PMHNP ANCC MID EXAM LATEST 2023-2024 QUESTIONS WITH ANSWERS A+ GRADE

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PMHNP ANCC MID EXAM LATEST 2023-2024 QUESTIONS WITH ANSWERS A+ GRADE Descriptive Vividness ANS= The researcher describes the data gathering process in sufficient detail that the reader can persona... lly 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 ANS= 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 ANS= Any theory developed from the study is clearly stated, logically consistent, reflective of the data, and in accord with other available knowledge. Analytical Precision ANS= 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 ANS= An MAOI that patients with atypical depression respond particularly well to. Atomoxetine ANS= A norepinephrine reuptake inhibitor approved for the treatment of ADHD. Loxapine ANS= A typical, tetracyclic antipsychotic with antidepressant properties. Its active metabolite is amoxapine, which is a secondary amine tricyclic antidepressant. HITECH ANS= Implementation of EHR for information exchanges and improving population health. This was done by Obama and the ARRA. Suppression ANS= 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 ANS= beta blockers, steroids, interferon, Accutane, benzodiazepines, progesterone, some antivirals, and antineoplasmics. Medications that can induce mania ANS= Steroids, Isoniazid, antidepressants (in people who already have bipolar disorder), and Antabuse. Medigap Insurance Policies ANS= Private insurance policies purchased by elderly individuals to cover some or all of their medical expenses not paid for by Medicare. Medicare Advantage Plan ANS= Formerly Medicare + Choice, this created regional Preferred Provider Organizations (PPOs) and gave Medicare enrollees the option of enrolling in private insurance plans. Medicare + Choice ANS= 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) ANS= 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) ANS= 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 ANS= 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) ANS= Cymbalta (duloxetine), Pristiq (desvenlafaxine), Effexor (venlafaxine), Fetzima (levomilnacipran), Savella (milnacipran), Strattera (atomoxetine) Action of Tricyclic Antidepressants (TCAs) ANS= They target serotonin, norepinephrine, and histamine-1 receptors List the Tricyclic Antidepressants (9) ANS= 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 ANS= Flu-like symptoms Irritability Nausea Imbalance/instability/incoordination/dizzy (motor) Sensory disturbances Headache, hyperarousal (anxiety/agitation) Signs of NMS (Neuroleptic Malignant Syndrome) ANS= 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 ANS= 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 ANS= 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 ANS= NSAIDs, ACE Inhibitors (-prils), ARBs (-sartans), tetracyclines, metronidazole Medications that can decrease lithium level ANS= potassium-sparing diuretics, thiazide diuretics, theophylline Clozaril - monitoring considerations ANS= 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 ANS= Niquil, OTC cough meds Substances that can cause a false + drug test for heroin & morphine ANS= rifampin, fluoroquniolones Substances that can cause a false + drug test for cocaine ANS= NSAIDs, amoxicillin, most antibiotics Substances that can cause a false + drug test for amphetamines ANS= 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 ANS= 8% 12% [Show More]

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