ANCC COMPLETE QUESTIONS AND VERIFIED SOLUTIONS
1.5oz liquor
✔✔Cognitive theory - 4 stages - ✔✔Piaget - stages of cog devel "how do kids think?"
Focus = maturation of structure of thinking /// devel in response to environment
1. sensorimotor 0-2 obj permanence
2. preoperational 2-7 more ext use of lang/symbolism, magical thinking
3. concrete operations 7-12 start using logic, reversibility (ice-water
example)/conservation (shape changes but still the same object (ex clay))
4. formal ops 12+ abstract, logical
✔✔Bowlby - ✔✔Attachment theory (evolutionary theory - seeking nurturing from
parents)
• 6mo - 3yo → attachment and active-proximity to primary caregiver seeking phase
(SEPARATION ANXIETY)
• Stranger Danger @ ~7months
• Period to form VITAL ATTACHMENT - ends at ~6 months!!!
,✔✔Defense mechanisms - ✔✔Denial
Projection
Regression
Reaction Formation
Rationalization
Undoing
Intellectualization
Sublimation
Altruism
Repression (unconscious)
Suppression (conscious)
✔✔TCAs (including labs) - ✔✔
✔✔2008 LACE Consensus Model of APRN Regulation - re: DNP - ✔✔
✔✔Patient Competency - ✔✔legal concept
✔✔Cranial nerves + tests - ✔✔1. olfactory
2. optic - snellen/rosenbaum, confrontation, opthalmascope
3. occulomotor - EOM, pupils - light/accomodations
4. trochlear - EOM (inward)
5. trigeminal - motor = jaw area (clench/palpate, termor/spasm) / sensory = facial skin,
mucosa, corneal reflex
6. abducens - EOM (outward)
7. facial - motor = paralysis? (funny tests, ex: puff cheeks, etc) / sensory = taste
8. acoustic = rinne/weber, whisper
9. glossopharyngeal - pharynx, posterior tongue
10. vagus - uvula, gag reflex "say ah"
11. spinal accessory - muscles, shrug, resist against hands
12. hypoglosso - tongue out, involuntary movements
Dirty mnemonic: Oh, Oh, Oh! To Touch And Feel A Great Vagina. Sounds Hot.
✔✔DBT - ✔✔Cog-Bx, focus on psychosocial, emotion regulation, strength-based
✔✔Fragile X, Prader-Willi, Fetal ETOH syndrome (features) - ✔✔FAS - epicanthal folds
with small/wide-set eyes, low/short nose, indistinct philtrum, small head, thin upper lip
✔✔WBC cut points with clozapine - ✔✔4000 WBC w/o sx ==> 2x/wk blood count with
diff
2000-3000 WBC or 1000-1500 granulocytes ==> D/C
✔✔Antisocial PD - ✔✔risk factors - parenting, childhood aggression//conduct, bad
grades, peer rejection, delinquency
, dx at 18yo
✔✔Existentialism theory - ✔✔Frankl
Goal: here and now, live honestly, accept personal responsibility for making choices
reflect on life, self-confrontation
accept freedom and responsibility to make own choices
"why am I here? what's my purpose?"
✔✔Grounding techniques - ✔✔flashbacks/dissociative episodes - ex: feet pressed
against floor, reorient
✔✔Pregnancy weight, diet - ✔✔1st tri: +150 cal
2nd tri: +300 cal
3rd tri: +500 cal
n: BMI/weight gain = 25-35lb
✔✔Supplements - ✔✔omega 3 - anticoag fx... interaction: warf
sam-e - risk hypomania, 5ht syndrome
TRYPTOPHAN - risk 5ht syndrome with MAOI, SSRI, st. john's wort
vit e - anticoagulation fx, risk rhabdo
MELATONIN - interacts with asp, NSAIDS, beta blocks, steroids, etoh
fish oil - possible glucose alteration; interact with warf, asp, NSAIDS
✔✔Glutamate/GABA - ✔✔Glutamate = excitatory, amino acid (aspartate works with)
UP -- bipolar, psychosis
Down -- memory/learning impairment, (-)sx in schizo
GABA = inhibitory, amino acid (glycine works with)
Down -- anxiety d/o
✔✔TCA's - ✔✔
✔✔MAOI's - ✔✔CONTRA with meperdine, risk of HTN crisis (before surgery?)
✔✔DA, NE, 5HT - ✔✔DA: catecholemine; precursor = tyrosine; made in substantia
nigra/ventral tegmental area; paths = mesolimbic, mesocortical, nigrostriatal,
tuberoinfundibular
NE: catecholemine; precursor = tyrosine; made in locus coeruleus (pons), medullary
reticular formation
5HT: indole; precursor = tryptophan; made in raphe nuclei (brainstem)
1.5oz liquor
✔✔Cognitive theory - 4 stages - ✔✔Piaget - stages of cog devel "how do kids think?"
