PMHNP ANCC Exam Questions Correctly Answered.
Descriptive Vividness - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER An MAOI that patients with atypical depression respond particularly well
to.
Atomoxetine - CORRECT ANSWER A norepinephrine reuptake inhibitor approved for the treatment of ADHD.
Loxapine - CORRECT ANSWER A typical, tetracyclic antipsychotic with antidepressant properties. Its active metabolite is amoxapine, which is a secondary amine tricyclic antidepressant.
HITECH - CORRECT ANSWER Implementation of EHR for information exchanges and improving population health. This was done by Obama and the ARRA. Suppression - CORRECT ANSWER The intentional or conscious exclusion of painful or disturbing thoughts
or emotions from awareness. A healthy defense mechanism because the client channels conflicting energies into growth-promoting activities.
Medications that can induce depression - CORRECT ANSWER beta blockers, steroids, interferon, Accutane, benzodiazepines, progesterone, some antivirals, and antineoplasmics.
Medications that can induce mania - CORRECT ANSWER Steroids, Isoniazid, antidepressants (in people who already have bipolar disorder), and Antabuse.
Medigap Insurance Policies - CORRECT 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 - CORRECT 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 - CORRECT 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) - CORRECT 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) - CORRECT 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 - CORRECT 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) - CORRECT ANSWER Cymbalta (duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran), Savella (milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs) - CORRECT ANSWER They target serotonin, norepinephrine, and histamine-1 receptors
List the Tricyclic Antidepressants (9) - CORRECT 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 - CORRECT ANSWER Flu-like symptoms
Irritability
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome) - CORRECT 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 - CORRECT ANSWER Confusion, diplopia, nausea/diarrhea, ataxia, lethargy, fatigue, clumsiness, weakness, muscle cramping, severe tremor, blurred vision, nystagmus, increased DTRs, altered mental status, cardiac dysrhythmias
