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Sample Test Questions ANCC – PMHNP/25 Questions and Answers
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Sample Test Questions ANCC –PMHNP/25 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. - -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. - -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 - -A. Attempting to understand a
patient's subjective world
-4. 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. - -B.
educating the survivors about prodromal symptoms of posttraumatic stress
disorder.
, -5. 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." - -A. an understanding that leaving a significant other may be
painful, but also presents an opportunity for growth.
-6. 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 the patient from continuing this treatment.
B. offer a medication to treat the nervous condition.
C. suggest an alternative food to relieve the nervous condition.
D. view this as a self-care ritual that needs to be preserved. - -D. view this
as a self-care ritual that needs to be preserved.
-7. Before an older adult patient initiates pharmacotherapy with a
medication that is cleared by the kidneys, an adult psychiatric and mental
health nurse practitioner assesses the patient's:
A. blood urea nitrogen level.
B. creatinine clearance.
C. specific gravity.
D. urinary sediment. - -B. creatinine clearance.
-8. An adult psychiatric and mental health nurse practitioner uses a
cognitive-behavioral approach to help an adolescent patient change self-
defeating behaviors. After identifying the initial stressor that is causing the
inappropriate behavior, the therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B. negative consequences of the behavioral response to the stressor.
C. possible outcomes of alternative responses.
D. rational and irrational beliefs about the stressor. - -D. rational and
irrational beliefs about the stressor.
-9. 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
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