ANCC PMHNP Exam Reported Questions Test Bank All Correctly Answered; Latest Updated 2024, Exams of Nursing

Download ANCC PMHNP Exam Reported Questions Test Bank All Correctly Answered; Latest Updated 2024 and more Exams Nursing in PDF only on Docsity!

lOMoAR cPSD| 228307 9 2

ANCC PMHNP Exam Reported Questions Test

Bank All Correctly Answered; Latest Updated

Summer 2023

What is dissemination? Correct Answer: Getting the research information out to those who need to know it!

Publication - highest level Presenting at National Conference Presenting at Local Conference Journal Club where one person reviews an article

What does a 17 on MMSE mean? Correct Answer: Moderate cognitive impairment

What is Tegretol in the CYP450 system? Correct Answer: Inducer -->will lower dose of Lamictal and BCP's

What do BCP's do to Lamictal? Correct Answer: Inducer - will lower dose of Lamictal

What is a Type I research error? Correct Answer: There IS a difference but you say there isn't a difference.

What is a Type II research error? Correct Answer: There is NO difference but you say there is a difference.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

lOMoAR cPSD| 228307 9 2

ANCC PMHNP Exam Reported Questions Test

Bank All Correctly Answered; Latest Updated

Summer 2023

What is pseudo-dementia? Correct Answer: Cognitive impairment secondary to depression that clears when treated in the elderly. Dementia won't improve.

Is it normal for a 1 month old to have a palmar grasp? Correct Answer: Yes.

What is a drug 1/2 life? Correct Answer: The time it takes for 50% of a drug to be eliminated from the body.

What 3 atypicals can be used with teens? Correct Answer: Zyprexa, Abilify, Seroquel - low doses

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

lOMoAR cPSD| 228307 9 2

ANCC PMHNP Exam Reported Questions Test

Bank All Correctly Answered; Latest Updated

Summer 2023

What is a risk of using Tramadol? Correct Answer: Serotonin Syndrome as it is very serotonergic.

What is the allele seen in Asians that increase the risk of SJS? Correct Answer: HLAB-

When might you see toxic epidermal necrolysis? Correct Answer: With worsening of SJS

How many generations do you include for a genogram? Correct Answer: 1st degree - mother, father, siblings 2nd degree - grandparents & cousins 3rd degree -

What does messenger RNA code for? Correct Answer: Amino Acids

What is epigenetics? Correct Answer: Factors that affect genes - environmental, smoking, stress, etc...

What part of the brain is involved with OCD? Correct Answer: Basal Ganglia Occipito-Frontal

What happens to the brain during adolescence? Correct Answer: Dendritic pruning Emotions are controlled by amygdala

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

lOMoAR cPSD| 228307 9 2

ANCC PMHNP Exam Reported Questions Test

Bank All Correctly Answered; Latest Updated

Summer 2023

By adulthood, PFC involved as well

When do males typically present with schizophrenia? Correct Answer: 10-25 yo When do females typically present with schizophrenia? Correct Answer: 25-35 yo What does Erythromycin to trileptal? Correct Answer: You will need to decreases the level because Trileptal(inducer) and erythromycin is a inhibitor

ACE Inhibitors are the drug of choice for what? Correct Answer: Heart Failure HTN

What are some psychiatric side effects seen with some asthma drugs Correct Answer: Leukotriene receptor agonists - singulair, accolade, zyflo = agitation, aggression, anxiety, hallucinations, depression, insomnia, SI, tremor

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

summer 2022

What should you watch for with Tegretol? Correct Answer: Agranulocytosis and Hyponatremia

What are the 3 CK muscle enzyme tests? Correct Answer: CKBB, CKMM, CKMB

Which one of the 3 muscle enzymes are related to cardiac muscle damage? Correct Answer: CKMB

What is the risk of a seriously elevated CKMB? Correct Answer: Polymyositis Rhabdo

What is a normal CKMB? Correct Answer: 0.3 mcg/L

What psychoactives does Detrol interact with? Correct Answer: Topamax KCL Zonegran

What CN are you assessing when you have the patient shrug their shoulders? Correct Answer: CN XI - Spinal Accessory

What do you see in labs with HIV & Dementia? Correct Answer: CD4 < Viral Load is high <20% get it with antiretroviral treatment

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

What is the scoring with the Beck Depression Inventory? Correct Answer: Self- Report - 0- 0-13 - minimal 14-19 - mild 20-28 - moderate 29-63 - severe

What is sensitivity? Correct Answer: Helps rule-out disease = True Positive = Snout

What is specificity? Correct Answer: Helps rule-in disease = True Negative = Spin

What does a sed rate measure? Correct Answer: Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in mm RBC's have descended in 1 hour.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

What is a normal sed rate or ESR? Correct Answer: 0- 22 males 0-29 females

What is a retic count? Correct Answer: Measures % of reticulocytes in blood (immature RBC's) Indicates whether enough RBC's are being produced by bone marrow.

