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Sample Test Questions ANCC - PMHNP Exam Questions And Answers Latest Update
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Sample Test Questions ANCC - PMHNP Exam Questions And Answers Latest Update
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Sample Test Questions ANCC - PMHNP Exam QuestionsAnd Answers Latest Update
A patient with borderline personality disorder experiences intense anxiety when an adult
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psychiatric and mental health nurse practitioner goes on vacation. The best explanation
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for this reaction is that the patient:
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A. has failed to develop clear ego boundaries.
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B. has failed to master object constancy.
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C. is employing primitive idealization.
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D. is employing projective identification. - answer-B. has failed to master object
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constancy
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2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially,
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the patient reported depression and suicidal thoughts. The patient's sleep, appetite,
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energy, and appearance have now begun to improve. Which statement applies to this
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patient?
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A. The medication should be discontinued.
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B. The medication should be increased.
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C. The patient's risk for suicide is not a concern.
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D. The patient's suicide potential is increased. - answer-D. The patient's suicide
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potential is increased.
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3. Which behavior reflects existentially oriented therapy?
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A. Attempting to understand a patient's subjective world
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B. Challenging a patient's irrational beliefs
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C. Developing specific plans for change
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D. Establishing general group goals - answer-A. Attempting to understand a patient's
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subjective world
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4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse
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practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight
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hours after the accident, the survivors describe vivid flashbacks, startle reactions, and
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disrupted sleep patterns. The nurse practitioner responds by:
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A. advising the survivors to consider using a hypnotic medication for a brief period.
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B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
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C. encouraging the survivors to rest during the day.
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D. suggesting that the survivors join a posttrauma support group. - answer-B. educating
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the survivors about prodromal symptoms of posttraumatic stress disorder.
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5. An adult psychiatric and mental health nurse practitioner uses the interpersonal
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therapy model with a patient to establish a therapeutic alliance based upon empathy
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, and trust. The nurse practitioner recognizes the patient's readiness to terminate therapy
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when the patient demonstrates:
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A. an understanding that leaving a significant other may be painful, but also presents an
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opportunity for growth.
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B. breathing and muscle relaxation exercises that decrease muscle tension and anxiety.
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C. free association, and considers the nurse practitioner's interpretation of the patient's
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dreams.
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D. new adaptive skills and responses after completing "homework assignments." -
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answer-A. an understanding that leaving a significant other may be painful, but also
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presents an opportunity for growth.
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6. An Hispanic patient informs an adult psychiatric and mental health nurse practitioner
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during a wellness visit that he or she occasionally uses hot chili juice to relieve a
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"nervous condition." The patient denies any complaints related to this practice. The
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nurse practitioner's response is to:
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A. actively discourage the patient from continuing this treatment.
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B. offer a medication to treat the nervous condition.
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C. suggest an alternative food to relieve the nervous condition.
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D. view this as a self-care ritual that needs to be preserved. - answer-D. view this as a
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self-care ritual that needs to be preserved.
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7. Before an older adult patient initiates pharmacotherapy with a medication that is
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cleared by the kidneys, an adult psychiatric and mental health nurse practitioner
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assesses the patient's:
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A. blood urea nitrogen level.
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B. creatinine clearance.
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C. specific gravity.
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D. urinary sediment. - answer-B. creatinine clearance.
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8. An adult psychiatric and mental health nurse practitioner uses a cognitive-behavioral
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approach to help an adolescent patient change self-defeating behaviors. After
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identifying the initial stressor that is causing the inappropriate behavior, the therapeutic
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intervention is to identify:
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A. alternative positive responses to the stressor.
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B. negative consequences of the behavioral response to the stressor.
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C. possible outcomes of alternative responses.
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D. rational and irrational beliefs about the stressor. - answer-D. rational and irrational
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beliefs about the stressor.
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9. Which characteristic of fluoxetine (Prozac) provides the greatest degree of safety for
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patients who have severe depression?
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A. Greater efficacy than tricyclic antidepressants
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B. Less potential for drug interaction
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C. Less potential for injury with intentional overdose
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D. Less potential for suicidal thinking - answer-C. Less potential for injury with
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intentional overdose
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