ANCC PMHNP review questions graded A
Denial is a defense mechanism that keeps some aspect of reality from one's conscious awareness.
Isolation of affect is detaching feelings from a particular experience. Intellectualization is
abstract thinking.
Pre-group: leader considers direction & framework.
1. Forming: Orientation. Goals & expectations are identified & boundaries
established.
2. Storming: Transition. Members test & act out to define themselves & the group
norms. Members should feel free to disagree with each other.
3. Norming: Cohesiveness. Members develop standards (cohesiveness). Therapeutic
alliance forms
4. Working; Performing. Individual growth & team productivity, & effectiveness occur. Members
experiment with new ideas or behaviors & egalitarianism develops.
5. Adjourning; Termination. The closure of the group. Primary task; discuss & review outcomes &
achievements, explore feelings of what worked (and what didn't), and any feelings of loss. Introducing new
concerns or initiatives is not appropriate.
The PMHNP has the authority, accountability, and responsibility to change nursing practice,
make decisions in care, and take action consistent with the obligation to promote health and
provide optimal care.
Correct answer: It allows patients to attend exclusively to their own needs
The benefits of group therapy include the following:
It increases insight into oneself
It increases social skills
It is cost-effective
It promotes a sense of community
Individual counseling provides a set time for patients to attend exclusively to their own needs.
A PMH-NP can utilize several Socratic-type questions to elicit information and find solutions in
solution-focused therapy. Exception-finding questions seek solutions by deep-diving into the past
when the problem did not exist and discovering what the family did and did not do.
,ANCC PMHNP review questions graded A
The Miracle question asks how the family's life would be different if the problem miraculously
disappeared overnight. Scaling questions help people realize incremental changes over time.
Interrogation questions are not used in solution-focused therapy.
Social preventative factors can include a low-stress occupation, higher socioeconomic status, or
higher level of education. Biological factors may include no family history of mental illness or
good general health. Psychological factors can include healthy self-esteem or an internal locus of
control.
There is no category for preventative environmental factors, as these would most likely fall
within the other categories.
There are three phases of therapy: orientation, working, and termination. The orientation phase
aims to establish trust and identify goals with the client. The PMH-BC establishes boundaries,
sets expectations for treatment, and outlines a timeline for completing goals.
Computer literacy is the level of expertise and familiarity someone has with computers. It
generally refers to the ability to use an application rather than to write code. Individuals who are
very computer literate are called power users.
Computer competency is the ability to demonstrate proficiency in software applications, such as
Microsoft Word, Excel, and PowerPoint, and knowledge of computer terminology, hardware
selection, and simple maintenance functions.
Information literacy involves recognizing when information is needed and locating and using it
efficiently.
Information competency is often used as a synonym for information literacy.
Hypernatremia:
seizures
thirst
Dry mucous membranes
Tachycardia
Restlessness
Hyponatremia: (water follows salt) When sodium in fluids outside cells drops below normal, water
moves into the cells to balance the levels. This causes the cells to swell with too much water.
Brain cells are susceptible to swelling, and this causes many of the symptoms of low sodium. ADH can
cause the body to retain h20 instead of excreting it in the urine.
,ANCC PMHNP review questions graded A
seizures
confusion
apprehension
lethargy
-Most disease processes are multifactorial, meaning environmental and genetic factors cause
them. Single-gene disorders are rare.
-Veterans should be assessed for problems with memory, sleep, light sensitivity, balance, and
other symptoms that may signal a brain injury.
A lack of appetite, resistance to examination, and increased alcohol use may indicate depression
or another coping issue but not brain trauma without other symptoms.
-Systems thinking is the understanding of structures that undergird complex systems and using
this understanding to effect significant and enduring change. Systems thinking is essential for
nurse practitioners who wish to enact effective quality improvement initiatives. Instead of
isolating small parts of a system (providers, patients, illnesses), systems thinking looks at the
whole, considering more significant numbers and patterns of interaction to understand.
-The morbidity rate describes a given disease present.
The mortality rate describes the death rate
Elderly patients who are prescribed psychotropic medication have a higher risk of falls. Most of
the fall risk is associated with the side effects of sedation, dizziness, and postural hypotension.
