ANCC PMHNP PSYCH- A A
MENTAL HEALTH NP EXAM LATEST 2024 (TEST 1, 2, &
A A A A A A A A A A
3) QUESTIONS & ANSWERS WITH RATIONALES (TEST
A A A A A A A
1-
3 LATEST VERSIONS EACH WITH 100 QUESTIONS EAC
A A A A A A A
H) | NEWEST VERSIONS ALREADY GRADED A+
A A A A A A
TESTA1
YourApatient,AwhoseAwifeAdiedAaAfewAmonthsAago,AappearsAtoAbeAveryAunkemptAandA
apathetic.AAlthoughAseveralAmonthsAhaveApassedAsinceAhisAwife'sAdeathAheAhasAnotA
progressedAatAallAthroughAhisAgrieving.AYouAassessAthisAconditionAasAwhichAofAtheAf
ollowing?
AdisenfranchisedAgrief
ApanicAdisorder
AcomplicatedAgrief
AphysiologicAgriefA-A-
CorrectAAnswer:AcomplicatedAgrief
RATIONALE:AAApersonAhasAuncomplicatedAgriefAwhenAheAorAsheAhasAnormalAphysical,Apsy
chological,AcognitiveAandAspiritualAresponsesAtoAtheAdeathAofAaAsignificantAother.AButAwhenAt
heApersonAshowsApersistentAmaladaptiveAbehaviorsAsuchAasAnotAtakingAcareAofApersonalAh
ygieneAand/orAappearanceAandAdoesAnotAprogressAthroughAtheAmourningAprocess,AthisAisAc
omplicatedAgrief.
IfAaApatientAhasAhadAaAmyocardialAinfarction,AwhichAofAtheAfollowingAatypicalAantidepr
essantsAshouldAnotAbeAprescribedAwithinAtheArecoveryAphase?
ATrazodone
ADuloxetine
ABupropion
ADesvenlafaxineA-A-
CorrectAAnswer:ATrazodone
,RATIONALE:AIfAaApatientAhasAhadAaAmyocardialAinfarction,AduringAtheArecoveryAphase,Ath
eApatientAshouldAnotAbeAprescribedAthisAmedication.ATrazodoneA(Desyrel)AcanAcauseAtheA
patientAtoAdevelopAorthostaticAhypotensionAandApriapism.
ToAgetAyourAteachingAideasAandAconceptsAacrossAtoAaApoorAreaderAwhichAofAtheAfollowingAw
ouldAbeAmostAappropriate?
AUseAlongerAsentences.
AUseAabstractAconcepts.
ADiscourageAquestioning.
AUseAexamplesAandAreview.A-A-
CorrectAAnswer:AUseAexamplesAandAreview.
RATIONALE:AToAgetAtheAideaAacrossAtoAaApoorAreaderAuseAexamplesAandAreview.ATheAot
herAchoicesAareAnotAhelpful.AYouAshouldAuseAshortAsentencesAandAeasyAtoAreadAlayouts;Ab
eAconcreteAratherAthanAabstract;AandAteachAthemAhowAtoAaskAquestionsAaboutAtheirAhealth
.AAlso,AtellAcontextAfirstAandAuseAvisual,AuseAcommonAwordsAandAexamples,AandAexplainA
meaning.
AA21-
yearAoldAwomanApresentsAwithAcomplaintsAofAmilkyAdischargeAfromAherAbreasts.ASheAdoes
n'tAhaveAanyAotherAsymptomsAandAisAnotApregnant,AnorAhasAbeenAbefore.ASheAtellsAtheAnur
seAaboutAeachAmedicationAthatAsheAtakes.AWhichAofAtheseAdrugsAmayAbeAimplicatedAasAth
eAcauseAofAtheAsymptom?
Aaspirin
ALamotrigine
ARisperidone
AsertralineA-A-
CorrectAAnswer:ARisperidone
RATIONALE:ARisperidoneAcanAcauseAtheAgreatestAprolactinAelevationAamongAatypicalApsy
chotics.AAAmilkyAwhiteAdischargeAknownAasAgalactorrheaAcouldAbeAaAsignAofAanAunderlyingA
condition.ATheAfactAthatAtheAwomanAtakesARisperidone,AanAatypicalAantipsychotic,AwouldAlik
elyApointAtoAtheAcauseAandAshouldAbeAswitchedAwithAoneAlessAlikelyAtoAhaveAthatAsameAsideA
effect.
