Exam (elaborations)
ANCC® PMHNP Psych-Mental Health NP_Test 1 With Complete Answers
ANCC® PMHNP Psych-Mental Health NP_Test 1 With Complete Answers
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ANCC® PMHNP Psych-Mental HealthNP_Test 1 With Complete Answers
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,
psychological, 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.
-If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
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.
-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 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.
, -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.
-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.
-Which of the following would be considered an important form of
communication 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
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.
, -Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of
the following except?
Vomiting
Respiratory failure
Hypertensive 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.
-Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - -Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have drug
combinations that are contraindicated. They can vary from restlessness and
agitation to tremors, chills, headaches, and insomnia as well as loss of
coordination. Nausea has not been implicated in serotonin syndrome.
-What is the rate of suicide attempts for patients having dissociative identity
disorder?
30%
45%
70%
60% - -Correct Answer:
70%
People with dissociative identity disorder have one of the highest risks for
suicide. According to the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5),more than 70% of outpatients with DID have attempted
suicide, and multiple suicide attempts are common.
-Of the following, which would not be considered a phase of schizophrenia
treatment?
Maintenance
Acute
Cognitive
Stabilization - -Correct Answer:
Cognitive
Cognitive is not one of the three phases of schizophrenia treatment.
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