Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NP3 Final Exam > NP3 Final Exam > Flashcards

NP3 Final Exam Flashcards

1
Q

S&S of Depression

A

SIGECAPS
- Sleep; Interest; Guilt; Energy; Concentration; Appetite; Psychomotor; Suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

S&S of Anxiety

A

WATCHERS
- Worry; Anxiety; Tension in Body; Concentration; Hyperarousal; Energy Loss; Restlessness; Sleep Disturbance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

S&S of PTSD

A
  • Flashbacks
  • Hyperarousal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

OCD

A
  • Obsessions: unwanted thoughts

vs

  • Compulsions/ unwanted behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Depression & Anxiety Tx

A
  • SSRIs
  • Starting medication and weekly f/u
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Primary Care Tx Modalities

A
  • Refer to Counseling
  • 2w = rescreen d/t highest risk of suicide attempt
  • Best Tx = psychotherapy & medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Purpose of DSM-V

A
  • Provides descriptions, symptoms, and other criteria for diagnosing mental disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

SSRIs

A
  • First line treatment = blocks reuptake
  • Prozac, Zoloft, Celexa, Lexapro, Paxil
  • Side effects = decrease libido, ED, anorexia, insomnia, fatigue, G.I. (G.I., bleed with Prozac)
    ** Wellbutrin = least likely to affect libido **
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TCAs

A
  • Amitriptyline: hot flashes, sleep, pain QT elongation
  • Imipramine, nortriptyline
  • Other uses: PHN, stress incontinence
  • Avoid high risk suicide
  • OD will be fatal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MAOIs

A
  • Rarely used due to severe food and drug interactions (high tyramine)
  • Phenelzine and tranylcypromine
  • Do not use with SSRI or TCA
  • Wait at least two weeks before initiation of either
  • Avoid fermented foods
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ETOH Screening

A

CAGE
- Cut down?
- Annoyed with comments about your drinking?
- Guilty?
- Early drinking?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Depression Screening

A
  • GAD7
  • PHQ2 & PHQ9
  • Beck’s
  • Geriatric depression scale
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Best Tx for SUD

A
  • Benzodiazepines
  • Refer to AA
  • Decrease EtOH cravings = naltrexone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tx for Opioid OD

A
  • Naloxone
  • Inpatient treatment
  • methadone; Suboxone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Life-Threatening Delirium

A

WHHHIMPS
- Wernicke’s
- Hypoxia or hypercarbia
- Hypertensive encephalopathy
- Hyperthermia or Hypothermia
- Intracerebral hemorrhage
- Meningitis or encephalitis
- Poisoning
- Status epilepticus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hospice vs. Palliative

A

Hospice
- Last six months or less
- Includes palliative care

Palliative
- Comfort care
- Component of hospice care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Roles of the Care Team

A
  • MOLST & DNR = NP can initiate and sign
  • Initiation of hospice = MD only
  • NPs can be hospice attending
  • NP cannot authorize certification for hospice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Management Goals of Acute vs. Chronic Pain

A

Acute Pain
- Maintain alertness and function
- Minimize adverse effects
- Prevent chronic development

Chronic Pain
- Goal = increase quality of life
- Refer to pain management

19
Q

4 Pillars of Pain Therapy

A
  1. Anti-inflammatories
  2. Anticonvulsants
  3. Mood modulators
  4. Opiates
20
Q

First-Line Tx for Mild Pain

A
  • Tylenol
  • Topicals
  • NSAIDs
21
Q

Over-Rx of Pain Medications

A
  • Misuse
  • Overuse
  • Abuse
  • OD
22
Q

Best Tx for Neuropathic Pain

A
  • Gabapentin
  • Non-opioids
  • Calcium channel blockers
  • TCAs
  • Antiarrhythmics
  • Local anesthetics
23
Q

Indication for Opioid Pain Therapy

A
  • Moderate to severe pain
  • Avoid extended release
  • Avoid in the elderly
24
Q

Opioid Tx Time Frame

A
  • No opioid Rx over timeframe greater than three months
25
Q

DEA Requirements

A
  • Keep documents for six years at a minimum
  • Retake training every three years and must resign attestation
26
Q

S&S of Parkinson’s

A

TRAP
- Asymmetric resting tremor
- Rigidity
- Akinesia or bradykinesia
- Postural changes

27
Q

Headaches: Different Types

A

Tension
- Nausea/vomiting, bilateral pressure or band like pain

Cluster
- Periorbital, unilateral, photophobia, tearing, nasal stuffiness

28
Q

Headaches: First-Line Tx

A
  • Tylenol
  • NSAIDs
  • Triptans for migraines
29
Q

S&S of Shingles

A
  • Unilateral, linear, erythematous, vesicular, painful, itchy, tingly, rash
30
Q

Tx for ADHD

A

Stimulants
- Adderall, Vyvanse, Ritalin, Concerta, clonidine, Strattera, Intuniv

31
Q

Risk Factors for Alzheimer’s

A
  • Age, family, history, genetics, head, injury, health and comorbidities
32
Q

Seizures: Different Types

A

Focal = unilateral
- Complex partial and simple partial

Generalized = bilateral
- Absence and tonic clonic

What is considered a cure?
- Seizure free for 10 years without use of medications

33
Q

Factors to Determine the Type of Seizure

A
  • Idiopathic, EtOH intoxication or withdrawal, metabolic, hypoxia, head, injury, meningitis, migraines
34
Q

Seizures: Medications & Contraindications

A

ALL ARE TERATOGENIC

Focal = Carbamazepine & Lamictal

Generalized = Depakene

Absence = Zarontin & Depakene

35
Q

S&S of Bell Palsy

A
  • Rapid onset = hours or days
  • Facial droop and difficulty making facial expressions
  • Pain around the jaw of the affected side

Recovery time: if mild, one month

36
Q

TIA/CVA

A

ABCD2 Prognosis Score
- Age
- BP (<140/90)
- Clinical features
- Duration
- Diabetes

<4 = two day risk <1%
>5 = two day risk 8.1%

37
Q

CVA

A

How do previous TIAs impact CVA prediction?
- Short term = 3-10% @D2; 5% @D7; 9-17% @3m

Criteria for administering thrombolytic therapy:
- ER within three hours of symptom onset
- CT brain to rule out, intracerebral hemorrhage

38
Q

Inflammatory Etiology

A
  • Read, warmth, swelling, pain, loss of function
39
Q

Osteoporosis Dx Criteria

A
  • T-scores less than or equal to -2.5.
40
Q

Urgent Care: Tetanus Considerations

A
  • If none within the past five years, then recommended within 48 hours of the bite or injury
  • New = Adacel: includes whooping cough
41
Q

Risk Factors for Falls

A
  • Polypharmacy
  • Weakness
  • Unbalanced gait
42
Q

S&S of Infection

A
  • Memory: delirium and confusion
43
Q

Factors to Promote Change

A
  • Age-appropriate screening
  • Provide education and resources
  • Address, treatment, barriers, and health disparities
44
Q

Resources & Tx Barriers

A
  • Vision, hearing, language
  • Stigmas, financial or insurance coverage

NP3 Final Exam (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions