ANCC PMHNP Cert Exam Review Questions and Answers

ANCC PMHNP Cert Exam Review Questions and Answers How do you assess cranial nerve V trigeminal? - Answer ️️ -Tell patient to close eyes, take piece of cotton or other soft item and lightly touch either one of both sides of each of the three divisions of the trigeminal. How do you assess for cranial nerve VII facial? - Answer ️️ -Observe the patient for nystagmus or twitching of the eye. This nerve controls facial movements and expression, check for symmetry. Have the patient wrinkle forehead, close eyes, smile, pucker lips, show teeth, and puff out cheeks. primitive reflexes - Answer ️️ -reflexes, controlled by "primitive" parts of the brain, that disappear during the first year of life Mororeflex - Answer ️️ -Extending of limbs when they hear a loud noise (defend themselves) rooting reflex - Answer ️️ -a baby's tendency, when touched on the cheek, to turn toward the touch, open the mouth, and search for the nipple palmer grasp - Answer ️️ -grasping with the whole hand scope of practice - Answer ️️ -The range of clinical procedures and activities that are allowed by law for a profession Quality Improvement (QI) - Answer ️️ -an approach to the continuous study and improvement of the processes of providing health care services to meet the needs of patients and others and inform health care policy PDSA model - Answer ️️ -Plan-Do-Study-Act Model from the Institute for Healthcare Improvement (IHI) Trendelenburg sign - Answer ️️ -Occurs with severe subluxation of one hip When the child stands on the good leg, the pelvis looks level. When the child stands on the affected leg the pelvis drops toward the good side CYP450 inhibitors - Answer ️️ -Fluvoxamine Fluoxetine Paroxetine Duloxetine Sertraline CYP450 inducers - Answer ️️ -Carbamazepine Phenobarbital Phenytoin Rifampin Griseofulvin St John's Wort What is the adverse effect of Depakote on the liver? - Answer ️️ -can cause liver damage, and the risk is more likely to occur during the first 6 months of taking the medication. Signs might include nausea or vomiting, loss of appetite, abdominal pain, dark-colored urine, facial swelling, and yellowing of the skin or white of eyes What would you do for a patient on Depakote with +4 protein in the urine? - Answer ️️ -Rule out UTI, no adjustment for medication is needed What happens when you take carbamazepine (tegertal) and erythromycin together? - Answer ️️ -It will decrease the effect of the antibiotic by inhibition What happens when you take zyprexa and smoke? - Answer ️️ -nicotine will increase the excretion of the drug thereby inhibiting it's effect ICP in Infants S/S - Answer ️️ -Bulging fontanels, high-pitch cry, irritability, restlessness *ICP* *CHILDREN* signs and symptoms - Answer ️️ -• Headache • Vomiting (usually projectile) • Seizures • Diplopia (Dbl vision), blurred vision Neuro cry - Answer ️️ -high-pitched and very grating on the ears due to their neurological sxs being overwhelmed Neuroleptic Malignant Syndrome - Answer ️️ -Adverse reaction to antipsychotics with severe "lead pipe" rigidty, FEVER, and mental status changes. FEVER: Fever Encephalopathy Vitals unstable Elevated enzymes Rigidity of muscles NMS treatment - Answer ️️ -Dantrolene D2 agonists (e.g., bromocriptine). lead poisoning - Answer ️️ -A medical condition caused by toxic levels of the metal lead in the blood Lead poisoning treatment - Answer ️️ -chelation therapy Amygdala's role in emotion - Answer ️️ -- Aggression center - Role in storing implicit emotional memories - Stimulation (+) anger/violence or fear/anxiety - Damage (-) mellow; hyperorality; hypersexuality; dis-inhibited behavior Amygdala role in aggression - Answer ️️ -Small volume increase aggression. Frontal Lobe Atrophy - Answer ️️ -As neurons die in the frontal and temporal regions, these lobes atrophy, or shrink. Gradually, this damage causes difficulties in thinking and behaviors normally controlled by these parts of the brain. ... Scientists think that FTLD (frontal temporal lobe dementia) is the most common cause of dementia in people younger than age 60 Four dopaminergic pathways - Answer ️️ -mesocortical mesolimbic nigrostriatal tuberoinfundibular mesocortical pathway - Answer ️️ -a path through which dopaminergic projections travel to reach the neocortex mescolimbic pathway - Answer ️️ -The mesolimbic pathway, sometimes referred to as the reward pathway, is a dopaminergic pathway in the brain. The pathway connects the ventral tegmental area in the midbrain, to the