1
ANCC PMHNP PSYCH-MENTAL HEALTH NP
LATEST TEST 1, 2, & 3 EXAM LATEST VERSION
ALREADY GRADED A
TEST 1
Your patient, whose wife died a few months ago, appears to be very unkempt and
apathetic. Although several months have passed since his wife's death he has not
progressed at all through his grieving. You assess this condition as which of the
following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - -Correct
Answer: complicated grief
RATIONALE: A person has uncomplicated grief when he or she has normal
physical, psychological, cognitive and spiritual responses to the death of a
significant other. But when the person shows persistent maladaptive behaviors
such as not taking care of personal hygiene and/or appearance and does not
progress through the mourning process, this is complicated grief.
If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - -Correct Answer:
,Trazodone
, 2
RATIONALE: If a patient has had a myocardial infarction, during the recovery
phase, the patient should not be prescribed this medication. Trazodone (Desyrel)
can cause the patient to develop orthostatic hypotension and priapism.
To get your teaching ideas and concepts across to a poor reader which of the
following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - -Correct Answer:
Use examples and review.
RATIONALE: To get the idea across to a poor reader use examples and review.
The other choices are not helpful. You should use short sentences and easy to read
layouts; be concrete rather than abstract; and teach them how to ask questions
about their health. Also, tell context first and use visual, use common words and
examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from her
breasts. She doesn't have any other symptoms and is not pregnant, nor has been
before. She tells the nurse about each medication that she takes. Which of these
drugs may be implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline - -Correct
Answer: Risperidone
, RATIONALE: Risperidone can cause the greatest prolactin elevation among
atypical psychotics. A milky white discharge known as galactorrhea could be a
sign of an underlying condition. The fact that the woman takes Risperidone, an
atypical antipsychotic, would likely point to the cause and should be switched with
one less likely to have that same side effect.
Which of the following would be considered one of the main things that is
responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - -Correct
Answer: Medication
noncompliance
RATIONALE: Medication noncompliance is a major problem with the psychiatric
mental health patients. The home health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and
control of their symptoms.
ANCC PMHNP PSYCH-MENTAL HEALTH NP
LATEST TEST 1, 2, & 3 EXAM LATEST VERSION
ALREADY GRADED A
TEST 1
Your patient, whose wife died a few months ago, appears to be very unkempt and
apathetic. Although several months have passed since his wife's death he has not
progressed at all through his grieving. You assess this condition as which of the
following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - -Correct
Answer: complicated grief
RATIONALE: A person has uncomplicated grief when he or she has normal
physical, psychological, cognitive and spiritual responses to the death of a
significant other. But when the person shows persistent maladaptive behaviors
such as not taking care of personal hygiene and/or appearance and does not
progress through the mourning process, this is complicated grief.
If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - -Correct Answer:
,Trazodone
, 2
RATIONALE: If a patient has had a myocardial infarction, during the recovery
phase, the patient should not be prescribed this medication. Trazodone (Desyrel)
can cause the patient to develop orthostatic hypotension and priapism.
To get your teaching ideas and concepts across to a poor reader which of the
following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - -Correct Answer:
Use examples and review.
RATIONALE: To get the idea across to a poor reader use examples and review.
The other choices are not helpful. You should use short sentences and easy to read
layouts; be concrete rather than abstract; and teach them how to ask questions
about their health. Also, tell context first and use visual, use common words and
examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from her
breasts. She doesn't have any other symptoms and is not pregnant, nor has been
before. She tells the nurse about each medication that she takes. Which of these
drugs may be implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline - -Correct
Answer: Risperidone
, RATIONALE: Risperidone can cause the greatest prolactin elevation among
atypical psychotics. A milky white discharge known as galactorrhea could be a
sign of an underlying condition. The fact that the woman takes Risperidone, an
atypical antipsychotic, would likely point to the cause and should be switched with
one less likely to have that same side effect.
Which of the following would be considered one of the main things that is
responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - -Correct
Answer: Medication
noncompliance
RATIONALE: Medication noncompliance is a major problem with the psychiatric
mental health patients. The home health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and
control of their symptoms.
