ANCC PMHNP Exam Questions With Accurate Solutions.
MI Principles - RULE - accurate answers-R. Resist the Right Reflex
U. Understand Your Client's Motivation
L. Listen to Your Client
E. Empower Your Client
mesolimbic is the ____ pathway - accurate answers-Reward
mesolimbic is related to ____ which is a result of ____ - accurate answers-
positive Schitzo symptoms, too much dopamine
antipsychotic treatment works by treating ____ by ____ - accurate answers-
positive symptoms, lowering dopamine
mesocorticle is related to ____ which is a result of ____ - accurate answers-
negative symptoms, too little dopamine
Nigrostriatal Pathway is responsible for - accurate answers-coordination of
movement
Nigrostriatal Pathway is related to ____ which is a result of ____ - accurate
answers-parkinsonism, tool little dopamine from tx (antipsychotics)
Signs of Parkinsonism - accurate answers-resting tremor
masked face
shuffling feet
cogwheel rigidity
tuberoinfundibular is related to ____ which is a result of ____ - accurate
answers-hyper prolactin (galacteria), too little dopamine
amenorrhea in the _____ pathway is due to ____ - accurate answers-
tuberoinfundibular, decreased FSH and dopamine
1st gen antipsychotics mnemonic - accurate answers-The happy furry cat
-Thioridazine
-Haloperidol
-Fluphenazine
,-Chlorpromazine
1st gen antipsychotics mech of action - accurate answers--D2 receptor
inhibition - lowers dopamine
1st gen antipsychotics side effects - "anti-HAM" - accurate answers-Histamine
- weight gain and sedation
Alpha - orthostasis, HypoTN, and priapism
Muscarinic - dry mouth
1st gen antipsychotics have the highest instance of _____________ - accurate
answers-EPS & NMS
2ND gen antipsychotics mech of action - accurate answers-D2 AND
Serotonin2A antagonist
What dos the antagonism of serotonin2A in 2ND gen antipsychotics do? -
accurate answers-Less instance of EPS due to raising dopamine just enough to
still correct + symptoms but avoiding lowing dopamine to much causing EPS
2ND gen antipsychotics mnemonic - accurate answers-"Really Awesome
Zebra Loves Quiet Cozy Oasis"
-Risperidone
-Aripiprazole
-Ziprasidone
-Lurasidone
-Quetiapine
-Clozapine
-Olanzapine
major s/e of 2ND gen antipsychotics - accurate answers-metabolic syndrome -
weight gain
Which 2ND gen antipsychotic can cause hyperprolactinemia? - accurate
answers-Risperidone
Clozapine can cause ______ and you should d/c medication with an ______ less
than ______. - accurate answers-agranulocytosis, ANC, 1000
,Akathesis is characterized by ______ and treated with _______. - accurate
answers--restlessness (pacing, tapping)
-beta blocker (chill out)
Dystonia is characterized by ______ and treated with _______. - accurate
answers--sustained muscular contraction (torticollis - neck bent and rotated)
-Anticholinergic (benztropine and Cogentin)
Parkinsonism is characterized by ______ and treated with _______. - accurate
answers--cogwheel rigidity, mask facies, shuffling gait, resting tremor
-Anticholinergic (benztropine and Cogentin)
Tardive dyskinesia is characterized by ______ and treated with _______. -
accurate answers--repetitive and uncontrolled movement of the lips and
tongue (licking, smacking)
-No tx, d/c med or VMAT inhibitors - deuterobenzene
NMS can occur when too much _________ is taken and _____ becomes too low. -
accurate answers-antipsychotic, dopamine07698
S & S of NMS - accurate answers-muscle rigidity, fever, tachycardia
NMS TX - accurate answers--D/C MED!! Life threatening
-Dantrolene
-Dopamine agonist (Bromocriptine)
Labs with NMS - accurate answers-elevated CK, K, WBC
4 stages of Piaget's theory - accurate answers-1. sensorimotor
2. preoperational
3. concrete operational
4. formal operational
sensorimotor stage - accurate answers--Birth-2 years
-Object permanence
-Wants to experience as much of the five senses as possible
-working memory
preoperational - accurate answers--2-7
, -Fantasy - objects are alive, play pretend
-learn to speak, intuitive, asks lots of questions
-symbolic meaning
concrete operational - accurate answers--7-11
-Logic
-Basic math, sorting, inductive reasoning, conservation
-Begin to realize that thoughts and feelings are unique
formal operational - accurate answers--12+
-Thinks more rationally
-love, failure, hate, success
-Begin to understand people and mortality
-egocentric - imaginary audience
-deductive reasoning
-philosophical thinking
Depression and anxiety NTs - accurate answers-low serotonin and imbalanced
norepinephrine
Normal lithium levels - accurate answers-0.6-1.2
With suspected lithium toxicity what do you do? - accurate answers-d/c med!!
