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ANCC PMHNP Exam Prep Questions and Answers (2024) (Verified Answers)

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ANCC PMHNP Exam Prep Questions and Answers (2024) (Verified Answers) mesocortical pathway executive function: attention, focus, depression nigrostriatal pathway from substantia nigra (brainstem) to striatum (muscles): Parkinson's mesolimbic pathway projects to nucleus accumbens (part ...

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  • May 28, 2024
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  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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ANCC PMHNP Exam Prep Questions and
Answers (2024) (Verified Answers)
mesocortical pathway
executive function: attention, focus, depression


nigrostriatal pathway
from substantia nigra (brainstem) to striatum (muscles): Parkinson's


mesolimbic pathway
projects to nucleus accumbens (part of limbic system). Pleasure, reward, positive symptoms of
schizophrenia: Addiction, gambling


Tuberoinfundibular pathway
regulation of prolactin (acts on pituitary). Hypersexuality in mania


Dopamine
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
5-HT. produced in raphe nucleus. emotion, impulses, dreams. 5HT2A receptors = atypical
antipsychotics.


Norepinephrine
produced in locus coeruleus. arousal and vigilance


GABA
inhibitory. produces calm in conjunction with benzodiazepines.


ACTH
motor control, learning, memory, sleep, and dreams. Helps with balance. Decrease in Alzheimer's
disease


hypothalamus-pituitary-adrenal axis (HPA)
CRH, ACTH, then cortisol. Worsens with stress and depression


hypothalamus-pituitary-thyroid (HPT)
TRH, TSH, T4. Hypothyroid causes depression, weight gain, slow metabolism. Hyperthyroid is
opposite.


hypothalamus-pituitary-gonadal (HPG)
GnRH, FSH, LH. Malfunctions cause infertility problems.

, gray matter
neurons are found


frontal lobe
executive function, voluntary movement, speech (Broca's area)


Temporal lobe
memory, cognition, speech, emotions (aka limbic area)


parietal lobe
receive and process sensory input


Wernicke's area
temporal and parietal lobes; speech


amygdala
fear response.


hippocampus
memory. Make up limbic system with amydgala


HIPAA
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
based on crime committed and investigational aspects


correctional nursing
offender's current mental health and medical condition


research utilization process
critique, synthesize, apply, measure


PICO question
patient, intervention, comparison, outcome


internal validity
when the independent variable (treatment) caused a change in the dependent variable (outcome)


external validity
when the sample is representative of the population and the results can be generalized

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