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ANCC Review Questions (PMHNP IQ) with Complete Solutions| Verified Answers
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ANCC Review Questions (PMHNP IQ) with Complete Solutions| Verified Answers
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ANCC Review Questions (PMHNP IQ) withComplete Solutions| Verified Answers
There are two areas in the brain that produce norepinephrine neurons, one is the locus
coeruleus and the other is the medullary reticular formation.
Which cytochrome (CYP) enzyme is implicated as a tobacco inducer when an individual is
treated on clozapine?
A) 1A2
B) 2D6
C) 2C9
D) 2C19 - ✔✔A) 1A2
When an individual is treated on clozapine and decreases tobacco use, the clozapine level with
increase, as tobacco is an inducer to the clozapine, and the patient no longer needs the higher
dose of clozapine.
When working with an avoidant patient with a history of trauma, what type of communication
techniques are helpful?
A) Techniques to decrease arousal
B) Clarification and close-ended questions
C) Techniques to increase arousal
D) Reflection and open-ended questions. - ✔✔C) Techniques to increase arousal
Activation is needed to allow memories stored in the amygdala to be processed.
, The PMHNP knows that the ego is a part of the personality and is the logical/rational mind
including defense mechanisms. What might this personality part say?
A) "I should"
B) "I want"
C) "I evaluate"
D) "I ought" - ✔✔C) "I evaluate"
The ego is the logical and rational mind. The ego monitors the is and would say "I think. I
evaluate."
Mr. Jones, a 78 year old patient, presents to the PMHNP for a follow-up medication
appointment. Mr. Jones' depression has been successfully treated with citalopram 20 mg by
mouth daily. During the visit, Mr Jones complains that in the last 2 or 3 weeks, he has had
nausea, fatigue, feeling weak, with a headache and decreased appetite. Which action would be
most appropriate for Mr. Jones?
A) Assess for other symptoms of hyponatremia and check a serum sodium level.
B) Discuss SSRI discontinuation syndrome and stress importance of medication adherence.
C) Discuss rates of relapse on a SSRI and increase his medication to citalopram 40 mg by mouth
daily.
D) Discuss rates of relapse on a SSRI and recommend switching his medication to a different
class. - ✔✔A) Assess for other symptoms of hyponatremia and check serum sodium level.
Hyponatremia can occur on SSRIs, and is more common in elderly patients. This patient is
reporting symptoms of moderate hyponatremia and needs to be assessed, and his sodium
levels need to be checked.
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