ANCC PMHNP PSYCH-MENTAL
HEALTH NP LATEST TEST 1 ,2,& 3
EXAM QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS|
LATEST UPDATE 2024-2025 ALREADY
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TEST 1
Your client, 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
CORRECT: complicated
grief
EXPLANATION: A person has uncomplicated grief when he or she has
normal physical, psychological, cognitive and spiritual responses to the
death of asignificant 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 client has had a myocardial infarction, which of the following
atypical antidepressants should not be prescribed within the recovery
phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - -Correct
CORRECT: Trazodone
,EXPLANATION: If a client has had a myocardial infarction, during the
recovery phase, the client should not be prescribed this medication.
Trazodone (Desyrel) can cause the client 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
CORRECT: Use examples and
review.
EXPLANATION: 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
CORRECT:
Risperidone
EXPLANATION: 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
CORRECT: Medication
noncompliance
EXPLANATION: Medication noncompliance is a major problem with the
psychiatric mental health clients. The home health nurses assists by helping
the clients
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
client at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above - -Correct
CORRECT: Documentation
EXPLANATION: 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 client and isalso
used to help justify the client 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
CORRECT: Hypertensive
crisis
EXPLANATION: Hypertensive crisis would be considered a symptom of
PCPoverdose.
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
CORRECT: nausea
Symptoms of serotonin syndrome can present in clients 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 clients having dissociative identity
disorder?
30%
45%
70%
60% - -Correct
CORRECT: 70%
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