ANCC Exam Prep - Chapter Questions direct
from review book, Updated 2024.
In evaluating a client for insomnia, which of the following is most consistent with
a presentation of transient insomnia? (p305)
Usually caused by stress, jet lag, or physical environmental concerns.
Insomnia is a common finding in clients with psychiatric disorder and is most
commonly found in clients diagnosed with (p305)
Mood disorders
Insomnia in children is most often caused by (p305)
Family stress
A PMHNP is working with a woman whom she suspects is in a violent domestic
relationship. The client denies this and refuses to discuss her home life. The
continues to present at the clinic for treatment of minor injuries and always is
brought by her boyfriend. The client refuses to discuss abuse as a cause of her
injuries, simply stating "I am clumsy." The best initial intervention for the PMHNP
to take is (p305)
Spend a long time with the client building a trusting relationship.
A brief period of insomnia is usually associated with
Anxiety, anticipation or consequences of a stressful experience, or jet leg. (p337)
Although insomnia can occur as a consequence of many psychiatric disorders,
research has found that patients with mood disorders are most apt to have
Insomnia (p337)
Stress within the family is the most common cause of ________ insomnia
Childhood (p337)
Spending time to build rapport and a trusting relationship with an abused patient
Helps the patient feel safer and more comfortable talking about the abuse (p337)
A diagnosis of MR is made when a person has significant below-average
intelligence accompanied by impaired adaptive functioning. The IQ range for
consideration of MR is an (p287)
IQ below 70
Most of the stimulants commonly used to treat ADHD are classified as Schedule II
controlled substances. The exception is (p287)
Strattera
A child presents with a behavioral pattern of negative, defiant, disobedient and
hostile behavior, especially towards adults in authority roles. The most likely
diagnosis for this child is (p288)
Oppositional Defiant Disorder
Which of the following is not required to make a diagnosis of Conduct Disorder?
(p288)
Poor interpersonal relationships with limited peer supports
Strattera
First non-stimulant medication FDA approved for ADHD
, Although poor interpersonal relationships can be a consequence of the conduct
disorders
It is not a required diagnostic criteria.
Impulsivity is a common behavioral manifestation of personality disorders. The
PMHNP working with a client with high impulsivity should consider what
pharmacological interventions? (p259)
USE of SSRI
The affective instability common in some personality disorders ban be clinically
managed with what medications? (p259)
Antipsychotic agents
The cluster of personality disorders that manifest with dramatic, overly affective
behavior is (p260)
Cluster B
Etiological models that attempt to explain the development of personality
disorders include which of the following? (p260)
Object relations theory
During one's development, patterns of oneself are internalized in relation to
others. Object relations theory
Demonstrates one way to explain the development of personality disorders
Cluster B Personality Disorder
Antisocial, borderline, histrionic, narcissistic
SSRIs
Improve the depressed mood and have successfully modulated impulsive behaviors in
those with personality disorders
Before usuing SSRIs in those with impulsivity related to Personality Disorder
R/O Bipolar-related impulsivity first.
Antipsychotics are useful in
Controlling anger and brief psychotic episodes in the Personality Disordered individual.
The concept of substance abuse implies that the individual is (p244)
Having functional problems related to frequent or excessive substance use
To diagnose a person with substance dependence, you must determine the
current or past presence of (p244)
Tolerance and withdrawal signs/symptoms
Many abused substances have questionable withdrawal symptoms. Whether or
not a person dependent on a particular substance will have withdrawal symptoms
depends on (p244)
The nature of the substance
John is dependent on Falvoxaz (FABS), a new synthetic substance currently
popular among high school-age children in your community. John comes into the
ER after a car accident and admits to frequent, regular use of Falvoxaz. Because
this drug is new, you are not familiar with the potential types of withdrawal
symptoms. the best assessment question to ask to determine the nature of
possible withdrawal symptoms from this drug is (p244)
"how do you feel when you take Fabs?
