PMHNP ANCC Exam Review Questions with Correct Solutions Updated 2025/2026 Newest Syllabus A+ GRADED!! 100% Guaranteed Pass!!!<<Latest Version>>

PMHNP ANCC Exam Review Questions with Correct Solutions Updated 2025/2026 Newest Syllabus A+ GRADED!! 100% Guaranteed Pass!!!&lt;&lt;Latest Version&gt;&gt; Which of the following client statements best describes imitative behavior as a therapeutic factor in group therapy? a. Group members talk over one another so the loudest person is heard b. Group members begin to model aspects of other members of the group and group leaders c. Group members discuss past situations when they were bullied and felt ashamed d. Group leaders take charge of the group and redirect members when they monopolize the group - ANSWER B. As group progresses the leader is less active and the members of the group take over and begin to model other members and the leaders. Dialectical behavioral therapy (DBT) draws on cognitive theory and behavioral theory, along with other theories. Elements of behavioral theory in DBT include which of the following? a. Skills training and exposure b. Examination of feelings and relating feelings to visceral sensations c. Working through the transference with the therapist d. Cognitive interpretation of past traumatic experiences - ANSWER A. DBT focuses on cognitive and behavioral techniques, mindfulness including meditation, and emotional regulation. Dialectical behavioral therapy (DBT) affirms dialectical thinking, which involves examining and discussing opposing ideas to find the truth. This philosophy is a supportive principle of DBT training. The central dialectical pattern emphasized in DBT involves the tension between: a. Radical acceptance and change b. Cue exposure and block avoidance c. Problem avoidance and problem-solving d. Crisis survival and acceptance - ANSWER A. DBT emphasis acceptance of the current reality of what is and the ability to engage in personal change. Samantha is a 26-year-old partnered woman who works full time as a teacher. She is in a long-term relationship with Mary and they are getting along well, and doing well financially. They have two children, ages 2 and 6. Samantha is seeing the PMHNP to address her concerns that she is feeling down and sad for no reason and states, "I know my life is going well but I just don't feel happy. I have always worried a lot and have been sad most of my life." As a PMHNP trained in transactional analysis (TA), you understand that personality is multifaceted and wonder if which of the following is affecting her ability to experience happiness: a. She had long periods of separation from her primary caregiver as a child and now has a difficult time accepting and receiving love and experiencing happiness b. She likely had a traumatic event in her childhood and her thoughts and feelings related to the event are locked together in h - ANSWER B. According to TA, when a person is traumatized the thoughts and feelings get tied together and the process of therapy is to unlock the two. You have been working with a 54-year-old man who has been treated for schizophrenia since age 19. He has limited social interactions, likes to be alone, and has never dated nor had a desire to date. His symptoms are best explained by which of the following? a. Antisocial personality disorder b. Lack of personal hygiene c. Negative symptoms d. Positive symptoms - ANSWER C. Negative symptoms include flat affect, alogia, avolition, poor attention, and anhedonia. In the case study, the symptoms are avolition and anhedonia. Following evidence-based (EB) practice, which laboratory screening tests and assessments should be completed prior to placing a person on a second-generation ("atypical") antipsychotic medication? a. Serum glucose, lipid profile, weight, blood pressure, waist circumference, and family history of cardiovascular disease b. Comprehensive metabolic panel, body mass index, complete blood count, and thyroid panel c. Serum glucose or hemoglobin A1c, lipid profile, weight, body mass index, blood pressure, waist circumference, and family history of cardiovascular disease d. Serum glucose, complete blood count, assessment of family history of cardiovascular disease and cancer - ANSWER C. EB practice guidelines indicate that all clients should have the following prior to starting antipsychotic medication: fasting glucose or A1c, lipid profile, weight, body mass index, blood pressure, waist circumference, and family history of cardiovascular disease. Which type of hallucination is rare in persons with psychotic