ANCC Certification PMHNP Chapter 7 (Latest 2022/2023) Rated A+

1. Purpose of Dopamine 2. What term best describes the reelationship be- tween an in- dividual's health and a number of other vari- ables, including the amoutn of healthcare con- sumed? 3. How much time should you al- low for Celexa to provide its initial therapeu- tic effect and the patient to see an improvement in symptoms? 4. Clients have what rights? 5. Which inferential statistic deter- mines whether the means of 2 Inhibition of prolactin production Sleep Learning Attention Pleasure and reward Movement Memory Mood Health production function- math expression that shows the relationship between an individual's health and a num- ber of other variables. 4-6 weeks Right to privacy and confidentiality Right to least restrictive treatment measures Right to consent and withdraw consent at any given time t-test enables one to reach conclusions that extend beyond the immediate data alone (ANOVA tests the difference among 3 or more groups, groups are sta- tistically differ- ent from each other? 6. What symptoms would a patient exhibit if they were experienc- ing an excess serotonin? 7. What term de- scries a col- letion of individ- uals who coordi- nate lobbying ef- forts around a common interest and seek to influ- ence policymak- ers? 8. What are 3 phas- es of a ther- apeutic relation- ship between NP and pt? 9. The following describes what stage of a therapeutic rela- tionship? Clari- fying patient ex- pectations, ID goals, treatment plan, preven- tative health- care, measur- Pearson's r correlation- tests the relationship between 2 variables, probability-likelihood, p value- probability of a particular result occurring by chance) Restlessness, agitation, myoclonus, vital sign abnormalil- ties Special interest group. 1. Intro 2. Working- 3. Termination Working phase ing outcomes of care, reprioritiz- ing plan 10. Which type of family therapy uses genograms, structural map- ping, empha- sizes under- standing to pro- duce change in the family struc- ture. 11. Symptoms of exess GABA 12. Symptoms of in- sufficient GABA 13. A Hamilton Anx- iety score of 14-17 indicates what? 14. A Hamilton Anx- iety score of 18-24 indicates what? 15. A Hamilton Anx- iety score of 25-30 indicates what? 16. When would you not use seclu- sion and re- straint? Structural family therapy excess sleepiness, increased blood pressure, shallow breathing Sz, trouble concentrating, insomnia, depression, anxiety Mild Anxiety Moderate Anxiety Severe Anxiety Extremely unstable medical or psychiatric conditions Delirious or demented patients unable to tolerate de- creased stimulation Overtly suicidal patients 17. When should you use seclu- sions and re- straint? 18. What is the difference between pharmacokinet- ics, and pharmaodynam- ics? 19. Problems with the frontal lobe could lead to what 20. problems with the temporal lobe can lead to 21. problems with the occipital lobe can lead to 22. problems with the parietal lobe can lead to 23. This type of advanced nurse evaluates, diag- noses, and treats a wide range of medical condi- tions Prevent significant disruption to treatment program or physical surroundings Decrease sensory overstimulation pharmacokinetics is whatthe body does to drugs, phar- macodynamics is what the drug does to the body personality changes aphasia and amnesia visual field defects densory perceptual disturbances and agnosia nurse practitioner 24. Clinical nurse specialist This type of ad- vanced practice nurse consults researches edu- cates and coordi- nates care 25. This type of advnaced practice nurse provides well-woman gyno care, management pregnancy, child birth, antipartum post partum. 26. According to Pi- aget wat what cognitive stage do children de- velop object per- manence? 27. Occurs when a patient is unabe to see others as somethimes good sometimes bad 28. what is the ther- apeautic dose of riseridone for an adolescent? 29. What core co- mopetency is the NP demonstrat- Nurse midwife sensorimotor splitting 3 mg NP core competency: Quality ing when she evaluates the ap- propriate use of seclusion and re- straints? 30. What core com- petency is the NP demonstrat- ing when par- ticipating in a special interest group? 31. By whom and where was the first NP role in- troduced? 32. What factors constrain the growth of the NP role? 33. What regulato- ry or statutory dimension pro- vides different rules and regu- lations for each state? 34. What regulatory or statutory di- mension forms a process by which an agency of state govern- ment grants per- mission to per- NP core competency: Policy Loretta C. Ford, Henry Silver; University of Colorado Increased concerns over reinbursement fraud and abuse, reinbursement struggles, need for formal supervisory or collaborative relationships with physicians, overlapping scope of practice Statutory law Licensure sons to engage in the practice of that profession? 