ANCC PMHNP QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

Purpose of Dopamine Inhibition of prolactin production Sleep Learning Attention Pleasure and reward Movement Memory Mood What term best describes the reelationship between an individual's health and a number of other variables, including the amoutn of healthcare consumed? Health production function- math expression that shows the relationship between an individual's health and a number of other variables. How much time should you allow for Celexa to provide its initial therapeutic effect and the patient to see an improvement in symptoms? 4-6 weeks Clients have what rights? Right to privacy and confidentiality Right to least restrictive treatment measures Right to consent and withdraw consent at any given time Which inferential statistic determines whether the means of 2 groups are statistically different from each other? t-test enables one to reach conclusions that extend beyond the immediate data alone (ANOVA tests the difference among 3 or more groups, Pearson's r correlation- tests the relationship between 2 variables, probability-likelihood, p value- probability of a particular result occurring by chance) What symptoms would a patient exhibit if they were experiencing an excess serotonin? Restlessness, agitation, myoclonus, vital sign abnormalilties What term descries a colletion of individuals who coordinate lobbying efforts around a common interest and seek to influence policymakers? Special interest group. What are 3 phases of a therapeutic relationship between NP and pt? 1. Intro 2. Working3. Termination The following describes what stage of a therapeutic relationship? Clarifying patient expectations, ID goals, treatment plan, preventative healthcare, measuring outcomes of care, reprioritizing plan Working phase Which type of family therapy uses genograms, structural mapping, emphasizes understanding to produce change in the family structure. Structural family therapy Symptoms of exess GABA excess sleepiness, increased blood pressure, shallow breathing Symptoms of insufficient GABA Sz, trouble concentrating, insomnia, depression, anxiety A Hamilton Anxiety score of 14-17 indicates what? Mild Anxiety A Hamilton Anxiety score of 18-24 indicates what? Moderate Anxiety A Hamilton Anxiety score of 25-30 indicates what? Severe Anxiety When would you not use seclusion and restraint? Extremely unstable medical or psychiatric conditions Delirious or demented patients unable to tolerate decreased stimulation Overtly suicidal patients When should you use seclusions and restraint? Prevent significant disruption to treatment program or physical surroundings Decrease sensory overstimulation What is the difference between pharmacokinetics, and pharmaodynamics? pharmacokinetics is whatthe body does to drugs, pharmacodynamics is what the drug does to the body Problems with the frontal lobe could lead to what personality changes problems with the temporal lobe can lead to aphasia and amnesia problems with the occipital lobe can lead to visual field defects problems with the parietal lobe can lead to densory perceptual disturbances and agnosia This type of advanced nurse evaluates, diagnoses, and treats a wide range of medical conditions nurse practitioner This type of advanced practice nurse consults researches educates and coordinates care Clinical nurse specialist This type of advnaced practice nurse provides well-woman gyno care, management pregnancy, child birth, antipartum post partum. Nurse midwife According to Piaget wat what cognitive stage do children develop object permanence? sensorimotor Occurs when a patient is unabe to see others as somethimes good sometimes bad splitting what is the therapeautic dose of riseridone for an adolescent? 3 mg What core comopetency is the NP demonstrating when she evaluates the appropriate use of seclusion and restraints? NP core competency: Quality What core competency is the NP demonstrating when participating in a special interest group? NP core competency: Policy By whom and where was the first NP role introduced? Loretta C. Ford, Henry Silver; University of Colorado What factors constrain the growth of the NP role? Increased concerns over reinbursement fraud and abuse, reinbursement struggles, need for formal supervisory or collaborative relationships with physicians, overlapping scope of practice What regulatory or statutory dimension provides different rules and regulations for each state? Statutory law