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PMHNP ANCC Exam Study Terms
Questions And Answers A+ Verified
1. Descriptive Vividness: The researcher describes the data gathering process in
sufficient detail that the reader can personally experience it. The data collected, often in the form of personal statements, should be quoted directly and extensively, because this is the raw data from the study.
2. Methodological Congruence: The researcher presents the philosophical and
methodological approach used and cites references to support their approach. The subjects, sampling method, data-gathering and data-analysis strategies, and processes for informed consent are clearly and concisely described.
3. Theoretical Conectedness: Any theory developed from the study is clearly stated,
logically consistent, reflective of the data, and in accord with other available knowledge.
4. Analytical Precision: Is not concerned with statistics and instruments. If refers to
the decision-making process by which the researchers synthesize concrete data (words of the subjects) into an abstract that clarifies the meaning and the importance of the study. The last of the 5 criteria is Heuristic Relevance - The researcher clarifies the significance of the study, its applicability to public health or community nursing, and its likely influence o the future research.
5. Phenelzine: An MAOI that patients with atypical depression respond particularly
well to.
6. Atomoxetine: A norepinephrine reuptake inhibitor approved for the treatment of
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ADHD.
7. Loxapine: A typical, tetracyclic antipsychotic with antidepressant properties. Its
active metabolite is amoxapine, which is a secondary amine tricyclic antidepressant.
8. HITECH: Implementation of EHR for information exchanges and improving pop-
ulation health. This was done by Obama and the ARRA.
9. Suppression: The intentional or conscious exclusion of painful or disturbing
thoughts or emotions from awareness. A healthy defense mechanism because the client channels conflicting energies into growth-promoting activities.
10. Medications that can induce depression: beta blockers, steroids, interferon,
Accutane, benzodiazepines, progesterone, some antivirals, and antineoplasmics.
11. Medications that can induce mania: Steroids, Isoniazid, antidepressants (in
people who already have bipolar disorder), and Antabuse.
12. Medigap Insurance Policies: Private insurance policies purchased by elderly
individuals to cover some or all of their medical expenses not paid for by Medicare.
13. Medicare Advantage Plan: Formerly Medicare + Choice, this created regional
Preferred Provider Organizations (PPOs) and gave Medicare enrollees the option of enrolling in private insurance plans.
4 / Irritability Nausea Imbalance/instability/incoordination/dizzy (motor) Sensory disturbances Headache, hyperarousal (anxiety/agitation)
22. Signs of NMS (Neuroleptic Malignant Syndrome): Initial Symptoms: altered
sensorium, hyperreflexia, fever Then signs of autonomic instability: extreme muscle rigidity, hypotension, tachycar- dia, diaphoresis, tachypnea, hyperthermia, coma, death. Check for increased WBCs (leukocytosis)/LFTs/CPK
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23. Signs of Lithium toxicity: Confusion, diplopia, nausea/diarrhea, ataxia, lethar-
gy, fatigue, clumsiness, weakness, muscle cramping, severe tremor, blurred vision, nystagmus, increased DTRs, altered mental status, cardiac dysrhythmias
24. Signs of Serotonin Snydrome: agitation, restlessness, rapid heart rate, blood
pressure elevation, headache, sweating, shivering, goose bumps, myoclonic jerking and loss of coordination, confusion, fevers, unconsciousness, seizures
25. Medications that can increase lithium level: NSAIDs, ACE Inhibitors (-prils),
ARBs (-sartans), tetracyclines, metronidazole
26. Medications that can decrease lithium level: potassium-sparing diuretics,
thiazide diuretics, theophylline
27. Clozaril - monitoring considerations: Monitor ANC (absolute neutrophil count);
pt needs an ANC of at least 1500 to start clozaril therapy; watch for Benign Ethnic Neutropenia (BED); Monitor ANC weekly x6 months, every 2 weeks x6 months, then monthly if ANC is at least 1500.
28. Substances that can cause a false + drug test for PCP & methadone: Niquil,
OTC cough meds
29. Substances that can cause a false + drug test for heroin & morphine: ri-
fampin, fluoroquniolones
30. Substances that can cause a false + drug test for cocaine: NSAIDs, amoxi-
cillin, most antibiotics
31. Substances that can cause a false + drug test for amphetamines: Prozac,
Wellbutrin, Trazodone, Nefazodone, Sudafed, OTC decongestants.
32. Schizophrenia Prevalence:
Non-twin siblings of a schizophrenic parent Dizygotic twins of a schizophrenic parent Monozygotic twins of a schizophrenic parent: 8% 12%
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40. Normal lab value for Alkaline Phosphastase: 44-147; male be increased in
gallbladder disease & with bone injury /rapid bone growth
41. Creatine Kinase (normal range): <240. Measures muscle injury (heart, brain, and
skeletal). Increased in MI (CK-MO), myositis, NMS
42. BUN (normal range): 10-20.
43. Creatinine: 0.4-0.8 or less than 1.
44. Normal GFR: >90 mL/min. If a patient is on psychotropics, as long as their GRF is
60, no dose adjustments need to be made.