The Health Insurance Portability and Accountability Act (HIPAA) guarantees patients four
fundamental rights:
To be educated about HIPAA privacy protection
To have access to their medical records
To request an amendment of their health information to which they object
To require their permission for disclosure of their personal information
In this question's scenario, the provider would allow the patient to request an amendment
because it is her right under the Health Insurance Portability and Accountability Act (HIPAA).
In 1965, Dr. Loretta Ford (a public health nurse) and Dr. Henry Silver (a pediatrician)
established the first nurse practitioner program at the University of Colorado.
, ANCC PMHNP review questions graded A
Which class of medication prevents the excessive release of glutamate?
Correct Answer: Serotonin antagonist/reuptake inhibitors
Serotonin antagonist/reuptake inhibitors block 5HT2A receptors. This action inhibits glutamate
release in the prefrontal cortex of the brain.
SARIs work by inhibiting serotonin: They are antagonists to inhibit the 5HT2a receptor,
increasing the amount of active serotonin throughout the central nervous system (CNS).
Lamotrigine is a glutamate release inhibitor FDA-approved for partial and tonic-clonic seizures and
BPD.
Lamotrigine acts by blockade of voltage-sensitive sodium channels, which modulate the
release of glutamate and aspartate and slightly affect calcium channels.
Around 25% of those diagnosed with a mood disorder experience manic or hypomanic episodes.
Almost all patients who experience a manic or hypomanic episode also experience periods of
depression. The severity and duration of the highs and lows differentiate the types of bipolar
disorder:
Bipolar I disorder: These patients experience at least one manic episode and may or may not
share a major depressive episode.
Bipolar II disorder: These patients experience at least one hypomanic episode and one major
depressive episode.
Cyclothymic disorder: These patients experience mood swings but are not severe enough to be
called major depressive or manic episodes.
Schizoaffective disorder is a psychotic disorder characterized by patients experiencing symptoms
of schizophrenia and depression or mania.
-Successful resolution of the psychosocial stage Intimacy vs. Isolation results in developing
loving sexual relationships:
At three years of age, landmarks of normal behavioral development include the following:
Rides tricycle
Jumps from the bottom of steps
Alternates feet going upstairs
Builds tower of 9 or 10 cubes
Copies a circle and a drawn cross
Puts on shoes
Denial is a defense mechanism that keeps some aspect of reality from one's conscious awareness.
Isolation of affect is detaching feelings from a particular experience. Intellectualization is
abstract thinking.
Pre-group: leader considers direction & framework.
1. Forming: Orientation. Goals & expectations are identified & boundaries
established.
2. Storming: Transition. Members test & act out to define themselves & the group
norms. Members should feel free to disagree with each other.
3. Norming: Cohesiveness. Members develop standards (cohesiveness). Therapeutic
alliance forms
4. Working; Performing. Individual growth & team productivity, & effectiveness occur. Members
experiment with new ideas or behaviors & egalitarianism develops.
5. Adjourning; Termination. The closure of the group. Primary task; discuss & review outcomes &
achievements, explore feelings of what worked (and what didn't), and any feelings of loss. Introducing new
concerns or initiatives is not appropriate.
The PMHNP has the authority, accountability, and responsibility to change nursing practice,
make decisions in care, and take action consistent with the obligation to promote health and
provide optimal care.
Correct answer: It allows patients to attend exclusively to their own needs
The benefits of group therapy include the following:
It increases insight into oneself
It increases social skills
It is cost-effective
It promotes a sense of community
Individual counseling provides a set time for patients to attend exclusively to their own needs.
A PMH-NP can utilize several Socratic-type questions to elicit information and find solutions in
solution-focused therapy. Exception-finding questions seek solutions by deep-diving into the past
when the problem did not exist and discovering what the family did and did not do.
,ANCC PMHNP review questions graded A
The Miracle question asks how the family's life would be different if the problem miraculously
disappeared overnight. Scaling questions help people realize incremental changes over time.
Interrogation questions are not used in solution-focused therapy.
Social preventative factors can include a low-stress occupation, higher socioeconomic status, or
higher level of education. Biological factors may include no family history of mental illness or
good general health. Psychological factors can include healthy self-esteem or an internal locus of
control.
There is no category for preventative environmental factors, as these would most likely fall
within the other categories.
There are three phases of therapy: orientation, working, and termination. The orientation phase
aims to establish trust and identify goals with the client. The PMH-BC establishes boundaries,
sets expectations for treatment, and outlines a timeline for completing goals.
