PMHNP EXAM STUDY GUIDE WITH FULL
SOLUTIONS 2026
◉ Methodological Congruence. Answer: The researcher presents the
philosophical and methodological approach used and cites
references to support their approach. The subjects, sampling
method, data-gathering and data-analysis strategies, and processes
for informed consent are clearly and concisely described.
◉ Theoretical Conectedness. Answer: Any theory developed from
the study is clearly stated, logically consistent, reflective of the data,
and in accord with other available knowledge.
◉ Analytical Precision. Answer: Is not concerned with statistics and
instruments. If refers to the decision-making process by which the
researchers synthesize concrete data (words of the subjects) into an
abstract that clarifies the meaning and the importance of the study.
The last of the 5 criteria is Heuristic Relevance - The researcher
clarifies the significance of the study, its applicability to public health
or community nursing, and its likely influence o the future research.
◉ Phenelzine. Answer: An MAOI that patients with atypical
depression respond particularly well to.
,◉ Atomoxetine. Answer: A norepinephrine reuptake inhibitor
approved for the treatment of ADHD.
◉ Loxapine. Answer: A typical, tetracyclic antipsychotic with
antidepressant properties. Its active metabolite is amoxapine, which
is a secondary amine tricyclic antidepressant.
◉ HITECH. Answer: Implementation of EHR for information
exchanges and improving population health. This was done by
Obama and the ARRA.
◉ Suppression. Answer: The intentional or conscious exclusion of
painful or disturbing thoughts or emotions from awareness.
A healthy defense mechanism because the client channels conflicting
energies into growth-promoting activities.
◉ Medications that can induce depression. Answer: beta blockers,
steroids, interferon, Accutane, benzodiazepines, progesterone, some
antivirals, and antineoplasmics.
◉ Medications that can induce mania. Answer: Steroids, Isoniazid,
antidepressants (in people who already have bipolar disorder), and
Antabuse.
,◉ Medigap Insurance Policies. Answer: Private insurance policies
purchased by elderly individuals to cover some or all of their
medical expenses not paid for by Medicare.
◉ Medicare Advantage Plan. Answer: Formerly Medicare + Choice,
this created regional Preferred Provider Organizations (PPOs) and
gave Medicare enrollees the option of enrolling in private insurance
plans.
◉ Medicare + Choice. Answer: Was a part of the Balanced Budget Act
of 1997 that significantly increase the number of managed care
insurance plans available to recipients. This was replaced with the
Medicare Advantage Plan in 200.
◉ List of the Second Generation (atypical) Antipsychotics (9).
Answer: Clozaril (clozapine), Zyprexa (olanzapine), Latuda
(lurasidone), ziprasidone, Risperdal (risperidone), Invega Sustenna
(palperidone), Fanapt (iloperidone), Seroquel (quetiapine), Saphris
(asenapine),
◉ List of First Generation (typical) Antipsychotics (10). Answer:
Haldol (haloperidol), Prolixin (fluphenazine), Navane (thiothixene),
Thorazine (chlorpromazine), Loxitane (loxapine), Mellaril
(thioridazine), Trilafon (perphenazine), Orap (pimozide), Solian
amisulpride), Stellazine (trifluoperazine)
, ◉ List the 6 common benzodiazepines in order from shortest to
longest half-life. Answer: Xanax (alprazolam): 6-10 hrs
Serax (oxazepam): 8 hrs
Ativan (lorazepam): 12-18 hrs
Klonopin (clonazepam): 30-40 hrs
Valium (diazepam): 100 hrs
Librium (chlordiazepoxide): 36-200 hrs
◉ List of SNRIs (6). Answer: Cymbalta (duloxetine), Pristiq
(desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran),
Savella (milnacipran), Strattera (atomoxetine)
◉ Action of Tricyclic Antidepressants (TCAs). Answer: They target
serotonin, norepinephrine, and histamine-1 receptors
◉ List the Tricyclic Antidepressants (9). Answer: Pamelor
(nortriptyline), Elavil (amitriptyline), amoxapine (no branded),
Anafranil (clomipramine), Norpramin (desipramine), Tofranil
(imipramine), Vivactil (protriptyline), Sinequan/Silenor (doxepin),
Surmontil (trimipramine)
◉ FINISH acronym for SSRI withdrawal. Answer: Flu-like symptoms
Irritability
Nausea
SOLUTIONS 2026
◉ Methodological Congruence. Answer: The researcher presents the
philosophical and methodological approach used and cites
references to support their approach. The subjects, sampling
method, data-gathering and data-analysis strategies, and processes
for informed consent are clearly and concisely described.
