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Sample Test Questions ANCC – PMHNP exam review questions and answers, Exams of Nursing

Alabama State University (ASU)Nursing

Sample Test Questions ANCC – PMHNP exam review questions and answers

Typology: Exams

2024/2025

Available from 01/08/2025

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Sample Test Questions ANCC – PMHNP
exam review questions and answers
A patient with borderline personality disorder experiences intense anxiety when
an adult psychiatric and mental health nurse practitioner goes on vacation. The
best explanation for this reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - correct answer ✅B. has failed to master
object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks.
Initially, the patient reported depression and suicidal thoughts. The patient's
sleep, appetite, energy, and appearance have now begun to improve. Which
statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. - correct answer ✅D. The patient's
suicide potential is increased.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals - correct answer ✅A. Attempting to understand
a patient's subjective world
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Download Sample Test Questions ANCC – PMHNP exam review questions and answers and more Exams Nursing in PDF only on Docsity!

exam review questions and answers

A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental health nurse practitioner goes on vacation. The best explanation for this reaction is that the patient: A. has failed to develop clear ego boundaries. B. has failed to master object constancy. C. is employing primitive idealization. D. is employing projective identification. - correct answer ✅B. has failed to master object constancy

  1. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have now begun to improve. Which statement applies to this patient? A. The medication should be discontinued. B. The medication should be increased. C. The patient's risk for suicide is not a concern. D. The patient's suicide potential is increased. - correct answer ✅D. The patient's suicide potential is increased.
  2. Which behavior reflects existentially oriented therapy? A. Attempting to understand a patient's subjective world B. Challenging a patient's irrational beliefs C. Developing specific plans for change D. Establishing general group goals - correct answer ✅A. Attempting to understand a patient's subjective world

exam review questions and answers

  1. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner responds by: A. advising the survivors to consider using a hypnotic medication for a brief period. B. educating the survivors about prodromal symptoms of posttraumatic stress disorder. C. encouraging the survivors to rest during the day. D. suggesting that the survivors join a posttrauma support group. - correct answer ✅B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
  2. An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with a patient to establish a therapeutic alliance based upon empathy and trust. The nurse practitioner recognizes the patient's readiness to terminate therapy when the patient demonstrates: A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth. B. breathing and muscle relaxation exercises that decrease muscle tension and anxiety. C. free association, and considers the nurse practitioner's interpretation of the patient's dreams. D. new adaptive skills and responses after completing "homework assignments." - correct answer ✅A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth.

exam review questions and answers

D. rational and irrational beliefs about the stressor. - correct answer ✅D. rational and irrational beliefs about the stressor.

  1. Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety for patients who have severe depression? A. Greater efficacy than tricyclic antidepressants B. Less potential for drug interaction C. Less potential for injury with intentional overdose D. Less potential for suicidal thinking - correct answer ✅C. Less potential for injury with intentional overdose
  2. When lobbying a local congressional representative to include nurse practitioners in reimbursement for services in all areas of the country, an adult psychiatric and mental health nurse practitioner emphasizes the: A. ability of nurse practitioners to provide health care that patients need. B. fact that nurse practitioners are caring in their patient care delivery. C. importance of broadening the scope of nursing practice. D. necessity of offering equivalent services both to urban and rural patients. - correct answer ✅A. ability of nurse practitioners to provide health care that patients need.
  3. For 12 years, a 65-year-old patient with bipolar affective disorder has been treated with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium level is 2.0 mEq/L. The interaction of the lithium and the thiazide diuretic has induced:

exam review questions and answers

A. hypokalemia. B. hyponatremia. C. increased renal clearance of lithium. D. reduced renal clearance of lithium. - correct answer ✅D. reduced renal clearance of lithium.