Computer literacy is the level of expertise and familiarity someone has with computers. It
generally refers to the ability to use an application rather than to write code. Individuals who are
very computer literate are called power users.
Computer competency is the ability to demonstrate proficiency in software applications, such as
Microsoft Word, Excel, and PowerPoint, and knowledge of computer terminology, hardware
selection, and simple maintenance functions.
Information literacy involves recognizing when information is needed and locating and using it
efficiently.
Information competency is often used as a synonym for information literacy.
Hypernatremia:
seizures
thirst
Dry mucous membranes
Tachycardia
Restlessness
Hyponatremia: (water follows salt) When sodium in fluids outside cells drops below normal, water
moves into the cells to balance the levels. This causes the cells to swell with too much water.
Brain cells are susceptible to swelling, and this causes many of the symptoms of low sodium. ADH can
cause the body to retain h20 instead of excreting it in the urine.
,ANCC PMHNP review questions graded A
seizures
confusion
apprehension
lethargy
-Most disease processes are multifactorial, meaning environmental and genetic factors cause
them. Single-gene disorders are rare.
-Veterans should be assessed for problems with memory, sleep, light sensitivity, balance, and
other symptoms that may signal a brain injury.
A lack of appetite, resistance to examination, and increased alcohol use may indicate depression
or another coping issue but not brain trauma without other symptoms.
-Systems thinking is the understanding of structures that undergird complex systems and using
this understanding to effect significant and enduring change. Systems thinking is essential for
nurse practitioners who wish to enact effective quality improvement initiatives. Instead of
isolating small parts of a system (providers, patients, illnesses), systems thinking looks at the
whole, considering more significant numbers and patterns of interaction to understand.
-The morbidity rate describes a given disease present.
The mortality rate describes the death rate
Elderly patients who are prescribed psychotropic medication have a higher risk of falls. Most of
the fall risk is associated with the side effects of sedation, dizziness, and postural hypotension.
The Health Insurance Portability and Accountability Act (HIPAA) guarantees patients four
fundamental rights:
To be educated about HIPAA privacy protection
To have access to their medical records
To request an amendment of their health information to which they object
To require their permission for disclosure of their personal information
In this question's scenario, the provider would allow the patient to request an amendment
because it is her right under the Health Insurance Portability and Accountability Act (HIPAA).
In 1965, Dr. Loretta Ford (a public health nurse) and Dr. Henry Silver (a pediatrician)
established the first nurse practitioner program at the University of Colorado.
, ANCC PMHNP review questions graded A
Which class of medication prevents the excessive release of glutamate?
Correct Answer: Serotonin antagonist/reuptake inhibitors
Serotonin antagonist/reuptake inhibitors block 5HT2A receptors. This action inhibits glutamate
release in the prefrontal cortex of the brain.
SARIs work by inhibiting serotonin: They are antagonists to inhibit the 5HT2a receptor,
increasing the amount of active serotonin throughout the central nervous system (CNS).
Lamotrigine is a glutamate release inhibitor FDA-approved for partial and tonic-clonic seizures and
BPD.
Lamotrigine acts by blockade of voltage-sensitive sodium channels, which modulate the
release of glutamate and aspartate and slightly affect calcium channels.
Around 25% of those diagnosed with a mood disorder experience manic or hypomanic episodes.
Almost all patients who experience a manic or hypomanic episode also experience periods of
depression. The severity and duration of the highs and lows differentiate the types of bipolar
disorder:
Bipolar I disorder: These patients experience at least one manic episode and may or may not
share a major depressive episode.
Bipolar II disorder: These patients experience at least one hypomanic episode and one major
depressive episode.
Cyclothymic disorder: These patients experience mood swings but are not severe enough to be
called major depressive or manic episodes.
Schizoaffective disorder is a psychotic disorder characterized by patients experiencing symptoms
of schizophrenia and depression or mania.
-Successful resolution of the psychosocial stage Intimacy vs. Isolation results in developing
loving sexual relationships:
At three years of age, landmarks of normal behavioral development include the following:
Rides tricycle
Jumps from the bottom of steps
Alternates feet going upstairs
Builds tower of 9 or 10 cubes
Copies a circle and a drawn cross
Puts on shoes
