SAMPLE TEST QUESTIONS ANCC – PMHNP QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

SAMPLE TEST QUESTIONS ANCC –
PMHNP QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
AYpatientYwithYborderlineYpersonalityYdisorderYexperiencesYintenseYanxietyYwhenYanYadultYpsychiatricYandY
mentalYhealthYnurseYpractitionerYgoesYonYvacation.YTheYbestYexplanationYforYthisYreactionYisYthatYtheYpatie
nt:

A.YhasYfailedYtoYdevelopYclearYegoYboundaries.

B.YhasYfailedYtoYmasterYobjectYconstancy.

C.YisYemployingYprimitiveYidealization.

D.YisYemployingYprojectiveYidentification.Y-YANSWERYB.YhasYfailedYtoYmasterYobjectYconstancy



2.YAYpatientYhasYbeenYtakingYescitalopramY(Lexapro)Y10YmgYdailyYforYfourYweeks.YInitially,YtheYpatientYrepor
tedYdepressionYandYsuicidalYthoughts.YTheYpatient'sYsleep,Yappetite,Yenergy,YandYappearanceYhaveYnowYbe
gunYtoYimprove.YWhichYstatementYappliesYtoYthisYpatient?

A.YTheYmedicationYshouldYbeYdiscontinued.

B.YTheYmedicationYshouldYbeYincreased.Y

C.YTheYpatient'sYriskYforYsuicideYisYnotYaYconcern.

D.YTheYpatient'sYsuicideYpotentialYisYincreased.Y-YANSWERYD.YTheYpatient'sYsuicideYpotentialYisYincreased.



3.YWhichYbehaviorYreflectsYexistentiallyYorientedYtherapy?

A.YAttemptingYtoYunderstandYaYpatient'sYsubjectiveYworld

B.YChallengingYaYpatient'sYirrationalYbeliefs

C.YDevelopingYspecificYplansYforYchange

D.YEstablishingYgeneralYgroupYgoalsY-YANSWERYA.YAttemptingYtoYunderstandYaYpatient'sYsubjectiveYworld



4.YServingYasYaYmemberYonYaYcrisisYteam,YanYadultYpsychiatricYandYmentalYhealthYnurseYpractitionerYprovid
esYcrisisYinterventionYtoYtheYsurvivorsYofYaYplaneYcrash.YForty-
eightYhoursYafterYtheYaccident,YtheYsurvivorsYdescribeYvividYflashbacks,YstartleYreactions,YandYdisruptedYsle
epYpatterns.YTheYnurseYpractitionerYrespondsYby:

A.YadvisingYtheYsurvivorsYtoYconsiderYusingYaYhypnoticYmedicationYforYaYbriefYperiod.

B.YeducatingYtheYsurvivorsYaboutYprodromalYsymptomsYofYposttraumaticYstressYdisorder.

, C.YencouragingYtheYsurvivorsYtoYrestYduringYtheYday.

D.YsuggestingYthatYtheYsurvivorsYjoinYaYposttraumaYsupportYgroup.Y-
YANSWERYB.YeducatingYtheYsurvivorsYaboutYprodromalYsymptomsYofYposttraumaticYstressYdisorder.




5.YAnYadultYpsychiatricYandYmentalYhealthYnurseYpractitionerYusesYtheYinterpersonalYtherapyYmodelYwithYaY
patientYtoYestablishYaYtherapeuticYallianceYbasedYuponYempathyYandYtrust.YTheYnurseYpractitionerYrecogniz
esYtheYpatient'sYreadinessYtoYterminateYtherapyYwhenYtheYpatientYdemonstrates:

A.YanYunderstandingYthatYleavingYaYsignificantYotherYmayYbeYpainful,YbutYalsoYpresentsYanYopportunityYforY
growth.

B.YbreathingYandYmuscleYrelaxationYexercisesYthatYdecreaseYmuscleYtensionYandYanxiety.

C.YfreeYassociation,YandYconsidersYtheYnurseYpractitioner'sYinterpretationYofYtheYpatient'sYdreams.

D.YnewYadaptiveYskillsYandYresponsesYafterYcompletingY"homeworkYassignments."Y-
YANSWERYA.YanYunderstandingYthatYleavingYaYsignificantYotherYmayYbeYpainful,YbutYalsoYpresentsYanYopport

unityYforYgrowth.



6.YAnYHispanicYpatientYinformsYanYadultYpsychiatricYandYmentalYhealthYnurseYpractitionerYduringYaYwellnes
sYvisitYthatYheYorYsheYoccasionallyYusesYhotYchiliYjuiceYtoYrelieveYaY"nervousYcondition."YTheYpatientYdeniesY
anyYcomplaintsYrelatedYtoYthisYpractice.YTheYnurseYpractitioner'sYresponseYisYto:

A.YactivelyYdiscourageYtheYpatientYfromYcontinuingYthisYtreatment.

B.YofferYaYmedicationYtoYtreatYtheYnervousYcondition.

C.YsuggestYanYalternativeYfoodYtoYrelieveYtheYnervousYcondition.

D.YviewYthisYasYaYself-careYritualYthatYneedsYtoYbeYpreserved.Y-YANSWERYD.YviewYthisYasYaYself-
careYritualYthatYneedsYtoYbeYpreserved.



7.YBeforeYanYolderYadultYpatientYinitiatesYpharmacotherapyYwithYaYmedicationYthatYisYclearedYbyYtheYkidne
ys,YanYadultYpsychiatricYandYmentalYhealthYnurseYpractitionerYassessesYtheYpatient's:

A.YbloodYureaYnitrogenYlevel.

B.YcreatinineYclearance.

C.YspecificYgravity.

D.YurinaryYsediment.Y-YANSWERYB.YcreatinineYclearance.



8.YAnYadultYpsychiatricYandYmentalYhealthYnurseYpractitionerYusesYaYcognitive-
behavioralYapproachYtoYhelpYanYadolescentYpatientYchangeYself-