ANCC PMHNP PSYCH-MENTAL HEALTH NP
Exam 2024 | PSYCH-MENTAL HEALTH NP
ANCC PMHNP ACTUAL EXAM LATEST
UPDATE 2024 QUESTIONS AND CORRECT
ANSWERS RATED A+
1. Your patient, whose wife died a few months ago, appears to be very unkempt
and apathetic. Although several months have passed since his wife's death he has not
progressed at all through his grieving. You assess this condition as which of the
following?
Disenfranchised grief
panic disorder
complicated grief
Physiologic grief: correct answer:
Complicated grief
A person has uncomplicated grief when he or she has normal physical, psycholog-
ical, cognitive and spiritual responses to the death of a significant other. But when
the person shows persistent maladaptive behaviors such as not taking care of
personal hygiene and/or appearance and does not progress through the mourning
process, this is complicated grief.
2. If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bbupropion
Desvenlafaxine: correct answer:
Trazodone
,If a patient has had a myocardial infarction, during the recovery phase, the patient
should not be prescribed this medication. Trazodone (desyrel) can cause the patient
to develop orthostatic hypotension and priapism.
3. To get your teaching ideas and concepts across to a poor reader which of the
following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review.: correct answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices
are not helpful. You should use short sentences and easy to read layouts; be
2
Concrete rather than abstract; and teach them how to ask questions about their
Health. Also, tell context first and use visual, use common words and examples, and
explain meaning.
4. A 21-year old woman presents with complaints of milky discharge from her
breasts. She doesn't have any other symptoms and is not pregnant, nor has been
before. She tells the nurse about each medication that she takes. Which of these drugs
may be implicated as the cause of the symptom?
Aspirin
Lamotrigine
,risperidone
Sertraline: correct answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A
milky white discharge known as galactorrhea could be a sign of an underlying
condition. The fact that the woman takes risperidone, an atypical antipsychotic,
would likely point to the cause and should be switched with one less likely to have
that same side effect.
5. Which of the following would be considered one of the main things that is
responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above: correct answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health
patients. The home health nurses assists by helping the patients
To see the relationship between their compliance with their medication regimen and
control of their symptoms.
6. Which of the following would be considered an important form of commu-
nication that can help to promote consistency in the care of the patient at the
Same time that it justifies their stay in the hospital?
Review of care.
Documentation
, verbal reporting
None of the above: correct answer: documentation
2/3
The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation. Documentation can
promote consistency in the care of the patient and is also used to help justify the
patient remaining in the hospital.
7. Effects of an overdose of lsd (lysergic acid diethylamide) can include all of
the following except?
Vomiting
Respiratory failure
H ypertensive crisis
Seizures: correct answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of pcp overdose. Vomiting,
respiratory failure and seizures would be considered an effect
Of lsd overdose.
8.Symptoms of serotonin syndrome include all of the following except:
Insomnia
Nausea
Loss of coordination
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