Sample Test Questions
ANCC - PMHNP with
Correct (100% ) Solutions
Denning [Date] [Course title]
, A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and
mental health nurse practitioner goes on vacation. The best explanation for this reaction is that the
patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - Correct Answers: B. has failed to master object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient
reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have
now begun to improve. Which statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. - Correct Answers: D. The patient's suicide potential is
increased.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals - Correct Answers: A. Attempting to understand a patient's subjective
world
4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner
provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the
survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse
practitioner responds by:
A. advising the survivors to consider using a hypnotic medication for a brief period.
B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
ANCC - PMHNP with
Correct (100% ) Solutions
Denning [Date] [Course title]
, A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and
mental health nurse practitioner goes on vacation. The best explanation for this reaction is that the
patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - Correct Answers: B. has failed to master object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient
reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have
now begun to improve. Which statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. - Correct Answers: D. The patient's suicide potential is
increased.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals - Correct Answers: A. Attempting to understand a patient's subjective
world
4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner
provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the
survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse
practitioner responds by:
A. advising the survivors to consider using a hypnotic medication for a brief period.
B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
