ANCC PMHNP BOARD EXAM Questions AND CORRECT Verified Solutions

ANCC PMHNP BOARD EXAM Questions AND CORRECT Verified Solutions UDS alcohol detection period - ANSWER -7-12 hrs UDS amphetamine detection period - ANSWER -24-48 hrs UDS barbiturates detection period - ANSWER -24 hrs: short acting 3 weeks UDS benzos - ANSWER -3 days or wks w/ heavy use UDS cannabis - ANSWER -3 days to 4 wks: depends on use UDS cocaine - ANSWER -6-8 hrs; metabolites 2 to 4 days UDS heroin - ANSWER -36-72 hrs UDS methadone - ANSWER -3 days UDS Methaqualone m*f* quaaludes!!!!! - ANSWER -7 days UDS Morphine - ANSWER -46-72 HRS UDS - PCP - ANSWER -8 days **CPK & AST often elevated** UDS Propoxyphene - ANSWER -6-48 hrs CHILDREN: routine checkups - ANSWER -Start: 1 to 2 weeks How often: every month x 4, 6, 9, 12, 15, 18, 24 mo, annually after 3 yrs CHILDREN: anemia - ANSWER -9-12 mo, as needed CHILDREN: blood test for lead - ANSWER -9 to 12 mo, annually after if in high risk area CHILDREN: UA - ANSWER -age 5, as needed CHILDREN: BP - ANSWER -age 3, annually CHILDREN: hearing and vision - ANSWER -start:prior to discharge or 1 mo, prior to discharge and by 6 mo how often: annually at age 4/3, screen for strabismus btwn 3 and 5 Tanner Stage 1 (boys and girls) - ANSWER -Boys: preadolescent testes, scrotum, penis Girls: preadolescent breasts Pubic hair: Preadolescent Tanner Stage 2 (boys and girls) - ANSWER -Boys: Enlargement of scrotum, testes; scrotum roughens and reddens Girls: Breast buds w/ areolar enlargement Pubic hair: Sparse, pale, fine Tanner Stage 3 (boys and girls) - ANSWER -Boys: Penis elongates Girls: Breast enlargement without separate nipple contour Pubic hair: Darker, increased amount, curlier Tanner Stage 4 (boys and girls) - ANSWER -Boys: Penis enlarges in breadth and development of glans; rugae appear Girls: Areola and nipple project as secondary mound Pubic hair: Adult in character but not as voluminous Tanner Stage 5 (Boys and girls) - ANSWER -Boys: Adult shape and appearance Girls: Adult breast; areola recedes, nipple retracts Pubic hair: Adult pattern Trust vs. Mistrust - ANSWER -Erikson: 0-18 mo: If needs are dependably met, infants develop a sense of basic trust Failure: Difficult receiving and giving Autonomy vs. Shame and Doubt - ANSWER -Erikson: 18 mo-3 yrs: Erikson's stage in which a toddler learns to exercise will and to do things independently; Goal: self-control, will power, control of body Failure: lack of self-confidence and rage against ones' self Initiative vs. Guilt - ANSWER -Erikson: 3-6 yrs: Goal: to identify and direct his/her activities Failure: feelings of inadequacy and guilt Industry vs. Inferiority - ANSWER -Erikson: 6-12 y.o. (school age): Goal: Self-confidence and peer recognition Failure: Low self-esteem and poor interpersonal relations identity vs. role confusion - ANSWER -Erikson's stage during which teenagers and young adults search for and become their true selves 12-20 y.o. Failure: Lack of direction and confidence in self schema (Piaget's theory of cognitive development) - ANSWER -A mental structure of patterns and thinking assimilation (Piaget) - ANSWER -Incorporating new information into current schemas according to new environmental stimuli perceived Accommodation (Piaget) - ANSWER -adjusting to new information by creating new schemas Equilibrium (Piaget's Theory) - ANSWER -symbiosis of sensory information and accumulated knowledge Equilibration (Piaget) - ANSWER -search for mental balance between cognitive schemes and information from the environment sensorimotor stage (Piaget) - ANSWER -0-2 yrs