cherliang1

I passed September 4th, 2018 and used Mometrix questions book, PMHNP pocket prep (exam builder per category), Barkeley CDs, ANCC test IQ, and ANCC book. I studied for 2-3 weeks before the exam and 1-2 hours months before. I gave birth during my 4th semester to my second child. Everything is doable. Test taking skill is very helpful especially through the ANCC.

I know of many pregnant staff in my facility being pregnant and working in the state facility I work at. Many make it through just fine, however, there have been a few attacks on pregnant staff. First, a psychotic woman on our women unit attacked a pregnant staff, no bad outcome. A psychotic male on the acute forensics unit attacked a pregnant staff specifically stating he wanted to kill the unborn, no bad outcome. A psychotic kid kicked a pregnant staff in the stomach, she leaked amniotic fluid. Almost lost the baby, and there are rumors of her child having autism. I personally have had no problem being pregnant twice while working in my psych hospital, but I put myself on modified duties during my third trimesters. I honestly do not think I will be one of those statistics, however, I do not want to chance it either. Teammates get disappointed when I do show up on units to work on the floor third trimester pregnany and I understand their concern.

One can say the whole psychiatric field is grey. I was asked by a few colleagues who asked me for my rationale for administering a PRN milk of magnesia (MOM). They claimed that their BM book says this PT went yesterday. First off, this BM book is subjective because we ask the patient for this information. This patient approached staff for "the powder **** that makes me ****." I used to work on this unit for years and this patient never ever asks for PRNs. This PT is further complicated because he has a severely resected bowel. It was about 1500 hours when he asked for this PRN and I gave it to him. My first rationale is that I believe this patient. My second rationale was perhaps the book is fallible, after all the unit had a patient in the last year die from a perforated bowel from an impaction. My third rationale, milk of magnesia is rather benign and won't hurt the patient. My fourth rationale is that the PT is on severely constipating medications like Clozaril. I guess the other nurses on the unit have their own philosophy against the way I practice my psychiatric nursing. However, it is ultimately my license and I can live with giving someone diarrhea versus someone dying of an impaction because I believed a book over the patient. The night shift charge nurse told me I could hurt the patient by giving him the MOM when he doesn't need it. She told me he could have horrible runs and that could lead to a bad outcome. I have never heard of someone dying of milk of magnesia overdose in my 5 years of nursing and 2 years of nursing school. Of course I was unable to articulate my rationales at the time either.