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ANCC PMHNP Exam Study Questions
And Answers A+ Verified
1. Purpose of Dopamine
ANS Inhibition of prolactin production Sleep Learning Attention Pleasure and reward Movement Memory Mood
2. What term best describes the reelationship between an individual's health
and a number of other variables, including the amoutn of healthcare con- sumed? ANS Health production function- math expression that shows the relationship between an individual's health and a number of other variables.
3. How much time should you allow for Celexa to provide its initial therapeutic
effect and the patient to see an improvement in symptoms? ANS 4-6 weeks
4. Clients have what rights?
ANS Right to privacy and confidentiality Right to least restrictive treatment measures Right to consent and withdraw consent at any given time
5. Which inferential statistic determines whether the means of 2 groups are
2 / statistically different from each other? ANS t-test enables one to reach conclusions that extend beyond the immediate data alone (ANOVA tests the difference among 3 or more groups, Pearson's r correlation- tests the relationship between 2 variables, probability-likelihood, p value- probability of a particular result occurring by chance)
6. What symptoms would a patient exhibit if they were experiencing an excess
serotonin? ANS Restlessness, agitation, myoclonus, vital sign abnormalilties
7. What term descries a colletion of individuals who coordinate lobbying ef-
forts around a common interest and seek to influence policymakers? ANS Special interest group.
8. What are 3 phases of a therapeutic relationship between NP and pt?
ANS 1. Intro
2. Working-
3. Termination
9. The following describes what stage of a therapeutic relationship? Clarifying
patient expectations, ID goals, treatment plan, preventative healthcare, mea- suring outcomes of care, reprioritizing plan ANS Working phase
10. Which type of family therapy uses genograms, structural mapping, em-
phasizes understanding to produce change in the family structure. ANS Structural family therapy
11. Symptoms of exess GABA
ANS excess sleepiness, increased blood pressure, shallow breathing
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23. This type of advanced nurse evaluates, diagnoses, and treats a wide range of
medical conditions ANS nurse practitioner
24. This type of advanced practice nurse consults researches educates and
coordinates care ANS Clinical nurse specialist
25. This type of advnaced practice nurse provides well-woman gyno care,
management pregnancy, child birth, antipartum post partum. ANS Nurse midwife
26. According to Piaget wat what cognitive stage do children develop object
permanence? ANS sensorimotor
27. Occurs when a patient is unabe to see others as somethimes good some-
times bad ANS splitting
28. what is the therapeautic dose of riseridone for an adolescent?
ANS 3 mg
29. What core comopetency is the NP demonstrating when she evaluates the
appropriate use of seclusion and restraints? ANS NP core competency ANS Quality
30. What core competency is the NP demonstrating when participating in a
special interest group? ANS NP core competency ANS Policy
31. By whom and where was the first NP role introduced?
ANS Loretta C. Ford, Henry Silver; University of Colorado
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32. What factors constrain the growth of the NP role?
ANS Increased concerns over reinbursement fraud and abuse, reinbursement struggles, need for formal supervi- sory or collaborative relationships with physicians, overlapping scope of practice
33. What regulatory or statutory dimension provides different rules and regu-
lations for each state? ANS Statutory law
34. What regulatory or statutory dimension forms a process by which an
agency of state government grants permission to persons to engage in the practice of that profession? ANS Licensure
35. What regulatory or statutory dimension forms a process used to protect the
public by ensuring a minimum level of professional competence. ANS Creden- tialing
36. What regulatory or statutory dimension determines the scope of practice
and assures the public that a person has mastery of a specified body of knowledge. ANS Certification
37. HITECH(health information technology for economic and clinical health
Act) ANS meaningful use incentive charting system for physician order set Incentive payment for sharing specific electronic health record(EHR)
38. Basic criteria for involuntary admission
ANS danger to self or others unable to care for self poor nutritional intake
39. What are the four main components of HIPPA
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49. Durable power of attorney contracts are or are not legally binding in all 50
states ANS Are legally binding in all 50 states
50. Living wills are or are not legally binding in all 50 states
ANS Are not legally binding in all 50 states
51. All of the following are Cluster A personality disorders
ANS Schizoid, Schizotyp- al Paranoid
52. What is another name for durable POA
ANS a healthcare proxy
53. All of the following are Cluster B personality disorders
ANS Histrionic, Border- line, Narcissistic, Antisocial
54. All of the following are Cluster C personality disorders
ANS OCD, Dependent, Avoidant
55. Cluster A personality disorders can best be described as what?
ANS Odd and eccentric
56. Cluster B personality disorders can best be described as what?
ANS Dramatic and Erratic
57. Cluster C personality disorders can best be described as what?
ANS Fearful and anxious
58. · No
ANS Ibuprofen increases plasma levels of lithium ANS Would you give Ibuprofen to a patient receiving lithium?
