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ANCC PMHNP Exam Prep questions and answers verified for accuracy 2023 update

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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 schizoph...

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  • September 22, 2023
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ANCC PMHNP Exam Prep questions and
answers verified for accuracy 2023
update
mesocortical pathway - answer executive function: attention, focus, depression


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


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


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


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


Norepinephrine - answer produced in locus coeruleus. arousal and vigilance


GABA - answer inhibitory. produces calm in conjunction with benzodiazepines.


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

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


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


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


gray matter - answer neurons are found


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


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


parietal lobe - answer receive and process sensory input


Wernicke's area - answer temporal and parietal lobes; speech


amygdala - answer fear response.


hippocampus - answer memory. Make up limbic system with amydgala


HIPAA - 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 - answer based on crime committed and investigational aspects

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