Sample Test Questions ANCC – PMHNP
And Answers
A hpatient hwith hborderline hpersonality hdisorder hexperiences hintense hanxiety hwhen han hadult
hpsychiatric hand hmental hhealth hnurse hpractitioner hgoes hon hvacation. hThe hbest hexplanation hfor
hthis hreaction his hthat hthe hpatient:
A. hhas hfailed hto hdevelop hclear hego hboundaries.
B. hhas hfailed hto hmaster hobject hconstancy.
C. his hemploying hprimitive hidealization.
D. his hemploying hprojective hidentification. h- hAnswer h- hB. hhas hfailed hto hmaster hobject hconstancy
2. hA hpatient hhas hbeen htaking hescitalopram h(Lexapro) h10 hmg hdaily hfor hfour hweeks. hInitially, hthe
hpatient hreported hdepression hand hsuicidal hthoughts. hThe hpatient's hsleep, happetite, henergy, hand
happearance hhave hnow hbegun hto himprove. hWhich hstatement happlies hto hthis hpatient?
A. hThe hmedication hshould hbe hdiscontinued.
B. hThe hmedication hshould hbe hincreased. h
C. hThe hpatient's hrisk hfor hsuicide his hnot ha hconcern.
D. hThe hpatient's hsuicide hpotential his hincreased. h- hAnswer h- hD. hThe hpatient's hsuicide hpotential his
hincreased.
3. hWhich hbehavior hreflects hexistentially horiented htherapy?
A. hAttempting hto hunderstand ha hpatient's hsubjective hworld
B. hChallenging ha hpatient's hirrational hbeliefs
C. hDeveloping hspecific hplans hfor hchange
, D. hEstablishing hgeneral hgroup hgoals h- hAnswer h- hA. hAttempting hto hunderstand ha hpatient's
hsubjective hworld
4. hServing has ha hmember hon ha hcrisis hteam, han hadult hpsychiatric hand hmental hhealth hnurse
hpractitioner hprovides hcrisis hintervention hto hthe hsurvivors hof ha hplane hcrash. hForty-eight hhours
hafter hthe haccident, hthe hsurvivors hdescribe hvivid hflashbacks, hstartle hreactions, hand hdisrupted
hsleep hpatterns. hThe hnurse hpractitioner hresponds hby:
A. hadvising hthe hsurvivors hto hconsider husing ha hhypnotic hmedication hfor ha hbrief hperiod.
B. heducating hthe hsurvivors habout hprodromal hsymptoms hof hposttraumatic hstress hdisorder.
C. hencouraging hthe hsurvivors hto hrest hduring hthe hday.
D. hsuggesting hthat hthe hsurvivors hjoin ha hposttrauma hsupport hgroup. h- hAnswer h- hB. heducating hthe
hsurvivors habout hprodromal hsymptoms hof hposttraumatic hstress hdisorder.
5. hAn hadult hpsychiatric hand hmental hhealth hnurse hpractitioner huses hthe hinterpersonal htherapy
hmodel hwith ha hpatient hto hestablish ha htherapeutic halliance hbased hupon hempathy hand htrust. hThe
hnurse hpractitioner hrecognizes hthe hpatient's hreadiness hto hterminate htherapy hwhen hthe hpatient
hdemonstrates:
A. han hunderstanding hthat hleaving ha hsignificant hother hmay hbe hpainful, hbut halso hpresents han
hopportunity hfor hgrowth.
B. hbreathing hand hmuscle hrelaxation hexercises hthat hdecrease hmuscle htension hand hanxiety.
C. hfree hassociation, hand hconsiders hthe hnurse hpractitioner's hinterpretation hof hthe hpatient's
hdreams.
D. hnew hadaptive hskills hand hresponses hafter hcompleting h"homework hassignments." h- hAnswer h- hA.
han hunderstanding hthat hleaving ha hsignificant hother hmay hbe hpainful, hbut halso hpresents han
hopportunity hfor hgrowth.
