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ANCC REVIEW QUESTIONS (PMHNP IQ) QBANK NEW COMPLETED EXAM 2024.
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ANCC REVIEWQUESTIONS (PMHNP
IQ) QBANK
NEW COMPLETED
EXAM
2024
,1. Which of the following is a common feature of borderline personality disorder
(BPD)?
a) Impulsivity
b) Dissociation
c) Emotional dysregulation
d) All of the above
Answer: D. All of the above are common features of BPD, which is characterized
by a pervasive pattern of instability in interpersonal relationships, self-image, and
affect, as well as marked impulsivity and recurrent suicidal behavior.
Rationale: BPD is a complex mental health disorder that affects about 1.6% of the
population. People with BPD often experience intense emotions, difficulty
controlling impulses, and feelings of emptiness or abandonment. They may also
have dissociative symptoms, such as feeling detached from reality or their own
identity.
,2. What is the main difference between bipolar I and bipolar II disorder?
a) The presence or absence of hypomanic episodes
b) The presence or absence of psychotic symptoms
c) The severity and duration of depressive episodes
d) The frequency and pattern of mood cycles
Answer: B. The presence or absence of psychotic symptoms is the main
difference between bipolar I and bipolar II disorder. Bipolar I disorder requires at
least one manic episode, which may or may not be accompanied by psychotic
symptoms, such as delusions or hallucinations. Bipolar II disorder requires at
least one hypomanic episode and one major depressive episode, but no psychotic
symptoms.
Rationale: Bipolar disorder is a mood disorder that involves episodes of elevated
mood (mania or hypomania) and depressed mood (major depression). Mania is a
more severe form of elevated mood than hypomania, and it can impair
functioning and judgment. Psychotic symptoms are a sign of a loss of contact
with reality, and they can occur in some cases of bipolar I disorder, especially
during severe manic episodes.
3. What is the most effective treatment for obsessive-compulsive disorder
(OCD)?
, a) Antidepressants
b) Cognitive-behavioral therapy (CBT)
c) Exposure and response prevention (ERP)
d) A combination of medication and psychotherapy
Answer: D. A combination of medication and psychotherapy is the most effective
treatment for OCD, which is a disorder characterized by recurrent and intrusive
thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that
cause distress or impairment. Antidepressants can help reduce the frequency and
intensity of obsessions and compulsions, while CBT can help challenge and
modify distorted beliefs and thoughts related to OCD. ERP is a specific type of
CBT that involves gradually exposing the person to their feared stimuli or
situations and preventing them from performing their compulsions.
Rationale: OCD is a common and chronic mental health disorder that affects
about 2.3% of the population. People with OCD often experience anxiety, guilt,
shame, and frustration due to their obsessions and compulsions, which can
interfere with their daily functioning and quality of life. Medication and
psychotherapy can help reduce the symptoms and improve the coping skills of
people with OCD.
4. Which of the following is not a criterion for diagnosing post-traumatic stress
disorder (PTSD)?
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