Sample Test Questions ANCC – PMHNP and
Answers 2025
AApatientAwithAborderlineApersonalityAdisorderAexperiencesAintenseAanxietyAwhenAanAadult
ApsychiatricAandAmentalAhealthAnurseApractitionerAgoesAonAvacation.ATheAbestAexplanation
AforAthisAreactionAisAthatAtheApatient:
A.AhasAfailedAtoAdevelopAclearAegoAboundaries.
B.AhasAfailedAtoAmasterAobjectAconstancy.
C.AisAemployingAprimitiveAidealization.
D.AisAemployingAprojectiveAidentification.A-ACORRECTAANSWERSA-
B.AhasAfailedAtoAmasterAobjectAconstancy
2.AAApatientAhasAbeenAtakingAescitalopramA(Lexapro)A10AmgAdailyAforAfourAweeks.AInitially,
AtheApatientAreportedAdepressionAandAsuicidalAthoughts.ATheApatient'sAsleep,Aappetite,Aen
ergy,AandAappearanceAhaveAnowAbegunAtoAimprove.AWhichAstatementAappliesAtoAthisApati
ent?
A.ATheAmedicationAshouldAbeAdiscontinued.
B.ATheAmedicationAshouldAbeAincreased.A
C.ATheApatient'sAriskAforAsuicideAisAnotAaAconcern.
D.ATheApatient'sAsuicideApotentialAisAincreased.A-ACORRECTAANSWERSA-
D.ATheApatient'sAsuicideApotentialAisAincreased.
3.AWhichAbehaviorAreflectsAexistentiallyAorientedAtherapy?
A.AAttemptingAtoAunderstandAaApatient'sAsubjectiveAworld
B.AChallengingAaApatient'sAirrationalAbeliefs
C.ADevelopingAspecificAplansAforAchange
D.AEstablishingAgeneralAgroupAgoalsA-ACORRECTAANSWERSA-
A.AAttemptingAtoAunderstandAaApatient'sAsubjectiveAworld
4.AServingAasAaAmemberAonAaAcrisisAteam,AanAadultApsychiatricAandAmentalAhealthAnurseAp
ractitionerAprovidesAcrisisAinterventionAtoAtheAsurvivorsAofAaAplaneAcrash.AForty-
eightAhoursAafterAtheAaccident,AtheAsurvivorsAdescribeAvividAflashbacks,AstartleAreactions,A
andAdisruptedAsleepApatterns.ATheAnurseApractitionerArespondsAby:
A.AadvisingAtheAsurvivorsAtoAconsiderAusingAaAhypnoticAmedicationAforAaAbriefAperiod.
B.AeducatingAtheAsurvivorsAaboutAprodromalAsymptomsAofAposttraumaticAstressAdisorder.
C.AencouragingAtheAsurvivorsAtoArestAduringAtheAday.
D.AsuggestingAthatAtheAsurvivorsAjoinAaAposttraumaAsupportAgroup.A-
ACORRECTAANSWERSA-
B.AeducatingAtheAsurvivorsAaboutAprodromalAsymptomsAofAposttraumaticAstressAdisorder.
5.AAnAadultApsychiatricAandAmentalAhealthAnurseApractitionerAusesAtheAinterpersonalAthera
pyAmodelAwithAaApatientAtoAestablishAaAtherapeuticAallianceAbasedAuponAempathyAandAtrus
t.ATheAnurseApractitionerArecognizesAtheApatient'sAreadinessAtoAterminateAtherapyAwhenAth
eApatientAdemonstrates:
A.AanAunderstandingAthatAleavingAaAsignificantAotherAmayAbeApainful,AbutAalsoApresentsAan
AopportunityAforAgrowth.
B.AbreathingAandAmuscleArelaxationAexercisesAthatAdecreaseAmuscleAtensionAandAanxiety.
, C.AfreeAassociation,AandAconsidersAtheAnurseApractitioner'sAinterpretationAofAtheApatient'sA
dreams.
D.AnewAadaptiveAskillsAandAresponsesAafterAcompletingA"homeworkAassignments."A-
ACORRECTAANSWERSA-
A.AanAunderstandingAthatAleavingAaAsignificantAotherAmayAbeApainful,AbutAalsoApresentsAan
AopportunityAforAgrowth.
6.AAnAHispanicApatientAinformsAanAadultApsychiatricAandAmentalAhealthAnurseApractitionerA
duringAaAwellnessAvisitAthatAheAorAsheAoccasionallyAusesAhotAchiliAjuiceAtoArelieveAaA"nervo
usAcondition."ATheApatientAdeniesAanyAcomplaintsArelatedAtoAthisApractice.ATheAnurseAprac
titioner'sAresponseAisAto:
A.AactivelyAdiscourageAtheApatientAfromAcontinuingAthisAtreatment.
B.AofferAaAmedicationAtoAtreatAtheAnervousAcondition.
C.AsuggestAanAalternativeAfoodAtoArelieveAtheAnervousAcondition.
D.AviewAthisAasAaAself-careAritualAthatAneedsAtoAbeApreserved.A-ACORRECTAANSWERSA-
D.AviewAthisAasAaAself-careAritualAthatAneedsAtoAbeApreserved.
