ANCC PMHNP Exam Questions and ANSWERS
@2026!!!!!
MI Principles - RULE - 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 - ANSWERS💫✔️-Reward
mesolimbic is related to ____ which is a result of ____ - ANSWERS💫✔️-positive schitzo symptoms, too
much dopamine
antipsychotic treatment works by treating ____ by ____ - ANSWERS💫✔️-positive symptoms, lowering
dopamine
mesocorticle is related to ____ which is a result of ____ - ANSWERS💫✔️-negative symptoms, too little
dopamine
Nigrostriatal Pathway is responsible for - ANSWERS💫✔️-coordination of movement
Nigrostriatal Pathway is related to ____ which is a result of ____ - ANSWERS💫✔️-parkinsonism, tool
little dopamine from tx (antipsychotics)
Signs of Parkinsonism - ANSWERS💫✔️-resting tremor
masked face
shuffling feet
cogwheel rigidity
,tuberoinfundibular is related to ____ which is a result of ____ - ANSWERS💫✔️-hyper prolactin
(galacteria), too little dopamine
amenorrhea in the _____ pathway is due to ____ - ANSWERS💫✔️-tuberoinfundibular, decreased FSH
and dopamine
1st gen antipsychotics mnemonic - ANSWERS💫✔️-The happy furry cat
-Thioridazine
-Haloperidol
-Fluphenazine
-Chlorpromazine
1st gen antipsychotics mech of action - ANSWERS💫✔️--D2 receptor inhibition - lowers dopamine
1st gen antipsychotics side effects - "anti-HAM" - ANSWERS💫✔️-Histamine - weight gain and sedation
Alpha - orthostasis, HypoTN, and priapism
Muscarinic - dry mouth
1st gen antipsychotics have the highest instance of _____________ - ANSWERS💫✔️-EPS & NMS
2ND gen antipsychotics mech of action - ANSWERS💫✔️-D2 AND Serotonin2A antagonist
What dos the antagonism of serotonin2A in 2ND gen antipsychotics do? - 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 - ANSWERS💫✔️-"Really Awesome Zebra Loves Quiet Cozy Oasis"
-Risperidone
-Aripiprazole
-Ziprasidone
,-Lurasidone
-Quetiapine
-Clozapine
-Olanzapine
major s/e of 2ND gen antipsychotics - ANSWERS💫✔️-metabolic syndrome - weight gain
Which 2ND gen antipsychotic can cause hyperprolactinemia? - ANSWERS💫✔️-Risperidone
Clozapine can cause ______ and you should d/c medication with an ______ less than ______. -
ANSWERS💫✔️-agranulocytosis, ANC, 1000
Akathesis is characterized by ______ and treated with _______. - ANSWERS💫✔️--restlessness (pacing,
tapping)
-beta blocker (chill out)
Dystonia is characterized by ______ and treated with _______. - ANSWERS💫✔️--sustained muscular
contraction (torticollis - neck bent and rotated)
-Anticholinergic (benztropine and Cogentin)
Parkinsonism is characterized by ______ and treated with _______. - ANSWERS💫✔️--cogwheel rigidity,
mask facies, shuffling gait, resting tremor
-Anticholinergic (benztropine and Cogentin)
Tardive dyskinesia is characterized by ______ and treated with _______. - 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. - ANSWERS💫✔️-
antipsychotic, dopamine07698
, S & S of NMS - ANSWERS💫✔️-muscle rigidity, fever, tachycardia
NMS TX - ANSWERS💫✔️--D/C MED!! Life threatening
-Dantrolene
-Dopamine agonist (Bromocriptine)
Labs with NMS - ANSWERS💫✔️-elevated CK, K, WBC
4 stages of Piaget's theory - ANSWERS💫✔️-1. sensorimotor
2. preoperational
3. concrete operational
4. formal operational
sensorimotor stage - ANSWERS💫✔️--Birth-2 years
-Object permanence
-Wants to experience as much of the five senses as possible
-working memory
preoperational - ANSWERS💫✔️--2-7
-Fantasy - objects are alive, play pretend
-learn to speak, intuitive, asks lots of questions
-symbolic meaning
concrete operational - ANSWERS💫✔️--7-11
-Logic
-Basic math, sorting, inductive reasoning, conservation
-Begin to realize that thoughts and feelings are unique
@2026!!!!!