What does a decreased retic count indicate? Correct Answer: Anemia - acute or chronic bleeding

What does an increased retic count indicate? Correct Answer: Bone marrow disorder or Vitamin Deficiency

What does an abnormal retic ount indicate in general? Correct Answer: Doesn't diagnose anything. First step is ID source of the issue.

What happens when you mix tegretol and macrolides? Correct Answer: Increase tegretol levels.

What happens if a pregnant women takes Accutane? Correct Answer: Birth defects.

What labs do you get with RA? Correct Answer: Sed rate, RF, ANA, C reactive protein, CBC, CMP, CRP - helps confirm diagnosis.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

CRP and ESR are both increased in RA but NOT in osteoarthritis.

Where does the NP Code of Ethics come from? Correct Answer: ANA

When do you assume informed consent? Correct Answer: Unconscious Incompetent Life Threatening Situation

What are the legal ramifications of treating w/o informed consent? Correct Answer: Same as with informed consent

Who can declare a patient incompetent and appoint a guardian? Correct Answer: Only a court

Does impaired judgment mean one is incompetent? Correct Answer: No.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

Can an advanced directive ever be revoked? Correct Answer: Yes, at any time.

What is the different between a Healthcare Agent, Proxy, Surrogate, and Attorney in Fact? Correct Answer: Nothing. They are all the same. Does the de facto rule of proxy apply in same sex marriages? Correct Answer: No. How do Asians see HC providers? Correct Answer: As in a position of authority. Expect to give instructions and help make decisions

What does it mean when an Asian patient does not make eye contact with the NP? Correct Answer: SIgn of respect

What is the evil eye? Correct Answer: When a stronger or more powerful person looks at a weaker person - often infant/child resulting in a hex which presents in illness such as HA, fever, diarrhea, disturbed sleep, increased fussiness.

How do you protect from the evil eye? Correct Answer: Red ribbon on an infant Amulet for adults

How do you treat for evil eye? Correct Answer: Access traditional healer + traditional care.

For there to be a duty to a patient, what must exist? Correct Answer: Relationship What is a proximate cause? Correct Answer: Connection between A + B. For there to be damages, what must exist first? Correct Answer: Negligence

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

What is an occurrence basis liability insurance? Correct Answer: "occurred" during the policy period, no matter when the claim is brought against the insured

What is a claims made/based liability insurance? Correct Answer: provides coverage for a claim that is brought within the policy period, no matter when the loss occurred.

Who sets the minimum requirements for NP's? Correct Answer: Board of Nursing State

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

What are the various controlled substance classes? Correct Answer: Schedule I - nobody has these - not good for health - heroin, PCP, MDMA, researchers can get it sometimes.

Schedule II - Significant Abuse Potential - morphine, methadone, methyphenidate Schedule III - Moderate Abuse Potential - hydrocodone, codeine Schedule IV - Low Abuse Potential - benzo's, ambien, phentermine Schedule V - Very low abuse potential - anti-tussives, lomotil What classes of CS's is the NP approved to prescribe? Correct Answer: Schedules III-V ONLY.

Where does 50% of healthcare funds come from? Correct Answer: The government

Who is eligible for Medicare? Correct Answer: >65 or under 65 with diability, ANY age with renal disease.

What is incident to billing? Correct Answer: Means MD initiates treatment and NP is an extension of the care and directly under the supervision of the MD.

Allows NP to get reimbursed at 100% rather than 85%.

How are Medicaid benefits determined? Correct Answer: State determines qualification - Partnership between State and Fed Govt.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

Must be impoverished

Must be US resident and low or very low income.

Can you have Medicare and Medicaid? Correct Answer: Yes, impoverished elderly but Medicaid is always payor of last resort.

Is dental care included in Medicaid? Correct Answer: Yes, <21 gets basic dental as part of the Medicaid plan.

What is the purpose of HIPAA? Correct Answer: National standards for electronic HC transactions

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

National ID for providers, health plans and employers. Not SIMPLY Confidentiality. What must be signed prior to any healthcare in the state Correct Answer: Notice of Privacy Practices Statement

What happens if a patient refuses to sign an ROI? Correct Answer: Can decline to treat Health plan may condition enrollment on provision of consent

When is HIPAA not required? Correct Answer: Emergency treatment Substantial communication barriers and consent is inferred Involuntary committment

Is it ok to announce a patient's name in a waiting room? Correct Answer: Yes, no other way to give care.

Is it ok to leave a message on a patient's vm? Correct Answer: Yes, but should be limited.

What is the impact of steroid inhalers on children? Correct Answer: Slows bone growth and may decrease ultimate height.

What is the long-term impact of using steroid inhalers? Correct Answer: Cataracts, glaucoma, thinning of bones and skin

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

What is included in the treatment of fibromyalgia? Correct Answer: Sleeping meds Antidepressants Pain meds

What psychoactives are first line treatment for fibro? Correct Answer: Cymbalta, Effexor Elavil, Pamelor Lyrica, Gabapentin Ultram, Benzo's

What is the purpose of telepsychiatry? Correct Answer: Increase the ability to reach rural and underserved areas.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

What is the purpose of Motivational Interviewing? Correct Answer: Explore ambiguity Maintain passive position

What is required for Medicare submission? Correct Answer: ICD 10 and narrative or CPT

What is the neurotransmitter problem in Schizophrenia? Correct Answer: Excess dopamine in mesolimbic pathway.

