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PMHNP ANCC Test Review Over 300
Questions And Answers A+ Verified
1. Characteristics of a Therapeutic Relationship: Genuineness
Acceptance Nonjudgement Authenticity Empathy Respect Professional boundaries
2. Single most important goal in transformation of mental health care in the
past two decades: Recovery
3. Sadness can be pathological when...: It is disproportionate to events and
sustained over a significant time period; It significantly impairs normal social functioning (occupational, social, school, re- lational) or somatic functioning (eating, sleep); it is apparently unrelated to any identifiable event or situation in a person's life
4. Psychodynamic Theories: Object Loss Theory
Aggression-Turned-Inward Theory Cognitive Theory (Beck 1979) Learned Helplessness-Hopelessness Theory
5. Benefits of Group Therapy: (ISCC) Insight, Social Skills, Cost-effective, Com-
2 / munity Increases insight about oneself Increases social skills Is cost-effective Develops a sense of community
6. Who created Humanistic Therapy?: Carl Rogers
7. Person-Centered Therapy is also known as: Humanistic Therapy
8. Who created DBT?: Marsha Linehan (born 1943)
9. Who developed definition of group phases?: Tuckman
10. Name the group phases: Pregroup
Forming Storming Norming Performing Adjourning
4 / Scaling questions
19. Focus of Solution-Focused Therapy: To rework for the present situation solu-
tions that have worked in the past
20. Strategic Therapy - techniques?: Straightforward directives
Paradoxical directives Reframing belief systems
21. Family Systems Theory: One could not understand any family member (part)
without understanding how all family members operate together (system)
22. Family Homeostasis: Tendency of families to resist change and to maintain a
steady state
23. Morphogenesis: A family's tendency to adapt to change when changes are
necessary
24. Morphostasis: Family's tendency to remain stable in the midst of change
25. Who created Family Systems Therapy?: Murray Bowen
26. Family Systems Therapy - summarize: Originated by: Murray Bowen
Focus on: Chronic anxiety within families Treatment goals: Increase family's awareness of each member's function within the family and increase levels of self-differentiation (level at which one's sense of self-worth is not dependent on external relationships)
27. Cognitive Therapy - creator?: Aaron Beck, 1979
28. Primary Prevention - what is it?: Aimed at decreasing the incidence (number of
new cases) of mental disorders
29. Examples of Primary Prevention?: Helping people avoid stressors or cope with
them more adaptively: Smoking prevention classes
5 / Stress management classes for grad students D.A.R.E.
30. Secondary Prevention - what is it?: Aimed at decreasing the prevalence
(number of existing cases) of mental disorders
31. Examples of Secondary Prevention: Early case finding
7 / Use grounding techniques (bring person's level of awareness to immediate thera- peutic environment) - rubbing upholstery, stomping one's feet, good eye contact, proper room lighting, deep breathing, walking outside, supportive self-talk Help individual develop dual awareness of flashback being linked to traumatic events of past associated with traumatic feelings so individual can talk about traumatic feelings in present as memories Monitoring responses of other group members who may have similar flashbacks
8 / triggered is important but the initial focus is on the member experiencing the flashback
38. What does activation do?: Allows memories stored in the amygdala to be
processed
39. What does Systemic Family Therapy use?: Triangles, genograms, differenti-
ation of self
40. What is sublimation?: redirecting unacceptable feelings into an acceptable
channel MADD
41. Minimum standard of therapy for a child with history of trauma?: Trauma
focused CBT
42. TSH normal values: 2-10 mU/l
43. Medications used to treat mood disorders & bipolar disorders: Valproic acid
(Depakene) Divalproex sodium (Depakote) Lithium carbonate Carbamazepine Carbamazepine ER Oxacarbazepine (Trileptal - off label)
44. Typical Antipsychotics: Haldol
Loxitane (Loxapine) Navane (thiothixene) Prolixin (fluphenazine, fluphenazine dec) Mesoridazine (Serentil)
10 / Perphenazine (Trilafon)
45. FDA pregnancy risks for medications: A: Controlled studies show no risk B:
No evidence of risk in humans C: Risk cannot be ruled out D: Positive evidence of risk X: Absolutely contraindicated in pregnancy
46. Medications that induce mania: Steroids
Disulfiram (Antabuse) Isoniazid (INH) Antidepressants (in persons with bipolar disorder)
47. With oral medications, absorption usually occurs...: in the small intestine
and then in the liver