Medical detoxification from a substance is required only when the substance is
known to produce (p244)
from review book, Updated 2024.
In evaluating a client for insomnia, which of the following is most consistent with
a presentation of transient insomnia? (p305)
Usually caused by stress, jet lag, or physical environmental concerns.
Insomnia is a common finding in clients with psychiatric disorder and is most
commonly found in clients diagnosed with (p305)
Mood disorders
Insomnia in children is most often caused by (p305)
Family stress
A PMHNP is working with a woman whom she suspects is in a violent domestic
relationship. The client denies this and refuses to discuss her home life. The
continues to present at the clinic for treatment of minor injuries and always is
brought by her boyfriend. The client refuses to discuss abuse as a cause of her
injuries, simply stating "I am clumsy." The best initial intervention for the PMHNP
to take is (p305)
Spend a long time with the client building a trusting relationship.
A brief period of insomnia is usually associated with
Anxiety, anticipation or consequences of a stressful experience, or jet leg. (p337)
Although insomnia can occur as a consequence of many psychiatric disorders,
research has found that patients with mood disorders are most apt to have
Insomnia (p337)
Stress within the family is the most common cause of ________ insomnia
Childhood (p337)
Spending time to build rapport and a trusting relationship with an abused patient
Helps the patient feel safer and more comfortable talking about the abuse (p337)
A diagnosis of MR is made when a person has significant below-average
intelligence accompanied by impaired adaptive functioning. The IQ range for
consideration of MR is an (p287)
IQ below 70
Most of the stimulants commonly used to treat ADHD are classified as Schedule II
controlled substances. The exception is (p287)
Strattera
A child presents with a behavioral pattern of negative, defiant, disobedient and
hostile behavior, especially towards adults in authority roles. The most likely
diagnosis for this child is (p288)
Oppositional Defiant Disorder
Which of the following is not required to make a diagnosis of Conduct Disorder?
(p288)
Poor interpersonal relationships with limited peer supports
Strattera
First non-stimulant medication FDA approved for ADHD
, Although poor interpersonal relationships can be a consequence of the conduct
disorders
It is not a required diagnostic criteria.
Impulsivity is a common behavioral manifestation of personality disorders. The
PMHNP working with a client with high impulsivity should consider what
pharmacological interventions? (p259)
USE of SSRI
The affective instability common in some personality disorders ban be clinically
managed with what medications? (p259)
Antipsychotic agents
The cluster of personality disorders that manifest with dramatic, overly affective
behavior is (p260)
Cluster B
Etiological models that attempt to explain the development of personality
disorders include which of the following? (p260)
Object relations theory
During one's development, patterns of oneself are internalized in relation to
others. Object relations theory
Demonstrates one way to explain the development of personality disorders
Cluster B Personality Disorder
Antisocial, borderline, histrionic, narcissistic
SSRIs
Improve the depressed mood and have successfully modulated impulsive behaviors in
those with personality disorders
Before usuing SSRIs in those with impulsivity related to Personality Disorder
R/O Bipolar-related impulsivity first.
Antipsychotics are useful in
Controlling anger and brief psychotic episodes in the Personality Disordered individual.
The concept of substance abuse implies that the individual is (p244)
Having functional problems related to frequent or excessive substance use
To diagnose a person with substance dependence, you must determine the
current or past presence of (p244)
Tolerance and withdrawal signs/symptoms
Many abused substances have questionable withdrawal symptoms. Whether or
not a person dependent on a particular substance will have withdrawal symptoms
depends on (p244)
The nature of the substance
John is dependent on Falvoxaz (FABS), a new synthetic substance currently
popular among high school-age children in your community. John comes into the
ER after a car accident and admits to frequent, regular use of Falvoxaz. Because
this drug is new, you are not familiar with the potential types of withdrawal
symptoms. the best assessment question to ask to determine the nature of
possible withdrawal symptoms from this drug is (p244)
"how do you feel when you take Fabs?
Medical detoxification from a substance is required only when the substance is
known to produce (p244)
