes.
What is dissemination? - ANSWER - Getting the research information out to those who need to know it!Publication - highest level Presenting at National Conference Presenting at Local Conference 2 / 4
pg. 3 Journal Club where one person reviews an article
What does a 17 on MMSE mean? - ANSWER - Moderate cognitive impairment
What is Tegretol in the CYP450 system? - ANSWER - Inducer -->will lower dose of Lamictal and BCP's
What do BCP's do to Lamictal? - ANSWER - Inducer - will lower dose of Lamictal
What is a Type I research error? - ANSWER - There IS a difference but you say there isn't a difference.
What is a Type II research error? - ANSWER - There is NO difference but you say there is a difference.
What is pseudo-dementia? - ANSWER - Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve.
What does depakote do to Lamictal - ANSWER - Increase laminate 200%
Inducers of Cytochrome P450 (CYP450) - ANSWER - Barbiturates, phenytoin, carbamazepine, rifampin, St. John's Wort A substance that speeds up a chemical reaction
Inhibitor - ANSWER - A substance that slows down or stops a chemical reaction
cytochrome p450 inhibitors - ANSWER - CRACK AMIGOS Cimetidine Ritonavir Acute Alcohol Ciprofloxacin Ketoconazole 3 / 4
pg. 4 Amiodarone Macrolides Isoniazid Grapefruit juice Omeprazol Sulfonamides Carb and Barb - ANSWER - decrease INR
Deapkote and Disulfruram - ANSWER - Increase INR
GAL-Renall metabolized - ANSWER - Gabapentin Acamprostate Lithium
Grapefruit juice - ANSWER - One glass can reduce absorption by 47% Blood levels will be Increased
Trazodone (Desyrel) - ANSWER - Get EKG.
Trazodone (Desyrel) - ANSWER - Get an eye exam can cause Glaucoma
Grapefruit juice or grapefruit - ANSWER - Increase trazodone
PICOT - ANSWER - Patient population of interest Intervention of interest Comparison of interest Outcome Time
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