48. Pharmacology: study of what drugs do and how they do it
49. Pharmacokinetics: Study of what the body does to drugs; includes:
absorption distribution metabolism excretion
50. Pharmacodynamics: Study of what drugs do to the body;
target sites for drug actions include receptors, ion channels, enzymes & carrier proteins
51. First-pass metabolism: process by which the drug is metabolized by cy-
tochrome P450 (P450) enzymes in the intestines and liver prior to going to the systemic circulation
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52. Half-life (T 1/2): Time needed to clear 50% of the drug from plasma
Half-life also determines the dosing interval and the length of time to reach a steady state
53. Typical antipsychotics are also known as: First-generation antipsychotics
54. Top goal/priority in acute phase of MDD: Ensuring patient safety
13 / If BMI less than 16, automatic admission
63. What is anorexia nervosa?: Eating disorder in which an irrational fear of weight
gain leads one to starve him/herself
64. ANOVA: Analysis of variance
Inferential statistical test for comparing the means of three or more groups Tests the difference among 3 or more groups
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65. Considerations for Anxorexia: Safety is key
Set up family therapy (especially adolescent patients since no control over food choices) Admission criteria: BMI <16 - automatic hospitalization Weight loss over 30% over 6 months Severe hypothermia (temp <36 C or 96.8 F) HR less than 40 BPM SBP <70 mmHg Hypokalemia (< 3 mEq/L)
66. Prozac in elderly: Increases anxiety
67. Health Insurance Breakdown in U.S.: Private Ins - 64%
Uninsured - 16.3% Medicare - 14.5% Medicaid - 15.9%
68. A patient presenting with alcohol use disorder - lab values to pay specific
attention to?: MCV and LFTs A patient presenting with alcohol use disorder will present with increased MCV and abnormal LFTs
69. Hoarding Disorder: Affects males & females equally
Worsens with each decade of life 3x more prevalent in older adults Associated with indecisiveness, procrastination, avoidance & difficulty organizing tasks
70. Strategic Therapy: Jay Haley
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72. What drugs are CYP450 INDUCERS?: Carbamazepine
Rifampin Alcohol Phenytoin Griseofulvin Phenobarbital Sulfonylureas ...induces my rage
73. Either CYP450 inducers or inhibitors: ketoconazole
valproate sulfonamides chloramphenicol
74. DIGFAST symptoms: Distractibility
Impulsivity Grandiosity Flight of Ideas Activity Sleep (decreased need for sleep, not sleeping, not tired) Talkativeness
75. Flight of ideas: Rapid, nonstop ideas coming to the brain and coming out in
speech in the form of rapid, uninterruptible speech
76. Acoustic neuroma - first symptom?: Unilateral tinnitus
77. What birth defect can lithium cause if given to a pregnant woman?: Ep-
stein's anomaly
78. Medications that induce mania: Steroids
Disulfiram (Antabuse) Isoniazid (INH) Antidepressants (in those with bipolar d/o)
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79. Medications that induce depression: beta blockers
steroids interferon accutane some retrovirals neoplastic drugs benzodiazepines progesterone
10 / 37 based on principle that healthcare services should be coordinated & directed by a single physician or other provider clients can access services from multiple entry points
91. screening measures in public domain sensitive to and specific for depres-
sion screening are:: Patient Health Questionnaire-2 (PHQ2)
11 / Patient Health Questionnaire-9 (PHQ9)
92. First step in beginning a systems change project: conduct a systemic needs
assessment of the organization
93. Who are key players that should be part of PMHNP's quality improvement
team?: all members of clinic who will be affected by implementation of the project
94. What model or framework can be used to guide QI project?: Donabedian
Model PDSA cycle
95. Donabedian Model: structure, process, outcome
96. Erik Erikson's Stages of Human Development: Infancy: birth to 1 yr - Trust vs
Mistrust Mastery: Ability to form meaningful relationships, hope about future, trust in others Failure: poor relationships, lack of future hope, suspicious of others Early childhood: 1 - 3 yrs - Autonomy vs Shame & Doubt Mastery: self control, self-esteem, willpower Failure: Poor self control, low self-esteem, self-doubt, lack of dependence Late childhood: 3-6 yrs - Initiative vs Guilt Mastery: self-directed behavior, goal formation, sense of purpose Failure: Lack of self-initiated behavior, lack of goal orientation School age: 6-12 yrs - Industry vs Inferiority Mastery: Ability to work, sense of competency and achievement Failure: sense of inferiority, difficulty with working, learning