35. What regulatory or statutory di- mension forms a process used to protect the pub- lic by ensuring a minimum lev- el of professional competence. 36. What regulatory or statutory di- mension deter- mines the scope of practice and assures the pub- lic that a person has mastery of a specified body of knowledge. 37. HITECH(health information technology for economic and clinical health Act) 38. Basic criteria for involuntary ad- mission 39. What are the four main com- ponents of HIP- PA Credentialing Certification meaningful use incentive charting system for physician order set Incentive payment for sharing specific electronic health record(EHR) danger to self or others unable to care for self poor nutritional intake To be educated, have access, the ability to request amendments and permission for disclosure 40. Voluntary Com- mitment entails 41. What is the communi- cation process between the provider and the client that re- sults in accep- tance or rejec- tion of the the proposed treat- ment 42. Promoting well-being and doing good Admission, Client of all civils liberties, client consents to confinement Informed Consent Beneficence 43. Doing no harm Nonmaleficence 44. Being true and loyal fidelity 45. Doing for self Autonomy 46. Telling the truth Veracity 47. A male client ap- proached the NP for a date. The NP went out on one date with the client, but end- ed the relation- ship due to this element of negli- gence Breach of duty 48. What Act of 2009 HITECH ( Heath Information Technology for economic requires incen- health record) tive if payments, is a part of the meaningful use and can improve health outcomes 49. Durable power Are legally binding in all 50 states of attorney con- tracts are or are not legally bind- ing in all 50 states 50. Living wills are Are not legally binding in all 50 states or are not legally binding in all 50 states 51. All of the fol- Schizoid, Schizotypal Paranoid lowing are Clus- ter A personality disorders 52. What is another a healthcare proxy name for durable POA 53. All of the fol- Histrionic, Borderline, Narcissistic, Antisocial lowing are Clus- ter B personality disorders 54. All of the fol- OCD, Dependent, Avoidant lowing are Clus- ter C personality disorders 55. Odd and eccentric Cluster A per- sonality disor- ders can best be described as what? 56. Cluster B per- sonality disor- ders can best be described as what? 57. Cluster C per- sonality disor- ders can best be described as what? 58. • No: Ibuprofen increases plas- ma levels of lithi- um 59. What are the two main types of a Systematic Re- view? 60. What are the dif- ferent types of Validity in re- search? 61. What is the most used legal sub- stance? Dramatic and Erratic Fearful and anxious Would you give Ibuprofen to a patient receiving lithium? • Meta- Analysis: Statistically analysis quantitative studies • Meta Synthesis: Statistically analysis Qualitative Studies • External Validity: When the sample is representative of the population and the results can be generalized. • Internal validity: When the independent variable causes a change in, he dependent variable. • Probability: The likelihood of an event occurring • Standard Deviation: Indication of possible deviation from the mean. ETOH ... See pg 296 of the purple book! Highest in the African American Population 62. What is the dif- ference between Certification and Credentialing • Certification is a process by which a professional orga- nization certifies that an individual has net certain prede- termines standards. • Credentialing is a process that is used to protect the public by ensuring a minimum level of professional com- petence. • Licensure: is a process by which an agency of state government grants permission to individuals to engage in practice 63. Different types of • Klerman and Weissman created interpersonal Therapy. Therapy 64. Antidepressants that do not depend on the CYP2D6 for Metabolism. 65. Medicare vs Medicaid 66. -If a woman is taking tamoxifen for Breast Can- cer do not RX: • Sigmund Freud created Psychoanalytic Therapy. • Anna Freud and Melanie Klein contribution sin Psycho- analytic Child Theory • Aaron Beck- Created Cognitive Therapy • Carl Rogers: Humanistic Therapy (Person Centered) Murray Bowen: Family Therapy Lexapro, Zoloft and Remeron -Medicare - Over 65, Younger individuals with disabilities, individuals with End stage Renal Disease. Individuals in he need of a kidney transplant, individuals receiving social security for a disability of amyotrophic lateral scle- rosis. -Medicaid- Low-income children, Low income pregnant women, elderly and disabled individuals who qualify for the supplemental security income program Paxil, Prozac, or Wellbutrin 67. Valerian Root is considered a psychoactive herbal substance to treat insomnia, anxiety and restless. 