PMHNP ANCC EXAM QUESTIONS WITH ACCURATE
ANSWERS.
Descriptive Vividness - accurate answers-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 - accurate answers-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 - accurate answers-Any theory developed from the
study is clearly stated, logically consistent, reflective of the data, and in accord
with other available knowledge.
Analytical Precision - accurate answers-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 - accurate answers-An MAOI that patients with atypical depression
respond particularly well to.
Atomoxetine - accurate answers-A norepinephrine reuptake inhibitor
approved for the treatment of ADHD.
Loxapine - accurate answers-A typical, tetracyclic antipsychotic with
antidepressant properties. Its active metabolite is amoxapine, which is a
secondary amine tricyclic antidepressant.
,HITECH - accurate answers-Implementation of EHR for information
exchanges and improving population health. This was done by Obama and the
ARRA.
Suppression - accurate answers-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 - accurate answers-beta blockers,
steroids, interferon, Accutane, benzodiazepines, progesterone, some
antivirals, and antineoplasmics.
Medications that can induce mania - accurate answers-Steroids, Isoniazid,
antidepressants (in people who already have bipolar disorder), and Antabuse.
Medigap Insurance Policies - accurate answers-Private insurance policies
purchased by elderly individuals to cover some or all of their medical
expenses not paid for by Medicare.
Medicare Advantage Plan - accurate answers-Formerly Medicare + Choice,
this created regional Preferred Provider Organizations (PPOs) and gave
Medicare enrollees the option of enrolling in private insurance plans.
Medicare + Choice - accurate answers-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) - accurate
answers-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) - accurate answers-
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
- accurate answers-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) - accurate answers-Cymbalta (duloxetine), Pristiq
(desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran), Savella
(milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs) - accurate answers-They target
serotonin, norepinephrine, and histamine-1 receptors
List the Tricyclic Antidepressants (9) - accurate answers-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 - accurate answers-Flu-like symptoms
Irritability
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome) - accurate answers-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 - accurate answers-Confusion, diplopia,
nausea/diarrhea, ataxia, lethargy, fatigue, clumsiness, weakness, muscle
cramping, severe tremor, blurred vision, nystagmus, increased DTRs, altered
mental status, cardiac dysrhythmias
ANSWERS.
Descriptive Vividness - accurate answers-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 - accurate answers-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 - accurate answers-Any theory developed from the
study is clearly stated, logically consistent, reflective of the data, and in accord
with other available knowledge.
Analytical Precision - accurate answers-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 - accurate answers-An MAOI that patients with atypical depression
respond particularly well to.
Atomoxetine - accurate answers-A norepinephrine reuptake inhibitor
approved for the treatment of ADHD.
Loxapine - accurate answers-A typical, tetracyclic antipsychotic with
antidepressant properties. Its active metabolite is amoxapine, which is a
secondary amine tricyclic antidepressant.
,HITECH - accurate answers-Implementation of EHR for information
exchanges and improving population health. This was done by Obama and the
ARRA.
Suppression - accurate answers-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 - accurate answers-beta blockers,
steroids, interferon, Accutane, benzodiazepines, progesterone, some
antivirals, and antineoplasmics.
Medications that can induce mania - accurate answers-Steroids, Isoniazid,
antidepressants (in people who already have bipolar disorder), and Antabuse.
Medigap Insurance Policies - accurate answers-Private insurance policies
purchased by elderly individuals to cover some or all of their medical
expenses not paid for by Medicare.
Medicare Advantage Plan - accurate answers-Formerly Medicare + Choice,
this created regional Preferred Provider Organizations (PPOs) and gave
Medicare enrollees the option of enrolling in private insurance plans.
Medicare + Choice - accurate answers-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) - accurate
answers-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) - accurate answers-
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
- accurate answers-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) - accurate answers-Cymbalta (duloxetine), Pristiq
(desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran), Savella
(milnacipran), Strattera (atomoxetine)
Action of Tricyclic Antidepressants (TCAs) - accurate answers-They target
serotonin, norepinephrine, and histamine-1 receptors
List the Tricyclic Antidepressants (9) - accurate answers-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 - accurate answers-Flu-like symptoms
Irritability
Nausea
Imbalance/instability/incoordination/dizzy (motor)
Sensory disturbances
Headache, hyperarousal (anxiety/agitation)
Signs of NMS (Neuroleptic Malignant Syndrome) - accurate answers-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 - accurate answers-Confusion, diplopia,
nausea/diarrhea, ataxia, lethargy, fatigue, clumsiness, weakness, muscle
cramping, severe tremor, blurred vision, nystagmus, increased DTRs, altered
mental status, cardiac dysrhythmias
