PMHNP ANCC EXAM QUESTIONS AND
ANSWERS/100% CORRECT.
Descriptive Vividness
The researcher describes the data gathering process in sufficient detail that the reader
can personally experience it. The data collected, often in the form of personal
statements, should be quoted directly and extensively, because this is the raw data from
the study.
Methodological Congruence
The researcher presents the philosophical and methodological approach used and cites
references to support their approach. The subjects, sampling method, data-gathering
and data-analysis strategies, and processes for informed consent are clearly and
concisely described.
Theoretical Conectedness
Any theory developed from the study is clearly stated, logically consistent, reflective of
the data, and in accord with other available knowledge.
Analytical Precision
Is not concerned with statistics and instruments. If refers to the decision-making process
by which the researchers synthesize concrete data (words of the subjects) into an
abstract that clarifies the meaning and the importance of the study. The last of the 5
criteria is Heuristic Relevance - The researcher clarifies the significance of the study, its
applicability to public health or community nursing, and its likely influence o the future
research.
Phenelzine
An MAOI that patients with atypical depression respond particularly well to.
Atomoxetine
A norepinephrine reuptake inhibitor approved for the treatment of ADHD.
Loxapine
A typical, tetracyclic antipsychotic with antidepressant properties. Its active metabolite is
amoxapine, which is a secondary amine tricyclic antidepressant.
HITECH
Implementation of EHR for information exchanges and improving population health.
This was done by Obama and the ARRA.
Suppression
The intentional or conscious exclusion of painful or disturbing thoughts or emotions from
awareness.
A healthy defense mechanism because the client channels conflicting energies into
growth-promoting activities.
,Medications that can induce depression
beta blockers, steroids, interferon, Accutane, benzodiazepines, progesterone, some
antivirals, and antineoplasmics.
Medications that can induce mania
Steroids, Isoniazid, antidepressants (in people who already have bipolar disorder), and
Antabuse.
Medigap Insurance Policies
Private insurance policies purchased by elderly individuals to cover some or all of their
medical expenses not paid for by Medicare.
Medicare Advantage Plan
Formerly Medicare + Choice, this created regional Preferred Provider Organizations
(PPOs) and gave Medicare enrollees the option of enrolling in private insurance plans.
Medicare + Choice
Was a part of the Balanced Budget Act of 1997 that significantly increase the number of
managed care insurance plans available to recipients. This was replaced with the
Medicare Advantage Plan in 200.
List of the Second Generation (atypical) Antipsychotics (9)
Clozaril (clozapine), Zyprexa (olanzapine), Latuda (lurasidone), ziprasidone, Risperdal
(risperidone), Invega Sustenna (palperidone), Fanapt (iloperidone), Seroquel
(quetiapine), Saphris (asenapine),
List of First Generation (typical) Antipsychotics (10)
Haldol (haloperidol), Prolixin (fluphenazine), Navane (thiothixene), Thorazine
(chlorpromazine), Loxitane (loxapine), Mellaril (thioridazine), Trilafon (perphenazine),
Orap (pimozide), Solian amisulpride), Stellazine (trifluoperazine)
List the 6 common benzodiazepines in order from shortest to longest half-life
Xanax (alprazolam): 6-10 hrs
Serax (oxazepam): 8 hrs
Ativan (lorazepam): 12-18 hrs
Klonopin (clonazepam): 30-40 hrs
Valium (diazepam): 100 hrs
Librium (chlordiazepoxide): 36-200 hrs
List of SNRIs (6)
Cymbalta (duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine), Fetzima
(levomilnacipran), Savella (milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs)
They target serotonin, norepinephrine, and histamine-1 receptors
List the Tricyclic Antidepressants (9)
Pamelor (nortriptyline), Elavil (amitriptyline), amoxapine (no branded), Anafranil
(clomipramine), Norpramin (desipramine), Tofranil (imipramine), Vivactil (protriptyline),
Sinequan/Silenor (doxepin), Surmontil (trimipramine)
FINISH acronym for SSRI withdrawal
, Flu-like symptoms
Irritability
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome)
Initial Symptoms: altered sensorium, hyperreflexia, fever
Then signs of autonomic instability: extreme muscle rigidity, hypotension, tachycardia,
diaphoresis, tachypnea, hyperthermia, coma, death.
