ANCC PMHNP EXAM PREP STUDY GUIDE 2023/2024 Q & A

ANCC PMHNP EXAM PREP STUDY GUIDE 2023/2024 Q & A mesocortical pathway - CORRECT ANSWER-executive function: attention, focus, depression nigrostriatal pathway - CORRECT ANSWER-from substantia nigra (brainstem) to striatum (muscles): Parkinson's mesolimbic pathway - CORRECT ANSWER-projects to nucleus accumbens (part of limbic system). Pleasure, reward, positive symptoms of schizophrenia: Addiction, gambling Tuberoinfundibular pathway - CORRECT ANSWER-regulation of prolactin (acts on pituitary). Hypersexuality in mania Dopamine - CORRECT ANSWER-produced in substania nigra and VTA. D2 & D4 receptors most important. Elevated in the mesolimbic pathway associated with pleasure and psychosis. Antispychotics block dopamine. travels through mesocoritcal, mesolimbic, nigrostriatal, and tuberinfundibular pathways Serotonin - CORRECT ANSWER-5-HT. produced in raphe nucleus. emotion, impulses, dreams. 5HT2A receptors = atypical antipsychotics. Norepinephrine - CORRECT ANSWER-produced in locus coeruleus. arousal and vigilance GABA - CORRECT ANSWER-inhibitory. produces calm in conjunction with benzodiazepines. ACTH - CORRECT ANSWER-motor control, learning, memory, sleep, and dreams. Helps with balance. Decrease in Alzheimer's disease hypothalamus-pituitary-adrenal axis (HPA) - CORRECT ANSWER-CRH, ACTH, then cortisol. Worsens with stress and depression hypothalamus-pituitary-thyroid (HPT) - CORRECT ANSWER-TRH, TSH, T4. Hypothyroid causes depression, weight gain, slow metabolism. Hyperthyroid is opposite. hypothalamus-pituitary-gonadal (HPG) - CORRECT ANSWER-GnRH, FSH, LH. Malfunctions cause infertility problems. gray matter - CORRECT ANSWER-neurons are found frontal lobe - CORRECT ANSWER-executive function, voluntary movement, speech (Broca's area) Temporal lobe - CORRECT ANSWER-memory, cognition, speech, emotions (aka limbic area) parietal lobe - CORRECT ANSWER-receive and process sensory input Wernicke's area - CORRECT ANSWER-temporal and parietal lobes; speech amygdala - CORRECT ANSWER-fear response. hippocampus - CORRECT ANSWER-memory. Make up limbic system with amydgala HIPAA - CORRECT ANSWER-1. education about privacy protection, 2. access to own medical records, 3. request amendment to health information to which they object, 4. require permission for disclosure of medical issues forensic nursing - CORRECT ANSWER-based on crime committed and investigational aspects correctional nursing - CORRECT ANSWER-offender's current mental health and medical condition research utilization process - CORRECT ANSWER-critique, synthesize, apply, measure PICO question - CORRECT ANSWER-patient, intervention, comparison, outcome internal validity - CORRECT ANSWER-when the independent variable (treatment) caused a change in the dependent variable (outcome) external validity - CORRECT ANSWER-when the sample is representative of the population and the results can be generalized descriptive statistics - CORRECT ANSWER-used to describe the basic features of the data in the study standard deviation - CORRECT ANSWER-indication of the possible deviations from the mean variance - CORRECT ANSWER-how the values are dispersed around the mean - the larger the variance, the larger the dispersion of scores