Bipolar depression NTs - accurate answers-low serotonin (depression) and
high dopamine (manic & hypomanic)
lithium toxicity symptoms - accurate answers-tremors, nausea, confusion,
coarse hand tremors
serotonin syndrome symptoms - accurate answers-agitation, high fever, tachy,
dilated pupils, sweating, muscle rigidity
lithium is primarily excreted through ______ - accurate answers-the kidneys
ETOH use disorder can lead to _____ and in combo with lithium can lead to
________. - accurate answers-impaired renal function, increased lithium levels
due to decreased renal clearance
MI Principles - RULE - accurate answers-R. Resist the Right Reflex
U. Understand Your Client's Motivation
L. Listen to Your Client
E. Empower Your Client
mesolimbic is the ____ pathway - accurate answers-Reward
mesolimbic is related to ____ which is a result of ____ - accurate answers-
positive Schitzo symptoms, too much dopamine
antipsychotic treatment works by treating ____ by ____ - accurate answers-
positive symptoms, lowering dopamine
mesocorticle is related to ____ which is a result of ____ - accurate answers-
negative symptoms, too little dopamine
Nigrostriatal Pathway is responsible for - accurate answers-coordination of
movement
Nigrostriatal Pathway is related to ____ which is a result of ____ - accurate
answers-parkinsonism, tool little dopamine from tx (antipsychotics)
Signs of Parkinsonism - accurate answers-resting tremor
masked face
shuffling feet
cogwheel rigidity
tuberoinfundibular is related to ____ which is a result of ____ - accurate
answers-hyper prolactin (galacteria), too little dopamine
amenorrhea in the _____ pathway is due to ____ - accurate answers-
tuberoinfundibular, decreased FSH and dopamine
1st gen antipsychotics mnemonic - accurate answers-The happy furry cat
-Thioridazine
-Haloperidol
-Fluphenazine
,-Chlorpromazine
1st gen antipsychotics mech of action - accurate answers--D2 receptor
inhibition - lowers dopamine
1st gen antipsychotics side effects - "anti-HAM" - accurate answers-Histamine
- weight gain and sedation
Alpha - orthostasis, HypoTN, and priapism
Muscarinic - dry mouth
1st gen antipsychotics have the highest instance of _____________ - accurate
answers-EPS & NMS
2ND gen antipsychotics mech of action - accurate answers-D2 AND
Serotonin2A antagonist
What dos the antagonism of serotonin2A in 2ND gen antipsychotics do? -
accurate answers-Less instance of EPS due to raising dopamine just enough to
still correct + symptoms but avoiding lowing dopamine to much causing EPS
2ND gen antipsychotics mnemonic - accurate answers-"Really Awesome
Zebra Loves Quiet Cozy Oasis"
-Risperidone
-Aripiprazole
-Ziprasidone
-Lurasidone
-Quetiapine
-Clozapine
-Olanzapine
major s/e of 2ND gen antipsychotics - accurate answers-metabolic syndrome -
weight gain
Which 2ND gen antipsychotic can cause hyperprolactinemia? - accurate
answers-Risperidone
Clozapine can cause ______ and you should d/c medication with an ______ less
than ______. - accurate answers-agranulocytosis, ANC, 1000
,Akathesis is characterized by ______ and treated with _______. - accurate
answers--restlessness (pacing, tapping)
-beta blocker (chill out)
Dystonia is characterized by ______ and treated with _______. - accurate
answers--sustained muscular contraction (torticollis - neck bent and rotated)
-Anticholinergic (benztropine and Cogentin)
Parkinsonism is characterized by ______ and treated with _______. - accurate
answers--cogwheel rigidity, mask facies, shuffling gait, resting tremor
-Anticholinergic (benztropine and Cogentin)
Tardive dyskinesia is characterized by ______ and treated with _______. -
accurate answers--repetitive and uncontrolled movement of the lips and
tongue (licking, smacking)
-No tx, d/c med or VMAT inhibitors - deuterobenzene
NMS can occur when too much _________ is taken and _____ becomes too low. -
accurate answers-antipsychotic, dopamine07698
S & S of NMS - accurate answers-muscle rigidity, fever, tachycardia
NMS TX - accurate answers--D/C MED!! Life threatening
-Dantrolene
-Dopamine agonist (Bromocriptine)
Labs with NMS - accurate answers-elevated CK, K, WBC
4 stages of Piaget's theory - accurate answers-1. sensorimotor
2. preoperational
3. concrete operational
4. formal operational
sensorimotor stage - accurate answers--Birth-2 years
-Object permanence
-Wants to experience as much of the five senses as possible
-working memory
preoperational - accurate answers--2-7
, -Fantasy - objects are alive, play pretend
-learn to speak, intuitive, asks lots of questions
-symbolic meaning
concrete operational - accurate answers--7-11
-Logic
-Basic math, sorting, inductive reasoning, conservation
-Begin to realize that thoughts and feelings are unique
formal operational - accurate answers--12+
-Thinks more rationally
-love, failure, hate, success
-Begin to understand people and mortality
-egocentric - imaginary audience
-deductive reasoning
-philosophical thinking
Depression and anxiety NTs - accurate answers-low serotonin and imbalanced
norepinephrine
Normal lithium levels - accurate answers-0.6-1.2
With suspected lithium toxicity what do you do? - accurate answers-d/c med!!
Bipolar depression NTs - accurate answers-low serotonin (depression) and
high dopamine (manic & hypomanic)
lithium toxicity symptoms - accurate answers-tremors, nausea, confusion,
coarse hand tremors
serotonin syndrome symptoms - accurate answers-agitation, high fever, tachy,
dilated pupils, sweating, muscle rigidity
lithium is primarily excreted through ______ - accurate answers-the kidneys
ETOH use disorder can lead to _____ and in combo with lithium can lead to
________. - accurate answers-impaired renal function, increased lithium levels
due to decreased renal clearance
