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Study Guide PMHNP Must Know Exam Topics Cheat Sheet by

PMHNP Exam Must Knows
test     ancc     pmhnp

Psych Drugs to Know

Drug Class with Brand/­Generic Name, Mechanism of Action, Target Receptors, Metabolic Pathway, and Therap­eutic Range
S/E of Class of Psych Meds
Smoking cessation with Psych Meds
Tegretol
Zyprexa
Lithium
MAOI
TCA
Major Mood Stabilizer
Target receptor for Major Disease State
Induce­r/I­nhi­bitor actions
General Psych Meds for Anxiety
General Psych Meds for Depression
General Psych Meds for Mood Disorder
General Psych Meds for Psychosis
General Psych Meds for ADHD, Attention, or Focus

Disease States

Disease State: Dement­ia-­tre­atment and meds
Early s/s dementia
Frontal Lobe Dementia
Differ­entiate between Depres­sio­n/D­ementia
Differ­entiate between AIDS/ALZ
Disease State: Depres­sio­n-t­rea­tment and meds
Disease State: Anxiet­y-t­rea­tment and meds
Disease State: Mood/B­ipo­lar­-tr­eatment and meds
Disease State: Psycho­sis­-tr­eatment and meds
Disease State: ADHD, Attention, and Focus-­tre­atment and meds
Positive and Negative Symptoms of Psycho­sis­/Sc­hiz­oph­renia
Disease State: Conversion Disord­er-­tre­atment and meds

Labs to Know from the Purple Book

Thyroid
ANC from CBC
Albumin for protein binding with psych drugs
WBC from CBC
Lithium Levels
Liver Function
Kidney
Know values, norms and implic­ations for variations in results.
 

Things to Know and/or Memorize

NMS vs SS
Lab Values from Purple Book
Immuni­zation Schedule
BMI and meaning
Infant Reflexes
MH Screening (PDQ9, MDQ, GAD7, MMSE, Beck Inventory)
Cranial Nerves: Function and how to test
Common Medication Intera­ctions (Drug-­Drug) (Drug-­Food)
Screening Tools with interp­ret­ation of the results and the interv­ention necessary
General Disease states with use of which class of meds
Protein in the urine with lithium
Neurot­ran­smi­tters: Purpose and Influence
Receptor Antagonism Spectrum
Receptor neurot­ran­smitter target and implic­ation in disease management
Areas of the brain with which receptors and targets for treatment
Cranial Pathways related to Disease State and Importance
-pine VS -done
2 Pips and a Rip: Aripip­razole and Brexpi­prazole
Use the Purple Book from ANCC because these are the resources they use to build and create the board exams.

Specific Questi­ons­/Topics

Psych Med intera­cting with Flonase
Frontal Lobe Functions
Smoking r/t dose adjustment (decrease dose with cessation)
Delayed Gastric Emptying
Anorexic Patient
Antacid use with other meds
Apoptosis

Topics Known to be on the Exam: Understand

Screening Tools (MMSE, PHQ9, GAD7, MDQ) and meaning of results
BMI calcul­ation and meaning of results
Immuni­zations
Childhood Develo­pmental Stages
Cranial Nerves
Function of areas of the Brain: Frontal Lobe, Parietal, Temporal, Occipital,
Disease States: Specific Drugs with therap­eutic Ranges, S/E, intera­ctions, and contra­ind­ica­tions
Theorists
Pathways within the brain
CYP 450 Pathways and metabolism
Drug inducer and inhibitor on CYP450
Agonist Spectrum
Effects of smoking on psych meds and action with smoking cessation
 

Helpful Resources

Purple Book Ch 2-6 Policy
Purple Book Ch 10-14 Disorders
Pocket Prep App by ANCC $39
ANCC IQ $25
Red Book (Memorable Pharma­cology) also has YouTube Vids

Strategies for Best Answers

Narrow down to 2 possible right answers
Culture is important to be included in all nursing care.
Quality of Care is a goal in Nursing
Conflict Management is the goal in Nursing
See the root action (asses­sing) then match the answers to that action
Be wary of absolutes: all, nothing, everyt­hing, nothing, etc--> usually wrong
Critical Thinking is important
If undecided, the longest answer is usually the right answer
If asked to refer or consult with someone else, then it is most likely not the right answer
Safety for the patient and others is usually the right answer
If see "­ini­tia­lly­" in the stem of the question, then refer back to ADPIE process and address the same phase asked about in the question stem
Priority is usually concerning safety
Identify is the question is asking for a strategy (assess, implement, plan, measur­ement, outcome) then match the answer to the action requested
Pair diagnosis with right outcome if planning
Client outcomes need to be client centered, specific, positive, measur­able, and have time frame
Cognit­ive­=Th­ought Process
Evaluation is collecting data to support the problem towards a resolution
Always remember to assess the implem­ent­ation from the ADPIE
Best Answer­/Ch­oice: usually include advocating for the patient or the nursing profession
Best Answer­/Ch­oice: usually include policy improv­ement for the nursing profession
Best Answer­/Ch­oice: usually include quality outcomes for the patient or the nursing profession
Best Answer­/Ch­oice: usually include cultural sensit­ivity and competency for the patient

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