WhichAofAtheAfollowingAwouldAbeAconsideredAoneAofAtheAmainAthingsAthatAisAresponsibleAfo
rAaboutA2/3AofApsychiatricAhospitalAreadmissions?
ANotAsufficientAcare.
AMedicationAnoncompliance
ABiophysicalAassessments
ANoneAofAtheAaboveA-A-
CorrectAAnswer:AMedicationAnoncompli
ance
RATIONALE:AMedicationAnoncomplianceAisAaAmajorAproblemAwithAtheApsychiatricAmentalA
healthApatients.ATheAhomeAhealthAnursesAassistsAbyAhelpingAtheApatients
toAseeAtheArelationshipAbetweenAtheirAcomplianceAwithAtheirAmedicationAregimenAandAcont
rolAofAtheirAsymptoms.
,WhichAofAtheAfollowingAwouldAbeAconsideredAanAimportantAformAofAcommunicationAthatA
canAhelpAtoApromoteAconsistencyAinAtheAcareAofAtheApatientAatAthe
sameAtimeAthatAitAjustifiesAtheirAstayAinAtheAhospital?
AReviewAofAcare.
ADocumentation
AVerbalAreporting
ANoneAofAtheAaboveA-A-
CorrectAAnswer:ADocumentation
RATIONALE:ATheAotherA3AoptionsAaboveAareAincorrect.
OneAofAtheAmostAimportantAaspectsAofAnursingAisAdocumentation.ADocumentationAcanApro
moteAconsistencyAinAtheAcareAofAtheApatientAandAisAalsoAusedAtoAhelpAjustifyAtheApatientAre
mainingAinAtheAhospital.
EffectsAofAanAoverdoseAofALSDA(LysergicAacidAdiethylamide)AcanAincludeAallAofAtheAfo
llowingAexcept?
AVomiting
ARespiratoryAfailure
AHypertensiveAcrisis
ASeizuresA-A-
CorrectAAnswer:AHypertensiv
eAcrisis
RATIONALE:AHypertensiveAcrisisAwouldAbeAconsideredAaAsymptomAofAPCPAoverdose.
Vomiting,ArespiratoryAfailureAandAseizuresAwouldAbeAconsideredAanAeffectAo
fALSDAoverdose.
SymptomsAofAserotoninAsyndromeAincludeAallAofAtheAfollowingAEXCEPT:
Ainsomnia
Anausea
AlossAofAcoordination
AsweatingAorAshiveringAwithAgooseAbumpsA-A-
CorrectAAnswer:Anausea
SymptomsAofAserotoninAsyndromeAcanApresentAinApatientsAthatAhaveAdrugAcombinationsAt
hatAareAcontraindicated.ATheyAcanAvaryAfromArestlessnessAandAagitationAtoAtremors,Achill
s,Aheadaches,AandAinsomniaAasAwellAasAlossAofAcoordination.ANauseaAhasAnotAbeenAimpli
catedAinAserotoninAsyndrome.
WhatAisAtheArateAofAsuicideAattemptsAforApatientsAhavingAdissociativeAidentityAdisorder?
A30%
A45%
A70%
A60%A-A-
CorrectAAnswer:A70%
, RATIONALE:APeopleAwithAdissociativeAidentityAdisorderAhaveAoneAofAtheAhighestArisksAforAs
uicide.AAccordingAtoAtheADiagnosticAandAStatisticalAManualAofAMentalADisordersA(DSM-
A5),moreAthanA70%AofAoutpatientsAwithADIDAhaveAattemptedAsuicide,AandAmultipleAsuicideAa
ttemptsAareAcommon.
OfAtheAfollowing,AwhichAwouldAnotAbeAconsideredAaAphaseAofAschizophreniaAtreatment?
