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PMHNP ANCC EXAMS GRADED A+

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Deontological theory - An action is judged as good or bad based on the act itself regardless of the consequences Teleological theory - An action is judged as good or bad based on the consequences or outcome Virtue Ethics - Actions are chosen based on the moral virtues or the character of the person making the decision Four elements of negligence that must be established to prove malpractice - Duty Breach of Duty Proximate Cause Damages Phases of Policy Making - Formulation Implementation Evaluation Team Leadership Model - Should the leader monitor the team or take action? Should the leader intervene to meet the task or need? Should the leader intervene internally or externally? Incidence - Number of new cases (INcidence = New cases) Prevalence - Number of existing cases

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PMHNP ANCC exams GRADED A+
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

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