45. What is the best measure of kidney function?: GFR (glomerular filtration rate)
46. Normal Plate Count: 140,000-340,
47. Normal hemoglobin value for males and females: Males: 13.5-
Females: 12.5-
48. Normal MCV (mean corpuscular volume) value: 78-
49. Normal TSH Range: 0.4-
50. Normal Free T4 range: 10-
51. Substances that can cause a false + drug test for codeine: poppy seeds
52. Substances that can cause a false + drug test for benzodiazepines: Zoloft
53. Gamma glutamyl transpeptidase (GGT) normal range: 10-
54. Drug Category A and examples: Controlled studies show no risk
Vitamins within RDA, insulin, thyroxine
55. Drug Category B and examples: No evidence of risk in humans
Buspirone, zolpidem, clozapine, lurasidone Beta-lactam antimicrobials (PCNs, cephalosporins, select macroco- des,azithromycin, erythromycin), acetaminophen, ibuprofen (1st & 2nd trimesters)
56. Drug Category C and examples: Risk cannot be ruled out
bupropion, lamotrigine, SSRIs (except paroxetine), TCAs, duloxetine, mirtazapine,
8 / trazodone, venlafaxine, aripiprazole, Haldol, ziprasidone, risperidone
57. Drug Category D and examples: Positive evidence of risk
paroxetine, valproate, carbamazepine, lithium alprazolam, chlordiazepoxide, clon- azepam, diazepam, lorazepam, oxazepam ACE Inhibitors (-prils), ARBs (-sartans), ibuprofen (3rd trimester), tetracyclines
58. Drug Category X and examples: Absolutely Contraindicated in pregnancy
Accutane, misoprostol, thalidomide, flurazepam, temazepam, triazolam
59. Types of inferential statistics: p-value, Pearson's r correlation, t-test,ANOVA
60. T-test: Compares whether the means of two groups are statistically different
61. ANOVA: tests the differences of 3 or more groups
62. Pearson's r correlation: tests the relationship between 2 variables
63. HLB-B*1502: Allele that some asian's have which makes them unable to me- tabolize
carbamazepine, increasing their risk for Steven's-Johnson syndrome which
- MCI: 20-
- Dementia: 1-
- 20- Less than HS education: Normal:
- MCI: 14-
- Dementia: 1-
- CIWA: Very mild: 0-
- Mild: 10-
- Moderate: 16-
- Severe: 21-
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72. PHQ-9 (Patient Health Questionnaire 9): 9 questions
1-4 minimal depression 5-9 mild depression 10-14 moderate depression 15-19 moderately severe depression 20- 27 severe depression
73. MADRS (Montgomery Asberg Depression Rating Scale): 10 questions 44=
very severe 31= severe 25= moderate 15= mild 7= recovered
74. Mini-cog: Screens for cognitive impairment. 3-item recall with a clock-drawing test
(CDT).
0/3 word recall=cognitive impairment 1-2 word recall and abnormal CDT=cognitive impairment 1- word recall and normal CDT= no cognitive impairment 3/ word recall= negative screen for dementia
75. MMSE (Mini mental status exam): Screens for cognitive impairment and used to
follow cognitive function over time. High education may score falsely high. 30-point questionnaire: Intact 25- Mild 21- Moderate 10-20 Severe < or =
76. MoCA (Montreal Cognitive Assessment): Screens for mild cognitive decline. 30-
point questionnaire. > or = 26 considered normal
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83. Schedule II Drugs: morphine, codeine, fentanyl, methadone, Percocet, oxycon-
tin, Dilaudid, amphetamines, methylphenidate.
84. Schedule III Drugs: Appetite suppressants, butalbital, testosterone, suboxone
85. Schedule IV Drugs: benzodiazepines, Ambien, Lunesta, Provigil, Nuvigil, phe-
nobarbital, dextropropoxyphene (Darvon), and pentazocine (Talwin)
86. Schedule V Drugs: buprenorphine, cheritussin (Robitussin) with codeine,
promethazine (Phenergan) with codeine, diphenoxylate/atropine (Lomotil)
87. Role of hypothalamus: homeostasis; basic needs (eating drinking, tempera- ture
regulation, sleep-wake cycle).
88. Braine stem reponsibility and parts: Pons, Midbrain, medulla oblongata
Regulates BP, respirations, level of arousal, and digestions. Relays information to the cerebellum
89. Thalamus: transmits sensory information to the cerebrum. influences affect,
mood, and body movements associated with strong emotions.