AMaintenance
AAcute
ACognitive
AStabilizationA-A-
CorrectAAnswer:ACognitive
RATIONALE:ACognitiveAisAnotAoneAofAtheAthreeAphasesAofAschizophreniaAtreatment.AT
heAthreeAphasesAare:
PhaseA 1:A acuteAPhas
eA2:AstabilizationAPhas
eA3:Amaintenance
TheApatientAshouldAbeAmonitoredAforAeffectsAofApsychotropicAmedicationsAwhichAcanAimpa
ctAcardiacArhythms.AWhichAofAtheAfollowingAcouldAbeAaApotential
cardiacAsideAeffect?
AAAprolongedAQTAinterval
ANarrowingAofAtheAQRS
ABothAAAandAB
ANoneAofAtheAaboveA-A-
CorrectAAnswer:AAAprolongedAQTAinter
val
RATIONALE:AWithAantipsychoticAdrugs,AtheAtriclyclicAactionAcanAcauseAproblems.ATheseA
medicationsAcanAcauseAaAwideningAofAtheAQRSAorAaAprolongedAQTAinterval.
ThisAisAaAmeasureAofAtheAventricularArepolarization.
SullivanAdescribedAthreeAdevelopmentalAcognitiveAmodesAofAexperienceAandAbelievedAtha
tAmentalAdisordersAareArelatedAtoAtheApersistenceAofAoneAofAtheAearlyAmodes.ATheAmodeAt
hatAbeginsAinAearlyAchildhoodAasAtheAchildAbeginsAtoAconnectAexperiencesAinAsequenceAis
AwhichAofAtheAfollowing?
AprototaxicAmode
AparataxicAmode
AsyntaxicAmode
AcompositeAmodeA-A-
CorrectAAnswer:AparataxicAmode
RATIONALE:ATheAparataxicAmodeAbeginsAinAearlyAchildhood.ATheAchildAmayAnotAmakeAlog
icalAsenseAofAtheAexperiencesAandAmayAseeAthemAasAcoincidenceAorAchanceAevents.ATheAc
hildAseeksAtoArelieveAanxietyAbyArepeatingAfamiliarAexperiences,AalthoughAheAorAsheAmayAno
tAunderstandAwhatAheAorAsheAisAdoing.
MENTAL HEALTH NP EXAM LATEST 2024 (TEST 1, 2, &
A A A A A A A A A A
3) QUESTIONS & ANSWERS WITH RATIONALES (TEST
A A A A A A A
1-
3 LATEST VERSIONS EACH WITH 100 QUESTIONS EAC
A A A A A A A
H) | NEWEST VERSIONS ALREADY GRADED A+
A A A A A A
TESTA1
YourApatient,AwhoseAwifeAdiedAaAfewAmonthsAago,AappearsAtoAbeAveryAunkemptAandA
apathetic.AAlthoughAseveralAmonthsAhaveApassedAsinceAhisAwife'sAdeathAheAhasAnotA
progressedAatAallAthroughAhisAgrieving.AYouAassessAthisAconditionAasAwhichAofAtheAf
ollowing?
AdisenfranchisedAgrief
ApanicAdisorder
AcomplicatedAgrief
AphysiologicAgriefA-A-
CorrectAAnswer:AcomplicatedAgrief
RATIONALE:AAApersonAhasAuncomplicatedAgriefAwhenAheAorAsheAhasAnormalAphysical,Apsy
chological,AcognitiveAandAspiritualAresponsesAtoAtheAdeathAofAaAsignificantAother.AButAwhenAt
heApersonAshowsApersistentAmaladaptiveAbehaviorsAsuchAasAnotAtakingAcareAofApersonalAh
ygieneAand/orAappearanceAandAdoesAnotAprogressAthroughAtheAmourningAprocess,AthisAisAc
omplicatedAgrief.
IfAaApatientAhasAhadAaAmyocardialAinfarction,AwhichAofAtheAfollowingAatypicalAantidepr
essantsAshouldAnotAbeAprescribedAwithinAtheArecoveryAphase?
ATrazodone
ADuloxetine
ABupropion
ADesvenlafaxineA-A-
CorrectAAnswer:ATrazodone
,RATIONALE:AIfAaApatientAhasAhadAaAmyocardialAinfarction,AduringAtheArecoveryAphase,Ath
eApatientAshouldAnotAbeAprescribedAthisAmedication.ATrazodoneA(Desyrel)AcanAcauseAtheA
patientAtoAdevelopAorthostaticAhypotensionAandApriapism.
