CERTIFICATION NEWEST 2026/2027EXAM PREP
TEST BANK WITH COMPLETE RECENTLY
TESTED EXAM QUESTIONS AND CORRECT
VERIFIED & DETAILED ANSWERS/ 2026/2027
ANCC EXAM PREP LATEST
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:
-add gabapentin (Neurontin) to the treatment regimen.
-conduct additional diagnostic tests.
-contact the patient's endocrinologist.
-increase the dosage of duloxetine (Cymbalta). - Answer-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:
-alprazolam (Xanax).
-citalopram (Celexa).
-lamotrigine (Lamictal).
-quetiapine (Seroquel). - Answer-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:
,-are readily available to meet patient needs.
-can autonomously provide a full range of comprehensive services.
-can perform case management functions.
-provide cost-effective care delivery. - Answer-can autonomously
provide a full range of comprehensive services.
21. Which nonpharmacologic treatment modality is recommended for
depression?
-Biofeedback
-Dialectical behavioral therapy
-Eye movement desensitization and reprocessing therapy
-Supportive group therapy - Answer-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:
-focus on mindfulness techniques.
-provide an injunction to address assumptions.
-reinforce behaviors that have a sense of self-efficacy.
-substitute reality-oriented interpretations for the distorted thoughts. -
Answer-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:
, -abstain from casting a vote.
-vote and influence the board members' decisions, because public health
care needs are at stake.
-vote in support of the least expensive proposal, considering the indigent
population.
-vote in support of the proposal and offer to provide personal
consultations. - Answer-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:
-assist the staff in developing a treatment plan that limits contact with
the patient to one person per shift.
-develop a "no suicide" pact with the patient to decrease his helplessness
and increase his feelings of control.
-encourage the patient to express his fears of improving and being
abandoned or of leaving the safe environment.
-increase supervision and restrict milieu participation to decrease the
secondary gain from manipulation. - Answer-encourage the patient to
express his fears of improving and being abandoned or of leaving the
safe environment.
What is the ANA Scope and Standards of Practice Mental Health
Clinical Nursing Practice do? - Answer-Define the role and actions for
the NP
Parenting skills skills classes for pregnant adolescence is what type of
prevention? - Answer-Primary