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ANCC PMHNP Exam (2025) 100%VERIFIED |complete QUESTIONS AND ANSWERS | GRADED A+.

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ANCC PMHNP Exam (2025) 100%VERIFIED |complete QUESTIONS AND ANSWERS | GRADED A+.

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ANCC PMHNP Exam (2025) 100%VERIFIED |complete QUESTIONS
AND ANSWERS | 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

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