7.ABeforeAanAolderAadultApatientAinitiatesApharmacotherapyAwithAaAmedicationAthatAisAclear
edAbyAtheAkidneys,AanAadultApsychiatricAandAmentalAhealthAnurseApractitionerAassessesAth
eApatient's:
A.AbloodAureaAnitrogenAlevel.
B.AcreatinineAclearance.
C.AspecificAgravity.
D.AurinaryAsediment.A-ACORRECTAANSWERSA-B.AcreatinineAclearance.
8.AAnAadultApsychiatricAandAmentalAhealthAnurseApractitionerAusesAaAcognitive-
behavioralAapproachAtoAhelpAanAadolescentApatientAchangeAself-
defeatingAbehaviors.AAfterAidentifyingAtheAinitialAstressorAthatAisAcausingAtheAinappropriateA
behavior,AtheAtherapeuticAinterventionAisAtoAidentify:
A.AalternativeApositiveAresponsesAtoAtheAstressor.
B.AnegativeAconsequencesAofAtheAbehavioralAresponseAtoAtheAstressor.
C.ApossibleAoutcomesAofAalternativeAresponses.
D.ArationalAandAirrationalAbeliefsAaboutAtheAstressor.A-ACORRECTAANSWERSA-
D.ArationalAandAirrationalAbeliefsAaboutAtheAstressor.
9.AWhichAcharacteristicAofAfluoxetineA(Prozac)AprovidesAtheAgreatestAdegreeAofAsafetyAforA
patientsAwhoAhaveAsevereAdepression?
A.AGreaterAefficacyAthanAtricyclicAantidepressants
B.ALessApotentialAforAdrugAinteraction
C.ALessApotentialAforAinjuryAwithAintentionalAoverdose
D.ALessApotentialAforAsuicidalAthinkingA-ACORRECTAANSWERSA-
C.ALessApotentialAforAinjuryAwithAintentionalAoverdose
10.AWhenAlobbyingAaAlocalAcongressionalArepresentativeAtoAincludeAnurseApractitionersAinA
reimbursementAforAservicesAinAallAareasAofAtheAcountry,AanAadultApsychiatricAandAmentalAh
ealthAnurseApractitionerAemphasizesAthe:
A.AabilityAofAnurseApractitionersAtoAprovideAhealthAcareAthatApatientsAneed.
B.AfactAthatAnurseApractitionersAareAcaringAinAtheirApatientAcareAdelivery.
C.AimportanceAofAbroadeningAtheAscopeAofAnursingApractice.
Answers 2025
AApatientAwithAborderlineApersonalityAdisorderAexperiencesAintenseAanxietyAwhenAanAadult
ApsychiatricAandAmentalAhealthAnurseApractitionerAgoesAonAvacation.ATheAbestAexplanation
AforAthisAreactionAisAthatAtheApatient:
A.AhasAfailedAtoAdevelopAclearAegoAboundaries.
B.AhasAfailedAtoAmasterAobjectAconstancy.
C.AisAemployingAprimitiveAidealization.
D.AisAemployingAprojectiveAidentification.A-ACORRECTAANSWERSA-
B.AhasAfailedAtoAmasterAobjectAconstancy
2.AAApatientAhasAbeenAtakingAescitalopramA(Lexapro)A10AmgAdailyAforAfourAweeks.AInitially,
AtheApatientAreportedAdepressionAandAsuicidalAthoughts.ATheApatient'sAsleep,Aappetite,Aen
ergy,AandAappearanceAhaveAnowAbegunAtoAimprove.AWhichAstatementAappliesAtoAthisApati
ent?
A.ATheAmedicationAshouldAbeAdiscontinued.
B.ATheAmedicationAshouldAbeAincreased.A
C.ATheApatient'sAriskAforAsuicideAisAnotAaAconcern.
D.ATheApatient'sAsuicideApotentialAisAincreased.A-ACORRECTAANSWERSA-
D.ATheApatient'sAsuicideApotentialAisAincreased.
3.AWhichAbehaviorAreflectsAexistentiallyAorientedAtherapy?
A.AAttemptingAtoAunderstandAaApatient'sAsubjectiveAworld
B.AChallengingAaApatient'sAirrationalAbeliefs
C.ADevelopingAspecificAplansAforAchange
D.AEstablishingAgeneralAgroupAgoalsA-ACORRECTAANSWERSA-
A.AAttemptingAtoAunderstandAaApatient'sAsubjectiveAworld
4.AServingAasAaAmemberAonAaAcrisisAteam,AanAadultApsychiatricAandAmentalAhealthAnurseAp
ractitionerAprovidesAcrisisAinterventionAtoAtheAsurvivorsAofAaAplaneAcrash.AForty-
eightAhoursAafterAtheAaccident,AtheAsurvivorsAdescribeAvividAflashbacks,AstartleAreactions,A
andAdisruptedAsleepApatterns.ATheAnurseApractitionerArespondsAby:
A.AadvisingAtheAsurvivorsAtoAconsiderAusingAaAhypnoticAmedicationAforAaAbriefAperiod.
