ATI MENTAL HEALTH PROCTOR EXAM 2024/2025

ATI MENTAL HEALTH PROCTOR EXAM 2nd gen antipsychotics - ✅ Risperidone, olanzapine, quetiapine, ziprasidone, clozapine 3rd gen antipsychotics - ✅ Aripiprazole Advanced lithium toxicity - ✅ 1.5-2.0 mEq/L alpha-adrenergic agonist - ✅ guanfacine & clonidine for ADHD antileptic meds for bipolar disorder - ✅ valproic acid, carbamazepine, lamotrigine, Oxcarbazepine, Topiramate Borderline - ✅ Cluster B, instability of affect, identity, and relationships, SPLITTING behaviors, manipulation, impulsiveness, fear of abandonment, DTS, ideas of reference centrally acting alpha blockers - ✅ Prazosin cholinesterase inhibitors - ✅ Donepezil, rivastigmine, galantamine Cluster A personality disorders - ✅ Paranoid, Schizoid, Schizotypal Cluster B personality disorders - ✅ Antisocial, Borderline, Histrionic, Narcissistic Cluster C personality disorders - ✅ Avoidant, Dependent, Obsessive-compulsive CNS stimulants - ✅ for ADHD-->Methylphenidate, amphetamine mixture, dextroamphetamine Coma--> death (Max lithium toxicity) - ✅ greater than 2.5 mEq/L Common DM's used by people with personality disorders - ✅ Regression, repression, suppression, splitting, undoing communication strategies for dependent & histrionic personality - ✅ assertiveness training and modeling communication strategies for schizoid and schizotypal - ✅ respect them if they want to be isolated Communication strategy for borderline and antisocial - ✅ Limit-setting & consistency

Early lithium toxicity - ✅ less than 1.5 mEq/L first gen/ conventional antipsychotics - ✅ Chlorpromazine, Haloperidol, Loxapine, Fluphenazine First-line drug for atypical depression - ✅ MAOI Histrionic - ✅ Cluster B, emotional attention-seeking behavior, needs to be center of attention, flirtatious, & seductive initial range for lithium levels - ✅ 0.8-1.4 mEq/L maintenance range for lithium - ✅ 0.4-1.0 mEq/L MAOI's - ✅ Phenelzine, Selegiline Medications for eating disorders - ✅ SSRI's meds for ADHD - ✅ CNS stimulants, SNRIs, TCA's, alpha-adrenergic agonists meds for adjustment disorder and dissociative disorders - ✅ usually not prescribed unless finding of depression or anxiety meds for alcohol abstinence - ✅ disulfuram, naltrexone, acamprosate meds for alcohol withdrawal - ✅ diazepam, carbamazepine, clonidine, chlordiazepoxide, phenobarbital, naltrexone Meds for anxiety disorders - ✅ SSRI's, SNRI's, Benzos, non benzos, beta blockers, antihistamines, anticonvulsants meds for anxiety disorders for children - ✅ no FDA approved for children, SSRI's maybe Meds for ASD & PTSD - ✅ antidepressants (SSRI, SNRI, TCA's), Prazosin, Propanolol, MAOI meds for autism spectrum disorders - ✅ SSRI's, Antipsychotics Meds for Bipolar - ✅ Mood stabilizers, anticonvulsants, antianxiety, 2nd gen antipsychotics, antidepressants (fluoxetine)

meds for conduct disorders - ✅ 2nd & 3rd antipsychotics, TCA's, antianxiety meds, mood stabilizers meds for conversion disorder - ✅ antidepressants and anxiolytics meds for delirium - ✅ antipsychotics orantianxiety meds for dementia & AD - ✅ cholinesterase inhibitors, memantine, SSRI's. antianxiety, and antipsychotics only for hallucinations and delusion Meds for Depressive disorders - ✅ SSRI's, TCA's, MOAI's, atypical antidepressants, SNRI's, st. johns wort, light therapy meds for disruptive mood dysregulation disorder - ✅ antidepressants meds for illness anxiety disorder - ✅ antidepressants and anxiolytics meds for Intermittent explosive disorder - ✅ SSRI's, Mood stabilizers (lithium), antipsychotics, beta blockers meds for nicotine abstinence - ✅ varenicline, rimonabant meds for nicotine withdrawal from tobacco use - ✅ bupropion, nicotine replacement therapy, varenicline, bupropion meds for opioid withdrawal - ✅ methadone subsitution, clonidine, buphrenorphine, naltrexone, levo-alpha-acetylmethadol meds for oppositional defiant disorder - ✅ not generally prescribed Meds for personality disorders - ✅ Psychotropic agents, antidepressants, anxiolytics, antipsychotics, or mood stabilizers Meds for schizophrenia - ✅ conventional antipsychotics, atypical antipsychotics, 3rd gen antipsychotics, antidepressants, mood stabilizing agents, benzos meds for somatic disorders - ✅ antidepressants and anxiolytics, analgesics Mood stabilizer - ✅ lithium carbonate Schizoid - ✅ Cluster A, emotional detachment, disinterest in close relationships, indifference to praise or criticism, often uncooperative

Schizotypal - ✅ Cluster , odd beliefs that lead to interpersonal difficulties, eccentric appearance, magical thinking (NOT delusional) Severe lithium toxicity - ✅ 2.0-2.5 mEq/L SSRI's - ✅ Fluoxetine, citalopram, setraline, escitalopram, paroxetine, vilazodone TCA's - ✅ Amitriptaline Treats mainly positive signs of schizophrenia - ✅ first gen/conventional anti psychotics