The PMHNP is evaluating a 73-year-old patient who has just been discharged from the hospital after being treated for a urinary tract infection with associated delirium. She has a baseline major neurocognitive disorder and the spouse has been told in the past that the patient cannot take antipsychotics. However, while she was hospitalized she was given an antipsychotic for delirium and it seemed to help a lot. The spouse wants to know why the patient cannot take an antipsychotic for her chronic behavioral symptoms. The PMHNP knows that the patient most likely has which underlying cause of major neurocognitive disorder? A. Pick’s disease (FTD)B. Alzheimer’s disease (AD) C. Vascular disease (VaD) D. Parkinson’s disease (PD)

<description>&lt;p&gt;The PMHNP is evaluating a 73-year-old patient who has just been discharged from the hospital after being treated for a urinary tract infection with associated delirium. She has a baseline major neurocognitive disorder and the spouse has been told in the past that the patient cannot take antipsychotics. However, while she was hospitalized she was given an antipsychotic for delirium and it seemed to help a lot. The spouse wants to know why the patient cannot take an antipsychotic for her chronic behavioral symptoms. &lt;/p&gt;&lt;p&gt;The PMHNP knows that the patient most likely has which underlying cause of major neurocognitive disorder? &lt;/p&gt;&lt;p&gt;A. Pick’s disease (FTD)&lt;/p&gt;&lt;p&gt;B. Alzheimer’s disease (AD) &lt;/p&gt;&lt;p&gt;C. Vascular disease (VaD) &lt;/p&gt;&lt;p&gt;D. Parkinson’s disease (PD) &lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;br/&gt;&lt;/p&gt;</description>

The PMHNP is evaluating a 73-year-old patient who has just been discharged from the hospital after being treated for a urinary tract infection with associated delirium. She has a baseline major neurocognitive disorder and the spouse has been told in the past that the patient cannot take antipsychotics. However, while she was hospitalized she was given an antipsychotic for delirium and it seemed to help a lot. The spouse wants to know why the patient cannot take an antipsychotic for her chroni...

Major Neurocognitive Disorder Causes

A 3-year-old child is being seen because the daycare facility staff have suggested to the parents that the child is having difficulty interacting with other children. Additionally, the staff have observed that when the child seems to become anxious or upset, he always becomes fixated on stacking building blocks one on top of the other to the extent that he will not acknowledge anyone or anything else. When the parents ask if their child has autism spectrum disorder (ASD), the PMHNP advises the parents that: A. The repetitive and predictable nature of stacking blocks is calming in children with ASDB. Stacking blocks is a very typical activity in children at this developmental stage and is not suggestive of ASD. C. The child should be tested for ASD, but in any event  he should be discouraged from using building blocks as a coping mechanism. D. While the social dysfunction at this age may suggest ASD, the building block activity is not an abnormal finding in a 3-year-old. ---YouTube: <a href='https://www.youtube.com/watch?v=rf3inZzulEg&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=118'>https://www.youtube.com/watch?v=rf3inZzulEg&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=118</a>

<description>&lt;p&gt;A 3-year-old child is being seen because the daycare facility staff have suggested to the parents that the child is having difficulty interacting with other children. Additionally, the staff have observed that when the child seems to become anxious or upset, he always becomes fixated on stacking building blocks one on top of the other to the extent that he will not acknowledge anyone or anything else. &lt;/p&gt;&lt;p&gt;When the parents ask if their child has autism spectrum disorder (ASD), the PMHNP advises the parents that: &lt;/p&gt;&lt;p&gt;A. The repetitive and predictable nature of stacking blocks is calming in children with ASD&lt;/p&gt;&lt;p&gt;B. Stacking blocks is a very typical activity in children at this developmental stage and is not suggestive of ASD. &lt;/p&gt;&lt;p&gt;C. The child should be tested for ASD, but in any event  he should be discouraged from using building blocks as a coping mechanism. &lt;/p&gt;&lt;p&gt;D. While the social dysfunction at this age may suggest ASD, the building block activity is not an abnormal finding in a 3-year-old. &lt;/p&gt;&lt;p&gt;---&lt;/p&gt;&lt;p&gt;YouTube: &lt;a href='https://www.youtube.com/watch?v=rf3inZzulEg&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=118'&gt;https://www.youtube.com/watch?v=rf3inZzulEg&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=118&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;br/&gt;&lt;/p&gt;</description>

A 3-year-old child is being seen because the daycare facility staff have suggested to the parents that the child is having difficulty interacting with other children. Additionally, the staff have observed that when the child seems to become anxious or upset, he always becomes fixated on stacking building blocks one on top of the other to the extent that he will not acknowledge anyone or anything else.  When the parents ask if their child has autism spectrum disorder (ASD), the PMHNP advi...

