ANCC PMHNP Exam Prep Latest 2024 Graded A+

ANCC PMHNP Exam Prep Latest 2024 Graded A+ 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 schizophrenia: Addiction, gambling Tuberoinfundibular pathway regulation of prolactin (acts on pituitary). Hypersexuality in mania Dopamine 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 5-HT. produced in raphe nucleus. emotion, impulses, dreams. 5HT2A receptors = atypical antipsychotics. Norepinephrine produced in locus coeruleus. arousal and vigilance GABA inhibitory. produces calm in conjunction with benzodiazepines. ACTH motor control, learning, memory, sleep, and dreams. Helps with balance. Decrease in Alzheimer's disease hypothalamus-pituitary-adrenal axis (HPA) CRH, ACTH, then cortisol. Worsens with stress and depression hypothalamus-pituitary-thyroid (HPT) TRH, TSH, T4. Hypothyroid causes depression, weight gain, slow metabolism. Hyperthyroid is opposite. hypothalamus-pituitary-gonadal (HPG) GnRH, FSH, LH. Malfunctions cause infertility problems. gray matter neurons are found frontal lobe executive function, voluntary movement, speech (Broca's area) Temporal lobe memory, cognition, speech, emotions (aka limbic area) parietal lobe receive and process sensory input Wernicke's area temporal and parietal lobes; speech amygdala fear response. hippocampus memory. Make up limbic system with amydgala HIPAA 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 based on crime committed and investigational aspects correctional nursing offender's current mental health and medical condition research utilization process critique, synthesize, apply, measure PICO question patient, intervention, comparison, outcome internal validity when the independent