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FNP Review > Mental Health > Flashcards

Mental Health Flashcards

1
Q

A NP know a alcohol screen positive when the patient scores what?

A

2/4

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2
Q

What does the C stand for in the alcohol screen?

A

Do you feel the need to CUT down?

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3
Q

What does the A stand for in the alcohol screen?

A

Are YOU ANNOYED when your friends comment about your drinking?

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4
Q

What does the G stand for in the alcohol screening ?

A

Do you feel GULITY about your drinking ?

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5
Q

What does the E stand for in the alcohol screening?

A

Do you need to drink EARLY in the morning?

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6
Q

Assess EPS s/s what is akinesia ?

A

Inability to start moving

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7
Q

What is akathisia?

A

Strong inner feeling to move , unable to sit still

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8
Q

What is bradykinesia ?

A

Slowness in movement when starting actives that require successive steps such as buttoning shirt

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9
Q

What is tardive dyskinesia?

A

Involuntary movement of lips (smacking) tongue, face, trunk, and extremities.

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10
Q

What does serotonin affect?

A 
Well being
Calm
Decrease impulsivity
Decrease sex drive
Decrease aggression
Increase appetite
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11
Q

What does dopamine affect?

A

Make you worry
Increase vigilance
Increase motivation

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12
Q

What does norepinephrine affect?

A

Enchanted concentration
Enhance ambition
Enhance productivity

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13
Q

When starting a patient less than 24 years of age on antidepression med, what does the NP need to know?

A

Increase risk of suicidal thinking

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14
Q

List SSRI

A 
Sertaline
Paroxetine
Citalopram
Escitalopram
Fluoxetine
Fluvoxamine
Vilazodone
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15
Q

List SNRI

A

Venlafaxine XR
Duloxetine
Desvenlafaxine
Leo Milan I-ran

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16
Q

List the TCA

A 
Amitriptyline
Nortriptyline
Doxepin
Despiramine
Imipramine
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17
Q

List the atypical antidepressants

A 
Bupropion
Mirtazapine
Trazodone
Vilazodone
Virtioxetine
18
Q

Atypical antipsychotics

A

Olanzapine
Risperidone
Quetiapine

19
Q

Typical antipsychotic

A

Haldol

20
Q

What is the first line treatment for depression, OCD, anxiety, and PMD?

A

SSRI

21
Q

What SNRIS know to help with?

A

Best effect on lifting and smoothing mood plus increase focus.

40% sexual se

22
Q

Other than depression, what do TCA help treat

A

Post-herpetic neuralgia pain

Migraine Prophylaxis

23
Q

What are the 9 s/s of depression?

A

“In Sad Cages”
IN: INterest

S: Sleep Disturbances
A: Appetite Changes
D: Depressed Mood

C: Concentration Difficulty 
A: Activity/ Agitation/ Retardation 
G: Guilty Feelings/ Low-Esteem
E: Energy Loss
S: Suicidal Ideation
24
Q

What some s/s of depression in teens?

A

Failing grades
Acting out
Avoiding socialization
Moodiness

25
Q

What is the difference in major and minor depression in regulars to dx?

A

Major >5/9
Minor 2-5

s/s maintained for a two period
BIG s/s anhedonia
Depressed mood daily or most days

26
Q

What to discontinue antidepressants?

A

Taper over 6 weeks to reduce s/s

27
Q

What are some s/s of antidepressant withdrawal?

A

FINISHH

F: Flu-like 
I: Insomnia
N: Nausea
I: Imbalance
S: Sensory disturbance
H: Hyperarousal
H: Headache
28
Q

What to dx anxiety?

A

> or = to 3 of the s/s

Last > = 6 months

29
Q

What are the s/s used for anxiety dx?

A

WATCHERS

W: Worry
A: Anxiety
T: Tension in muscles
C: Concentration difficulty
H: Hyperarousal 
E: Energy loss
R: Restless
S: Sleep Disturbances
30
Q

Before DX a patient with depression, what is the lab work up?

A 
TSH 
BMP
CBC
LFTS
U/A 
VDRL 
B12
Look at medication the patient is currently on and herbs too
31
Q

When treating a patient with depression, what would warrant a referral?

A 
Mania
Hallucinations
Delusions
Loss of Reality contact
Suicidal thoughts
32
Q

A patient is on SSRI. what do they need to be monitored for? What is the number S/s?

A

Serotonin syndrome

FEVER

33
Q

What are some serotonin syndrome s/s?

A 
Acute onset of FEVER
Muscular Rigidity 
Mental Status Change
Hyperflexia
Uncontrolled shivering
Dilated pupils
Tachycardia 
Diarrhea
34
Q

What the air time before switching antidepressants?

A

2 weeks

35
Q

NAme the MAOI

A

Isocarboxazid
Phenelzine
Tranylcypromine

36
Q

A patient asking a MAOI, ingested aged cheese and red wine. What should be the number condition to assess for>

A

Hypertensive crisis

37
Q

Wha this the difference between anxiety and GAD?

A

GAD occurs for 6 months or more.

38
Q

How to treat GAD, Panic Attack and OCD?

A

SSRI TOP list line ( plus it treat depression)

BENZO; careful with addiction. Needs to be wean off

GAD: SSRI, SNRI, Buspirone

Panic Disorder: SSRI, SNRI, TCA, BB, MAOI

OCD: SSRI, SNRI, TCA

39
Q

What are some herbal substances that a patient may use to treat their anxiety?

A

Kava Kava
Valerian Root
Passion Flower

40
Q

A NP is caring for a patient with PSTD. How would you treat it?

A

First Line: SSRI
Treat for 6-8 weeks

Treat insomnia with mirtazapine

41
Q

Why would a NP not prescribe Wellbutrin to patient with eating disorder?

A

Suppress appetite
Decrease seizure thresholds
It acts a weight loss aid.

42
Q

What is the window for alcohol withdrawal?

A

2-3 days from that last drink

FNP Review (9 decks)

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