PMHNP ANCC Exam Questions and Correct
Answers
Descriptive Vividness Ans: — The researcher describes the data
gathering process in sufficient detail that the reader can
personally experience it. The data collected, often in the form of
personal statements, should be quoted directly and extensively,
because this is the raw data from the study.
Methodological Congruence Ans: — 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 Ans: — Any theory developed from the
study is clearly stated, logically consistent, reflective of the data,
and in accord with other available knowledge.
Analytical Precision Ans: — 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 Ans: — An MAOI that patients with atypical depression
respond particularly well to.
Atomoxetine Ans: — A norepinephrine reuptake inhibitor
approved for the treatment of ADHD.
Loxapine Ans: — A typical, tetracyclic antipsychotic with
antidepressant properties. Its active metabolite is amoxapine,
which is a secondary amine tricyclic antidepressant.
HITECH Ans: — Implementation of EHR for information exchanges
and improving population health. This was done by Obama and
the ARRA.
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Suppression Ans: — 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 Ans: — beta blockers,
steroids, interferon, Accutane, benzodiazepines, progesterone,
some antivirals, and antineoplasmics.
Medications that can induce mania Ans: — Steroids, Isoniazid,
antidepressants (in people who already have bipolar disorder), and
Antabuse.
Medigap Insurance Policies Ans: — Private insurance policies
purchased by elderly individuals to cover some or all of their
medical expenses not paid for by Medicare.
Medicare Advantage Plan Ans: — Formerly Medicare + Choice, this
created regional Preferred Provider Organizations (PPOs) and gave
Medicare enrollees the option of enrolling in private insurance
plans.
Medicare + Choice Ans: — 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) Ans: —
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) Ans: — 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 Ans: — Xanax (alprazolam): 6-10 hrs
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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) Ans: — Cymbalta (duloxetine), Pristiq
(desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran),
Savella (milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs) Ans: — They target
serotonin, norepinephrine, and histamine-1 receptors
List the Tricyclic Antidepressants (9) Ans: — 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 Ans: — Flu-like symptoms
Irritability
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome) Ans: — Initial
Symptoms: altered sensorium, hyperreflexia, fever
Then signs of autonomic instability: extreme muscle rigidity,
hypotension, tachycardia, diaphoresis, tachypnea, hyperthermia,
coma, death.
Check for increased WBCs (leukocytosis)/LFTs/CPK
Signs of Lithium toxicity Ans: — Confusion, diplopia,
nausea/diarrhea, ataxia, lethargy, fatigue, clumsiness, weakness,
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