ToAgetAyourAteachingAideasAandAconceptsAacrossAtoAaApoorAreaderAwhichAofAtheAfollowingAw
ouldAbeAmostAappropriate?
AUseAlongerAsentences.
AUseAabstractAconcepts.
ADiscourageAquestioning.
AUseAexamplesAandAreview.A-A-
CorrectAAnswer:AUseAexamplesAandAreview.
RATIONALE:AToAgetAtheAideaAacrossAtoAaApoorAreaderAuseAexamplesAandAreview.ATheAot
herAchoicesAareAnotAhelpful.AYouAshouldAuseAshortAsentencesAandAeasyAtoAreadAlayouts;Ab
eAconcreteAratherAthanAabstract;AandAteachAthemAhowAtoAaskAquestionsAaboutAtheirAhealth
.AAlso,AtellAcontextAfirstAandAuseAvisual,AuseAcommonAwordsAandAexamples,AandAexplainA
meaning.
AA21-
yearAoldAwomanApresentsAwithAcomplaintsAofAmilkyAdischargeAfromAherAbreasts.ASheAdoes
n'tAhaveAanyAotherAsymptomsAandAisAnotApregnant,AnorAhasAbeenAbefore.ASheAtellsAtheAnur
seAaboutAeachAmedicationAthatAsheAtakes.AWhichAofAtheseAdrugsAmayAbeAimplicatedAasAth
eAcauseAofAtheAsymptom?
Aaspirin
ALamotrigine
ARisperidone
AsertralineA-A-
CorrectAAnswer:ARisperidone
RATIONALE:ARisperidoneAcanAcauseAtheAgreatestAprolactinAelevationAamongAatypicalApsy
chotics.AAAmilkyAwhiteAdischargeAknownAasAgalactorrheaAcouldAbeAaAsignAofAanAunderlyingA
condition.ATheAfactAthatAtheAwomanAtakesARisperidone,AanAatypicalAantipsychotic,AwouldAlik
elyApointAtoAtheAcauseAandAshouldAbeAswitchedAwithAoneAlessAlikelyAtoAhaveAthatAsameAsideA
effect.
WhichAofAtheAfollowingAwouldAbeAconsideredAoneAofAtheAmainAthingsAthatAisAresponsibleAfo
rAaboutA2/3AofApsychiatricAhospitalAreadmissions?
ANotAsufficientAcare.
AMedicationAnoncompliance
ABiophysicalAassessments
ANoneAofAtheAaboveA-A-
CorrectAAnswer:AMedicationAnoncompli
ance
RATIONALE:AMedicationAnoncomplianceAisAaAmajorAproblemAwithAtheApsychiatricAmentalA
healthApatients.ATheAhomeAhealthAnursesAassistsAbyAhelpingAtheApatients
toAseeAtheArelationshipAbetweenAtheirAcomplianceAwithAtheirAmedicationAregimenAandAcont
rolAofAtheirAsymptoms.
,WhichAofAtheAfollowingAwouldAbeAconsideredAanAimportantAformAofAcommunicationAthatA
canAhelpAtoApromoteAconsistencyAinAtheAcareAofAtheApatientAatAthe
sameAtimeAthatAitAjustifiesAtheirAstayAinAtheAhospital?
AReviewAofAcare.
ADocumentation
AVerbalAreporting
ANoneAofAtheAaboveA-A-
CorrectAAnswer:ADocumentation
RATIONALE:ATheAotherA3AoptionsAaboveAareAincorrect.
OneAofAtheAmostAimportantAaspectsAofAnursingAisAdocumentation.ADocumentationAcanApro
moteAconsistencyAinAtheAcareAofAtheApatientAandAisAalsoAusedAtoAhelpAjustifyAtheApatientAre
mainingAinAtheAhospital.
EffectsAofAanAoverdoseAofALSDA(LysergicAacidAdiethylamide)AcanAincludeAallAofAtheAfo
llowingAexcept?
