Sample Test Questions ANCC- PMHNP (NR6060)

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: A. alprazolam (Xanax). B. citalopram (Celexa). C. lamotrigine (Lamictal). D. quetiapine (Seroquel). Correct 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: A. are readily available to meet patient needs. B. can autonomously provide a full range of comprehensive services. C. can perform case management functions. D. provide cost-effective care delivery. Correct answer - B. can autonomously provide a full range of comprehensive services. 21. Which nonpharmacologic treatment modality is recommended for depression? A. Biofeedback B. Dialectical behavioral therapy C. Eye movement desensitization and reprocessing therapy D. Supportive group therapy Correct 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: A. focus on mindfulness techniques. B. provide an injunction to address assumptions. C. reinforce behaviors that have a sense of self-efficacy. D. substitute reality-oriented interpretations for the distorted thoughts. Correct 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: A. abstain from casting a vote. B. vote and influence the board members' decisions, because public health care needs are at stake. C. vote in support of the least expensive proposal, considering the indigent population. D. vote in support of the proposal and offer to provide personal consultations. Correct 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: A. assist the staff in developing a treatment plan that limits contact with the patient to one person per shift. B. develop a "no suicide" pact with the patient to decrease his helplessness and increase his feelings of control. C. encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment. D. increase supervision and restrict milieu participation to decrease the secondary gain from manipulation. Correct answer - C. encourage the patient to express his fears of improving and being abandoned or of leaving the safe environment.