ANCC PMHNP STUDY GUIDE EXAM

ANCC PMHNP STUDY GUIDE EXAM Purpose of Dopamine - CORRECT ANSWER-Inhibition of prolactin production Sleep Learning Attention Pleasure and reward Movement Memory Mood What term best describes the reelationship between an individual's health and a number of other variables, including the amoutn of healthcare consumed? - CORRECT ANSWER-Health production function- math expression that shows the relationship between an individual's health and a number of other variables. How much time should you allow for Celexa to provide its initial therapeutic effect and the patient to see an improvement in symptoms? - CORRECT ANSWER-4-6 weeks Clients have what rights? - CORRECT ANSWER-Right to privacy and confidentiality Right to least restrictive treatment measures Right to consent and withdraw consent at any given time Which inferential statistic determines whether the means of 2 groups are statistically different from each other? - CORRECT ANSWER-t-test enables one to reach conclusions that extend beyond the immediate data alone (ANOVA tests the difference among 3 or more groups, Pearson's r correlation- tests the relationship between 2 variables, probability-likelihood, p value- probability of a particular result occurring by chance) What symptoms would a patient exhibit if they were experiencing an excess serotonin? - CORRECT ANSWER-Restlessness, agitation, myoclonus, vital sign abnormalilties What term descries a colletion of individuals who coordinate lobbying efforts around a common interest and seek to influence policymakers? - CORRECT ANSWER-Special interest group. What are 3 phases of a therapeutic relationship between NP and pt? - CORRECT ANSWER-1. Intro 2. Working3. Termination The following describes what stage of a therapeutic relationship? Clarifying patient expectations, ID goals, treatment plan, preventative healthcare, measuring outcomes of care, reprioritizing plan - CORRECT ANSWER-Working phase Which type of family therapy uses genograms, structural mapping, emphasizes understanding to produce change in the family structure. - CORRECT ANSWERStructural family therapy Symptoms of exess GABA - CORRECT ANSWER-excess sleepiness, increased blood pressure, shallow breathing Symptoms of insufficient GABA - CORRECT ANSWER-Sz, trouble concentrating, insomnia, depression, anxiety A Hamilton Anxiety score of 14-17 indicates what? - CORRECT ANSWER-Mild Anxiety A Hamilton Anxiety score of 18-24 indicates what? - CORRECT ANSWER-Moderate Anxiety A Hamilton Anxiety score of 25-30 indicates what? - CORRECT ANSWER-Severe Anxiety When would you not use seclusion and restraint? - CORRECT ANSWER-Extremely unstable medical or psychiatric conditions Delirious or demented patients unable to tolerate decreased stimulation Overtly suicidal patients When should you use seclusions and restraint? - CORRECT ANSWER-Prevent significant disruption to treatment program or physical surroundings Decrease sensory overstimulation What is the difference between pharmacokinetics, and pharmaodynamics? - CORRECT ANSWER-pharmacokinetics is whatthe body does to drugs, pharmacodynamics is what the drug does to the body Problems with the frontal lobe could lead to what - CORRECT ANSWER-personality changes problems with the temporal lobe can lead to - CORRECT ANSWER-aphasia and amnesia problems with the occipital lobe can lead to - CORRECT ANSWER-visual field defects problems with the parietal lobe can lead to - CORRECT ANSWER-densory perceptual disturbances and agnosia This type of advanced nurse evaluates, diagnoses, and treats a wide range of medical conditions - CORRECT ANSWER-nurse practitioner This type of advanced practice nurse consults researches educates and coordinates care - CORRECT ANSWER-Clinical nurse specialist This type of advnaced practice nurse provides well-woman gyno care, management pregnancy, child birth, antipartum post partum. - CORRECT ANSWER-Nurse midwife According to Piaget wat what cognitive stage do children develop object permanence? - CORRECT ANSWER-sensorimotor Occurs when a patient is unabe to see others as somethimes good sometimes bad - CORRECT ANSWER-splitting what is the therapeautic dose of riseridone for an adolescent? - CORRECT ANSWER-3 mg What core comopetency is the NP demonstrating when she evaluates the appropriate use of seclusion and restraints? - CORRECT ANSWER-NP core competency: Quality What core competency is the NP demonstrating when participating in a special interest group? - CORRECT ANSWER-NP core competency: Policy By whom and where was the first NP role introduced? - CORRECT ANSWER-Loretta C. Ford, Henry Silver; University of Colorado What factors constrain the growth of the NP role? - CORRECT ANSWER-Increased concerns over reinbursement fraud and abuse, reinbursement struggles, need for formal supervisory or collaborative relationships with physicians, overlapping scope of practice What regulatory or statutory dimension provides different rules and regulations for each state? - CORRECT ANSWER-Statutory law What regulatory or statutory dimension forms a process by which an agency of state government grants permission to persons to engage in the practice of that profession? - CORRECT ANSWER-Licensure What regulatory or statutory dimension forms a process used to protect the public by ensuring a minimum level of professional competence. - CORRECT ANSWERCredentialing What regulatory or statutory dimension determines the scope of practice and assures the public that a person has mastery of a specified body of knowledge. - CORRECT ANSWER-Certification HITECH(health information technology for economic and clinical health Act) - CORRECT ANSWER-meaningful use incentive charting system for physician order set Incentive payment for sharing specific electronic health record(EHR) Basic criteria for involuntary admission - CORRECT ANSWER-danger to self or others unable to care for self poor nutritional intake What are the four main components of HIPPA - CORRECT ANSWER-To be educated, have access, the ability to request amendments and permission for disclosure Voluntary Commitment entails - CORRECT ANSWER-Admission, Client of all civils liberties, client consents to confinement What is the communication process between the provider and the client that results in acceptance or rejection of the the proposed treatment - CORRECT ANSWER-Informed Consent Promoting well-being and doing good - CORRECT ANSWER-Beneficence Doing no harm - CORRECT ANSWER-Nonmaleficence Being true and loyal - CORRECT ANSWER-fidelity Doing for self - CORRECT ANSWER-Autonomy Telling the truth - CORRECT ANSWER-Veracity A male client approached the NP for a date. The NP went out on one date with the client, but ended the relationship due to this element of negligence - CORRECT ANSWER-Breach of duty What Act of 2009 requires incentive if payments, is a part of the meaningful use and can improve health outcomes - CORRECT ANSWER-HITECH ( Heath Information Technology for economic health record) Durable power of attorney contracts are or are not legally binding in all 50 states - CORRECT ANSWER-Are legally binding in all 50 states Living wills are or are not legally binding in all 50 states - CORRECT ANSWER-Are not legally binding in all 50 states All of the following are Cluster A personality disorders - CORRECT ANSWER-Schizoid, Schizotypal Paranoid