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PMHNP ANCC QUESTIONS AND ANSWERS

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sodium helps to regulate acid base balance Cerebtal Cortex Receives incoming sensory information from the thalamus Amygdala A limbic system structure involved in memory and emotion, particularly fear and aggression. Hippocampus a neural center located in the limbic system; ...

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  • September 22, 2023
  • 37
  • 2023/2024
  • Exam (elaborations)
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PMHNP ANCC QUESTIONS AND
ANSWERS
sodium - answer helps to regulate acid base balance


Cerebtal Cortex - answer Receives incoming sensory information from the thalamus


Amygdala - answer A limbic system structure involved in memory and emotion, particularly fear
and aggression.


Hippocampus - answer a neural center located in the limbic system; helps process explicit
memories for storage, converts short term memory to long term memory


basal ganglia - answer structures in the forebrain that help to control movement part of the
Limbic system which stabilizes somatic motor activity


delayed sleep phase type - answer Falling asleep and waking later than desired. Circadian
rhythm disorder.


advanced sleep phase type - answer Falling asleep and waking earlier than desired. Circadian
rhythm disorder.


irregular sleep-wake type - answer Falling asleep and waking at random times. Circadian rhythm
disorder.


non-24 hour sleep-wake type - answer Falling asleep and usually waking progressively later than
desired. Circadian rhythm disorder.

,Shift work and sleep - answer - Shift workers often need to sleep at inappropriate circadian
phases
- quantity and quality of sleep reduced
- Sleep after night shift can be difficult to maintain
- Sleep before morning shift can be difficult to initiate
- Environmental factors also contribute to poorer sleep in shift workers


jet lag - answer a disruption of circadian rhythms due to crossing time zones


Hippocampus/Temporal Lobe - answer Delayed recall in dementia can be caused when these
areas are affected


left temporal/parietal lobes - answer Language, reading, writing difficulties are associated with
damage to these areas. Also contains the Wernicke and Broca areas


abstract thinking - answer thinking in terms of symbols, ideas, and concepts controlled by the
frontal and parietal lobes


Disturbances in orientation and thinking are suggestive of a compromise in _____________. -
answer temporal, frontal, and cingulate cortex


What are the nurse practitioner core competencies - answer scientific foundation
leadership
quality
practice inquiry
technology and information literacy
policy
health delivery systems
ethics

,independent practices


Symptoms of neurosyphilis - answer -wide base gait
-positive Romberg sign
-loss of vibratory and proprioceptive senses in lower extremities
-decreased deep tendon reflexes
-tremors
-dyscoordination
-spasticity in lower ext.
-pupil abnormalities


Dopamine receptor agonists - answer Such as bromocriptine, pramipexole, ropinirole have a
lower incidence of metabolic issues such as weight gain, diabetes, increased lipid profiles, than
either serotonin receptor antagonists or 2nd generation antipsychotics they are however
associated with extrapyramidal effects


reticular formation regulates what? - answer Involuntary muscle movements, muscle tone,
bloop pressure, respiratory rate


parietal lobe regulates what? - answer taste, reading, writing


Limbic systems amygdala regulates what? - answer mood, fear, emotion, aggression


Limbic systems hypothalamus regulates what? - answer appetite, water balance, body
temperature, libido


Medicare Part A Coverage - answer hospital care up to 90 days, skilled nursing facility care,
nursing home care, hospice up to six months , some home health services

, Medicare Part B covers - answer Outpatient services, rehab services, medical equipment,
diagnostic tests, and physician services


Medicare part C covers - answer "Gap" coverage (optional)


Medicare part D covers - answer Prescription drug coverage (optional)


What does the mnemonic PICO stand for? - answer Patient, population,
problem/Intervention/comparison/outcome
-These are used to develop questions in research


What treatment should be added for schizophrenia patients with EPS symptoms? - answer An
anticholinergic medication such as benztropine or trihexyphenidyl


In common pychiatric disorders what is dopamine typically indicated in? - answer disfunction of
decision making and intigrated concentration


Serotonon antagonists/reuptake inhibitors aid in what? - answer pyramidal cell functioning in
the prefrontal cortex preventing excess release of glutamate inhibits 5ht2a


A Japanese person with taijinokyofuho has a fear of what? - answer offending or embarrising
others in a social setting.


What is a vagal nerve stimulator? - answer A device implanted into the left chest wall and
connected to an electrode placed on the left vagus nerve that can be utilized to treat
medication resistant major depression.


What type of therapy uses miracle questions? - answer They are utilized in solution focused
therapy

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