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ANCC – PMHNP Sample Test Questions, Exams of Nursing

Indiana University-Purdue University-Fort WayneNursing

A series of multiple-choice questions related to the ancc pmhnp exam. It covers various topics in psychiatric and mental health nursing, including personality disorders, medication management, therapeutic approaches, and neurochemical pathophysiology. The questions are designed to assess knowledge and understanding of key concepts in the field.

Typology: Exams

2024/2025

Available from 02/18/2025

Profmarkelle
Profmarkelle 🇺🇸

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ANCC – PMHNP Sample Test
Questions well answered.
Terms in this set (25)
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.
B. has failed to master object constancy
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12

Partial preview of the text

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ANCC – PMHNP Sample Test

Questions well answered.

Terms in this set (25)

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. 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. D. The patient's suicide potential is increased.
  2. Which behavior reflects existentially oriented therapy? A. Attempting tounderstand a patient's subjective world B. Challenging a patient'sirrational beliefs C. Developing specificplans for change D. Establishing generalgroup goals A. Attempting to understand a patient's subjective world
  1. 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 thatleaving a significant other may be painful, but also presents an opportunity for growth. B. breathing and musclerelaxation exercises that decrease muscle tension and anxiety. C. free association, andconsiders the nurse practitioner's interpretation of the patient's dreams. D. new adaptive skills andresponses after completing "homework assignments." A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth.
  1. An Hispanic patient informs an adult psychiatric and mental health nurse practitioner during a wellness visit that he or she occasionally uses hot chili juice to relieve a "nervous condition." The patient denies any complaints related to this practice. The nurse practitioner's response is to: A. actively discourage thepatient from continuing this treatment. B. offer a medication totreat the nervous condition. C. suggest an alternativefood to relieve the nervous condition. D. view this as a self- careritual that needs to be preserved. D. view this as a self-care ritual that needs to be preserved.
  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 C. Less potential for injury with intentional overdose
  1. 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. A. ability of nurse practitioners to provide health care that patients need.
  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." 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. B. bipolar disorder.
  1. During patient education about sertraline (Zoloft), an adult psychiatric and mental health nurse practitioner focuses upon the potential side effect of: A. agranulocytosis. B. hypernatremia. C. sexual dysfunction. D. weight loss. C. sexual dysfunction
  2. The neurochemical pathophysiology of Tourette disorder involves: A. decreased levels of gamma- aminobutyric acid and increased levels of glutamate in the brain. B. deficits in the prefrontalcortex-mediated executive functions of the brain. C. imbalances indopaminergic, serotonergic, and noradrenergic systems in multiple regions of the brain. D. overstimulation ofnoradrenergic activity located in the locus coeruleus of the brain. C. imbalances in dopaminergic, serotonergic, and noradrenergic systems in multiple regions of the brain.
  1. 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 additionaldiagnostic tests. C. contact the patient'sendocrinologist. D. increase the dosage ofduloxetine (Cymbalta). D. increase the dosage of duloxetine (Cymbalta).
  2. 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). D. quetiapine (Seroquel).
  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 tomeet patient needs. B. can autonomouslyprovide a full range of comprehensive services. C. can perform case management functions. D. provide cost-effective care delivery. B. can autonomously provide a full range of comprehensive services.
  2. Which nonpharmacologic treatment modality is recommended for depression? A. Biofeedback B. Dialectical behavioraltherapy C. Eye movementdesensitization and reprocessing therapy D. Supportive group therapy D. Supportive group therapy
  1. An adult psychiatric and mental health nurse practitioner is a member of a mental health advisory board in an area where many patients with mental illness are indigent. The nurse practitioner also owns stock in a corporation that provides psychiatric care in the area. When the advisory board votes to recommend a site for a mental health clinic in which nursing services will be expanded, the nurse practitioner's action is to: A. abstain from casting a vote. B. vote and influence theboard members' decisions, because public health care needs are at stake. C. vote in support of theleast expensive proposal, considering the indigent population. D. vote in support of theproposal and offer to provide personal consultations. A. abstain from casting a vote.
  2. A 16-year-old male patient is hospitalized for depression after attempting suicide by overdose. Several C. encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment.

days later, the patient reports feeling less depressed and having fewer suicidal thoughts, but begins to threaten suicide "if things do not work out." Nursing staff members report feeling resentful and manipulated, but fear for the patient's safety. The adult psychiatric and mental health nurse practitioner's intervention is to: A. assist the staff indeveloping a treatment plan that limits contact with the patient to one person per shift. B. develop a "no suicide"pact with the patient to decrease his helplessness and increase his feelings of control. C. encourage the patientto express his fears of improving and being abandoned or of leaving the safe environment. D. increase supervisionand restrict milieu participation to decrease the secondary gain from manipulation.