Focus = maturation of structure of thinking /// devel in response to environment
1. sensorimotor 0-2 obj permanence
2. preoperational 2-7 more ext use of lang/symbolism, magical thinking
3. concrete operations 7-12 start using logic, reversibility (ice-water
example)/conservation (shape changes but still the same object (ex clay))
4. formal ops 12+ abstract, logical
✔✔Bowlby - ✔✔Attachment theory (evolutionary theory - seeking nurturing from
parents)
• 6mo - 3yo → attachment and active-proximity to primary caregiver seeking phase
(SEPARATION ANXIETY)
• Stranger Danger @ ~7months
• Period to form VITAL ATTACHMENT - ends at ~6 months!!!
,✔✔Defense mechanisms - ✔✔Denial
Projection
Regression
Reaction Formation
Rationalization
Undoing
Intellectualization
Sublimation
Altruism
Repression (unconscious)
Suppression (conscious)
✔✔TCAs (including labs) - ✔✔
✔✔2008 LACE Consensus Model of APRN Regulation - re: DNP - ✔✔
✔✔Patient Competency - ✔✔legal concept
✔✔Cranial nerves + tests - ✔✔1. olfactory
2. optic - snellen/rosenbaum, confrontation, opthalmascope
3. occulomotor - EOM, pupils - light/accomodations
4. trochlear - EOM (inward)
5. trigeminal - motor = jaw area (clench/palpate, termor/spasm) / sensory = facial skin,
mucosa, corneal reflex
6. abducens - EOM (outward)
7. facial - motor = paralysis? (funny tests, ex: puff cheeks, etc) / sensory = taste
8. acoustic = rinne/weber, whisper
9. glossopharyngeal - pharynx, posterior tongue
10. vagus - uvula, gag reflex "say ah"
11. spinal accessory - muscles, shrug, resist against hands
12. hypoglosso - tongue out, involuntary movements
Dirty mnemonic: Oh, Oh, Oh! To Touch And Feel A Great Vagina. Sounds Hot.
✔✔DBT - ✔✔Cog-Bx, focus on psychosocial, emotion regulation, strength-based
✔✔Fragile X, Prader-Willi, Fetal ETOH syndrome (features) - ✔✔FAS - epicanthal folds
with small/wide-set eyes, low/short nose, indistinct philtrum, small head, thin upper lip
✔✔WBC cut points with clozapine - ✔✔4000 WBC w/o sx ==> 2x/wk blood count with
diff
2000-3000 WBC or 1000-1500 granulocytes ==> D/C
✔✔Antisocial PD - ✔✔risk factors - parenting, childhood aggression//conduct, bad
grades, peer rejection, delinquency
, dx at 18yo
✔✔Existentialism theory - ✔✔Frankl
Goal: here and now, live honestly, accept personal responsibility for making choices
reflect on life, self-confrontation
accept freedom and responsibility to make own choices
"why am I here? what's my purpose?"
✔✔Grounding techniques - ✔✔flashbacks/dissociative episodes - ex: feet pressed
against floor, reorient
✔✔Pregnancy weight, diet - ✔✔1st tri: +150 cal
2nd tri: +300 cal
3rd tri: +500 cal
n: BMI/weight gain = 25-35lb
✔✔Supplements - ✔✔omega 3 - anticoag fx... interaction: warf
sam-e - risk hypomania, 5ht syndrome
TRYPTOPHAN - risk 5ht syndrome with MAOI, SSRI, st. john's wort
vit e - anticoagulation fx, risk rhabdo
MELATONIN - interacts with asp, NSAIDS, beta blocks, steroids, etoh
fish oil - possible glucose alteration; interact with warf, asp, NSAIDS
✔✔Glutamate/GABA - ✔✔Glutamate = excitatory, amino acid (aspartate works with)
UP -- bipolar, psychosis
Down -- memory/learning impairment, (-)sx in schizo
GABA = inhibitory, amino acid (glycine works with)
Down -- anxiety d/o
✔✔TCA's - ✔✔
✔✔MAOI's - ✔✔CONTRA with meperdine, risk of HTN crisis (before surgery?)
✔✔DA, NE, 5HT - ✔✔DA: catecholemine; precursor = tyrosine; made in substantia
nigra/ventral tegmental area; paths = mesolimbic, mesocortical, nigrostriatal,
tuberoinfundibular
NE: catecholemine; precursor = tyrosine; made in locus coeruleus (pons), medullary
reticular formation
5HT: indole; precursor = tryptophan; made in raphe nuclei (brainstem)