What is the neurotransmitter problem in ADHD? Correct Answer: Dopamine, norepinephrine and serotonergic dysfunction

What is the benefit of play therapy? Correct Answer: Don't have to confront emotions head on.

What neurotransmitters are involved in the bioamine hypothesis of depression? Correct Answer: Noradrenaline Serotonin Dopamine MAOi's inhibit MAO's which break down neurotransmitters so allow increase in the amount in the synapse.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

How do you test CN XII? Correct Answer: Stick out your tongue.

What CN are you testing when you have a patient clinch their jaw and assess temporal muscles? Correct Answer: CN V - Trigeminal

What are two important things to measure when using Zyprexa? Correct Answer: Lipid level and abdominal circumference

What is included in the mini-cognitive exam? Correct Answer: Clock, memory questions from MSE.

What is HIV related dementia often mistaken for, especially at the beginning? Correct Answer: Depression

What do you do when a patient is on tegretol and their ANC (Absolute Neutrophil count) <1000? Correct Answer: Stop and repeat lab.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

Normal is 1500-8000 mm3

Can you take Buspar during pregnancy? Correct Answer: Category B - ok if really needed.

Can you take Klonopin during pregnancy? Correct Answer: Category C - avoid if possible; does excrete into breast-milk and infant could get withdrawal symptoms.

What is the concern when prescribing Lamictal with Depakote? Correct Answer: Both are CYP450 inducers of the other and therefore together will lower the level of both drugs.

Can asthma medications cause depression? Correct Answer: Yes.

If a patient has muscle pain and red urine with an elevated leukocyte esterase. What lab do you order? Correct Answer: Microalbumin?

What is often common to patients with fibro? Correct Answer: Sexual abuse

How is telepsychiatry evaluated? Correct Answer: Outcome based - measure at intervals.

What happens with a patient taking Lithium and who gets dehydrated? Correct Answer: Levels increase

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

What happens with a patient taking Lithium who decreases sodium intake? Correct Answer: Levels increase

What happens with a patient taking Lithium and drinks a lot of water? Correct Answer: Levels decrease

If a patient takes Risperdal and develops NMS, which other atypical should you avoid in the future? Correct Answer: Zyprexa

What happens when taking Lithium and NSAIDS? Correct Answer: NSAIDS can cause Lithium levels to increase and for the patient to become toxic!

What medications are at risk to cause SJS in the Asian population? Correct Answer: HLAB-1502 Allele increase risks of SJS. Trileptal, Tegretol and other AED's.

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

Amgdyla Correct Answer: Fear, Anxiety, and Aggression

Neurotransmitter for Addiction Correct Answer: Dopamine and GABA

Neurotransmitter for Mood Disorder Correct Answer: Serotonin and norepinephrine

Which drug affects Carbamazepine/tegretol Correct Answer: Erythromycin will cause toxic levels. Decrease Carbamazepine/tegretol

Signs and Symptoms of stimulant abuse Correct Answer: insomnia and tremor Depakote check Correct Answer: HCG levels Depakote causes Correct Answer: Spinal bifida

Grasp reflex. Correct Answer: an infantile reflex in which an infant closes her hand into a fist when her palm is touched

Stroking the palm of a baby's hand causes the baby to close his or her fingers in a grasp. The grasp reflex lasts until about 5 to 6 months of age.

Moro reflex. Correct Answer: The Moro reflex is often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out the arms

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

and legs, cries, then pulls the arms and legs back in. A baby's own cry can startle him or her and trigger this reflex. This reflex lasts about 5 to 6 months.

pincer grasp Correct Answer: 9 months Uses thumb and index finger (pincer grasp) to pick up small objects like Cheerios.

Pt has MI looses his job stable on psych medications Correct Answer: Provide brief supportive therapy

Latida and Geodon Correct Answer: Take with food Moro reflex absent Correct Answer: Do xray Health Care Policy Model Correct Answer: Access, Cost, Quality

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated

Pt wants to stop medications Correct Answer: explore reason for stopping Its their right

16 year old falls with the wrong crowd Correct Answer: Conduct disorder

change agent Correct Answer: the person formally in charge of guiding a change effort

Administrator

14 year old girl clenching her teeth Correct Answer: Cranial Nerve V-Trigeminal nerve

Infant dying Correct Answer: Give child to parents and comfort parents

borderline personality disorder Treatment Correct Answer: dialectical behavior therapy

Aggressive patient give Correct Answer: IM geodon

SIGECAPS of Depression Correct Answer: Sleep Interest

ANCC PMHNP Exam Reported Questions test bank

answered all correctly answered; latest updated