90. Kohlberg: Stages of Moral Development
91. 6 Domains in Diagnosing Neurocognitive Disorders: 1. Complex Attention
2. Executive Function
3. Learning Memory
4. Language
5. Perceptual Motor Ability
6. Social cognition
92. Mesolimbic Pathway: Responsible for POSITIVE symptoms of schizophrenia all
antipsychotics block DA receptors (specifically D2) in this pathway Excess DA in this pathway leads to + symptoms (psychosis) Reward-oriented Associated with mood disorders, psychoses, and drug abuse
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93. Mesocortical Pathway: Responsible for NEGATIVE symptoms of schizophre- nia,
cognition, planning and behavior.
94. Nigrostriatal Pathways: Responsible for voluntary and involuntary movements.
Insufficient DA in this pathway is implicated in Parkinson's disease.
95. Tuberoinfundibular Pathway: Responsible for prolactin production. Extends to
the pituitary gland where prolactin is regulated.
96. Otto Kernberg: Psychoanalytic therapy with antisocial and borderline person- ality
disorders.
97. Carl Rogers: Humanistic approach; unconditional positive regard; described the
individual as an energy field existing within the universe
98. 4 focuses of IPT (interpersonal therapy): 1. Complicated bereavement
2. Role Dispute
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104. Industry vs Inferiority: Age: 7-
Mastery: Ability to work, sense of competence & achievement Failure: Sense of inferiority, difficulty working and learning
105. Identity vs Role Confusion: Age: 12-
Mastery: Personal sense of identity Failure: identity confusion, poor self-identification in group settings
106. Intimacy vs Isolation: Age: 20-
Mastery: committed relationships, capacity to love Failure: Emotional isolation, and egocentrism
107. Generativity vs Stagnation: Age: 35-
Mastery: ability to give time and talents to others and ability to care for others Failure: self-absorption, inability to grow-change as a person, inability to care for others
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108. Integrity vs Despair: age 65+
Mastery: fulfillment and comfort with life, willingness to face heath, insight and balanced perspective on life's events Failure: biternes, sense of dissatisfaction with life, despair over impending death.
109. Piaget Stages: 1. Sensorimotor
2. Pre-operational
3. Concrete Operational
4. Formal Operational
110. Sensorimotor Stage: 0-2 years
Infants develop object permanence (the realization that people exist even when they cannot be seen)
111. Pre-operational: 3-6 years
Egocentrism prominent during this stage. Children develop language, symbolic thinking.
112. Concrete Operational: 7-11 years
Development of logical thought, but it is still more concrete than abstract. Developing the understanding of the concept of conservation.
113. Formal Operational: 12+ years
Development of hypothetical-deductive reasoning, may have an imaginary audi- ence, personal fable, propositional thinking
114. Freud Stages: 1. Oral 0-18 months
2. Anal 18 mos-2 years
3. Phallic 3-6 years
4. Latency 7-11 years
5. Genital 12+ years
115. Oral Stage: Age: 0-18 mos
Activities: put everything in their mouth. sucking, chewing, feeding, crying Failure:
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118. Latency Stage: Age: 7-11 years
Activities: peer relationships, learning, motor skills development, socialization Failure: inability to form social relationships
119. Genital Stage: Age: 12+ years
Activities: integration and synthesis of behaviors from early stages, primary geni- tal- based sexuality Failure: Sexual perversion disorders
120. Durham vs the United States (1954): Origin of the insanity defense. Deter-
mined than an individual is not criminally responsible if the unlawful act was the product of mental illness.
121. O'connor vs Donaldson (1976): Ruled that harmless mentally ill patients cannot
be conned against their will. Determined that the presence of a mental illness alone cannot justify involuntary hospitalization.
122. Rennie vs Klein (1979): Determined that patients may have the right to refuse
any treatment and use an appeal process.
123. Roger vs Oken (1981): Patient has a right to refuse treatment but a guardian can
consent to treatment for them
124. Ford vs Wainwright (1986): Established a person's competence to be execut- ed. :
1. Person must understand retributive element of punishment
2. Person must be in the best place to make peace with his or her religion.
125. Cranial Nerve I: Olfactory
Sensory Smell; tested by having patient smell common things like coffee ground through each nare while occluding the opposite nare (eyes must be closed)
126. Cranial Nerve II: Optic
Sensory Sight; tested using Snellen chart. Also, examiner views optic disc with ophthalmo- scope,
10 / 13 peripheral vision with confrontation test
127. Cranial Nerve III: Oculomotor
Motor Extraocular movements, tested with CNs IV and VII. Pupils and corneal light reflex. Check for PERRLA
128. Cranial Nerve IV: Trochlear
Motor Extraocular movements, tested with CNs III and VII. Innervates superior oblique muscle, turns eyes down and laterally (out)
129. Cranial Nerve V: Trigeminal
Both
