ANCC PMHNP Cert Exam Questions & Answers 2023 Latest Updated, Exams of Nursing

Download ANCC PMHNP Cert Exam Questions & Answers 2023 Latest Updated and more Exams Nursing in PDF only on Docsity! ANCC PMHNP Cert Exam Questions & Answers 2023 Latest Updated  How do you assess cranial nerve V trigeminal? - ✅✅✅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? - ✅✅✅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 - ✅✅✅reflexes, controlled by "primitive" parts of the brain, that disappear during the first year of life  Mororeflex - ✅✅✅Extending of limbs when they hear a loud noise (defend themselves)  rooting reflex - ✅✅✅a baby's tendency, when touched on the cheek, to turn toward the touch, open the mouth, and search for the nipple  palmer grasp - ✅✅✅grasping with the whole hand  scope of practice - ✅✅✅The range of clinical procedures and activities that are allowed by law for a profession  Quality Improvement (QI) - ✅✅✅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 - ✅✅✅Plan-Do-Study-Act Model from the Institute for Healthcare Improvement (IHI)  Trendelenburg sign - ✅✅✅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 - ✅✅✅Fluvoxamine  Fluoxetine  Paroxetine  Neuroleptic Malignant Syndrome - ✅✅✅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 - ✅✅✅Dantrolene  D2 agonists (e.g., bromocriptine).  lead poisoning - ✅✅✅A medical condition caused by toxic levels of the metal lead in the blood  Lead poisoning treatment - ✅✅✅chelation therapy  Amygdala's role in emotion - ✅✅✅- 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 - ✅✅✅Small volume increase aggression.  Frontal Lobe Atrophy - ✅✅✅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 - ✅✅✅mesocortical  mesolimbic  nigrostriatal  tuberoinfundibular  mesocortical pathway - ✅✅✅a path through which dopaminergic projections travel to reach the neocortex  mescolimbic pathway - ✅✅✅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 ventral striatum of the basal ganglia in the forebrain. The ventral striatum includes the nucleus accumbens and the olfactory tubercle.  Nigrostriatal pathway - ✅✅✅the dopaminergic tract from the substantia nigra to the striatum  Tuberoinfundibular pathway - ✅✅✅from hypothalamus to anterior pituitary -> DA released from these neurons inhibit prolactin secretion -> when DA receptors here are blocked prolactin levels rise cause galactorrhea)  primary prevention - ✅✅✅Efforts to prevent an injury or illness from ever occurring.  secondary prevention - ✅✅✅Efforts to limit the effects of an injury or illness that you cannot completely prevent, screening exams.  tertiary prevention - ✅✅✅actions taken to contain damage once a disease or disability has progressed beyond its early stages  Irvin Yalom - ✅✅✅A leading figure in contemporary group therapy, especially the interpersonal approach  group therapy - ✅✅✅therapy conducted with groups rather than individuals, permitting therapeutic benefits from group interaction  boderline personality disorder - ✅✅✅impulsive actions, often with the potential for self-harm as well as mood instability and chaotic relationships  DBT (dialectical behavior therapy) - ✅✅✅a form of therapy used to treat borderline personality disorder that combines elements of the behavioral and cognitive treatments with a mindfulness approach based on Eastern meditative practices  eating disorder treatment - ✅✅✅-correct dangerous eating patterns  -address psychological and situational factors that have led to / are maintaining the disorder  -often requires family and friend participation  When to admit for eating disorder? - ✅✅✅75% below ideal body weight and/or electrolyte imbalances  just culture - ✅✅✅culture where staff are willing to come forward with information about errors so everyone can learn from mistakes; the culture recognizes the need for accountability & at times disciplinary action  GERIATRIC ANEMIA - ✅✅✅lower than normal RBC that is common in seniors  PHQ-9 scores - ✅✅✅1-4 min depression  5-9 Mild depression  10-14 moderate depression  15-19 Moderately severe depression  20-17 Severe depression  Beck Depression Inventory (BDI) - ✅✅✅1-10 normal  11-16 Mild  17-20 Borderline depression  21-30 Moderate  31-40 Severe  Over 40 Extreme  HAM-D - ✅✅✅0-7 normal  8-16 Mild  17-23 Moderate  24 (+) Severe  HAM-A - ✅✅✅17 or less indicates mild anxiety  18-24 mild to moderate anxiety  GAD-7 - ✅✅✅1-4 minimal anxiety  5-9 Mild anxiety  10-14 Moderate anxiety  15-21 Severe anxiety  Zung Self-Rating Depression Scale - ✅✅✅50-69 indicates depression  70 (+) severe depression  MoCA - ✅✅✅26-30 normal  22.1 mild impairment  16.2 Alzheimer's Disease  MMSE - ✅✅✅24-30 normal  AIDS dementia complex (ADC) - ✅✅✅Encephalitis, behavioral changes, decline in cognitive function  Progressive slowing of motor functions  Apoptosis - ✅✅✅process of programmed cell death  Recovery (training principle) - ✅✅✅Holistic, person-centered approach to mental health care. Two premises: 1) It is possible to recover from a mental health condition; 2) The most effective recovery is patient-directed  neuron death - ✅✅✅the stage of early nervous system development during which large numbers of neurons die, typically those that have not established effective synaptic contacts  Mini-Cog Test - ✅✅✅■ Quick method for assessing dementia. If abnormal, screen further with MMSE.  ■ Use these two methods: the clock drawing test with word recall test (three unrelated words).  ■ Instruct patient to draw a clock and mark it with the hands showing a certain time.  ■ Example: Instruct patient to "Draw a clock that shows 20 minutes past 4."  Scoring clock test: Hands point to the correct time and numbers on clock are in correct  sequence.  meta-analysis - ✅✅✅a statistical technique that averages the results of two or more studies to see if the effect of an independent variable is reliable  PTSD diagnostic criteria - ✅✅✅Three or more of the following should be present for more than 1 month:  Inability to recall an important aspect of the event  avoidance of activities, people, places that remind the patient of the event  attempts to avoid thinking or talking about the event  Feelings of detachment or estrangement from others  markedly decreased interest or anhedonia (inability to experience pleasure)  Restricted Range of Affect  Belief ones future has been foreshortened because of the event  Increased state of arousal characterized by insomnia, irritability, angry outbursts, poor concentration, hypervigilance, exaggerated startle response  PTSD treatment - ✅✅✅MEDICATIONS:  Antidepressants (Zoloft, Paxil).  Anxiolytics.  If manifestations include nightmares or insomnia, Minipress has been prescribed. (Normally used to treat HTN, Minipress blocks the brain's response to NE and has been effective in suppressing nightmares.)  THERAPY:  Cognitive Therapy  Exposure Therapy  Zyprexa (olanzapine) - ✅✅✅monitor for metabolic syndrome  Risperidone (Risperdal) - ✅✅✅monitor for prolactin level increases