68. Risk factor for developing a so- matic disorder 69. -The difference between culture and ethnicity 70. -Family Vs Com- munity: 71. Family Vs Com- munity: 72. Competency to be executed was established in the supreme Court Female Lower Socioeconomic Unemployed Olde age Fewer years of education Recent stressful life events Negative affectivity Childhood sexual abuse Comorbid psych condition Perceived illness benefits Sensitization of pain Heighted attention to body sensation Culture is learned behaviors, socially inherited character- istic. Ethnicity: self-identified race, tribe, or nation 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. 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. Ford Vs Wainwright 73. -Depolarization- Influx of sodium and calcium into the cell 74. Repolarization -Kt leaving the cell or Chloride entering the body. 75. Therapeutic Re- lationship: Introduction: Boundaries, Agreed time frame Working: Measuring, reprioritizing Termination: long term plan of self-management, Reemergence of symptoms Countertransference delt with Peer to Peer 76. Abilify has the lowest risk of sedation of all Antipsychotics 77. the homeless population has a co-occurring Mental Health Is- sue and Sub- stance Abuse. What Percent 78. the most widely used psychoac- tive drug in the US. 79. The first step in hearing your pa- tient say they will kill someone; 80. - Stages of Psy- chosexual Devel- opment (Freud) 81. Stages of Erick Erikson 50% Cannabis i you must notify the person that they are in danger and then call the police. - Oral- birth to 0-18 - Anal -12-18 to 3 years - Phallic- 3to 5-6 years - Latency- 5-6 to adolescence - Genital- adolescence to adulthood see image 82. Normal Labs Kt and NA see results 83. Normal TSH 2-10mu/I see page 87 84. Normal lithium levels 0.5-1.2 85. Tests for Lithium -Cardiac: ECG, especially in patients at risk of unmasking Brugada syndrome; cardiac function at baseline and at regular intervals thereafter-Endocrine: Thyroid function at baseline and at regular intervals thereafter-Metabolic: Lithium levels at baseline and at regular intervals there- after-Renal: Renal function tests (e.g., urinalysis, urine specific gravity, serum creatinine, creatinine clearance), especially in patients who develop polyuria and/or poly- dipsia And Pregnancy Test 86. Deferential Vs In- ferential Statis- tics see image 87. CIWA What is the assessment for ETOH Detox 88. What is the assessment for Opioids Detox 89. ETOH Screening Test for Geri- atrics 90. What antidepres- sant can give false positive for Methamphet- amines' 91. What antidepres- sants can give a false positive for Benzo 92. What Benzo can give a false posi- tive for ETOH 93. Nyquil can give a false positive for what 94. Assessment for Benzo withdraw- al 95. What area of the body if dysregu- lated can result in anxiety and panic COWS S-MAST /Known as the Alcohol Screening Test for Geri- atric Wellbutrin Zoloft Valium methadone CNSDP Vestibular Dysfunction 96. What develop- mental phase, if not accom- plished, can re- sult in Conver- sion disorder Initiative vs guilt 97. Culture explana- tions labels, attributes or features of a culturally recognized etiology for distress 98. Culture bound syndromes Clusters of symptoms that tend to occur in or among individuals in a certain culture 99. Culture idioms terms that are used to describe ways of sharing their experience of suffering 100. Norepinephrine attention, focus, memory and learning (AFML)Apples falls more than leaves 101. Dopamine Thinking, fine muscle action, reward ( TFR) Troy found Renee 102. GABA Reduces Arousal Aggression and Anxiety ( AAA) Triple A Adam Asks Alison ( Two A's in GABA) 103. Serotonin Regulates: Sleep, Mood, pain, and temp (SMPD) 104. Basil Ganglia Somatic Motor Activity: initiates complex motor function and maintains tone posture and common reflexes 105. A com- Valerian root mon psyhoactive herbal supple- ment used to treat insomnia 106. Patient was pre- viously accept- ing of treatment Hepatic encephalopathy; the loss of brain function when a damaged liver does not remove toxins from the blood. but now appears agitated. Pre- sents with per- sonality changes over the past year, memory im- pairment, aster- ixis, palmar ery- thema, peripher- al edema, and a large ecchymotic area left elbow. Why? 107. This patient has presented with at least four mood episodes in the past year. What additional speci- fier will the prac- titioner add to the diagnosis of depression? 108. Which theorist believed that hu- mans develop through learn- ing, cmprehend- ing, and cog- nition. Child's development is shaped through native endow- ment and fac- tors. Rapid cycling Jean Piaget 109. 