MI Principles - RULE - 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 - ANSWERS💫✔️-Reward
mesolimbic is related to ____ which is a result of ____ - ANSWERS💫✔️-positive schitzo symptoms, too
much dopamine
antipsychotic treatment works by treating ____ by ____ - ANSWERS💫✔️-positive symptoms, lowering
dopamine
mesocorticle is related to ____ which is a result of ____ - ANSWERS💫✔️-negative symptoms, too little
dopamine
Nigrostriatal Pathway is responsible for - ANSWERS💫✔️-coordination of movement
Nigrostriatal Pathway is related to ____ which is a result of ____ - ANSWERS💫✔️-parkinsonism, tool
little dopamine from tx (antipsychotics)
Signs of Parkinsonism - ANSWERS💫✔️-resting tremor
masked face
shuffling feet
cogwheel rigidity
,tuberoinfundibular is related to ____ which is a result of ____ - ANSWERS💫✔️-hyper prolactin
(galacteria), too little dopamine
amenorrhea in the _____ pathway is due to ____ - ANSWERS💫✔️-tuberoinfundibular, decreased FSH
and dopamine
1st gen antipsychotics mnemonic - ANSWERS💫✔️-The happy furry cat
-Thioridazine
-Haloperidol
-Fluphenazine
-Chlorpromazine
1st gen antipsychotics mech of action - ANSWERS💫✔️--D2 receptor inhibition - lowers dopamine
1st gen antipsychotics side effects - "anti-HAM" - ANSWERS💫✔️-Histamine - weight gain and sedation
Alpha - orthostasis, HypoTN, and priapism
Muscarinic - dry mouth
1st gen antipsychotics have the highest instance of _____________ - ANSWERS💫✔️-EPS & NMS
2ND gen antipsychotics mech of action - ANSWERS💫✔️-D2 AND Serotonin2A antagonist
What dos the antagonism of serotonin2A in 2ND gen antipsychotics do? - 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 - ANSWERS💫✔️-"Really Awesome Zebra Loves Quiet Cozy Oasis"
-Risperidone
-Aripiprazole
-Ziprasidone
,-Lurasidone
-Quetiapine
-Clozapine
-Olanzapine
major s/e of 2ND gen antipsychotics - ANSWERS💫✔️-metabolic syndrome - weight gain
Which 2ND gen antipsychotic can cause hyperprolactinemia? - ANSWERS💫✔️-Risperidone
Clozapine can cause ______ and you should d/c medication with an ______ less than ______. -
ANSWERS💫✔️-agranulocytosis, ANC, 1000
Akathesis is characterized by ______ and treated with _______. - ANSWERS💫✔️--restlessness (pacing,
tapping)
-beta blocker (chill out)
Dystonia is characterized by ______ and treated with _______. - ANSWERS💫✔️--sustained muscular
contraction (torticollis - neck bent and rotated)
-Anticholinergic (benztropine and Cogentin)
Parkinsonism is characterized by ______ and treated with _______. - ANSWERS💫✔️--cogwheel rigidity,
mask facies, shuffling gait, resting tremor
-Anticholinergic (benztropine and Cogentin)
Tardive dyskinesia is characterized by ______ and treated with _______. - 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. - ANSWERS💫✔️-
antipsychotic, dopamine07698
, S & S of NMS - ANSWERS💫✔️-muscle rigidity, fever, tachycardia
NMS TX - ANSWERS💫✔️--D/C MED!! Life threatening
-Dantrolene
-Dopamine agonist (Bromocriptine)
Labs with NMS - ANSWERS💫✔️-elevated CK, K, WBC
4 stages of Piaget's theory - ANSWERS💫✔️-1. sensorimotor
2. preoperational
3. concrete operational
4. formal operational
sensorimotor stage - ANSWERS💫✔️--Birth-2 years
-Object permanence
-Wants to experience as much of the five senses as possible
-working memory
preoperational - ANSWERS💫✔️--2-7
-Fantasy - objects are alive, play pretend
-learn to speak, intuitive, asks lots of questions
-symbolic meaning
concrete operational - ANSWERS💫✔️--7-11
-Logic
-Basic math, sorting, inductive reasoning, conservation
-Begin to realize that thoughts and feelings are unique
