ANCC PMHNP Exam Prep Questions and Answers Already Passed

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ANCC PMHNP Exam Prep Questions and Answers Already Passed mesocortical pathway ✔✔executive function: attention, focus, depression nigrostriatal pathway ✔✔from substantia nigra (brainstem) to striatum (muscles): Parkinson's mesolimbic pathway ✔✔projects to nucleus accumbens (part of limbic system). Pleasure, reward, positive symptoms of schizophrenia: Addiction, gambling Tuberoinfundibular pathway ✔✔regulation of prolactin (acts on pituitary). Hypersexuality in mania Dopamine ✔✔produced in substania nigra and VTA. D2 & D4 receptors most important. Elevated in the mesolimbic pathway associated with pleasure and psychosis. Antispychotics block dopamine. travels through mesocoritcal, mesolimbic, nigrostriatal, and tuberinfundibular pathways Serotonin ✔✔5-HT. produced in raphe nucleus. emotion, impulses, dreams. 5HT2A receptors = atypical antipsychotics. Norepinephrine ✔✔produced in locus coeruleus. arousal and vigilance GABA ✔✔inhibitory. produces calm in conjunction with benzodiazepines. ACTH ✔✔motor control, learning, memory, sleep, and dreams. Helps with balance. Decrease in Alzheimer's disease hypothalamus-pituitary-adrenal axis (HPA) ✔✔CRH, ACTH, then cortisol. Worsens with stress and depression hypothalamus-pituitary-thyroid (HPT) ✔✔TRH, TSH, T4. Hypothyroid causes depression, weight gain, slow metabolism. Hyperthyroid is opposite. hypothalamus-pituitary-gonadal (HPG) ✔✔GnRH, FSH, LH. Malfunctions cause infertility problems. gray matter ✔✔neurons are found frontal lobe ✔✔executive function, voluntary movement, speech (Broca's area) Temporal lobe ✔✔memory, cognition, speech, emotions (aka limbic area) parietal lobe ✔✔receive and process sensory input Wernicke's area ✔✔temporal and parietal lobes; speech amygdala ✔✔fear response. hippocampus ✔✔memory. Make up limbic system with amydgala HIPAA ✔✔1. education about privacy protection, 2. access to own medical records, 3. request amendment to health information to which they object, 4. require permission for disclosure of medical issues forensic nursing ✔✔based on crime committed and investigational aspects correctional nursing ✔✔offender's current mental health and medical condition research utilization process ✔✔critique, synthesize, apply, measure PICO question ✔✔patient, intervention, comparison, outcome internal validity ✔✔when the independent variable (treatment) caused a change in the dependent variable (outcome) external validity ✔✔when the sample is representative of the population and the results can be generalized descriptive statistics ✔✔used to describe the basic features of the data in the study standard deviation ✔✔indication of the possible deviations from the mean variance ✔✔how the values are dispersed around the mean - the larger the variance, the larger the dispersion of scores inferential statistics ✔✔numerical value that enable one to reach conclusions that extend beyond immediate data alone - generated by quantitative research

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