ANCC PMHNP UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

ANCC PMHNP UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
MImPrinciplesm-mRULEm-mCORRECTmANSWERmR.mResistmthemRightmReflex

U.mUnderstandmYourmClient'smMotivation

L.mListenmtomYourmClient

E.mEmpowermYourmClient



mesolimbicmismthem____mpathwaym-mCORRECTmANSWERmReward



mesolimbicmismrelatedmtom____mwhichmismamresultmofm____m-
mCORRECTmANSWERmpositivemschitzomsymptoms,mtoommuchmdopamine




antipsychoticmtreatmentmworksmbymtreatingm____mbym____m-
mCORRECTmANSWERmpositivemsymptoms,mloweringmdopamine




mesocorticlemismrelatedmtom____mwhichmismamresultmofm____m-
mCORRECTmANSWERmnegativemsymptoms,mtoomlittlemdopamine




NigrostriatalmPathwaymismresponsiblemform-mCORRECTmANSWERmcoordinationmofmmovement



NigrostriatalmPathwaymismrelatedmtom____mwhichmismamresultmofm____m-
mCORRECTmANSWERmparkinsonism,mtoolmlittlemdopaminemfrommtxm(antipsychotics)




SignsmofmParkinsonismm-mCORRECTmANSWERmrestingmtremor

maskedmface

,shufflingmfeet

cogwheelmrigidity



tuberoinfundibularmismrelatedmtom____mwhichmismamresultmofm____m-
mCORRECTmANSWERmhypermprolactinm(galacteria),mtoomlittlemdopamine




amenorrheaminmthem_____mpathwaymismduemtom____m-
mCORRECTmANSWERmtuberoinfundibular,mdecreasedmFSHmandmdopamine




1stmgenmantipsychoticsmmnemonicm-mCORRECTmANSWERmThemhappymfurrymcat

-Thioridazine

-Haloperidol

-Fluphenazine

-Chlorpromazine



1stmgenmantipsychoticsmmechmofmactionm-mCORRECTmANSWERm-D2mreceptorminhibitionm-
mlowersmdopamine




1stmgenmantipsychoticsmsidemeffectsm-m"anti-HAM"m-mCORRECTmANSWERmHistaminem-
mweightmgainmandmsedation



Alpham-morthostasis,mHypoTN,mandmpriapism

Muscarinicm-mdrymmouth



1stmgenmantipsychoticsmhavemthemhighestminstancemofm_____________m-
mCORRECTmANSWERmEPSm&mNMS




2NDmgenmantipsychoticsmmechmofmactionm-mCORRECTmANSWERmD2mANDmSerotonin2Amantagonist

,Whatmdosmthemantagonismmofmserotonin2Aminm2NDmgenmantipsychoticsmdo?m-
mCORRECTmANSWERmLessminstancemofmEPSmduemtomraisingmdopaminemjustmenoughmtomstillmcorrect


m+msymptomsmbutmavoidingmlowingmdopaminemtommuchmcausingmEPS




2NDmgenmantipsychoticsmmnemonicm-
mCORRECTmANSWERm"ReallymAwesomemZebramLovesmQuietmCozymOasis"



-Risperidone

-Aripiprazole

-Ziprasidone

-Lurasidone

-Quetiapine

-Clozapine

-Olanzapine



majorms/emofm2NDmgenmantipsychoticsm-mCORRECTmANSWERmmetabolicmsyndromem-mweightmgain



Whichm2NDmgenmantipsychoticmcanmcausemhyperprolactinemia?m-
mCORRECTmANSWERmRisperidone




Clozapinemcanmcausem______mandmyoumshouldmd/cmmedicationmwithmanm______mlessmthanm_____
_.m-mCORRECTmANSWERmagranulocytosis,mANC,m1000



Akathesismismcharacterizedmbym______mandmtreatedmwithm_______.m-mCORRECTmANSWERm-
restlessnessm(pacing,mtapping)

-betamblockerm(chillmout)

, Dystoniamismcharacterizedmbym______mandmtreatedmwithm_______.m-mCORRECTmANSWERm-
sustainedmmuscularmcontractionm(torticollism-mneckmbentmandmrotated)

-Anticholinergicm(benztropinemandmCogentin)



Parkinsonismmismcharacterizedmbym______mandmtreatedmwithm_______.m-mCORRECTmANSWERm-
cogwheelmrigidity,mmaskmfacies,mshufflingmgait,mrestingmtremor

-Anticholinergicm(benztropinemandmCogentin)



Tardivemdyskinesiamismcharacterizedmbym______mandmtreatedmwithm_______.m-
mCORRECTmANSWERm-


repetitivemandmuncontrolledmmovementmofmthemlipsmandmtonguem(licking,msmacking)

-Nomtx,md/cmmedmormVMATminhibitorsm-mdeuterobenzene



NMSmcanmoccurmwhenmtoommuchm_________mismtakenmandm_____mbecomesmtoomlow.m-
mCORRECTmANSWERmantipsychotic,mdopamine07698




Sm&mSmofmNMSm-mCORRECTmANSWERmmusclemrigidity,mfever,mtachycardia



NMSmTXm-mCORRECTmANSWERm-D/CmMED!!mLifemthreatening

-Dantrolene

-Dopaminemagonistm(Bromocriptine)



LabsmwithmNMSm-mCORRECTmANSWERmelevatedmCK,mK,mWBC



4mstagesmofmPiaget'smtheorym-mCORRECTmANSWERm1.msensorimotor

2.mpreoperational

3.mconcretemoperational