Check for increased WBCs (leukocytosis)/LFTs/CPK
Signs of Lithium toxicity
Confusion, diplopia, nausea/diarrhea, ataxia, lethargy, fatigue, clumsiness, weakness,
muscle cramping, severe tremor, blurred vision, nystagmus, increased DTRs, altered
mental status, cardiac dysrhythmias
Signs of Serotonin Snydrome
agitation, restlessness, rapid heart rate, blood pressure elevation, headache, sweating,
shivering, goose bumps, myoclonic jerking and loss of coordination, confusion, fevers,
unconsciousness, seizures
Medications that can increase lithium level
NSAIDs, ACE Inhibitors (-prils), ARBs (-sartans), tetracyclines, metronidazole
Medications that can decrease lithium level
potassium-sparing diuretics, thiazide diuretics, theophylline
Clozaril - monitoring considerations
Monitor ANC (absolute neutrophil count); pt needs an ANC of at least 1500 to start
clozaril therapy; watch for Benign Ethnic Neutropenia (BED); Monitor ANC weekly x6
months, every 2 weeks x6 months, then monthly if ANC is at least 1500.
Substances that can cause a false + drug test for PCP & methadone
Niquil, OTC cough meds
Substances that can cause a false + drug test for heroin & morphine
rifampin, fluoroquniolones
Substances that can cause a false + drug test for cocaine
NSAIDs, amoxicillin, most antibiotics
Substances that can cause a false + drug test for amphetamines
Prozac, Wellbutrin, Trazodone, Nefazodone, Sudafed, OTC decongestants.
Schizophrenia Prevalence:
Non-twin siblings of a schizophrenic parent
Dizygotic twins of a schizophrenic parent
Monozygotic twins of a schizophrenic parent
ANSWERS/100% CORRECT.
Descriptive Vividness
The researcher describes the data gathering process in sufficient detail that the reader
can personally experience it. The data collected, often in the form of personal
statements, should be quoted directly and extensively, because this is the raw data from
the study.
Methodological Congruence
The researcher presents the philosophical and methodological approach used and cites
references to support their approach. The subjects, sampling method, data-gathering
and data-analysis strategies, and processes for informed consent are clearly and
concisely described.
Theoretical Conectedness
Any theory developed from the study is clearly stated, logically consistent, reflective of
the data, and in accord with other available knowledge.
Analytical Precision
Is not concerned with statistics and instruments. If refers to the decision-making process
by which the researchers synthesize concrete data (words of the subjects) into an
abstract that clarifies the meaning and the importance of the study. The last of the 5
criteria is Heuristic Relevance - The researcher clarifies the significance of the study, its
applicability to public health or community nursing, and its likely influence o the future
research.
Phenelzine
An MAOI that patients with atypical depression respond particularly well to.
Atomoxetine
A norepinephrine reuptake inhibitor approved for the treatment of ADHD.
Loxapine
A typical, tetracyclic antipsychotic with antidepressant properties. Its active metabolite is
amoxapine, which is a secondary amine tricyclic antidepressant.
HITECH
Implementation of EHR for information exchanges and improving population health.
This was done by Obama and the ARRA.
Suppression
The intentional or conscious exclusion of painful or disturbing thoughts or emotions from
awareness.
A healthy defense mechanism because the client channels conflicting energies into
growth-promoting activities.
,Medications that can induce depression
beta blockers, steroids, interferon, Accutane, benzodiazepines, progesterone, some
antivirals, and antineoplasmics.
Medications that can induce mania
Steroids, Isoniazid, antidepressants (in people who already have bipolar disorder), and
Antabuse.
Medigap Insurance Policies
Private insurance policies purchased by elderly individuals to cover some or all of their
medical expenses not paid for by Medicare.
