ANCC REVIEW QUESTIONS (PMHNP IQ) QBANK ANSWERED ALL CORRECTLY ANSWERED; LATEST UPDATED SUMMER 2025.

ANCC REVIEW QUESTIONS (PMHNP IQ) QBANK ANSWERED ALL CORRECTLY ANSWERED; LATEST UPDATED SUMMER 2025. The Centers for Medicare and Medicaid Services (CMS) administer what two major public insurance programs? - CORRECT ANSMedicaid and Medicare How is Medicaid funded? - CORRECT ANSby both federal and state tax dollars Who is eligible for Medicaid? - CORRECT ANSLow-income children Low-income pregnant women Elderly and disabled individuals who qualify for the Supplemental Security Income Program How is Medicare funded? - CORRECT ANSby federal tax dollars Who is eligible for Medicare? - CORRECT ANSThe elderly age 65 and older having worked 40 quarters and paid Medicare taxes Certain younger individuals with disabilities Individuals with end-stage renal disease Individuals in need of a kidney transplant Individuals receiving Social Security Disability and who have amyotrophic lateral sclerosis What is covered under Medicare Part A? - CORRECT ANShospitalization (up to 90 days), skilled nursing facility (up to 100 days), hospice (up to 6 months for terminally ill), and some home health care What is covered under Medicare Part B? - CORRECT ANSambulatory practitioner service; physical, occupational, and speech therapy; medical equipment; diagnostic tests; and some preventative care What is Medicare Part C? - CORRECT ANSMedicare Advantage; optional coverage for beneficiaries who can choose to receive all of their health care services through one of the provider organizations covered under the Medicare Advantage Plan What is Medicare Part D? - CORRECT ANSoptional coverage for outpatient pharmaceuticals; prescription drug coverage program available to all Medicare beneficiaries. Private companies approved by Medicare provide the coverage. What service is guaranteed to be covered by Medicaid? - CORRECT ANSfamily planning services Other services covered under Medicaid include: inpatient medical hospitalizations outpatient services home health services home health aides skilled nursing facilities services for those age 21 and older services rendered by NPs and nurse midwives medical supplies for use in-home pregnancy-related services up to 60 days postpartum What services may not be covered under Medicaid? - CORRECT ANSvision care eyeglasses dental care dentures hearing exams hearing aides routine physical exams inpatient psychiatric hospitalizations health alliance - CORRECT ANSpublic agency that uses its bargaining power to negotiate competitive prices for health insurance from the private insurance market special interest agency - CORRECT ANSgroup of people seeking or receiving special advantages through political lobbying public interest groups - CORRECT ANSpromote issues of general public concern political action committee - CORRECT ANSan organization that raises money privately to influence elections or legislation, especially at the federal level preventative factors - CORRECT ANSfactors that prevent or protect the person from developing a psychiatric condition or disorder What are the 3 categories of preventative factors? - CORRECT ANSbiological, psychological, social Biological preventative factors - CORRECT ANSWithout a history of mental illness in the family Healthy nutritional status Good general health Psychological preventative factors - CORRECT ANSGood self-esteem Good self-concept Internal locus of control Healthy ego defenses Social preventative factors - CORRECT ANSLow-stress occupation Higher socioeconomic status Higher level of education What is a risk closely associated with lamotrigine? - CORRECT ANSStevens- Johnson syndrome - a serious, life-threatening side effect in which a painful burning rash appears Treatment: discontinue medication immediately; patient should report to ER for stabilization According to Erik Erikson, failure to resolve which psychosocial stage is associated with later development of conversion disorder? - CORRECT ANS Initiative vs. Guilt Failure to successfully resolve the psychosocial stage Initiative vs Guilt is associated with later development of this psychopathology According to Erik Erikson, failure to resolve the Trust vs Mistrust psychosocial stage is associated with later development of what? - CORRECT ANSpsychosis, addictions, depression According to Erik Erikson, failure to resolve the Autonomy vs Shame and Doubt psychosocial stage is associated with later development of what? - CORRECT ANS paranoia, obsession, compulsions, and impulsivity According to Erik Erikson, failure to resolve the Industry vs Inferiority psychosocial stage is associated with later development of what? - CORRECT ANS creative inhibition What are Erik Erikson's stages of psychosocial development? - CORRECT ANS Trust vs Mistrust: birth to 12-18 months Autonomy vs Shame and Doubt: 12-18 months to 3 years Initiative vs Guilt: 3 to 5-6 years Industry vs Inferiority: 5-6 years to adolescence Identity vs Role Confusion: adolescence to adulthood Intimacy vs Isolation: adulthood Generativity vs Stagnation: middle adulthood Ego Integrity vs Despair: late adulthood Trust vs Mistrust - CORRECT ANSErikson's first stage during the first year of life, infants learn to trust when they are cared for in a consistent warm manner birth to 12-18 months Autonomy vs Shame and Doubt - CORRECT ANS12-18 months to 3 years Erikson's stage in which a toddler learns to exercise will and to do things independently; failure to do so causes shame and doubt Failure to resolve the Autonomy vs. Shame and Doubt phase can lead to what? - CORRECT ANSthe development of paranoia, obsessions, compulsions Initiative vs Guilt - CORRECT ANS3 to 5-6 years Erikson's third stage in which the child finds independence in planning, playing and other activities Failure to resolve the Initiative vs. Guilt stage can lead to the development of what? - CORRECT ANSconversion disorder, phobias, and psychosomatic disorders Industry vs Inferiority - CORRECT ANS5-6 years to adolescence Erikson's fourth stage of identity typically occurs between the ages of 7-13; when a child successfully navigates this stage, they develop competency and learn to be productive Failure to resolve the Industry vs. Inferiority stage can contribute to what? - CORRECT ANScreative inhibition Identity vs Role Confusion - CORRECT ANSErikson's stage during which teenagers and young adults (adolescence to adulthood) search for and become their true selves Failure to successfully resolve the psychosocial stage Identity vs. Role Confusion is linked to what? - CORRECT ANSdelinquent behavior, borderline psychotic episodes, and gender-related identity disorders Intimacy vs Isolation - CORRECT ANSadulthood Erikson's stage in which individuals form deeply personal relationships, marry, begin families Generativity vs Stagnation - CORRECT ANSErikson's stage of social development in which middle-aged (middle adulthood) people begin to devote themselves more to fulfilling one's potential and doing public service Ego Integrity vs Despair - CORRECT ANSpeople in late adulthood either achieve a sense of integrity of the self by accepting the lives they have lived or yield to despair that their lives cannot be relived Ego Integrity vs Despair is the final stage of psychosocial development. Successful resolution of this stage is characterized by a sense of what? - CORRECT ANSunity in life's accomplishments Failure to resolve ego integrity vs despair leads to what? - CORRECT ANSregret over lost opportunities of life What psychoactive substance is most widely used in the US? - CORRECT ANS cannabinoids Cannabinoids, particularly cannabis, are the most widely used psychoactive substances in the United States. The 12-month prevalence of cannabis use disorder is 3.4%. The rates of cannabis use disorder are highest among adult and adolescent males. True or False? The risk of depression is equal between males and females in early childhood. - CORRECT ANSTrue To diagnose depression, symptoms must be present for how long? - CORRECT ANSat least 2 weeks In the majority of cases, depression during childhood remits when? - CORRECT ANSduring the first year after diagnosis