ANCC PMHNP Exam
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
Akathesis is characterized by ______ and treated with _______. - CORRECT ANSWER--
restlessness (pacing, tapping)
-beta blocker (chill out)
Dystonia is characterized by ______ and treated with _______. - CORRECT ANSWER--sustained
muscular contraction (torticollis - neck bent and rotated)
-Anticholinergic (benztropine and Cogentin)
Parkinsonism is characterized by ______ and treated with _______. - CORRECT ANSWER--
cogwheel rigidity, mask facies, shuffling gait, resting tremor
-Anticholinergic (benztropine and Cogentin)
Tardive dyskinesia is characterized by ______ and treated with _______. - CORRECT ANSWER--
repetitive and uncontrolled movement of the lips and tongue (licking, smacking)
-No tx, d/c med or VMAT inhibitors - deuterobenzene
NMS can occur when too much _________ is taken and _____ becomes too low. - CORRECT
ANSWER-antipsychotic, dopamine07698
,S & S of NMS - CORRECT ANSWER-muscle rigidity, fever, tachycardia
NMS TX - CORRECT ANSWER--D/C MED!! Life threatening
-Dantrolene
-Dopamine agonist (Bromocriptine)
Labs with NMS - CORRECT ANSWER-elevated CK, K, WBC
4 stages of Piaget's theory - CORRECT ANSWER-1. sensorimotor
2. preoperational
3. concrete operational
4. formal operational
sensorimotor stage - CORRECT ANSWER--Birth-2 years
-Object permanence
-Wants to experience as much of the five senses as possible
-working memory
preoperational - CORRECT ANSWER--2-7
-Fantasy - objects are alive, play pretend
-learn to speak, intuitive, asks lots of questions
-symbolic meaning
concrete operational - CORRECT ANSWER--7-11
-Logic
,-Basic math, sorting, inductive reasoning, conservation
-Begin to realize that thoughts and feelings are unique
formal operational - CORRECT ANSWER--12+
-Thinks more rationally
-love, failure, hate, success
-Begin to understand people and mortality
-egocentric - imaginary audience
-deductive reasoning
-philosophical thinking
Depression and anxiety NTs - CORRECT ANSWER-low serotonin and imbalanced norepinephrine
Normal lithium levels - CORRECT ANSWER-0.6-1.2
With suspected lithium toxicity what do you do? - CORRECT ANSWER-d/c med!!
Bipolar depression NTs - CORRECT ANSWER-low serotonin (depression) and high dopamine
(manic & hypomanic)
lithium toxicity symptoms - CORRECT ANSWER-tremors, nausea, confusion, coarse hand
tremors
serotonin syndrome symptoms - CORRECT ANSWER-agitation, high fever, tachy, dilated pupils,
sweating, muscle rigidity
lithium is primarily excreted through ______ - CORRECT ANSWER-the kidneys
, ETOH use disorder can lead to _____ and in combo with lithium can lead to ________. -
CORRECT ANSWER-impaired renal function, increased lithium levels due to decreased renal
clearance
lithium modulates _______ which can lower _______ and be good for _______. - CORRECT
ANSWER-glutamate, impulsivity, SI/SA
lithium patient with excessive thirst and urination...what do you do? - CORRECT ANSWER-order
levels
lithium patient with coarse tremors and confusion...what do you do? - CORRECT ANSWER-d/c
lithium (suspect toxicity)
Antipsychotic patient who develops metabolic syndrome...what do you do? - CORRECT
ANSWER-educate on diet and lifestyle, dietician referral.