Medicare Advantage Plan
Formerly Medicare + Choice, this created regional Preferred Provider Organizations
(PPOs) and gave Medicare enrollees the option of enrolling in private insurance plans.
Medicare + Choice
Was a part of the Balanced Budget Act of 1997 that significantly increase the number of
managed care insurance plans available to recipients. This was replaced with the
Medicare Advantage Plan in 200.
List of the Second Generation (atypical) Antipsychotics (9)
Clozaril (clozapine), Zyprexa (olanzapine), Latuda (lurasidone), ziprasidone, Risperdal
(risperidone), Invega Sustenna (palperidone), Fanapt (iloperidone), Seroquel
(quetiapine), Saphris (asenapine),
List of First Generation (typical) Antipsychotics (10)
Haldol (haloperidol), Prolixin (fluphenazine), Navane (thiothixene), Thorazine
(chlorpromazine), Loxitane (loxapine), Mellaril (thioridazine), Trilafon (perphenazine),
Orap (pimozide), Solian amisulpride), Stellazine (trifluoperazine)
List the 6 common benzodiazepines in order from shortest to longest half-life
Xanax (alprazolam): 6-10 hrs
Serax (oxazepam): 8 hrs
Ativan (lorazepam): 12-18 hrs
Klonopin (clonazepam): 30-40 hrs
Valium (diazepam): 100 hrs
Librium (chlordiazepoxide): 36-200 hrs
List of SNRIs (6)
Cymbalta (duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine), Fetzima
(levomilnacipran), Savella (milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs)
They target serotonin, norepinephrine, and histamine-1 receptors
List the Tricyclic Antidepressants (9)
Pamelor (nortriptyline), Elavil (amitriptyline), amoxapine (no branded), Anafranil
(clomipramine), Norpramin (desipramine), Tofranil (imipramine), Vivactil (protriptyline),
Sinequan/Silenor (doxepin), Surmontil (trimipramine)
FINISH acronym for SSRI withdrawal
, Flu-like symptoms
Irritability
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome)
Initial Symptoms: altered sensorium, hyperreflexia, fever
Then signs of autonomic instability: extreme muscle rigidity, hypotension, tachycardia,
diaphoresis, tachypnea, hyperthermia, coma, death.
Check for increased WBCs (leukocytosis)/LFTs/CPK
Signs of Lithium toxicity
Confusion, diplopia, nausea/diarrhea, ataxia, lethargy, fatigue, clumsiness, weakness,
muscle cramping, severe tremor, blurred vision, nystagmus, increased DTRs, altered
mental status, cardiac dysrhythmias
Signs of Serotonin Snydrome
agitation, restlessness, rapid heart rate, blood pressure elevation, headache, sweating,
shivering, goose bumps, myoclonic jerking and loss of coordination, confusion, fevers,
unconsciousness, seizures
Medications that can increase lithium level
NSAIDs, ACE Inhibitors (-prils), ARBs (-sartans), tetracyclines, metronidazole
Medications that can decrease lithium level
potassium-sparing diuretics, thiazide diuretics, theophylline
Clozaril - monitoring considerations
Monitor ANC (absolute neutrophil count); pt needs an ANC of at least 1500 to start
clozaril therapy; watch for Benign Ethnic Neutropenia (BED); Monitor ANC weekly x6
months, every 2 weeks x6 months, then monthly if ANC is at least 1500.
Substances that can cause a false + drug test for PCP & methadone
Niquil, OTC cough meds
Substances that can cause a false + drug test for heroin & morphine
rifampin, fluoroquniolones
Substances that can cause a false + drug test for cocaine
NSAIDs, amoxicillin, most antibiotics
Substances that can cause a false + drug test for amphetamines
Prozac, Wellbutrin, Trazodone, Nefazodone, Sudafed, OTC decongestants.
Schizophrenia Prevalence:
Non-twin siblings of a schizophrenic parent
Dizygotic twins of a schizophrenic parent
Monozygotic twins of a schizophrenic parent
