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ANCC PMHNP FINAL EXAM 150 QUESTIONS & DETAILED
ANSWERS A+ GRADES
Piaget's Cognitive Theory - CORRECT ANSWER >>> Stages: sensorimotor (object permanence), preoperational (magical thinking/language), concrete operations (logic, reversibility), formal operations (formal, logical) Henry Stack Sullivan's Interpersonal Theory - CORRECT ANSWER >>> behavior is in respond to interpersonal dynamics. Stages: oral gratification/first anxiety, delayed gratification, formation of peer relationships, same sex friendships, opposite sex relationships, self-identity development Maslow's Hierarchy of Needs - CORRECT ANSWER >>> survival, safety/security, love, selfesteem, self-actualization Health Belief Model - CORRECT ANSWER >>> barriers to health promotion: perception of susceptibility, seriousness of illness, perceived benefits of treatment, barriers to change, expectations of efficacy Bandura's Self-Efficacy/Social Learning Theory - CORRECT ANSWER >>> behavior is a result of cognitive and environmental factors, learned through observation/role-modeling, efficacy predicts change/maintenance Watson's Caring Theory - CORRECT ANSWER >>> Caring is essential component of nursing Frontal lobe - CORRECT ANSWER >>> Frontal lobe: motor function, premotor area, association cortex (decision-making), executive functions (memory, reasoning, planning, prioritizing, insight,
flexibility, judgment, impulse control, intelligence, abstraction), language (expressive), personality Temporal lobe - CORRECT ANSWER >>> receptive language, memory, emotion, integration of vision/sensory info (damage results in A/V hallucination, aphasia, amnesia) Occipital lobe - CORRECT ANSWER >>> visual cortex, integration of sensory info (damage results in visual hallucinations, blindness) Parietal lobe - CORRECT ANSWER >>> primary sensory data, taste, reading/writing (damage results in sensory disturbances, agnosia) Cerebellum - CORRECT ANSWER >>> processing of sensory info from thalamus, including speech/cognition, judgment, perception, motor function, equilibrium (if damaged, atataxia, negative Rhomberg) Limbic system - CORRECT ANSWER >>> emotions, memory (hypothalamus, thalamus, hippocampus, amygdala) Hypothalamus - CORRECT ANSWER >>> regulates appetite, thirst, libido, circadian rhythm, hormones Thalamus - CORRECT ANSWER >>> relays sensory info and affects emotions, memory, affective behaviors Hippocampus - CORRECT ANSWER >>> memory Amygdala - CORRECT ANSWER >>> regulates mood, fear, emotion, aggression
Fever can indicate agranulocytosis in these meds - CORRECT ANSWER >>> carbamazepine, clozapine These meds should prompt PE of the integumentary system because of risk of rash - CORRECT ANSWER >>> Lamictal, carbamazepine ECGs common on these meds - CORRECT ANSWER >>> TCAs, APs Edema common side effect for this med/disorder - CORRECT ANSWER >>> Lithium, anorexia This medication is associated with cataracts risk - CORRECT ANSWER >>> Seroquel T4 labs - CORRECT ANSWER >>> โ Increased: Graves, thyrotoxicosis, acute thyroiditis โ Decreased: hypothyroidism, thyrotoxicosis, renal failure, Cushing's, cirrhosis, Hashimoto's โ Med interactions: heparin, aspirin, propranolol, furosemide, methadone TSH labs - CORRECT ANSWER >>> โ Increased: hypothyroidism, thyroiditis โ Decreased: hyperthyroidism โ Med interactions: ASA, corticosteroids, heparin, Li Calcium - CORRECT ANSWER >>> โ Increased: acidosis, hyperparathyroidism, cancer, vitamin D intoxication, Addison's, hyperthyroidism, ECG changes โ Decreased: alkalosis, hypothyroidism, renal failure, pancreatitis, inadequate intake โ Psych symptoms: confusion (hypo), muscle issues (hypo), fatigue (hyper), anorexia (hyper), โ Med interactions: thiazides, hormones, vitamin D, Ca, barbiturates, anticonvulsants, steroids, acetazolamide, heparin, laxatives, albuterol, OCs
Sodium - CORRECT ANSWER >>> โ Increased: hypovolemia, dehydration, DI, excessive salt intake, gastroenteritis โ Decreased: Addison's, renal dz, GI fluid loss, diuresis โ Psych symptoms: confusion (hypo), lethargy (hypo), wt gain (hypo), tachycardia (hypo/hyper), restlessness (hyper) โ Med interactions: Li, vasopressin, diuretics Magnesium - CORRECT ANSWER >>> โ Increased: Addison's, renal failure, DKA, dehydration, thyroid dz โ Decreased: hyperaldosteronism, hypokalemia, DKA, malnutrition, alcoholism, acute pancreatitis, GI fluid loss, malabsorption, pregnancy-induced HTN โ Psych symptoms: depression (hypo), confusion (hypo), irritability(hypo), n/v (hyper) โ Med interactions: antacids, laxatives, salicylates, Li, thiazides, calcium gluconate, neomycin, aldosterone, ethanol Chloride - CORRECT ANSWER >>> โ Increased: acidosis, hyperkalemia, hypernatremia, dehydration, renal failure, Cushing's, hyperventilation, anemia โ Decreased: alkalosis, hypokalemia, hypernatremia, GI fluid loss, diuresis, overhydration, Addison's, burns โ Med interactions: high TGs, KCl, methyldopa, diazoxide, guanethidine, furosemide, thiazide Potassium - CORRECT ANSWER >>> โ Increased: acidosis, insulin deficiency, Addison's, renal failure, hypoaldosteronism, infection, dehydration โ Decreased: alkalosis, excessive insulin, GI loss, laxative use, burns, trauma, surgery, Cushing's, hyperaldosteronism, thyrotoxicosis, anorexia nervosa, diet lacking meat and vegetables โ Psych symptoms: marijuana use (hyper), restlessness (hyper), GI issues (hyper) โ Med interactions: furosemide, thiazides, insulin, aspirin, cortisone, li, laxatives, marijuana, heparin, epinephrine, isoniazid, K-sparing diuretics
