ANCC PMHNP QUESTIONS AND ANSWERS

ANCC PMHNP QUESTIONS AND ANSWERS Purpose of Dopamine Inhibition of prolactin production Sleep Learning Attention Pleasure and reward Movement Memory Mood What term best describes the reelationship between an individual's health and a number of other variables, including the amoutn of healthcare consumed? Health production function- math expression that shows the relationship between an individual's health and a number of other variables. 00:0601:41 How much time should you allow for Celexa to provide its initial therapeutic effect and the patient to see an improvement in symptoms? 4-6 weeks Clients have what rights? Right to privacy and confidentiality Right to least restrictive treatment measures Right to consent and withdraw consent at any given time Which inferential statistic determines whether the means of 2 groups are statistically different from each other? t-test enables one to reach conclusions that extend beyond the immediate data alone (ANOVA tests the difference among 3 or more groups, Pearson's r correlation- tests the relationship between 2 variables, probability-likelihood, p value- probability of a particular result occurring by chance) What symptoms would a patient exhibit if they were experiencing an excess serotonin? Restlessness, agitation, myoclonus, vital sign abnormalilties What term descries a colletion of individuals who coordinate lobbying efforts around a common interest and seek to influence policymakers? Special interest group. What are 3 phases of a therapeutic relationship between NP and pt? 1. Intro 2. Working3. Termination The following describes what stage of a therapeutic relationship? Clarifying patient expectations, ID goals, treatment plan, preventative healthcare, measuring outcomes of care, reprioritizing plan Working phase Which type of family therapy uses genograms, structural mapping, emphasizes understanding to produce change in the family structure. Structural family therapy Symptoms of exess GABA excess sleepiness, increased blood pressure, shallow breathing Symptoms of insufficient GABA Sz, trouble concentrating, insomnia, depression, anxiety A Hamilton Anxiety score of 14-17 indicates what? Mild Anxiety A Hamilton Anxiety score of 18-24 indicates what? Moderate Anxiety A Hamilton Anxiety score of 25-30 indicates what? Severe Anxiety When would you not use seclusion and restraint? Extremely unstable medical or psychiatric conditions Delirious or demented patients unable to tolerate decreased stimulation Overtly suicidal patients When should you use seclusions and restraint? Prevent significant disruption to treatment program or physical surroundings Decrease sensory overstimulation What is the difference between pharmacokinetics, and pharmaodynamics? pharmacokinetics is whatthe body does to drugs, pharmacodynamics is what the drug does to the body Problems with the frontal lobe could lead to what personality changes problems with the temporal lobe can lead to aphasia and amnesia problems with the occipital lobe can lead to visual field defects problems with the parietal lobe can lead to densory perceptual disturbances and agnosia This type of advanced nurse evaluates, diagnoses, and treats a wide range of medical conditions nurse practitioner This type of advanced practice nurse consults researches educates and coordinates care Clinical nurse specialist This type of advnaced practice nurse provides well-woman gyno care, management pregnancy, child birth, antipartum post partum. Nurse midwife According to Piaget wat what cognitive stage do children develop object permanence? sensorimotor Occurs when a patient is unabe to see others as somethimes good sometimes bad splitting what is the therapeautic dose of riseridone for an adolescent? 3 mg What core comopetency is the NP demonstrating when she evaluates the appropriate use of seclusion and restraints? NP core competency: Quality What core competency is the NP demonstrating when participating in a special interest group? NP core competency: Policy By whom and where was the first NP role introduced? Loretta C. Ford, Henry Silver; University of Colorado What factors constrain the growth of the NP role? Increased concerns over reinbursement fraud and abuse, reinbursement struggles, need for formal supervisory or collaborative relationships with physicians, overlapping scope of practice What regulatory or statutory dimension provides different rules and regulations for each state? Statutory law What regulatory or statutory dimension forms a process by which an agency of state government grants permission to persons to engage in the practice of that profession? Licensure What regulatory or statutory dimension forms a process used to protect the public by ensuring a minimum level of professional competence. Credentialing What regulatory or statutory dimension determines the scope of practice and assures the public that a person has mastery of a specified body of knowledge. Certification HITECH(health information technology for economic and clinical health Act) meaningful use incentive charting system for physician order set Incentive payment for sharing specific electronic health record(EHR) Basic criteria for involuntary admission danger to self or others unable to care for self poor nutritional intake What are the four main components of