B.AeducatingAtheAsurvivorsAaboutAprodromalAsymptomsAofAposttraumaticAstressAdisorder.
C.AencouragingAtheAsurvivorsAtoArestAduringAtheAday.
D.AsuggestingAthatAtheAsurvivorsAjoinAaAposttraumaAsupportAgroup.A-
ACORRECTAANSWERSA-
B.AeducatingAtheAsurvivorsAaboutAprodromalAsymptomsAofAposttraumaticAstressAdisorder.
5.AAnAadultApsychiatricAandAmentalAhealthAnurseApractitionerAusesAtheAinterpersonalAthera
pyAmodelAwithAaApatientAtoAestablishAaAtherapeuticAallianceAbasedAuponAempathyAandAtrus
t.ATheAnurseApractitionerArecognizesAtheApatient'sAreadinessAtoAterminateAtherapyAwhenAth
eApatientAdemonstrates:
A.AanAunderstandingAthatAleavingAaAsignificantAotherAmayAbeApainful,AbutAalsoApresentsAan
AopportunityAforAgrowth.
B.AbreathingAandAmuscleArelaxationAexercisesAthatAdecreaseAmuscleAtensionAandAanxiety.
, C.AfreeAassociation,AandAconsidersAtheAnurseApractitioner'sAinterpretationAofAtheApatient'sA
dreams.
D.AnewAadaptiveAskillsAandAresponsesAafterAcompletingA"homeworkAassignments."A-
ACORRECTAANSWERSA-
A.AanAunderstandingAthatAleavingAaAsignificantAotherAmayAbeApainful,AbutAalsoApresentsAan
AopportunityAforAgrowth.
6.AAnAHispanicApatientAinformsAanAadultApsychiatricAandAmentalAhealthAnurseApractitionerA
duringAaAwellnessAvisitAthatAheAorAsheAoccasionallyAusesAhotAchiliAjuiceAtoArelieveAaA"nervo
usAcondition."ATheApatientAdeniesAanyAcomplaintsArelatedAtoAthisApractice.ATheAnurseAprac
titioner'sAresponseAisAto:
A.AactivelyAdiscourageAtheApatientAfromAcontinuingAthisAtreatment.
B.AofferAaAmedicationAtoAtreatAtheAnervousAcondition.
C.AsuggestAanAalternativeAfoodAtoArelieveAtheAnervousAcondition.
D.AviewAthisAasAaAself-careAritualAthatAneedsAtoAbeApreserved.A-ACORRECTAANSWERSA-
D.AviewAthisAasAaAself-careAritualAthatAneedsAtoAbeApreserved.
7.ABeforeAanAolderAadultApatientAinitiatesApharmacotherapyAwithAaAmedicationAthatAisAclear
edAbyAtheAkidneys,AanAadultApsychiatricAandAmentalAhealthAnurseApractitionerAassessesAth
eApatient's:
A.AbloodAureaAnitrogenAlevel.
B.AcreatinineAclearance.
C.AspecificAgravity.
D.AurinaryAsediment.A-ACORRECTAANSWERSA-B.AcreatinineAclearance.
8.AAnAadultApsychiatricAandAmentalAhealthAnurseApractitionerAusesAaAcognitive-
behavioralAapproachAtoAhelpAanAadolescentApatientAchangeAself-
defeatingAbehaviors.AAfterAidentifyingAtheAinitialAstressorAthatAisAcausingAtheAinappropriateA
behavior,AtheAtherapeuticAinterventionAisAtoAidentify:
A.AalternativeApositiveAresponsesAtoAtheAstressor.
B.AnegativeAconsequencesAofAtheAbehavioralAresponseAtoAtheAstressor.
C.ApossibleAoutcomesAofAalternativeAresponses.
D.ArationalAandAirrationalAbeliefsAaboutAtheAstressor.A-ACORRECTAANSWERSA-
D.ArationalAandAirrationalAbeliefsAaboutAtheAstressor.
9.AWhichAcharacteristicAofAfluoxetineA(Prozac)AprovidesAtheAgreatestAdegreeAofAsafetyAforA
patientsAwhoAhaveAsevereAdepression?
A.AGreaterAefficacyAthanAtricyclicAantidepressants
B.ALessApotentialAforAdrugAinteraction
C.ALessApotentialAforAinjuryAwithAintentionalAoverdose
D.ALessApotentialAforAsuicidalAthinkingA-ACORRECTAANSWERSA-
C.ALessApotentialAforAinjuryAwithAintentionalAoverdose
10.AWhenAlobbyingAaAlocalAcongressionalArepresentativeAtoAincludeAnurseApractitionersAinA
reimbursementAforAservicesAinAallAareasAofAtheAcountry,AanAadultApsychiatricAandAmentalAh
ealthAnurseApractitionerAemphasizesAthe:
A.AabilityAofAnurseApractitionersAtoAprovideAhealthAcareAthatApatientsAneed.
B.AfactAthatAnurseApractitionersAareAcaringAinAtheirApatientAcareAdelivery.
C.AimportanceAofAbroadeningAtheAscopeAofAnursingApractice.