GI side effects of lithum - CORRECT ANSWER-nausea and diarrhea
lithium and dehydration can lead to ___________ - CORRECT ANSWER-decreased renal
excretion and increased lithium levels
lithium and NSAIDS can lead to - CORRECT ANSWER-decreased renal excretion and increased
lithium levels
Hyponatremia S&S - CORRECT ANSWER-nausea, confusion, increased thrist, lethargy, decreased
urine
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
Akathesis is characterized by ______ and treated with _______. - CORRECT ANSWER--
restlessness (pacing, tapping)
-beta blocker (chill out)
Dystonia is characterized by ______ and treated with _______. - CORRECT ANSWER--sustained
muscular contraction (torticollis - neck bent and rotated)
-Anticholinergic (benztropine and Cogentin)
Parkinsonism is characterized by ______ and treated with _______. - CORRECT ANSWER--
cogwheel rigidity, mask facies, shuffling gait, resting tremor
-Anticholinergic (benztropine and Cogentin)
Tardive dyskinesia is characterized by ______ and treated with _______. - CORRECT ANSWER--
repetitive and uncontrolled movement of the lips and tongue (licking, smacking)
-No tx, d/c med or VMAT inhibitors - deuterobenzene
NMS can occur when too much _________ is taken and _____ becomes too low. - CORRECT
ANSWER-antipsychotic, dopamine07698
,S & S of NMS - CORRECT ANSWER-muscle rigidity, fever, tachycardia
NMS TX - CORRECT ANSWER--D/C MED!! Life threatening
-Dantrolene
-Dopamine agonist (Bromocriptine)
Labs with NMS - CORRECT ANSWER-elevated CK, K, WBC
4 stages of Piaget's theory - CORRECT ANSWER-1. sensorimotor
2. preoperational
3. concrete operational
4. formal operational
sensorimotor stage - CORRECT ANSWER--Birth-2 years
-Object permanence
-Wants to experience as much of the five senses as possible
-working memory
preoperational - CORRECT ANSWER--2-7
-Fantasy - objects are alive, play pretend
-learn to speak, intuitive, asks lots of questions
-symbolic meaning
concrete operational - CORRECT ANSWER--7-11
-Logic
,-Basic math, sorting, inductive reasoning, conservation
-Begin to realize that thoughts and feelings are unique
formal operational - CORRECT ANSWER--12+
-Thinks more rationally
-love, failure, hate, success
-Begin to understand people and mortality
-egocentric - imaginary audience
-deductive reasoning
-philosophical thinking
Depression and anxiety NTs - CORRECT ANSWER-low serotonin and imbalanced norepinephrine
Normal lithium levels - CORRECT ANSWER-0.6-1.2
With suspected lithium toxicity what do you do? - CORRECT ANSWER-d/c med!!
Bipolar depression NTs - CORRECT ANSWER-low serotonin (depression) and high dopamine
(manic & hypomanic)
lithium toxicity symptoms - CORRECT ANSWER-tremors, nausea, confusion, coarse hand
tremors
serotonin syndrome symptoms - CORRECT ANSWER-agitation, high fever, tachy, dilated pupils,
sweating, muscle rigidity
lithium is primarily excreted through ______ - CORRECT ANSWER-the kidneys
, ETOH use disorder can lead to _____ and in combo with lithium can lead to ________. -
CORRECT ANSWER-impaired renal function, increased lithium levels due to decreased renal
clearance
lithium modulates _______ which can lower _______ and be good for _______. - CORRECT
ANSWER-glutamate, impulsivity, SI/SA
lithium patient with excessive thirst and urination...what do you do? - CORRECT ANSWER-order
levels
lithium patient with coarse tremors and confusion...what do you do? - CORRECT ANSWER-d/c
lithium (suspect toxicity)
Antipsychotic patient who develops metabolic syndrome...what do you do? - CORRECT
ANSWER-educate on diet and lifestyle, dietician referral.
GI side effects of lithum - CORRECT ANSWER-nausea and diarrhea
lithium and dehydration can lead to ___________ - CORRECT ANSWER-decreased renal
excretion and increased lithium levels
lithium and NSAIDS can lead to - CORRECT ANSWER-decreased renal excretion and increased
lithium levels
Hyponatremia S&S - CORRECT ANSWER-nausea, confusion, increased thrist, lethargy, decreased
urine
