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2024 ANCC PMHNP EXAM SAMPLE WITH ANSWERS
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2024 ANCC PMHNP EXAM SAMPLE WITH ANSWERS
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2024 ANCC PMHNP EXAM SAMPLEWITH ANSWERS
Any court of law that evaluates the standards of care provided by the
psychiatric-mental health nurse practitioner:
compares the actions to the standard of care provided by a psychiatrist.
considers what a reasonably prudent health care provider would do.
evaluates patient satisfaction data.
reviews the nurse practitioner's charts for similar patients. - CORRECT-
ANSWERSconsiders what a reasonably prudent health care provider would
do.
The psychiatric-mental health nurse practitioner and a team of local mental
health professionals are asked to provide crisis counseling service after an
assailant recently took a class hostage at a local elementary school,
wounded several students, and then shot themself. In preparing for this
assignment, the nurse practitioner recognizes that:
a child's developmental stage will influence their response to catastrophic
stress.
a child's lack of an emotional response to a catastrophic event is a predictor
of negative long-term consequences.
it is necessary for the child's guardian to be present.
the event is more important to the child than whether they suffered physical
harm. - CORRECT-ANSWERSa child's developmental stage will influence their
response to catastrophic stress.
A 32-year-old female patient informs the psychiatric-mental health nurse
practitioner that she is three months pregnant. She has been stable on
fluoxetine hydrochloride (Prozac) for the last two years. The patient asks
whether she may safely continue this medication during her pregnancy. The
nurse practitioner responds,:
"At this time, Prozac is safe for you to continue during your pregnancy."
"Cognitive behavior therapy has proven to be successful during pregnancy
with no risk to the fetus, so let's discontinue your Prozac."
"Let's review the risks and benefits of continuing or discontinuing Prozac for
you and the fetus."
, "Prozac is unsafe for the fetus, so we'll wean you off this medication during
your pregnancy." - CORRECT-ANSWERSLet's review the risks and benefits of
continuing or discontinuing Prozac for you and the fetus.
Established clinical guidelines suggest that suicidality is decreased by
treating patients who have borderline personality disorder with:
cognitive behavior therapy.
dialectical behavioral therapy.
eye movement desensitization reprocessing.
interpersonal therapy. - CORRECT-ANSWERSdialectical behavioral therapy.
A six-year-old patient with autism spectrum disorder has not responded to
six months of psychosocial interventions and continues to demonstrate
aggressive tendencies toward a younger sibling. The psychiatric-mental
health nurse practitioner prescribes:
carbamazepine (Tegretol) 200 mg/d.
haloperidol lactate (Haldol) 2 mg/d.
dialectical behavioral therapy.
venlafaxine hydrochloride (Effexor XR) 37.5 mg/d. - CORRECT-
ANSWERSdialectical behavioral therapy.
The psychiatric-mental health nurse practitioner working in a crisis
stabilization unit evaluates a patient verbalizing suicidal thoughts after being
sexually assaulted. Before processing through the traumatic event, the nurse
practitioner first attempts to:
incorporate psychoeducation to address emotional dysregulation.
promote cultivation of coping strategies to enhance distress tolerance.
provide an environment of safety.
provide intense psychotherapy. - CORRECT-ANSWERSprovide an
environment of safety.
The psychiatric-mental health nurse practitioner uses a cognitive behavior
therapy approach to help a patient address self-defeating behaviors. After
identifying the stressor that causes the inappropriate behavior, the initial
strategy is to explore:
alternative positive responses to the stressor.
negative consequences of the responses to the stressor.
possible outcomes of alternative responses.
rational and irrational beliefs about the stressor. - CORRECT-
ANSWERSrational and irrational beliefs about the stressor.
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