ANCC PMHNP Exam Test Questions and Answers (A+ Grade), Exams of Nursing

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ANCC - PMHNP EXAM TEST

QUESTIONS AND ANSWERS

(A+ GRADE) NEWEST

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1. A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental health nurse practitioner goes on vacation. The best explanation for this reaction is that the patient: Answer: B. has failed to master object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have now begun to improve. Which statement applies to this patient? Answer: D. The patient's suicide potential is increased
3. Which behavior reflects existentially oriented therapy? Answer: A. Attempting to understand a patient's subjective world
4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner responds by: Answer: B. educating the survivors about prodromal symptoms of posttraumatic stress disorder
5. An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with a patient to establish a therapeutic alliance based upon empathy and trust. The nurse practitioner recognizes the patient's readiness to terminate therapy when the patient demonstrates: Answer: A. an understanding that leaving a significant other may be painful, but also presents an opportunity for growth
6. An Hispanic patient informs an adult psychiatric and mental health nurse practitioner during a wellness visit that he or she occasionally uses hot chili juice to relieve a "nervous condition." The patient denies any complaints related to this practice. The nurse practitioner's response is to: Answer: D. view this as a self-care ritual that needs to be preserved
7. Before an older adult patient initiates pharmacotherapy with a medication that is cleared by the kidneys, an adult psychiatric and mental health nurse practitioner assesses the patient's: Answer: B. creatinine clearance
8. An adult psychiatric and mental health nurse practitioner uses a cognitive- behavioral approach to help an adolescent patient change self-defeating behaviors. After identifying the initial stressor that is causing the

18. An outpatient mental health clinic-based adult psychiatric and mental health nurse practitioner treats a 32-year-old patient who has diabetes and a major depressive disorder. The patient reports an improved and stable mood on a trial of duloxetine (Cymbalta), but experiences continued neuropathic pain. The nurse practitioner's initial intervention is to: Answer: D. increase the dosage of duloxetine (Cymbalta)
19. According to current clinical guidelines for treating a patient with bipolar I disorder mania with psychotic features, an adult psychiatric and mental health nurse practitioner prescribes: Answer: D. quetiapine (Seroquel)
20. A hospital-based adult psychiatric and mental health nurse practitioner collaborates with a multidisciplinary team that is charged with establishing a psychiatric outpatient clinic. Advocating for the role of advanced practice nurses, the nurse practitioner initially educates the team that advanced practice nurses: Answer: B. can autonomously provide a full range of comprehensive services
21. Which nonpharmacologic treatment modality is recommended for depression? Answer: D. Supportive group therapy
22. An adult psychiatric and mental health nurse practitioner is using rational emotive therapy to treat a patient with depression and anxiety. An effective strategy for helping the patient recognize the connections between affect, cognition, and behavior is to: Answer: D. substitute reality-oriented interpretations for the distorted thoughts
23. An adult psychiatric and mental health nurse practitioner is a member of a mental health advisory board in an area where many patients with mental illness are indigent. The nurse practitioner also owns stock in a corporation that provides psychiatric care in the area. When the advisory board votes to recommend a site for a mental health clinic in which nursing services will be expanded, the nurse practitioner's action is to: Answer: A. abstain from casting a vote
24. A 16-year-old male patient is hospitalized for depression after attempting suicide by overdose. Several days later, the patient reports feeling less depressed and having fewer suicidal thoughts, but begins to threaten suicide "if things do not work out." Nursing staff members report feeling resentful and manipulated, but fear for the patient's safety. The adult psychiatric and mental health nurse practitioner's intervention is to:

