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PMHNP ANCC Exam Questions And
Answers Updated 2024/2025
Descriptive Vividness - answer✔The researcher describes the data gathering process in
sufficient detail that the reader can personally experience it. The data collected, often in the
form of personal statements, should be quoted directly and extensively, because this is the raw
data from the study.
Methodological Congruence - answer✔The researcher presents the philosophical and
methodological approach used and cites references to support their approach. The subjects,
sampling method, data-gathering and data-analysis strategies, and processes for informed
consent are clearly and concisely described.
Theoretical Conectedness - answer✔Any theory developed from the study is clearly stated,
logically consistent, reflective of the data, and in accord with other available knowledge.
Analytical Precision - answer✔Is not concerned with statistics and instruments. If refers to the
decision-making process by which the researchers synthesize concrete data (words of the
subjects) into an abstract that clarifies the meaning and the importance of the study. The last of
the 5 criteria is Heuristic Relevance - The researcher clarifies the significance of the study, its
applicability to public health or community nursing, and its likely influence o the future
research.
Phenelzine - answer✔An MAOI that patients with atypical depression respond particularly well
to.
Atomoxetine - answer✔A norepinephrine reuptake inhibitor approved for the treatment of
ADHD.
Loxapine - answer✔A typical, tetracyclic antipsychotic with antidepressant properties. Its active
metabolite is amoxapine, which is a secondary amine tricyclic antidepressant.
HITECH - answer✔Implementation of EHR for information exchanges and improving population
health. This was done by Obama and the ARRA.
Suppression - answer✔The intentional or conscious exclusion of painful or disturbing thoughts
or emotions from awareness.
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A healthy defense mechanism because the client channels conflicting energies into growth-
promoting activities.
Medications that can induce depression - answer✔beta blockers, steroids, interferon,
Accutane, benzodiazepines, progesterone, some antivirals, and antineoplasmics.
Medications that can induce mania - answer✔Steroids, Isoniazid, antidepressants (in people
who already have bipolar disorder), and Antabuse.
Medigap Insurance Policies - answer✔Private insurance policies purchased by elderly
individuals to cover some or all of their medical expenses not paid for by Medicare.
Medicare Advantage Plan - answer✔Formerly Medicare + Choice, this created regional
Preferred Provider Organizations (PPOs) and gave Medicare enrollees the option of enrolling in
private insurance plans.
Medicare + Choice - answer✔Was a part of the Balanced Budget Act of 1997 that significantly
increase the number of managed care insurance plans available to recipients. This was replaced
with the Medicare Advantage Plan in 200.
List of the Second Generation (atypical) Antipsychotics (9) - answer✔Clozaril (clozapine),
Zyprexa (olanzapine), Latuda (lurasidone), ziprasidone, Risperdal (risperidone), Invega Sustenna
(palperidone), Fanapt (iloperidone), Seroquel (quetiapine), Saphris (asenapine),
List of First Generation (typical) Antipsychotics (10) - answer✔Haldol (haloperidol), Prolixin
(fluphenazine), Navane (thiothixene), Thorazine (chlorpromazine), Loxitane (loxapine), Mellaril
(thioridazine), Trilafon (perphenazine), Orap (pimozide), Solian amisulpride), Stellazine
(trifluoperazine)
List the 6 common benzodiazepines in order from shortest to longest half-life - answer✔Xanax
(alprazolam): 6-10 hrs
Serax (oxazepam): 8 hrs
Ativan (lorazepam): 12-18 hrs
Klonopin (clonazepam): 30-40 hrs
Valium (diazepam): 100 hrs
Librium (chlordiazepoxide): 36-200 hrs
List of SNRIs (6) - answer✔Cymbalta (duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine),
Fetzima (levomilnacipran), Savella (milnacipran), Strattera (atomoxetine)
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Action of Tricyclic Antidepressants (TCAs) - answer✔They target serotonin, norepinephrine, and
histamine-1 receptors
List the Tricyclic Antidepressants (9) - answer✔Pamelor (nortriptyline), Elavil (amitriptyline),
amoxapine (no branded), Anafranil (clomipramine), Norpramin (desipramine), Tofranil
(imipramine), Vivactil (protriptyline), Sinequan/Silenor (doxepin), Surmontil (trimipramine)
FINISH acronym for SSRI withdrawal - answer✔Flu-like symptoms
Irritability
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome) - answer✔Initial Symptoms: altered
sensorium, hyperreflexia, fever
Then signs of autonomic instability: extreme muscle rigidity, hypotension, tachycardia,
diaphoresis, tachypnea, hyperthermia, coma, death.
Check for increased WBCs (leukocytosis)/LFTs/CPK
Signs of Lithium toxicity - answer✔Confusion, diplopia, nausea/diarrhea, ataxia, lethargy,
fatigue, clumsiness, weakness, muscle cramping, severe tremor, blurred vision, nystagmus,
increased DTRs, altered mental status, cardiac dysrhythmias
Signs of Serotonin Snydrome - answer✔agitation, restlessness, rapid heart rate, blood pressure
elevation, headache, sweating, shivering, goose bumps, myoclonic jerking and loss of
coordination, confusion, fevers, unconsciousness, seizures
Medications that can increase lithium level - answer✔NSAIDs, ACE Inhibitors (-prils), ARBs (-
sartans), tetracyclines, metronidazole
Medications that can decrease lithium level - answer✔potassium-sparing diuretics, thiazide
diuretics, theophylline
Clozaril - monitoring considerations - answer✔Monitor ANC (absolute neutrophil count); pt
needs an ANC of at least 1500 to start clozaril therapy; watch for Benign Ethnic Neutropenia
(BED); Monitor ANC weekly x6 months, every 2 weeks x6 months, then monthly if ANC is at
least 1500.
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