Autism Spectrum Evaluation

The PMHNP is performing a new patient assessment on a 41-year-old patient referred from primary care for depressive disorder refractory to SSRIs. During the mental status examination, the patient is unable to successfully perform a serial 7’s backward count. The NP documents an abnormal finding in the area of: A. Speech B. Thought process C. Judgment D. Cognition---YouTube: <a href='https://www.youtube.com/watch?v=uQYdcEqFBLc&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=117'>https://www.youtube.com/watch?v=uQYdcEqFBLc&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=117</a>

<description>&lt;p&gt;The PMHNP is performing a new patient assessment on a 41-year-old patient referred from primary care for depressive disorder refractory to SSRIs. During the mental status examination, the patient is unable to successfully perform a serial 7’s backward count. The NP documents an abnormal finding in the area of: &lt;/p&gt;&lt;p&gt;A. Speech &lt;/p&gt;&lt;p&gt;B. Thought process &lt;/p&gt;&lt;p&gt;C. Judgment &lt;/p&gt;&lt;p&gt;D. Cognition&lt;/p&gt;&lt;p&gt;---&lt;/p&gt;&lt;p&gt;YouTube: &lt;a href='https://www.youtube.com/watch?v=uQYdcEqFBLc&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=117'&gt;https://www.youtube.com/watch?v=uQYdcEqFBLc&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=117&lt;/a&gt;&lt;/p&gt;</description>

The PMHNP is performing a new patient assessment on a 41-year-old patient referred from primary care for depressive disorder refractory to SSRIs. During the mental status examination, the patient is unable to successfully perform a serial 7’s backward count. The NP documents an abnormal finding in the area of:  A. Speech  B. Thought process  C. Judgment  D. Cognition --- YouTube: https://www.youtube.com/watch?v=uQYdcEqFBLc&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;in...

Serial 7s Assessment

Patients with a deficit in one of six neurocognitive domains to the extent that it represents a deterioration of function from their baseline and makes it impossible for them to live independently are diagnosed with major neurocognitive disorder. Which of the following is not one of the six neurocognitive domains? A. Learning and memory B. Language C. Perceptual motor D. Cognition and emotion---YouTube:<a href='https://www.youtube.com/watch?v=b9166JUmJLg&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=116'>https://www.youtube.com/watch?v=b9166JUmJLg&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=116</a>

<description>&lt;p&gt;Patients with a deficit in one of six neurocognitive domains to the extent that it represents a deterioration of function from their baseline and makes it impossible for them to live independently are diagnosed with major neurocognitive disorder. &lt;/p&gt;&lt;p&gt;Which of the following is not one of the six neurocognitive domains? &lt;/p&gt;&lt;p&gt;A. Learning and memory &lt;/p&gt;&lt;p&gt;B. Language &lt;/p&gt;&lt;p&gt;C. Perceptual motor &lt;/p&gt;&lt;p&gt;D. Cognition and emotion&lt;/p&gt;&lt;p&gt;---&lt;/p&gt;&lt;p&gt;YouTube:&lt;a href='https://www.youtube.com/watch?v=b9166JUmJLg&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=116'&gt;https://www.youtube.com/watch?v=b9166JUmJLg&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=116&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;</description>

Patients with a deficit in one of six neurocognitive domains to the extent that it represents a deterioration of function from their baseline and makes it impossible for them to live independently are diagnosed with major neurocognitive disorder.  Which of the following is not one of the six neurocognitive domains?  A. Learning and memory  B. Language  C. Perceptual motor  D. Cognition and emotion --- YouTube:https://www.youtube.com/watch?v=b9166JUmJLg&amp;list=PLf0PF...

Neurocognitive Domain Identification

The PMHNP is evaluating a new patient who has been referred by his employer for evaluation.  His supervisor is concerned about his mental health and his safety. The NP evaluates the patient and does not find criteria consistent with major depressive disorder, but identifies which of the following as particularly concerning for risk of suicide? A. Anhedonia B. HopelessnessC. Depressed mood D. Weight loss ---YouTube: <a href='https://www.youtube.com/watch?v=sNlBelJr92M&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=115'>https://www.youtube.com/watch?v=sNlBelJr92M&amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;index=115</a>

<description>&lt;p&gt;The PMHNP is evaluating a new patient who has been referred by his employer for evaluation.  His supervisor is concerned about his mental health and his safety. The NP evaluates the patient and does not find criteria consistent with major depressive disorder, but identifies which of the following as particularly concerning for risk of suicide? &lt;/p&gt;&lt;p&gt;A. Anhedonia &lt;/p&gt;&lt;p&gt;B. Hopelessness&lt;/p&gt;&lt;p&gt;C. Depressed mood &lt;/p&gt;&lt;p&gt;D. Weight loss &lt;/p&gt;&lt;p&gt;---&lt;/p&gt;&lt;p&gt;YouTube: &lt;a href='https://www.youtube.com/watch?v=sNlBelJr92M&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=115'&gt;https://www.youtube.com/watch?v=sNlBelJr92M&amp;amp;list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&amp;amp;index=115&lt;/a&gt;&lt;/p&gt;</description>

The PMHNP is evaluating a new patient who has been referred by his employer for evaluation.  His supervisor is concerned about his mental health and his safety. The NP evaluates the patient and does not find criteria consistent with major depressive disorder, but identifies which of the following as particularly concerning for risk of suicide?  A. Anhedonia  B. Hopelessness C. Depressed mood  D. Weight loss  --- YouTube: https://www.youtube.com/watch?v=sNlBelJr92M&amp...

Suicide Risk Evaluation

This podcast is for NP students studying to pass their PMHNP certification exam. Expert Fitzgerald faculty clinicians share their knowledge and experience to help you dissect the anatomy of a test question so you can better understand how to arrive at the correct test answer.&nbsp;

PMHNP Certification Q & A

Details

Recent Episodes