109. Which statement most acurately describes grass- roots lobbying 110. Restless leg syndrome can be associated with compro- mised levels of what blood pro- tein 111. Anxiety and depression an be assoiated with compro- mised levels of what blood pro- tein? 112. What are the common with drawal symp- toms assessed on the CIWA scale 113. Which theorist was the first per- son to develop specific phases of group 114. Theoretical group phases developed by the first theorist to develop When nonpaid individuals contact their legislators to influ- ence policy ferritin folic acid n&v, tremors, paroxysmal sweats, agitation, tactile distur- bances, ha, altered sensorium Irvin Yalom Pregroup, forming, storming, norming, performing, ad- journing specific phases of group 115. What vitamin is used in treat- ing neurological disorders, dia- betes, and pre- menstraul syn- drome? 116. What vitamin plays important roles in maintain- ing calcium ab- sorption 117. Acupuncture and acupressure 118. What vitamin plays important roles in the re- pair of tissue and enzymatic pro- duction of cer- tain neurotrans- mitters 119. What vitamin plays important roles in cell me- tabolism Vitamin E Vitamin D aid in the activity of endorphins by manipulating point of energy flow in the body Vitamin C Vitamin B 120. Biofeedback Teaches a patient to control their own physiological re- sponses 121. Massage Increases blood circulation, lymph flow and enhances musculoskeletal tone 122. Aromatherapy simulates the olfactory system to elicit feeling and mem- ories 123. Technology In- formatics Guid- ing Education Reform (TIGER) 124. A Behavior Re- port Card 125. schizophreni- form disorder 126. schizoaffective disorder 127. delusional disor- der 128. brief psychotic disorder 129. Mental status of Autism A 10-year plan Nursing path toward computer and infor- mation technology Literacy commonly used to treat ADHD( Bridges the gap between school, therapy and home) Psychotic disorder involving the symptoms of schizophre- nia but lasting less than 6 months. 1-6 months Psychotic disorder featuring symptoms of both schizo- phrenia and major mood disorder. a psychotic disorder in which the primary symptom is one or more delusions brief episodes (lasting a month or less) of otherwise un- complicated delusional thinking Little or no eye contact flat or blunted affect lack of emotional reciprocity Stereotyped or repetitive motor mannerisms 130. medical care Describes goods and services that maintain, improve or restore an individuals physicals; social or mental well-be- ing 131. Same-e Treats depression osteoarthritis and liver disease 132. omega-3 fatty acids polyunsaturated fatty acids commonly found in fish oils that are beneficial to cardiovascular health 133. Tryptophan Aiding in nitrogen balance, which is essential in creating serotonin 134. Pheochromocy- toma a benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine Should be a differential for panic disorder 135. Shingles Vaccine 50 and over even if you have had or have not had the chicken pox 136. Vestibulo- cochlear hearing and balance 8th Cranial Nerve 137. studies estimate 15-24% of those incarcerated have a mental health dis- order 138. Trochlear eye muscle movement 139. family systems therapy 140. Retinal Pigmen- tation psychotherapy that focuses on the family, rather than the individual, as the source of problems; family thera- pists challenge communication styles, disrupt patholog- ical family dynamics, and challenge defensive concep- tions in order to harmonize relationships among all mem- bers and within each member Thioridazine side effect 141. voyeuristic ACTS ARE THE MOST COMMON POTENTIALLY LAW BREAKING SEXUAL BEHAVIOR 142. cyclothymic dis- order 143. bipolar disorder 1 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. full blown episodes of mania. MAY EXPEREINCE DEP- PRSSION 144. Bipolar 2 hypomania and depression. EXPEREINCE AT LEAST ONE 145. Team Leadership Should the leader monitor the team or take action? Model Decision 1 146. Team Leadership Should the leader intervene to meet the task or relational Model Decision 2 need? 147. Team Leadership Shoul the leader intervene internally or externally? Model Decision 3 148. Harmless men- tally ill pa- tients cannot be confined against their will if they can survive out- side case? O'Conner vs Donaldson 149. Patients have the Rennie vs Klein right to refuse any treatment and use an ap- peal process 150. This case is know for origi- nating the insan- ity defense 151. The common method for ado- lescent suicide 152. Piaget's stages of cognitive de- velopment Durham vs US Firearm sensorimotor, preoperational, concrete operational, for- mal operational 153. Piaget Believed Humans developed through learning, compre- hending and cognition 154. Indicators of Child abuse Unexplained