59. What are the two main types of a Systematic Review?
ANS · Meta- Analysis ANS Statistically analysis quantitative studies
· Meta Synthesis
ANS Statistically analysis Qualitative Studies
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60. What are the different types of Validity in research?
ANS · External Validity ANS When the sample is representative of the population and the results can be generalized.
· Internal validity
ANS When the independent variable causes a change in, he dependent variable.
· Probability
ANS The likelihood of an event occurring
· Standard Deviation
ANS Indication of possible deviation from the mean.
61. What is the most used legal substance?
ANS ETOH ... See pg 296 of the purple book! Highest in the African American Population
62. What is the difference between Certification and Credentialing
ANS · Certifica- tion is a process by which a professional organization certifies that an individual has net certain predetermines standards.
· Credentialing is a process that is used to protect the public by ensuring a minimum level
of professional competence.
· Licensure
ANS is a process by which an agency of state government grants permission to individuals to engage in practice
63. Different types of Therapy
ANS · Klerman and Weissman created interpersonal Therapy.
10 / Recent stressful life events Negative affectivity Childhood sexual abuse Comorbid psych condition Perceived illness benefits Sensitization of pain Heighted attention to body sensation
69. -The difference between culture and ethnicity
ANS Culture is learned behaviors, socially inherited characteristic. Ethnicity ANS self-identified race, tribe, or nation
70. -Family Vs Community
ANS
ANS Family is defined as a group of adults and children who are usually related and carry out the essential functions of life. Community; group of families sharing the same race, tribe, or culture.
71. Family Vs Community
ANS
ANS Family is defined as a group of adults and children who are usually related and carry out the essential functions of life. Community; group of families sharing the same race, tribe, or culture.
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72. Competency to be executed was established in the supreme Court
ANS Ford Vs Wainwright
73. -Depolarization-
ANS Influx of sodium and calcium into the cell
74. Repolarization
ANS -Kt leaving the cell or Chloride entering the body.
75. Therapeutic Relationship
ANS
ANS Introduction ANS Boundaries, Agreed time frame Working ANS Measuring, reprioritizing Termination ANS long term plan of self-management, Reemergence of symptoms Countertransference delt with Peer to Peer
76. Abilify
ANS has the lowest risk of sedation of all Antipsychotics
77. the homeless population has a co-occurring Mental Health Issue and
Substance Abuse. What Percent ANS 50%
78. the most widely used psychoactive drug in the US.
ANS Cannabis i
79. The first step in hearing your patient say they will kill someone;
ANS you must notify the person that they are in danger and then call the police.
80. - Stages of Psychosexual Development (Freud)
ANS - Oral- birth to 0-
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89. ETOH Screening Test for Geriatrics
ANS S-MAST /Known as the Alcohol Screen- ing Test for Geriatric
90. What antidepressant can give false positive for Methamphetamines'
ANS Well- butrin
91. What antidepressants can give a false positive for Benzo
ANS Zoloft
92. What Benzo can give a false positive for ETOH
ANS Valium
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93. Nyquil can give a false positive for what
ANS methadone
94. Assessment for Benzo withdrawal
ANS CNSDP
95. What area of the body if dysregulated can result in anxiety and panic
ANS -
Vestibular Dysfunction
96. What developmental phase, if not accomplished, can result in Conversion
disorder ANS Initiative vs guilt
97. Culture explanations
ANS labels, attributes or features of a culturally recognized etiology for distress
98. Culture bound syndromes
ANS Clusters of symptoms that tend to occur in or among individuals in a certain culture
99. Culture idioms
ANS terms that are used to describe ways of sharing their experi- ence of suffering
100. Norepinephrine
ANS attention, focus, memory and learning (AFML)Apples falls more than leaves
101. Dopamine
ANS Thinking, fine muscle action, reward ( TFR) Troy found Renee
102. GABA
ANS Reduces Arousal Aggression and Anxiety ( AAA) Triple A Adam Asks Alison ( Two A's in GABA)
103. Serotonin
ANS Regulates Sleep, Mood, pain, and temp (SMPD)
