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2023ANCC PMHNP Exam Prep Questions and Answers (2023 / 2024) (Verified Answers)
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2023ANCC PMHNP Exam Prep Questions and Answers (2023 / 2024) (Verified Answers)
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ANCC PMHNP Exam Prep1. mesocortical pathway: executive function: attention, focus, depression
2. nigrostriatal pathway: from substantia nigra (brainstem) to striatum
(muscles): Parkinson's
3. mesolimbic pathway: projects to nucleus accumbens (part of limbic
system). Pleasure, reward, positive symptoms of schizophrenia:
Addiction, gambling
4. Tuberoinfundibular pathway: regulation of prolactin (acts on pituitary).
Hyper- sexuality in mania
5. Dopamine: produced in substania nigra and VTA. D2 & D4 receptors
most impor- tant. Elevated in the mesolimbic pathway associated with
pleasure and psychosis. Antispychotics block dopamine. travels through
mesocoritcal, mesolimbic, nigrostri- atal, and tuberinfundibular
pathways
6. Serotonin: 5-HT. produced in raphe nucleus. emotion, impulses,
dreams. 5HT2A receptors = atypical antipsychotics.
7. Norepinephrine: produced in locus coeruleus. arousal and vigilance
8. GABA: inhibitory. produces calm in conjunction with benzodiazepines.
9. ACTH: motor control, learning, memory, sleep, and dreams. Helps
1/
, with balance. Decrease in Alzheimer's disease
10.hypothalamus-pituitary-adrenal axis (HPA): CRH, ACTH, then cortisol.
Wors- ens with stress and depression
11.hypothalamus-pituitary-thyroid (HPT): TRH, TSH, T4. Hypothyroid
causes depression, weight gain, slow metabolism. Hyperthyroid is
opposite.
12.hypothalamus-pituitary-gonadal (HPG): GnRH, FSH, LH. Malfunctions
cause infertility problems.
13.gray matter: neurons are found
14.frontal lobe: executive function, voluntary movement, speech (Broca's
area)
15.Temporal lobe: memory, cognition, speech, emotions (aka limbic area
16.parietal lobe: receive and process sensory input
17.Wernicke's area: temporal and parietal lobes; speech
18.amygdala: fear response.
19.hippocampus: memory. Make up limbic system with amydgala
20.HIPAA: 1. education about privacy protection, 2. access to own
medical records,
3. request amendment to health information to which they object, 4.
2/
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