illnesses and is often associated with an organic etiology? a. Auditory hallucinations b. Gustatory hallucinations c. Visual hallucinations d. Combination hallucinations - ANSWER B. The most common type of hallucinations in persons with psychotic illnesses are auditory and visual. Tactile and gustatory hallucinations are less common and more likely related to an organic illness. What differentiates atypical antipsychotic medications from first-generation or typical antipsychotic medications? a. 5HT2a receptor antagonist properties b. 5HT2a receptor agonist properties c. Specific dopamine receptor 3 and 5HT2a blockade d. Dopamine receptor 2 antagonist properties - ANSWER A. Typical antipsychotic medications block D2 receptors; atypical antipsychotic medications block D2 receptors and have 5HT2a antagonist properties. You are treating a client with schizophrenia who takes clozapine. What laboratory values will indicate the client needs to discontinue treatment? a. White blood cell count of less than 1,800/mm3 and absolute neutrophil count of less than 1,200/mm3 b. Absolute neutrophil count of less than 1,000/uL c. White blood cell count of less than 1,200/mm3 d. Absolute neutrophil count of less than 2,000/uL - ANSWER B. The recent change in monitoring clozapine clients using the risk evaluation and mitigation strategy (REMS) indicates persons treated on clozapine need to have absolute neutrophil count monitored and, if it drops below 1,000/uL, treatment must be interrupted and can be resumed once the absolute neutrophil count normalizes above 1,000/uL. Sean is a 47-year-old Gulf War veteran who was in combat during Operation Desert Storm. Sean has been treated by the PMHNP for major depressive disorder and associated anxiety symptoms. During the most recent visit, the PMHNP learns that Sean sustained a traumatic brain injury during his service, which was recently diagnosed at the TBI clinic in the Veterans Affairs clinic. What is the rationale for the PMHNP to taper Sean off clonazepam? a. Benzodiazepines causes memory problems and confusion in clients with a history of a TBI. b. Benzodiazepines lower the seizure threshold in clients with a history of a TBI. c. Veterans Affairs has banned benzodiazepines from the medication formulary. d. Benzodiazepines place clients with a TBI at risk for a second head injury. - ANSWER A. Benzodiazepines are contraindicated in clients with a TBI due to increase rates of confusion and memory problems. Alice is a 68-year-old woman who presents to you with concerns about her memory. She explains that her mother and grandmother both experienced dementia and she wants to do what she can to prevent this terrible disease. Alice is treated for hypertension, which is well controlled; other than that she is in good health. She is socially and physically active and participates in a monthly cooking class, volunteers at her church, and plays bridge twice a week at the senior center. She says, "I understand that I am losing brain cells at my age, but I would still like to keep my mind and body active." Which is the best response to Alice? a. "You are correct that you cannot form new brain cells at your age but you should continue with your activities because they offer excellent physical and mental health benefits and in turn will lower your risk for dementia." b. "Although most brain development occurs early in life, we stil - ANSWER B. While it was once thought that brain neurons did not regenerate, we now known that while most brain development occurs early in life, we continue to form some new brain cells throughout life. As we age, we need to engage in activities that keep our brains healthy by encouraging this growth. Examples are diet, exercise, socialization, and cognitive stimulation. What is the best treatment for AIDS dementia complex? a. Acetylcholinesterase inhibitors b. Symptom-targeted pharmacologic treatments c. Nonpharmacologic supportive care d. Antiretroviral therapy - ANSWER D. All persons with AIDS should be treated with antiretroviral therapy. Those who develop dementia complex should have those symptoms treated with appropriate pharmacological or nonpharmacological interventions. As a PMHNP working on the consult liaison team, you know the importance of preventing delirium due to which of the following? a. Risk of 1-year mortality rate b. Risk of harm to the client and staff c. Risk of unremitting psychosis d. Risk of aspiration - ANSWER A. Studies have identified high rates of mortality post hospitalization for delirium so the best treatment is prevention