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2024 PMHNP ANCC 100 MULTIPLE CHOICE EXAM QUESTIONS WITH ANSWERS
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2024 PMHNP ANCC 100 MULTIPLE CHOICE EXAM QUESTIONS WITH ANSWERS
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2024 PMHNP ANCC 100 MULTIPLECHOICE EXAM QUESTIONS WITH
ANSWERS
1) The study of what the body does to drugs is called
a) Pharmacodynamics
b) Pharmacology
c) Pharmacokinetics
d) Distribution - CORRECT-ANSWERSC. Pharmacokinetics is the study of what
the body does to drugs.
41
1) Your client Sam is being treated for panic disorder with agoraphobia. He
currently is being prescribed paroxetine (Paxil CR, 37.5 mg q.d.) and
clonazepam (Klonopin, 0.5 mg q.d., p.r.n.). He has been on clonazepam for 2
years and admits to needing 4 pills to achieve the same effect that 1 pill
initially produced. This is possibly an example of which process?
a) Kindling
b) Addiction
c) Tolerance
d) Potency - CORRECT-ANSWERSC. Tolerance means needing more to
achieve the same effect.
42
1) Why is group therapy beneficial?
a) It assists the client to focus on self
b) It lacks theoretical frameworks
c) It enables participants to acquire therapeutic factors
d) It is always time limited - CORRECT-ANSWERSD. Group therapy is
beneficial because it increases social skills, is cost-effective, and enables
participants to acquire the curative factors.
43
Which of the following is the best rationale for using cognitive behavioral
therapy?
a) Recognize and change his or her automatic thoughts
b) See reality as you see it
c) Change his or her reality by changing his or her environment
,d) Recognize and accept that automatic thoughts suggest delusional thinking
- CORRECT-ANSWERSA. Cognitive behavioral therapy helps clients recognize
and change their automatic thoughts.
44
When working with a dysfunctional family, you find that the father, Jim,
worries excessively and is resistant to change. You give Jim a paradoxical
directive to worry extremely well for 1 hour per day, knowing that he will
likely be noncompliant, and thus change will occur. With this technique, you
are using which type of therapy?
a) Experiential therapy
b) Structural therapy
c) Strategic therapy
d) Solution-focused therapy - CORRECT-ANSWERSC. Paradoxical directives
are used in strategic therapy.
45
Which of the following best describes homeostasis in a family system?
a) Choices a family makes to keep the peace
b) Balance or stability that the family returns to despite its dysfunction
c) Need for change and balance in a family
d) Calm in a family that returns after a crisis - CORRECT-ANSWERSB.
Homeostasis is balance or stability that the family returns to despite its
dysfunction.
46
In an attempt to bring the client toward the goal he or she is working on,
you ask the client, "If a miracle were to happen tonight while you slept, and
you awoke in the morning and the problem no longer existed, how would you
know, and what would be different?" This technique is used in which type of
therapy?
a) Behavioral therapy
b) Solution-focused therapy
c) Adlerian therapy
d) Existential therapy - CORRECT-ANSWERSB. Miracle questions are used in
solution-focused therapy.
47
1) Ms. Thomas has been diagnosed with major depressive disorder (MDD)
and is placed on fluoxetine 20 mg for her depression. For the PMHNP to
effectively monitor her use of the medication, which of the following actions
should be part of ongoing care?
a) Use of a standardized rating scale of depression
b) Monitoring for potential abuse of the medication
c) Monitoring of labs for renal functioning
, d) Monitoring for potential cardiac side effects - CORRECT-ANSWERSA. The
use of a standardized rating scale will allow the PMHNP to monitor the level
of client symptoms and to evaluate the efficacy of the medication.
48
1) Which of the following is the best reason for considering the SSRI among
the first-line drug choices for treating major depression?
a) Need to stair-step initial dosages
b) Sedating and calming effect of the medication
c) Safe use in suicidal overdose clients
d) Ability to obtain therapeutic serum drug levels - CORRECT-ANSWERSC.
SSRIs are considered among the first-line medications used to treat
depression because of safety in suicidal overdose clients.
49
A 23-year-old woman is brought into the ER after attempting suicide by
cutting her wrists. Which nursing action by the PMHNP would be of highest
priority initially?
a) Assess her coping behaviors
b) Assess her current level of suicidality
c) Take her vital signs
d) Assess her health history - CORRECT-ANSWERSC. The PMHNP needs to
ensure that her suicide attempt has not led to medical instability.
50
Which of the following interventions by the PMHNP for a person experiencing
ataque de nervios demonstrates culturally informed care?
a) Offering brief supportive psychotherapy
b) Offering a brief hospitalization
c) Requesting a family member act as an interpreter
d) Offering low-dose, short-term anxiolytic - CORRECT-ANSWERSA. The
literature suggests that although short-term anxiolytic medication may be
offered in an emergency room setting, ataque de nervios is best treated by
brief supportive therapy by a Spanish-speaking Latino therapist.
51)
The PMHNP working at a student mental health clinic has now been working
with a fresh- man student for several weeks. The PMHNP learns that the
student considers himself shy. He tells the NP that he has always felt
uncomfortable in social situations or when he has to do oral presentations in
class. He had few friends up until his senior year of high school when he
discovered he could enjoy himself if he "had a couple of drinks before going
out." He has continued this pattern in college and now occasionally drinks "2
to 3 beers" on weekends as well. According to the DSM-5, does the student
have a mental disorder?
a) Yes, alcohol use disorder, mild
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