Answer: C. encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment

25. A mother telephones an adult psychiatric and mental health nurse practitioner to report that her 13-year-old son has been unusually active, irritable, and unable to sleep for more than a few hours each night. The adolescent has been diagnosed with a major depressive disorder and has been taking fluoxetine (Prozac) for six weeks. The nurse practitioner is most concerned about the possibility that: Answer: C. the adolescent has been misdiagnosed Part 2
26. Dopamine: Thinking, fine muscle action, reward (TFR) - Troy found Renee
27. GABA: Reduces Arousal Aggression and Anxiety (AAA) - Triple A Adam Asks Alison (Two A's in GABA)
28. Serotonin: Regulates sleep, mood, pain, and temperature (SMPD)
29. Basal Ganglia: Somatic motor activity - initiates complex motor function and maintains tone, posture, and common reflexes
30. A common psychoactive herbal supplement used to treat insomnia: Valerian root
31. Patient was previously accepting of treatment but now appears agitated. Presents with personality changes over the past year, memory impairment, asterixis, palmar erythema, peripheral edema, and a large ecchymotic area left elbow. Why? o Hepatic encephalopathy; the loss of brain function when a damaged liver does not remove toxins from the blood.
32. This patient has presented with at least four mood episodes in the past year. What additional specifier will the practitioner add to the diagnosis of depression? o Rapid cycling
33. Which theorist believed that humans develop through learning, comprehending, and cognition? Child's development is shaped through native endowment and factors. o Jean Piaget
34. Which statement most accurately describes grassroots lobbying? o When nonpaid individuals contact their legislators to influence policy

o Increases blood circulation, lymph flow, and enhances musculoskeletal tone

22. Aromatherapy: o Stimulates the olfactory system to elicit feelings and memories
23. Technology Informatics Guiding Education Reform (TIGER): o A 10-year plan for nursing path toward computer and information technology literacy
24. A Behavior Report Card: o Commonly used to treat ADHD (Bridges the gap between school, therapy, and home)
25. Schizophreniform disorder: o Psychotic disorder involving the symptoms of schizophrenia but lasting less than 6 months (1-6 months)
26. Schizoaffective disorder: o Psychotic disorder featuring symptoms of both schizophrenia and major mood disorder.
27. Delusional disorder: o A psychotic disorder in which the primary symptom is one or more delusions.
28. Brief psychotic disorder: o Brief episodes (lasting a month or less) of otherwise uncomplicated delusional thinking.
29. Mental status of Autism: o Little or no eye contact, flat or blunted affect, lack of emotional reciprocity, stereotyped or repetitive motor mannerisms
30. Medical care: o Describes goods and services that maintain, improve, or restore an individual's physical, social, or mental well-being.
31. SAM-e: o Treats depression, osteoarthritis, and liver disease.
32. Omega-3 fatty acids:

o Polyunsaturated fatty acids commonly found in fish oils that are beneficial to cardiovascular health.

33. Tryptophan: o Aids in nitrogen balance, which is essential in creating serotonin.
34. Pheochromocytoma: o A benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine. o Should be a differential for panic disorder.
35. Shingles Vaccine: o Recommended for individuals 50 and over, regardless of chickenpox history.
36. Vestibulocochlear: o Hearing and balance (8th Cranial Nerve)
37. Studies estimate: o 15 - 24% of those incarcerated have a mental health disorder.
38. Trochlear: o Eye muscle movement.
39. Family systems therapy: o Focuses on the family rather than the individual as the source of problems.
40. Retinal Pigmentation: o Thioridazine side effect.
41. Voyeuristic acts: o The most common potentially law-breaking sexual behavior.
42. Cyclothymic disorder: o Chronic (at least 2 years) mood disorder characterized by alternating mood elevation and depression levels that are not as severe as manic or major depressive episodes.
43. Bipolar Disorder 1: o Full-blown episodes of mania. May experience depression.

o Causes ocular palsies, confusion, and gait abnormalities related to a lesion in the CNS caused by vitamin B1 depletion.

56. Korsakoff's syndrome symptoms: o Difficulty acquiring new information, personality changes, apathy, confabulation.
57. Delirium tremens: o Begins 48-72 hours after alcohol cessation; characterized by hallucinations, disorientation, hyperventilation leading to respiratory alkalosis, hypovolemia, hypomagnesemia, and hypophosphatemia.