Women preventative health screenings - CORRECT ANSWER >>> Monthly skin and oral selfexams Yearly blood pressure, bloodwork, urinalysis, PE, pap (2-3y after age 21 or within 3 years of first sexual encounter), pelvic exam, STI detection Q4y ECG after age 40 Q2y mammogram after age 50 Bone density screening after age 65 Colonoscopy q10y Men preventative health screenings - CORRECT ANSWER >>> Monthly testicle, skin, and oral self-exam Yearly blood pressure, bloodwork, urinalysis, PE Q4y ECG after age 40 Q19y colonoscopy AIMS - CORRECT ANSWER >>> clinician administered, testing for dyskinesia as a result of psychotropic meds, โ Score >2 = TD BARS - CORRECT ANSWER >>> clinician administered, testing for drug-induced akasthisia, objective and subjective โ Score >2 = akasthisia Connor's - CORRECT ANSWER >>> self, parent, teacher reported or clinician administered, testing for pediatric ADHD, short and long form, subsets for other common pediatric psych diagnoses โ Score > 61 = mild ADHD, score > 70 = severe ADHD
Vanderbilt - CORRECT ANSWER >>> parent and teacher report, testing for ADHD in ages 6-12, academic and behavioral assessment ASRS - CORRECT ANSWER >>> self-report or clinician-administered, testing for ADHD in ages 16 and up, includes items assessing quality of symptoms AUDIT-C - CORRECT ANSWER >>> self-report or clinician-administered, testing for use and frequency of alcohol and drug use in ages > 13 โ Females > 3 = positive, males > 4 = positive, score > 8 = hazardous CAGE - CORRECT ANSWER >>> - self-report or clinician administered, testing for substance use in ages > โ Score > 2 may indicate dependence CRAFFT - CORRECT ANSWER >>> self-reported or clinician-administered, testing for ETOH and safety in ages 14- 18 โ Score > 2 may indicate substance abuse BAI - CORRECT ANSWER >>> self-report or clinician-administered, testing for anxiety symptoms (but not worry) in ages > 17 โ Score < 21 = mild, 22-25 = moderate, 25-30 = severe HAM-A - CORRECT ANSWER >>> clinician administered, testing for anxiety/fear/sleep disturbance/somatic complains/tension/behavior โ Score 14-17 = mild, 18-24 = moderate, 25-30 = severe LSAS-CA - CORRECT ANSWER >>> clinician administered, testing for social anxiety/phobia in pediatrics, assesses social interactions and performance situations, includes fear and avoidance โ Score 55-65 = moderate, 65-80 = marked, 80-95 = severe, >95 = severe
PHQ- 9 - CORRECT ANSWER >>> self-report or clinician-administered, testing for depression โ Score 5 = mild, 10= moderate, 15 = moderately severe, 20 = severe PHQ- 2 - CORRECT ANSWER >>> self-report or clinician-administered, testing for depression โ Score of 3 = positive QIDS - CORRECT ANSWER >>> self-report or clinician administered, testing for severity of depressive symptoms SDS (Zung) - CORRECT ANSWER >>> self-report or clinician administered, testing for mood, appetite, and SI in depressed pts โ 0 - 50 = normal, 51-59 = mild, 60-69 = moderate, 70+ = severe Kiddie-SADS - CORRECT ANSWER >>> clinician interview of parent and child, testing for current and past psychopathology โ Complex scoring MDQ - CORRECT ANSWER >>> self-report or clinician administered, testing for mania and hypomania โ Score is positive if 7 or more of the items are present YMRS - CORRECT ANSWER >>> self-report or clinical observation, testing for mania in diagnosed pts โ Score of 12 in adults = mania, score of 20 in children = hypomania, 25 = mania CYBOS - CORRECT ANSWER >>> self-report or clinician administered, testing for obsessions and compulsions in children age 6- 14
โ Scores of 0-4, with higher scores = higher severity | P a g e YBOCS - CORRECT ANSWER >>> self-report or clinician administered, testing for type and severity of OCD within past 48 hours in ages 14 and older โ Higher score indicates higher severity BPRS - CORRECT ANSWER >>> clinician-administered, testing for positive/negative/affective components of schizophrenia in ages 18 and older โ Scores of 0-9 = negative, 10-20 = possible schizoaffective, 20+ = likely schizoaffective PANSS - CORRECT ANSWER >>> self-report or clinician administered, testing for positive and negative components of psychotic disorders SPS - CORRECT ANSWER >>> self-report or clinician administered, testing for suicide risk in ages 13 and older โ Higher the score, greater the risk CIWA - CORRECT ANSWER >>> clinician administered, testing for alcohol withdrawal syndrome โ Scores <10 are negligible COWS - CORRECT ANSWER >>> testing for severity of withdrawal syndrome, used for induction of suboxone โ Scores 5-12 = mild, 13-24 = moderate, 25-36 = moderate/severe, 36+ =severe