◉ Theoretical Conectedness. Answer: Any theory developed from
the study is clearly stated, logically consistent, reflective of the data,
and in accord with other available knowledge.
◉ Analytical Precision. Answer: Is not concerned with statistics and
instruments. If refers to the decision-making process by which the
researchers synthesize concrete data (words of the subjects) into an
abstract that clarifies the meaning and the importance of the study.
The last of the 5 criteria is Heuristic Relevance - The researcher
clarifies the significance of the study, its applicability to public health
or community nursing, and its likely influence o the future research.
◉ Phenelzine. Answer: An MAOI that patients with atypical
depression respond particularly well to.
,◉ Atomoxetine. Answer: A norepinephrine reuptake inhibitor
approved for the treatment of ADHD.
◉ Loxapine. Answer: A typical, tetracyclic antipsychotic with
antidepressant properties. Its active metabolite is amoxapine, which
is a secondary amine tricyclic antidepressant.
◉ HITECH. Answer: Implementation of EHR for information
exchanges and improving population health. This was done by
Obama and the ARRA.
◉ Suppression. Answer: The intentional or conscious exclusion of
painful or disturbing thoughts or emotions from awareness.
A healthy defense mechanism because the client channels conflicting
energies into growth-promoting activities.
◉ Medications that can induce depression. Answer: beta blockers,
steroids, interferon, Accutane, benzodiazepines, progesterone, some
antivirals, and antineoplasmics.
◉ Medications that can induce mania. Answer: Steroids, Isoniazid,
antidepressants (in people who already have bipolar disorder), and
Antabuse.
,◉ Medigap Insurance Policies. Answer: Private insurance policies
purchased by elderly individuals to cover some or all of their
medical expenses not paid for by Medicare.
◉ Medicare Advantage Plan. Answer: Formerly Medicare + Choice,
this created regional Preferred Provider Organizations (PPOs) and
gave Medicare enrollees the option of enrolling in private insurance
plans.
◉ Medicare + Choice. Answer: Was a part of the Balanced Budget Act
of 1997 that significantly increase the number of managed care
insurance plans available to recipients. This was replaced with the
Medicare Advantage Plan in 200.
◉ List of the Second Generation (atypical) Antipsychotics (9).
Answer: Clozaril (clozapine), Zyprexa (olanzapine), Latuda
(lurasidone), ziprasidone, Risperdal (risperidone), Invega Sustenna
(palperidone), Fanapt (iloperidone), Seroquel (quetiapine), Saphris
(asenapine),
◉ List of First Generation (typical) Antipsychotics (10). Answer:
Haldol (haloperidol), Prolixin (fluphenazine), Navane (thiothixene),
Thorazine (chlorpromazine), Loxitane (loxapine), Mellaril
(thioridazine), Trilafon (perphenazine), Orap (pimozide), Solian
amisulpride), Stellazine (trifluoperazine)
, ◉ List the 6 common benzodiazepines in order from shortest to
longest half-life. Answer: Xanax (alprazolam): 6-10 hrs
Serax (oxazepam): 8 hrs
Ativan (lorazepam): 12-18 hrs
Klonopin (clonazepam): 30-40 hrs
Valium (diazepam): 100 hrs
Librium (chlordiazepoxide): 36-200 hrs
◉ List of SNRIs (6). Answer: Cymbalta (duloxetine), Pristiq
(desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran),
Savella (milnacipran), Strattera (atomoxetine)
◉ Action of Tricyclic Antidepressants (TCAs). Answer: They target
serotonin, norepinephrine, and histamine-1 receptors
◉ List the Tricyclic Antidepressants (9). Answer: Pamelor
(nortriptyline), Elavil (amitriptyline), amoxapine (no branded),
Anafranil (clomipramine), Norpramin (desipramine), Tofranil
(imipramine), Vivactil (protriptyline), Sinequan/Silenor (doxepin),
Surmontil (trimipramine)
◉ FINISH acronym for SSRI withdrawal. Answer: Flu-like symptoms
Irritability
Nausea