HIPPA To be educated, have access, the ability to request amendments and permission for disclosure Voluntary Commitment entails Admission, Client of all civils liberties, client consents to confinement What is the communication process between the provider and the client that results in acceptance or rejection of the the proposed treatment Informed Consent Promoting well-being and doing good Beneficence Doing no harm Nonmaleficence Being true and loyal fidelity Doing for self Autonomy Telling the truth Veracity A male client approached the NP for a date. The NP went out on one date with the client, but ended the relationship due to this element of negligence Breach of duty What Act of 2009 requires incentive if payments, is a part of the meaningful use and can improve health outcomes HITECH ( Heath Information Technology for economic health record) Durable power of attorney contracts are or are not legally binding in all 50 states Are legally binding in all 50 states Living wills are or are not legally binding in all 50 states Are not legally binding in all 50 states All of the following are Cluster A personality disorders Schizoid, Schizotypal Paranoid What is another name for durable POA a healthcare proxy All of the following are Cluster B personality disorders Histrionic, Borderline, Narcissistic, Antisocial All of the following are Cluster C personality disorders OCD, Dependent, Avoidant Cluster A personality disorders can best be described as what? Odd and eccentric Cluster B personality disorders can best be described as what? Dramatic and Erratic Cluster C personality disorders can best be described as what? Fearful and anxious · No: Ibuprofen increases plasma levels of lithium Would you give Ibuprofen to a patient receiving lithium? What are the two main types of a Systematic Review? · Meta- Analysis: Statistically analysis quantitative studies · Meta Synthesis: Statistically analysis Qualitative Studies What are the different types of Validity in research? · External Validity: When the sample is representative of the population and the results can be generalized. · Internal validity: When the independent variable causes a change in, he dependent variable. · Probability: The likelihood of an event occurring · Standard Deviation: Indication of possible deviation from the mean. What is the most used legal substance? ETOH ... See pg 296 of the purple book! Highest in the African American Population What is the difference between Certification and Credentialing · Certification is a process by which a professional organization certifies that an individual has net certain predetermines standards. · Credentialing is a process that is used to protect the public by ensuring a minimum level of professional competence. · Licensure: is a process by which an agency of state government grants permission to individuals to engage in practice Different types of Therapy · Klerman and Weissman created interpersonal Therapy. · Sigmund Freud created Psychoanalytic Therapy. · Anna Freud and Melanie Klein contribution sin Psychoanalytic Child Theory · Aaron Beck- Created Cognitive Therapy · Carl Rogers: Humanistic Therapy (Person Centered) Murray Bowen: Family Therapy Antidepressants that do not depend on the CYP2D6 for Metabolism. Lexapro, Zoloft and Remeron Medicare vs Medicaid -Medicare - Over 65, Younger individuals with disabilities, individuals with End stage Renal Disease. Individuals in he need of a kidney transplant, individuals receiving social security for a disability of amyotrophic lateral sclerosis. -Medicaid- Low-income children, Low income pregnant women, elderly and disabled individuals who qualify for the supplemental security income program -If a woman is taking tamoxifen for Breast Cancer do not RX: Paxil, Prozac, or Wellbutrin Valerian Root is considered a psychoactive herbal substance to treat insomnia, anxiety and restless. Risk factor for developing a somatic disorder Female Lower Socioeconomic Unemployed Olde age Fewer years of education Recent stressful life events Negative affectivity Childhood sexual abuse Comorbid psych condition Perceived illness benefits Sensitization of pain Heighted attention to body sensation -The difference between culture and ethnicity Culture is learned behaviors, socially inherited characteristic. Ethnicity: self-identified race, tribe, or nation -Family Vs Community: Family is defined as a group of adults and children who are usually related and carry out the essential functions of life. Community; group of families sharing the same race, tribe, or culture. Family Vs Community: Family is defined as a group of adults and children who are usually related and carry out the essential functions of life. Community; group of families sharing the same race, tribe, or culture. Competency to be executed was established in the supreme Court Ford Vs Wainwright -DepolarizationInflux of sodium and calcium into the cell Repolarization -Kt leaving the cell or Chloride entering the body. Therapeutic Relationship: Introduction: Boundaries, Agreed time frame Working: Measuring, reprioritizing Termination: long term plan of self-management, Reemergence of symptoms Countertransference delt with Peer to Peer Abilify has the lowest risk of sedation of all Antipsychotics the homeless population has a co-occurring Mental Health Issue and Substanc