Fxs, Burns, Bites, Injuries in VARIOUS STAGES OF Healing, Evidence of Neglect (Poor Dental Issues), Bruising on padded parts of the body 155. In Strategic Ther- apy 156. Where do you see working on Long term plan 157. When do you see Regression of Symptoms with- in a patient client relationship Originated by Jay Haley is a method for which interven- tions are both symptom and problem-focused -Symptoms are viewed as metaphors and reflect prob- lems in the hierarchal structure xd Termination Phase Termination Phase 158. Cranial Nerves See Image 159. Benzropine drug class Anticholinergic First Line Treatment for EPS 160. Haldol Haloperidol_ Monitor for Pneumonia and oculogyric crisis in the older adult 161. The Future of Nursing explores how nurses' roles, responsi- bilities, and ed- ucation should change signifi- cantly to meet the increased de- mand for care that will be creat- The Future of Nursing Article ed by health care reform and to ad- vance improve- ments in Ameri- ca's increasingly complex health system. 162. A set of per- formance ex- pectations for the 21st-century health care sys- tem. A set of 10 new rules to guide pa- tient-clinician re- lationships. A suggested or- ganizing frame- work to better align the incen- tives inherent in payment and ac- countability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. 163. Wernicke's en- cephalopathy Article: Crossing the Quality Chasm What encephalopathy causes ocular palsies, confusion, and gait abnormalities related to a lesion in the CNS caused by an exhaustion of VB1? 164. Korsakoff's syn- drome symp- toms 165. Alcoholic hallu- cinosis 166. Delerium tremens 167. SAM-e is an herbal supple- ment used for 168. Due to the risk of hypoma- nia, hyperactive muscle move- ments, and pos- sible serotonin syndrome which herbal supple- ment should not be prescribed to bipolar clients Difficulty in acquiring new information or learning new skills Change in personality. At one extreme may show apathy or at the other, talkative and repetitive behaviour.C onfabulation. involves auditory and visual hallucinations, usually ac- cusatory or threatening ones. During acute intoxication or withdrawal Normal appearance except for auditory ,visual , tactile hallucinations Treatment : antipsychotics Begin 48-72 hours after cessation of drinking; character- ized by hallucinations, disorientation, and clouding of the sensorium; hyperventilation leading to respiratory alkalo- sis, hypovolemia, hypomagnesia, and hypophosphatemia depression OA and liver disease SAM-e 169. Yin and Yang cold and wet/ hot and dry 170. In family sys- tems morpho- genesis de- scribes what 171. in family sys- tems mophosta- a family's tendency to adapt to change when changes are necessary a family's tendency to remain stable in the midst of change sis describes what 172. Creator of the family systems therapy model 173. Creator of the structural family therapy model 174. Creator of strate- gic therapy mod- el 175. Creator of the separation and individual- ization stages 176. Margaret Mahler's Separation-Indi- vidualization Theory of Child Development Stages Murray Bowen Salvador Minuchin Jay Haley Margaret Mahler The normal autistic phase 0-4 weeks- shows little social engagement. The normal symbiotic phase 1-6m- the child gains aware- ness of caregivers but has no sense of individuality. The separation-individuation phase (broken down over time) - as the child begins to develop a sense of self, separate from the mother. The normal autistic phase occurs during the first weeks of life and shows little social engagement. However, Mahler abandoned this phase later in her career. The normal symbiotic phase lasts through the first six months of life, and occurs when the child gains awareness of caregivers but has no sense of individuality. :Differentiation 5- 10m or "hatching," occurs when the child first gains awareness that he or she is separate from the mother. Practicing 10-16m occurs as the child becomes a toddler, gaining motor skills that enable the child to explore the world independently from his or her caregivers. 177. The following herbal is used for anxiety 178. The following herbal is used for sedation 179. The following herbal is used for sedation and anxiety 180. The following herbal is used for delerium, de- mentia, sexu- al dysfunction caused by SSRIs 181. The following herbal is used for depression and fatigue 182. the following herbal is used for sedation Rapprochement 10-24m marks a "backing off" from sep- aration, as the child becomes anxious about separating from his or her mother and tries to regain closeness. This can lead to separation anxiety and abandonment fears. As a child develops language skills, this phase winds down. Object Constancy 24-36m belladonna catnip chamomile ginko gensing valarian root