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112. What are the common with drawal symptoms assessed on the CIWA
scale ANS n&v, tremors, paroxysmal sweats, agitation, tactile disturbances, ha, altered sensorium
113. Which theorist was the first person to develop specific phases of group-
ANS Irvin Yalom
114. Theoretical group phases developed by the first theorist to develop spe- cific
phases of group ANS Pregroup, forming, storming, norming, performing, adjourn- ing
115. What vitamin is used in treating neurological disorders, diabetes, and
premenstraul syndrome? ANS Vitamin E
116. What vitamin plays important roles in maintaining calcium absorption
ANS -
Vitamin D
117. Acupuncture and acupressure
ANS aid in the activity of endorphins by manipu- lating point of energy flow in the body
118. What vitamin plays important roles in the repair of tissue and enzymatic
production of certain neurotransmitters ANS Vitamin C
119. What vitamin plays important roles in cell metabolism
ANS Vitamin B
120. Biofeedback
ANS Teaches a patient to control their own physiological responses
121. Massage
ANS Increases blood circulation, lymph flow and enhances muscu- loskeletal tone
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122. Aromatherapy
ANS simulates the olfactory system to elicit feeling and memories
123. Technology Informatics Guiding Education Reform (TIGER)
ANS A 10-year plan Nursing path toward computer and information technology Literacy
124. A Behavior Report Card
ANS commonly used to treat ADHD( Bridges the gap between school, therapy and home)
125. schizophreniform disorder
ANS Psychotic disorder involving the symptoms of schizophrenia but lasting less than 6 months. 1-6 months
126. schizoaffective disorder
ANS Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder.
127. delusional disorder
ANS a psychotic disorder in which the primary symptom is one or more delusions
128. brief psychotic disorder
ANS brief episodes (lasting a month or less) of otherwise uncomplicated delusional thinking
129. Mental status of Autism
ANS Little or no eye contact flat or blunted affect lack of emotional reciprocity Stereotyped or repetitive motor mannerisms
130. medical care
ANS Describes goods and services that maintain, improve or restore an individuals physicals; social or mental well-being
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ANS ARE THE MOST COMMON POTENTIALLY LAW BREAK- ING SEXUAL
BEHAVIOR
142. cyclothymic disorder
ANS Chronic (at least 2 years) mood disorder characterized by alternating mood elevation and depression levels that are not as severe as manic or major depressive episodes.
143. bipolar disorder 1
ANS full blown episodes of mania. MAY EXPEREINCE DEP- PRSSION
144. Bipolar 2
ANS hypomania and depression. EXPEREINCE AT LEAST ONE
145. Team Leadership Model Decision 1
ANS Should the leader monitor the team or take action?
146. Team Leadership Model Decision 2
ANS Should the leader intervene to meet the task or relational need?
147. Team Leadership Model Decision 3
ANS Shoul the leader intervene internally or externally?
148. Harmless mentally ill patients cannot be confined against their will if they
can survive outside case? ANS O'Conner vs Donaldson
149. Patients have the right to refuse any treatment and use an appeal process-
ANS Rennie vs Klein
150. This case is know for originating the insanity defense
ANS Durham vs US
151. The common method for adolescent suicide
ANS Firearm
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152. Piaget's stages of cognitive development
ANS sensorimotor, preoperational, concrete operational, formal operational
153. Piaget
ANS Believed Humans developed through learning, comprehending and cognition
154. Indicators of Child abuse
ANS Unexplained Fxs, Burns, Bites, Injuries in VARI- OUS STAGES OF Healing, Evidence of Neglect (Poor Dental Issues), Bruising on padded parts of the body
155. In Strategic Therapy
ANS Originated by Jay Haley is a method for which interven- tions are both symptom and problem-focused -Symptoms are viewed as metaphors and reflect problems in the hierarchal struc- ture xd
156. Where do you see working on Long term plan
ANS Termination Phase
157. When do you see Regression of Symptoms within a patient client rela-
tionship ANS Termination Phase
158. Cranial Nerves
ANS See Image
159. Benzropine drug class
ANS Anticholinergic First Line Treatment for EPS
160. Haldol
ANS Haloperidol_ Monitor for Pneumonia and oculogyric crisis in the older adult
161. The Future of Nursing explores how nurses' roles, responsibilities, and
education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system.
