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