ANCC Practice PMHNP Exam Sample Questions and answers

Prostate, mammogram, lung, colorectal, and cervical cancer screenings are all listed under which medical coverage: Medicare Part B Medicare Part C Medicare Part A Medicare Part D Medicare Part B Which of the following populations has the highest rates of serious mental illnesses to include PTSD, MDD, Bipolar Disorder, and schizophrenia? College campuses Low-income urban areas Migrant workers Prisoners Prisoners The governing body responsible for the approval of new drugs and determining when a medication can be sold and be available to the public as either a prescription or over-the-counter option is the : Centers for Medicare and Medicaid Services Food and Drug Administration Centers for Diseases Control and Prevention World Health Organization Food and Drug Administration What circumstance places homeless individuals at a greater risk for experiencing violence, medication noncompliance, and treatment resistance as compared to other populations? Unemployment Poverty No obvious risk Co-occurring disorders Co-occurring disorders A 22-year-old male patient is evaluated by the psychiatric mental health nurse practitioner. She notes muscle rigidity, flat affect, slowed motor responses, and tremors. Upon further review of medications, the provider notes that the patient is currently taking 30 milligrams of Abilify (aripiprazole) daily. The practitioner annotates the physical signs as which class of extrapyramidal (EPS) side effects? Acute dystonia Akathisia Parkinsonian symptoms Tardive dyskinesia Parkinsonian symptoms The psychiatric-mental health nurse practitioner at a local health clinic is implementing a quality improvement project to assess current clinic services available to patients. What is an effective plan for evaluating the clinic's services: Conduct an initial search for epidemiological studies Conduct a patient satisfaction survey Conduct a root cause analysis Interview patient family members Conduct a patient satisfaction survey Which rating scale is commonly used for the measurement of akathisia? HAM-A CTS-R BARS MAP BARS The psychiatric mental health nurse practitioner understands that Maslow's Hierarchy of Needs was developed to assist in care planning to help patients obtain their highest potential and self-fulfillment. To achieve the highest level of potential, lower-level needs must be met. Which of the following choices are placed in the appropriate order - from lowest level to highest level of needs? Physiological, safety and security, love/belonging, self-esteem, and self-actualization Love/belonging, physiological, safety and security, love/belonging, self-esteem, and self-actualization Physiological, love/belonging, safety and security, self-esteem, and self-actualization Safety and security, physiological, love/belonging, self-esteem, and self-actualization Physiological, safety and security, love/belonging, self-esteem, and self-actualization Which of the following laboratory findings indicate an alcohol use disorder: Increased urine, alkaline phosphatase, and serum creatinine levels Increased liver function values and decreased MCV with normal triglyceride levels Elevated potassium and chloride levels Increased MCV and elevated triglyceride levels Increased MCV and elevated triglyceride levels The mother of a seven-year-old patient calls to inform you that she has considered the medication options for her child diagnosed with ADHD and would like to start methylphenidate. As the PMHNP you understand what to be an important aspect of this care plan: He may need additional dosing depending on how he presents later in the day This child is too young for this medication It is important to first assess any family history of cardiac events or illness This is an inappropriate medication choice for this diagnosis, and he should first be started on clonidine It is important to first assess any family history of cardiac events or illness A 25-year-old male presents to the mental health clinic with complaints of gynecomastia following initiation of antipsychotic medication due to an acute psychotic episode and inpatient treatment. The nurse practitioner understands that this is likely caused by the medication's effect on which area of the brain? Nigrostriatal Mesolimbic pathway Tuberoinfundibular pathway Mesocortical pathway Tuberoinfundibular pathway An office manager reads a recent patient satisfaction card. The patient reported that he felt comfortable being treated by the PMHNP and that she was respectful of his wishes and extremely knowledgeable about his condition and medication plan. Additionally, he spoke to her professional behavior and integrity. The manager reports to the PMHNP and congratulates her on successfully accomplishing which ethical principle? Justice Veracity Beneficence Role Fidelity Role Fidelity A psychiatric mental health nurse practitioner recently increased a 20-year-old male patient's olanzapine (Zyprexa) prescription from a 5 mg to 10 mg daily dose for symptoms related to schizophrenia. During his most recent appointment, he presented with increased delusions and incoherent speech patterns. Which of the following assessment findings is most concerning? Started 600 mg Ibuprofen for muscle pain Began eating grapefruit with breakfast every morning Started smoking again after recent break-up with his girlfriend Reported increased thoughts of suicide Reported increased thoughts of suicide