PMHNP Psychopharm Exam 24 2024
The NP is completing an intake interview with a 24 yo female with a hx of depression and
anxiety. When discussing med options the pt states she is newly married and is trying to get
pregnant. You discuss starting buspar dt "animal reproduction studies having failed to
demonstrate a risk to fetus and no adequate and well-controlled studies to show the drug to cx
birth defects if used in pregnant women." Which FDA est category to indicate potential risk
of a drug to cx birth defects in pregnancy did the NP describe to this pt?
A. Category A
B. Category B
C. Category C
D. Category D - B. Category B
Category B described as animal reproduction studies have failed to demonstrate a risk to the
fetus and there being no adequate and well-controlled studies to show the drug to cx birth
defects if used in pregnant women.
Pt taking selegiline may test urine positive for which drug?
A. Benzo
B. meth
C. marijuana
D. cocaine - B. methamphetamine
selegiline is metabolized by the body into I-methamphetamine and I-amphetamine. Selegiline
is a substituted phenethylamine used for the tx of early-stage Parkinson's disease, depression,
and dementia. In normal clinical doses, it is a selective irreversible MAO-B inhibitor.
However, in larger doses it loses its specificity and also inhibits MAO-A.
What is the best strategy to stop clonidine?
A. increase dose, then taper
B. Gradually decrease dose
C. Change to another adrenergic blocker, then taper gradually
D. stop at once - B. gradually decrease dose.
Discontinuation should be gradual to avoid rebounding autonomic sx of hypertensive crisis
that have been reported in hypertensive pt who were suddenly withdrawn from the drug
A np has a pt in his practice who has a hx of bipolar d/o and is tx with lithium. During a
routine exam, the np decides to check a lithium level and it is elevated, but the results do not
return to clinic until 2 days after pt visit. The NP calls pt with results. Which of the following
is true?
A. np should leave msg on answering machine with the abnormal results
B. np can only leave msg with pt spouse or other family member if pt is not home
C. np should leave msg with contact number for pt to call back
D. access psych records cannot be denies to a pt - C
HIPPA rules are designed to protect the privacy of pt and their confidential medical info. Pt
consent is required before releasing pt info to third parties, except in specific circumstances
(having to do with third-party payers, reportable dx, minors). No one may receive info unless
written consent for release is signed.
Pt can be denies access to their psychotherapy records.
