Psych Drugs to KnowDrug Class with Brand/Generic Name, Mechanism of Action, Target Receptors, Metabolic Pathway, and Therapeutic Range | S/E of Class of Psych Meds | Smoking cessation with Psych Meds | Tegretol | Zyprexa | Lithium | MAOI | TCA | Major Mood Stabilizer | Target receptor for Major Disease State | Inducer/Inhibitor actions | General Psych Meds for Anxiety | General Psych Meds for Depression | General Psych Meds for Mood Disorder | General Psych Meds for Psychosis | General Psych Meds for ADHD, Attention, or Focus |
Disease StatesDisease State: Dementia-treatment and meds | Early s/s dementia | Frontal Lobe Dementia | Differentiate between Depression/Dementia | Differentiate between AIDS/ALZ | Disease State: Depression-treatment and meds | Disease State: Anxiety-treatment and meds | Disease State: Mood/Bipolar-treatment and meds | Disease State: Psychosis-treatment and meds | Disease State: ADHD, Attention, and Focus-treatment and meds | Positive and Negative Symptoms of Psychosis/Schizophrenia | Disease State: Conversion Disorder-treatment and meds |
Labs to Know from the Purple BookThyroid | ANC from CBC | Albumin for protein binding with psych drugs | WBC from CBC | Lithium Levels | Liver Function | Kidney |
Know values, norms and implications for variations in results. | | Things to Know and/or MemorizeNMS vs SS | Lab Values from Purple Book | Immunization Schedule | BMI and meaning | Infant Reflexes | MH Screening (PDQ9, MDQ, GAD7, MMSE, Beck Inventory) | Cranial Nerves: Function and how to test | Common Medication Interactions (Drug-Drug) (Drug-Food) | Screening Tools with interpretation of the results and the intervention necessary | General Disease states with use of which class of meds | Protein in the urine with lithium | Neurotransmitters: Purpose and Influence | Receptor Antagonism Spectrum | Receptor neurotransmitter target and implication in disease management | Areas of the brain with which receptors and targets for treatment | Cranial Pathways related to Disease State and Importance | -pine VS -done | 2 Pips and a Rip: Aripiprazole and Brexpiprazole |
Use the Purple Book from ANCC because these are the resources they use to build and create the board exams. Specific Questions/TopicsPsych Med interacting with Flonase | Frontal Lobe Functions | Smoking r/t dose adjustment (decrease dose with cessation) | Delayed Gastric Emptying | Anorexic Patient | Antacid use with other meds | Apoptosis |
Topics Known to be on the Exam: UnderstandScreening Tools (MMSE, PHQ9, GAD7, MDQ) and meaning of results | BMI calculation and meaning of results | Immunizations | Childhood Developmental Stages | Cranial Nerves | Function of areas of the Brain: Frontal Lobe, Parietal, Temporal, Occipital, | Disease States: Specific Drugs with therapeutic Ranges, S/E, interactions, and contraindications | Theorists | Pathways within the brain | CYP 450 Pathways and metabolism | Drug inducer and inhibitor on CYP450 | Agonist Spectrum | Effects of smoking on psych meds and action with smoking cessation |
| | Helpful ResourcesPurple Book Ch 2-6 Policy | Purple Book Ch 10-14 Disorders | Pocket Prep App by ANCC $39 | ANCC IQ $25 | Red Book (Memorable Pharmacology) also has YouTube Vids |
Strategies for Best AnswersNarrow down to 2 possible right answers | Culture is important to be included in all nursing care. | Quality of Care is a goal in Nursing | Conflict Management is the goal in Nursing | See the root action (assessing) then match the answers to that action | Be wary of absolutes: all, nothing, everything, nothing, etc--> usually wrong | Critical Thinking is important | If undecided, the longest answer is usually the right answer | If asked to refer or consult with someone else, then it is most likely not the right answer | Safety for the patient and others is usually the right answer | If see "initially" in the stem of the question, then refer back to ADPIE process and address the same phase asked about in the question stem | Priority is usually concerning safety | Identify is the question is asking for a strategy (assess, implement, plan, measurement, outcome) then match the answer to the action requested | Pair diagnosis with right outcome if planning | Client outcomes need to be client centered, specific, positive, measurable, and have time frame | Cognitive=Thought Process | Evaluation is collecting data to support the problem towards a resolution | Always remember to assess the implementation from the ADPIE | Best Answer/Choice: usually include advocating for the patient or the nursing profession | Best Answer/Choice: usually include policy improvement for the nursing profession | Best Answer/Choice: usually include quality outcomes for the patient or the nursing profession | Best Answer/Choice: usually include cultural sensitivity and competency for the patient |
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