ANCC Review Questions (PMHNP IQ) Qbank answered all correctly answered; latest updated summer 2022.The Centers for Medicare and Medicaid Services (CMS) administer what two
major public insurance programs? Correct Answer: Medicaid and Medicare
How is Medicaid funded? Correct Answer: by both federal and state tax dollars
Who is eligible for Medicaid? Correct Answer: Low-income children
Low-income pregnant women Elderly and disabled individuals who qualify for the Supplemental Security Income Program
How is Medicare funded? Correct Answer: by federal tax dollars
Who is eligible for Medicare? Correct Answer: The elderly age 65 and older
having worked 40 quarters and paid Medicare taxes Certain younger individuals with disabilities Individuals with end-stage renal disease Individuals in need of a kidney transplant Individuals receiving Social Security Disability and who have amyotrophic lateral sclerosis What is covered under Medicare Part A? Correct Answer: hospitalization (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to 6 months for terminally ill), and some home health care
What is covered under Medicare Part B? Correct Answer: ambulatory practitioner
service; physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some preventative care
What is Medicare Part C? Correct Answer: Medicare Advantage; optional
coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage Plan
What is Medicare Part D? Correct Answer: optional coverage for outpatient
pharmaceuticals; prescription drug coverage program available to all Medicare beneficiaries. Private companies approved by Medicare provide the coverage. 1 / 4
What service is guaranteed to be covered by Medicaid? Correct Answer: family
planning services
Other services covered under Medicaid include:
inpatient medical hospitalizations outpatient services home health services home health aides skilled nursing facilities services for those age 21 and older services rendered by NPs and nurse midwives medical supplies for use in-home pregnancy-related services up to 60 days postpartum
What services may not be covered under Medicaid? Correct Answer: vision care
eyeglasses dental care dentures hearing exams hearing aides routine physical exams inpatient psychiatric hospitalizations health alliance Correct Answer: public agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market
special interest agency Correct Answer: group of people seeking or receiving
special advantages through political lobbying public interest groups Correct Answer: promote issues of general public concern
political action committee Correct Answer: an organization that raises money
privately to influence elections or legislation, especially at the federal level preventative factors Correct Answer: factors that prevent or protect the person from developing a psychiatric condition or disorder
What are the 3 categories of preventative factors? Correct Answer: biological,
psychological, social 2 / 4
Biological preventative factors Correct Answer: Without a history of mental
illness in the family Healthy nutritional status Good general health
Psychological preventative factors Correct Answer: Good self-esteem
Good self-concept Internal locus of control Healthy ego defenses
Social preventative factors Correct Answer: Low-stress occupation
Higher socioeconomic status Higher level of education
What is a risk closely associated with lamotrigine? Correct Answer: Stevens-
Johnson syndrome - a serious, life-threatening side effect in which a painful burning rash appears
Treatment: discontinue medication immediately; patient should report to ER for
stabilization According to Erik Erikson, failure to resolve which psychosocial stage is
associated with later development of conversion disorder? Correct Answer:
Initiative vs. Guilt Failure to successfully resolve the psychosocial stage Initiative vs Guilt is associated with later development of this psychopathology According to Erik Erikson, failure to resolve the Trust vs Mistrust psychosocial
stage is associated with later development of what? Correct Answer: psychosis,
addictions, depression According to Erik Erikson, failure to resolve the Autonomy vs Shame and Doubt psychosocial stage is associated with later development of what? Correct Answer: paranoia, obsession, compulsions, and impulsivity According to Erik Erikson, failure to resolve the Industry vs Inferiority psychosocial stage is associated with later development of what? Correct Answer: creative inhibition
What are Erik Erikson's stages of psychosocial development? Correct Answer:
Trust vs Mistrust: birth to 12-18 months 3 / 4
Autonomy vs Shame and Doubt: 12-18 months to 3 years
Initiative vs Guilt: 3 to 5-6 years
Industry vs Inferiority: 5-6 years to adolescence
Identity vs Role Confusion: adolescence to adulthood
Intimacy vs Isolation: adulthood
Generativity vs Stagnation: middle adulthood
Ego Integrity vs Despair: late adulthood
Trust vs Mistrust Correct Answer: Erikson's first stage during the first year of life, infants learn to trust when they are cared for in a consistent warm manner birth to 12-18 months
Autonomy vs Shame and Doubt Correct Answer: 12-18 months to 3 years
Erikson's stage in which a toddler learns to exercise will and to do things independently; failure to do so causes shame and doubt Failure to resolve the Autonomy vs. Shame and Doubt phase can lead to what?
Correct Answer: the development of paranoia, obsessions, compulsions
Initiative vs Guilt Correct Answer: 3 to 5-6 years
Erikson's third stage in which the child finds independence in planning, playing and other activities Failure to resolve the Initiative vs. Guilt stage can lead to the development of what? Correct Answer: conversion disorder, phobias, and psychosomatic disorders
Industry vs Inferiority Correct Answer: 5-6 years to adolescence
Erikson's fourth stage of identity typically occurs between the ages of 7-13; when a child successfully navigates this stage, they develop competency and learn to be productive Failure to resolve the Industry vs. Inferiority stage can contribute to what? Correct
Answer: creative inhibition
Identity vs Role Confusion Correct Answer: Erikson's stage during which
teenagers and young adults (adolescence to adulthood) search for and become their true selves
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