ANCC Boards Questions and Correct Solutions Graded A+

black box warning - Myocarditis due to Clozapine - occurs w/n 1 month of starting Clozapine. Flu like symptoms, eosinophilia, EKG Changes, elevated CPK. D/C Immediately! Do NOT restart Antisocial Personality Disorder - Associated with urban areas Zelephon - shortest 1/2 of antipsychotics Mirtazapine - MAOI cause weight gain FDA approved drug for anxiety - Buspar (Bupropion) Grant legal authority for NP to practice - State Legislative statues Nurse Practice Act - state laws that define scope of practice for NP Licensure - process by which agency of state government grants permission to practice Scope of practice - Defines NP roles and actions; varies state to state Standards of Practice - expectation to type of care that should be provided Exceptions to confidentiality - 1. intent to harm self or others 2. litigation and information to attorney 3. releasing records to insurance company 4. subpoena 5. Tarasoff Principle: duty to warn ptoential victim of immient danger 6. case of child or elder abuse ce 2.Beneficience 3.Nonmaleficience 4.Fidelity 5.Autonomy 6.Veracity 7.Respect. - 1. doing what is fair ting well-being and doing good 3. doing no harm 4. being true and loyal 5. doing for self ng the truth 7. treating everyone with equal respect Risk Management - activities or systems designed to recognize and intervene to reduce the risk of injury to clients. reduce claims against providers sexual identity - who they sexually or affectionately attracted to gender identity - persons identity of masculinity or feminity Transference - displacement of feelings in client's past onto PMHNP Countertransference - nurse's emotional reaction to client based on past experience Working Phase - clarifying expectations, implementing treatment plan, measuring outcomes & evaluating outcomes Termination Phase - Review client's progress, establish long-term care, self management, disengage from relationship Trust vs Mistrust - Infancy: birth - 1 year meaningful relationships, hope about future Autonomy vs Shame & Doubt - Early childhood: 1-3 years self-control, self-esteem, will power Initiative vs Guilt - Late Childhood: 3-6 years goal formation, sense of purpose Industry vs Inferiority - School-age: 6-12 years ability to work, sense of competency & achievement Identity vs Role Confusion - Adolescence: 12-20 years Person sense of identity Intimacy vs Isolation - Early adult: 20-35 years committed relationships, capacity to love Generativity vs Stagnation - Middle Adult: 38-65 years ability to give time and talent to others Integrity vs despair - Late Adult: 65 comfort with life, willingness to face death Sensoriomotor - birth - 2 years, object permanence Preoperational - 2-7 years, magical thinking Concrete operations - 7-12 years logic, use of reversibility & conversation Formal Operations - 12 years + adult, ability to think abstractly thinking in formal, logical mannner Internal Validity - independent variable (treatment) caused a change in the outcome Systematic Needs Assessment - first step in beginning a system change project Donabedian Model & Plan to Do Study Act - 2 modules to conduct a quality improvement project RCT - Highest level of evidence in qualitative research Monoamines - Dopamine, NE, Epinephrine, Serotonin Dopamine - produced in substantial nigra Norepinephrine - produced in locus cerulean of the pons (N-Carolina) Epinephrine - produced by adrenal glands, i.e., adrenergic system