ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST (TEST 1
,2,& 3 ) QUESTION AND 100% CORRECT ANSWERS | 2O26
UPDATE |
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
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.
,Which of the following would be considered an important form of communication that can
help to promote consistency in the care of the patient at the same time that it justifies their
stay in the hospital? Review of care. Documentation
Verbal reporting
None of the above - -Correct Answer:
Documentation
RATIONALE: The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation. Documentation can
promote consistency in the care of the patient and is also used to help justify the patient
remaining in the hospital.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the following
except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - -Correct Answer:
Hypertensive crisis
RATIONALE: Hypertensive crisis would be considered a symptom of PCP overdose.
Vomiting, respiratory failure and seizures would be considered an effect of LSD
overdose.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - Correct Answer: nausea
Symptoms of serotonin syndrome can present in patients that have drug combinations that are
contraindicated. They can vary from restlessness and agitation to tremors, chills, headaches,
and insomnia as well as loss of coordination. Nausea has not been implicated in serotonin
syndrome.
What is the rate of suicide attempts for patients having dissociative identity disorder?
30%
45%
70%
60% - -Correct
Answer: 70%
RATIONALE: People with dissociative identity disorder have one of the highest risks for suicide.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM- 5),more than
70% of outpatients with DID have attempted suicide, and multiple suicide attempts are
common.
Of the following, which would not be considered a phase of schizophrenia treatment?
Maintenance
, Acute
Cognitive
Stabilization - -Correct
Answer: Cognitive
RATIONALE: Cognitive is not one of the three phases of schizophrenia treatment. The three
phases are: Phase 1: acute Phase 2: stabilization Phase 3: maintenance
The patient should be monitored for effects of psychotropic medications which can
impact cardiac rhythms. Which of the following could be a potential cardiac side
effect? A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above - -Correct Answer: A
prolonged QT interval
RATIONALE: With antipsychotic drugs, the triclyclic action can cause problems. These
medications can cause a widening of the QRS or a prolonged QT interval.
This is a measure of the ventricular repolarization.
Sullivan described three developmental cognitive modes of experience and believed that
mental disorders are related to the persistence of one of the early modes. The mode that
begins in early childhood as the child begins to connect experiences in sequence is which of
the following?
prototaxic mode
parataxic mode
syntaxic mode
composite mode - -Correct
Answer: parataxic mode
RATIONALE: The parataxic mode begins in early childhood. The child
may not make logical sense of the experiences and may see them as coincidence or chance
events. The child seeks to relieve anxiety by repeating familiar experiences, although he or she
may not understand what he or she is doing.
,2,& 3 ) QUESTION AND 100% CORRECT ANSWERS | 2O26
UPDATE |
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
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.
,Which of the following would be considered an important form of communication that can
help to promote consistency in the care of the patient at the same time that it justifies their
stay in the hospital? Review of care. Documentation
Verbal reporting
None of the above - -Correct Answer:
Documentation
RATIONALE: The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation. Documentation can
promote consistency in the care of the patient and is also used to help justify the patient
remaining in the hospital.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the following
except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - -Correct Answer:
Hypertensive crisis
RATIONALE: Hypertensive crisis would be considered a symptom of PCP overdose.
Vomiting, respiratory failure and seizures would be considered an effect of LSD
overdose.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - Correct Answer: nausea
Symptoms of serotonin syndrome can present in patients that have drug combinations that are
contraindicated. They can vary from restlessness and agitation to tremors, chills, headaches,
and insomnia as well as loss of coordination. Nausea has not been implicated in serotonin
syndrome.
What is the rate of suicide attempts for patients having dissociative identity disorder?
30%
45%
70%
60% - -Correct
Answer: 70%
RATIONALE: People with dissociative identity disorder have one of the highest risks for suicide.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM- 5),more than
70% of outpatients with DID have attempted suicide, and multiple suicide attempts are
common.
Of the following, which would not be considered a phase of schizophrenia treatment?
Maintenance
, Acute
Cognitive
Stabilization - -Correct
Answer: Cognitive
RATIONALE: Cognitive is not one of the three phases of schizophrenia treatment. The three
phases are: Phase 1: acute Phase 2: stabilization Phase 3: maintenance
The patient should be monitored for effects of psychotropic medications which can
impact cardiac rhythms. Which of the following could be a potential cardiac side
effect? A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above - -Correct Answer: A
prolonged QT interval
RATIONALE: With antipsychotic drugs, the triclyclic action can cause problems. These
medications can cause a widening of the QRS or a prolonged QT interval.
This is a measure of the ventricular repolarization.
Sullivan described three developmental cognitive modes of experience and believed that
mental disorders are related to the persistence of one of the early modes. The mode that
begins in early childhood as the child begins to connect experiences in sequence is which of
the following?
prototaxic mode
parataxic mode
syntaxic mode
composite mode - -Correct
Answer: parataxic mode
RATIONALE: The parataxic mode begins in early childhood. The child
may not make logical sense of the experiences and may see them as coincidence or chance
events. The child seeks to relieve anxiety by repeating familiar experiences, although he or she
may not understand what he or she is doing.
