Special Populations in Psychiatric Care Flashcards
6 cards from real Psychiatric-Mental Health Nurse Practitioner Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Special Populations in Psychiatric Care flashcards as text
When prescribing SSRIs for children and adolescents, the FDA black box warning requires informing families about increased risk of:
Answer: Suicidal ideation and behavior in patients under 25
The FDA black box warning on antidepressants requires clinicians to monitor for increased suicidal ideation and behavior in children, adolescents, and young adults.
Which condition is characterized by at least 6 months of inattention and/or hyperactivity-impulsivity before age 12 with impairment in two or more settings?
Answer: Attention-deficit/hyperactivity disorder (ADHD)
DSM-5 ADHD criteria require symptom onset before age 12 and impairment across multiple settings, such as home and school.
A PMHNP is assessing an elderly patient for depression. Which instrument is specifically validated for detecting depression in older adults?
Answer: Geriatric Depression Scale (GDS)
The GDS was specifically designed and validated for use with older adults, omitting somatic items that confound depression screening in the elderly.
Which medication for ADHD is a non-stimulant and is preferred when there is comorbid anxiety or substance use disorder?
Answer: Atomoxetine
Atomoxetine (Strattera) is a non-stimulant SNRI approved for ADHD that does not carry abuse potential, making it preferred in patients with comorbid anxiety or SUD.
A PMHNP caring for a pregnant patient with bipolar disorder should avoid which mood stabilizer in the first trimester due to risk of Ebstein's anomaly?
Answer: Lithium
Lithium use in the first trimester is associated with an increased risk of Ebstein's anomaly, a cardiac malformation of the tricuspid valve.
Which psychiatric disorder is most prevalent among incarcerated individuals in the US, highlighting a major gap in mental health care access?
Answer: Substance use disorder comorbid with serious mental illness
The US prison system has become a de facto psychiatric care setting, with very high prevalence of co-occurring substance use and serious mental illness.