PMHNP ANCC Exam Questions And Answers 100% Correct

PMHNP ANCC Exam Questions And Answers 100% Correct PMHNP ANCC Exam Questions And Answers/100% Correct. Descriptive Vividness Correct ans - The researcher describes the data gathering process in sufficient detail that the ...

PMHNP ANCC Exam Questions And Answers 100% Correct PMHNP ANCC Exam Questions And Answers/100% Correct. Descriptive Vividness Correct 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 Correct 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 Correct 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 Correct 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 Correct ans - An MAOI that patients with atypical depression respond particularly well to. Atomoxetine Correct ans - A norepinephrine reuptake inhibitor approved for the treatment of ADHD. Loxapine Correct ans - A typical, tetracyclic antipsychotic with antidepressant properties. Its active metabolite is amoxapine, which is a secondary amine tricyclic antidepressant. HITECH Correct ans - Implementation of EHR for information exchanges and improving population health. This was done by Obama and the ARRA. Suppression Correct 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 Correct ans - beta blockers, steroids, interferon, Accutane, benzodiazepines, progesterone, some antivirals, and antineoplasmics. Medications that can induce mania Correct ans - Steroids, Isoniazid, antidepressants (in people who already have bipolar disorder), and Antabuse. Medigap Insurance Policies Correct 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 Correct 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 Correct 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) Correct 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) Correct 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 Correct ans - Xanax (alprazolam): 6-10 hrs 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) Correct ans - Cymbalta (duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran), Savella (milnacipran), Strattera (atomoxetine) Action of Tricyclic Antidepressants (TCAs) Correct ans - They target serotonin, norepinephrine, and histamine-1 receptors List the Tricyclic Antidepressants (9) Correct 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 Correct ans - Flu-like symptoms Irritability Nausea Imbalance/instability/incoordination/dizzy (motor) Sensory disturbances Headache, hyperarousal (anxiety/agitation) Signs of NMS (Neuroleptic Malignant Syndrome) Correct 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 Correct ans - Confusion, diplopia, nausea/diarrhea, ataxia, lethargy, fatigue, clumsiness, weakness, muscle cramping, severe tremor, blurred vision, nystagmus, increased DTRs, altered mental status, cardiac dysrhythmias Signs of Serotonin Snydrome Correct ans - agitation, restlessness, rapid heart rate, blood pressure elevation, headache, sweating, shivering, goose bumps, myoclonic jerking and loss of coordination, confusion, fevers, unconsciousness, seizures Medications that can increase lithium level Correct ans - NSAIDs, ACE Inhibitors (-prils), ARBs (-sartans), tetracyclines, metronidazole Medications that can decrease lithium level Correct ans - potassiumsparing diuretics, thiazide diuretics, theophylline Clozaril - monitoring considerations Correct ans - Monitor ANC (absolute neutrophil count); pt needs an ANC of at least 1500 to start clozaril therapy; watch for Benign Ethnic Neutropenia (BED); Monitor ANC weekly x6 months, every 2 weeks x6 months, then monthly if ANC is at least 1500. Substances that can cause a false + drug test for PCP & methadone Correct ans - Niquil, OTC cough meds Substances that can cause a false + drug test for heroin & morphine Correct ans - rifampin, fluoroquniolones Substances that can cause a false + drug test for cocaine Correct ans - NSAIDs, amoxicillin, most antibiotics Substances that can cause a false + drug test for amphetamines Correct ans - Prozac, Wellbutrin, Trazodone, Nefazodone, Sudafed, OTC decongestants. Schizophrenia Prevalence: Non-twin siblings of a schizophrenic parent Dizygotic twins of a schizophrenic parent Monozygotic twins of a schizophrenic parent Correct ans - 8% 12% 47% Birth defects caused by benzodiazepines Correct ans - Cleft palate, floppy baby syndrome Birth defects caused by carbamazepine Correct ans - Neural tube defects Birth defects caused by depakote Correct ans - Neural tube defects (spina bifida), cleft palate, atrial-septal defects, long-term developmental deficits CYP450 Inhibitors Correct ans - bupropion, clomipramine, cimetidine, clarithromycin, fluoroquinolone, grapefruit, ketoconazole, nefazodone, SSRIs CYP450 Inducers Correct ans - carbamazepine, nicotine, hypericum (St. John's wort), phenytoin, phenobarbital Normals lab value for AST (aspartate aminotransferase) Correct ans - 5-40 Normal lab value for ALT (alanine aminotransferase) Correct ans - 5-35 Normal lab value for Alkaline Phosphastase Correct ans - 44-147; male be increased in gallbladder disease & with bone injury /rapid bone growth Creatine Kinase (normal range) Correct ans - <240. Measures muscle injury (heart, brain, and skeletal). Increased in MI (CK-MO), myositis, NMS BUN (normal range) Correct ans - 10-20. Creatinine Correct ans - 0.4-0.8 or less than 1.5 Normal GFR Correct ans - >90 mL/min. If a patient is on psychotropics, as long as their GRF is >60, no dose adjustments need to be made. What is the best measure of kidney function? Correct ans - GFR (glomerular filtration rate) Normal Plate Count Correct ans - 140,000-340,000 Normal hemoglobin value for males and females Correct ans - Males: 13.5-18 Females: 12.5-14 Normal MCV (mean corpuscular volume) value Correct ans - 78-100 Normal TSH Range Correct ans - 0.4-4 Normal Free T4 range Correct ans - 10-27 Substances that can cause a false + drug test for codeine Correct ans - poppy seeds Substances that can cause a false + drug test for benzodiazepines Correct ans - Zoloft Gamma glutamyl transpeptidase (GGT) normal range Correct ans - 10- 38 Drug Category A and examples Correct ans - Controlled studies show no risk Vitamins within RDA, insulin, thyroxine Drug Category B and examples Correct ans - No evidence of risk in humans Buspirone, zolpidem, clozapine, lurasidone Beta-lactam antimicrobials (PCNs, cephalosporins, select macrocodes,azithromycin, eryth