AVomiting
ARespiratoryAfailure
AHypertensiveAcrisis
ASeizuresA-A-
CorrectAAnswer:AHypertensiv
eAcrisis
RATIONALE:AHypertensiveAcrisisAwouldAbeAconsideredAaAsymptomAofAPCPAoverdose.
Vomiting,ArespiratoryAfailureAandAseizuresAwouldAbeAconsideredAanAeffectAo
fALSDAoverdose.
SymptomsAofAserotoninAsyndromeAincludeAallAofAtheAfollowingAEXCEPT:
Ainsomnia
Anausea
AlossAofAcoordination
AsweatingAorAshiveringAwithAgooseAbumpsA-A-
CorrectAAnswer:Anausea
SymptomsAofAserotoninAsyndromeAcanApresentAinApatientsAthatAhaveAdrugAcombinationsAt
hatAareAcontraindicated.ATheyAcanAvaryAfromArestlessnessAandAagitationAtoAtremors,Achill
s,Aheadaches,AandAinsomniaAasAwellAasAlossAofAcoordination.ANauseaAhasAnotAbeenAimpli
catedAinAserotoninAsyndrome.
WhatAisAtheArateAofAsuicideAattemptsAforApatientsAhavingAdissociativeAidentityAdisorder?
A30%
A45%
A70%
A60%A-A-
CorrectAAnswer:A70%
, RATIONALE:APeopleAwithAdissociativeAidentityAdisorderAhaveAoneAofAtheAhighestArisksAforAs
uicide.AAccordingAtoAtheADiagnosticAandAStatisticalAManualAofAMentalADisordersA(DSM-
A5),moreAthanA70%AofAoutpatientsAwithADIDAhaveAattemptedAsuicide,AandAmultipleAsuicideAa
ttemptsAareAcommon.
OfAtheAfollowing,AwhichAwouldAnotAbeAconsideredAaAphaseAofAschizophreniaAtreatment?
AMaintenance
AAcute
ACognitive
AStabilizationA-A-
CorrectAAnswer:ACognitive
RATIONALE:ACognitiveAisAnotAoneAofAtheAthreeAphasesAofAschizophreniaAtreatment.AT
heAthreeAphasesAare:
PhaseA 1:A acuteAPhas
eA2:AstabilizationAPhas
eA3:Amaintenance
TheApatientAshouldAbeAmonitoredAforAeffectsAofApsychotropicAmedicationsAwhichAcanAimpa
ctAcardiacArhythms.AWhichAofAtheAfollowingAcouldAbeAaApotential
cardiacAsideAeffect?
AAAprolongedAQTAinterval
ANarrowingAofAtheAQRS
ABothAAAandAB
ANoneAofAtheAaboveA-A-
CorrectAAnswer:AAAprolongedAQTAinter
val
RATIONALE:AWithAantipsychoticAdrugs,AtheAtriclyclicAactionAcanAcauseAproblems.ATheseA
medicationsAcanAcauseAaAwideningAofAtheAQRSAorAaAprolongedAQTAinterval.
ThisAisAaAmeasureAofAtheAventricularArepolarization.
SullivanAdescribedAthreeAdevelopmentalAcognitiveAmodesAofAexperienceAandAbelievedAtha
tAmentalAdisordersAareArelatedAtoAtheApersistenceAofAoneAofAtheAearlyAmodes.ATheAmodeAt
hatAbeginsAinAearlyAchildhoodAasAtheAchildAbeginsAtoAconnectAexperiencesAinAsequenceAis
AwhichAofAtheAfollowing?
AprototaxicAmode
AparataxicAmode
AsyntaxicAmode
AcompositeAmodeA-A-
CorrectAAnswer:AparataxicAmode
RATIONALE:ATheAparataxicAmodeAbeginsAinAearlyAchildhood.ATheAchildAmayAnotAmakeAlog
icalAsenseAofAtheAexperiencesAandAmayAseeAthemAasAcoincidenceAorAchanceAevents.ATheAc
hildAseeksAtoArelieveAanxietyAbyArepeatingAfamiliarAexperiences,AalthoughAheAorAsheAmayAno
tAunderstandAwhatAheAorAsheAisAdoing.