6. hAn hHispanic hpatient hinforms han hadult hpsychiatric hand hmental hhealth hnurse hpractitioner
hduring ha hwellness hvisit hthat hhe hor hshe hoccasionally huses hhot hchili hjuice hto hrelieve ha h"nervous
hcondition." hThe hpatient hdenies hany hcomplaints hrelated hto hthis hpractice. hThe hnurse hpractitioner's
hresponse his hto:
A. hactively hdiscourage hthe hpatient hfrom hcontinuing hthis htreatment.
B. hoffer ha hmedication hto htreat hthe hnervous hcondition.
C. hsuggest han halternative hfood hto hrelieve hthe hnervous hcondition.
And Answers
A hpatient hwith hborderline hpersonality hdisorder hexperiences hintense hanxiety hwhen han hadult
hpsychiatric hand hmental hhealth hnurse hpractitioner hgoes hon hvacation. hThe hbest hexplanation hfor
hthis hreaction his hthat hthe hpatient:
A. hhas hfailed hto hdevelop hclear hego hboundaries.
B. hhas hfailed hto hmaster hobject hconstancy.
C. his hemploying hprimitive hidealization.
D. his hemploying hprojective hidentification. h- hAnswer h- hB. hhas hfailed hto hmaster hobject hconstancy
2. hA hpatient hhas hbeen htaking hescitalopram h(Lexapro) h10 hmg hdaily hfor hfour hweeks. hInitially, hthe
hpatient hreported hdepression hand hsuicidal hthoughts. hThe hpatient's hsleep, happetite, henergy, hand
happearance hhave hnow hbegun hto himprove. hWhich hstatement happlies hto hthis hpatient?
A. hThe hmedication hshould hbe hdiscontinued.
B. hThe hmedication hshould hbe hincreased. h
C. hThe hpatient's hrisk hfor hsuicide his hnot ha hconcern.
D. hThe hpatient's hsuicide hpotential his hincreased. h- hAnswer h- hD. hThe hpatient's hsuicide hpotential his
hincreased.
3. hWhich hbehavior hreflects hexistentially horiented htherapy?
A. hAttempting hto hunderstand ha hpatient's hsubjective hworld
B. hChallenging ha hpatient's hirrational hbeliefs
C. hDeveloping hspecific hplans hfor hchange
, D. hEstablishing hgeneral hgroup hgoals h- hAnswer h- hA. hAttempting hto hunderstand ha hpatient's
hsubjective hworld
4. hServing has ha hmember hon ha hcrisis hteam, han hadult hpsychiatric hand hmental hhealth hnurse
hpractitioner hprovides hcrisis hintervention hto hthe hsurvivors hof ha hplane hcrash. hForty-eight hhours
hafter hthe haccident, hthe hsurvivors hdescribe hvivid hflashbacks, hstartle hreactions, hand hdisrupted
hsleep hpatterns. hThe hnurse hpractitioner hresponds hby:
A. hadvising hthe hsurvivors hto hconsider husing ha hhypnotic hmedication hfor ha hbrief hperiod.
B. heducating hthe hsurvivors habout hprodromal hsymptoms hof hposttraumatic hstress hdisorder.
C. hencouraging hthe hsurvivors hto hrest hduring hthe hday.
D. hsuggesting hthat hthe hsurvivors hjoin ha hposttrauma hsupport hgroup. h- hAnswer h- hB. heducating hthe
hsurvivors habout hprodromal hsymptoms hof hposttraumatic hstress hdisorder.
5. hAn hadult hpsychiatric hand hmental hhealth hnurse hpractitioner huses hthe hinterpersonal htherapy
hmodel hwith ha hpatient hto hestablish ha htherapeutic halliance hbased hupon hempathy hand htrust. hThe
hnurse hpractitioner hrecognizes hthe hpatient's hreadiness hto hterminate htherapy hwhen hthe hpatient
hdemonstrates:
A. han hunderstanding hthat hleaving ha hsignificant hother hmay hbe hpainful, hbut halso hpresents han
hopportunity hfor hgrowth.
B. hbreathing hand hmuscle hrelaxation hexercises hthat hdecrease hmuscle htension hand hanxiety.
C. hfree hassociation, hand hconsiders hthe hnurse hpractitioner's hinterpretation hof hthe hpatient's
hdreams.
D. hnew hadaptive hskills hand hresponses hafter hcompleting h"homework hassignments." h- hAnswer h- hA.
han hunderstanding hthat hleaving ha hsignificant hother hmay hbe hpainful, hbut halso hpresents han
hopportunity hfor hgrowth.
6. hAn hHispanic hpatient hinforms han hadult hpsychiatric hand hmental hhealth hnurse hpractitioner
hduring ha hwellness hvisit hthat hhe hor hshe hoccasionally huses hhot hchili hjuice hto hrelieve ha h"nervous
hcondition." hThe hpatient hdenies hany hcomplaints hrelated hto hthis hpractice. hThe hnurse hpractitioner's
hresponse his hto:
A. hactively hdiscourage hthe hpatient hfrom hcontinuing hthis htreatment.
B. hoffer ha hmedication hto htreat hthe hnervous hcondition.
C. hsuggest han halternative hfood hto hrelieve hthe hnervous hcondition.