  1. Which statement by a male patient who has posttraumatic stress disorder (PTSD) and chronic persistent suicidal ideation indicates a need for hospital assessment? A. "I feel so bad all the time. I wish I were dead." B. "My wife is so scared that she has taken all my guns out of the house." C. "My wife just left with the children. I have no one left and no future." D. "Those medications you gave me make me feel worse. I stopped taking them." - correct answer ✅C. "My wife just left with the children. I have no one left and no future."
  2. A male patient informs an adult psychiatric and mental health nurse practitioner that he has not slept in three days, has poor concentration, and denies fatigue. The patient's diagnosis is: A. attention-deficit hyperactivity disorder. B. bipolar disorder. C. panic disorder. D. primary insomnia. - correct answer ✅B. bipolar disorder.
  3. During patient education about sertraline (Zoloft), an adult psychiatric and mental health nurse practitioner focuses upon the potential side effect of:

exam review questions and answers

  1. Symptoms of anxiety and panic are associated with a low level of which neurotransmitter? A. Cortisol B. Dopamine C. Gamma-aminobutyric acid D. Glutamate - correct answer ✅C. Gamma-aminobutyric acid
  2. An outpatient mental health clinic-based adult psychiatric and mental health nurse practitioner treats a 32-year-old patient who has diabetes and a major depressive disorder. The patient reports an improved and stable mood on a trial of duloxetine (Cymbalta), but experiences continued neuropathic pain. The nurse practitioner's initial intervention is to: A. add gabapentin (Neurontin) to the treatment regimen. B. conduct additional diagnostic tests. C. contact the patient's endocrinologist. D. increase the dosage of duloxetine (Cymbalta). - correct answer ✅D. increase the dosage of duloxetine (Cymbalta).
  3. According to current clinical guidelines for treating a patient with bipolar I disorder mania with psychotic features, an adult psychiatric and mental health nurse practitioner prescribes: A. alprazolam (Xanax). B. citalopram (Celexa). C. lamotrigine (Lamictal). D. quetiapine (Seroquel). - correct answer ✅D. quetiapine (Seroquel).

exam review questions and answers

  1. A hospital-based adult psychiatric and mental health nurse practitioner collaborates with a multidisciplinary team that is charged with establishing a psychiatric outpatient clinic. Advocating for the role of advanced practice nurses, the nurse practitioner initially educates the team that advanced practice nurses: A. are readily available to meet patient needs. B. can autonomously provide a full range of comprehensive services. C. can perform case management functions. D. provide cost-effective care delivery. - correct answer ✅B. can autonomously provide a full range of comprehensive services.
  2. Which nonpharmacologic treatment modality is recommended for depression? A. Biofeedback B. Dialectical behavioral therapy C. Eye movement desensitization and reprocessing therapy D. Supportive group therapy - correct answer ✅D. Supportive group therapy
  3. An adult psychiatric and mental health nurse practitioner is using rational emotive therapy to treat a patient with depression and anxiety. An effective strategy for helping the patient recognize the connections between affect, cognition, and behavior is to: A. focus on mindfulness techniques. B. provide an injunction to address assumptions. C. reinforce behaviors that have a sense of self-efficacy. D. substitute reality-oriented interpretations for the distorted thoughts. - correct answer ✅D. substitute reality-oriented interpretations for the distorted thoughts.

exam review questions and answers

D. increase supervision and restrict milieu participation to decrease the secondary gain from manipulation. - correct answer ✅C. encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment.

  1. A mother telephones an adult psychiatric and mental health nurse practitioner to report that her 13-year-old son has been unusually active, irritable, and unable to sleep for more than a few hours each night. The adolescent has been diagnosed with a major depressive disorder and has been taking fluoxetine (Prozac) for six weeks. The nurse practitioner is most concerned about the possibility that: A. a therapeutic level of the drug has not been reached. B. an addition of hypnotic medication is warranted. C. the adolescent has been misdiagnosed. D. the adolescent is experiencing side effects. - correct answer ✅C. the adolescent has been misdiagnosed.