Mental Health

Question 1

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

Answer 1

2/4

Question 2

What does the C stand for in the alcohol screen?

Answer 2

Do you feel the need to CUT down?

Question 3

What does the A stand for in the alcohol screen?

Answer 3

Are YOU ANNOYED when your friends comment about your drinking?

Question 4

What does the G stand for in the alcohol screening ?

Answer 4

Do you feel GULITY about your drinking ?

Question 5

What does the E stand for in the alcohol screening?

Answer 5

Do you need to drink EARLY in the morning?

Question 6

Assess EPS s/s what is akinesia ?

Answer 6

Inability to start moving

Question 7

What is akathisia?

Answer 7

Strong inner feeling to move , unable to sit still

Question 8

What is bradykinesia ?

Answer 8

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

Question 9

What is tardive dyskinesia?

Answer 9

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

Question 10

What does serotonin affect?

Answer 10

Well being
Calm
Decrease impulsivity
Decrease sex drive
Decrease aggression
Increase appetite

Question 11

What does dopamine affect?

Answer 11

Make you worry
Increase vigilance
Increase motivation

Question 12

What does norepinephrine affect?

Answer 12

Enchanted concentration
Enhance ambition
Enhance productivity

Question 13

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

Answer 13

Increase risk of suicidal thinking

Question 14

List SSRI

Answer 14

Sertaline
Paroxetine
Citalopram
Escitalopram
Fluoxetine
Fluvoxamine
Vilazodone

Question 15

List SNRI

Answer 15

Venlafaxine XR
Duloxetine
Desvenlafaxine
Leo Milan I-ran

Question 16

List the TCA

Answer 16

Amitriptyline
Nortriptyline
Doxepin
Despiramine
Imipramine

Question 17

List the atypical antidepressants

Answer 17

Bupropion
Mirtazapine
Trazodone
Vilazodone
Virtioxetine

Question 18

Atypical antipsychotics

Answer 18

Olanzapine
Risperidone
Quetiapine

Question 19

Typical antipsychotic

Answer 19

Haldol

Question 20

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

Answer 20

SSRI

Question 21

What SNRIS know to help with?

Answer 21

Best effect on lifting and smoothing mood plus increase focus.

40% sexual se

Question 22

Other than depression, what do TCA help treat

Answer 22

Post-herpetic neuralgia pain

Migraine Prophylaxis

Question 23

What are the 9 s/s of depression?

Answer 23

“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

Question 24

What some s/s of depression in teens?

Answer 24

Failing grades
Acting out
Avoiding socialization
Moodiness

Question 25

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

Answer 25

Major >5/9 Minor 2-5 s/s maintained for a two period BIG s/s anhedonia Depressed mood daily or most days

Question 26

What to discontinue antidepressants?

Answer 26

Taper over 6 weeks to reduce s/s

Question 27

What are some s/s of antidepressant withdrawal?

Answer 27

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

Question 28

What to dx anxiety?

Answer 28

> or = to 3 of the s/s Last > = 6 months

Question 29

What are the s/s used for anxiety dx?

Answer 29

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

Question 30

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

Answer 30

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

Question 31

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

Answer 31

``` Mania Hallucinations Delusions Loss of Reality contact Suicidal thoughts ```

Question 32

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

Answer 32

Serotonin syndrome FEVER

Question 33

What are some serotonin syndrome s/s?

Answer 33

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

Question 34

What the air time before switching antidepressants?

Answer 34

2 weeks

Question 35

NAme the MAOI

Answer 35

Isocarboxazid Phenelzine Tranylcypromine

Question 36

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

Answer 36

Hypertensive crisis

Question 37

Wha this the difference between anxiety and GAD?

Answer 37

GAD occurs for 6 months or more.

Question 38

How to treat GAD, Panic Attack and OCD?

Answer 38

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

Question 39

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

Answer 39

Kava Kava Valerian Root Passion Flower

Question 40

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

Answer 40

First Line: SSRI Treat for 6-8 weeks Treat insomnia with mirtazapine

Question 41

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

Answer 41

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

Question 42

What is the window for alcohol withdrawal?

Answer 42

2-3 days from that last drink