ANCC PMHNP IQ DOMAINS 1-5 –NEWEST
ACTUAL EXAM QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES UPDATED |
INSTANT PDF DOWNLOAD
The Nurse practitioner (NP) is seeing a 72 y/o male for depression management. Upon
assessment, the patient is alert, oriented, and non-suicidal or homicidal. The patient is able
to manage his activities of daily living. The NP witnesses the man's wife verbally abusing
him on several occasions. The NP has verbal reports from staff nurses and their nursing
notes that the man has come into the unit with bruising and contusions inconsistent with his
affluent lifestyle and physical and verbal abuse, he tells her that it is occurring He also tells
her that he does not want to do anything about the situation. He tells her specifically that he
does not want her to contact any authorities about the situation.
A. Arrange to remove the patient to a safer environment
B. The NP must do as the patient requests as long as he is competent
C. Take pictures of the bruises and contusions and save them to the patient's record
D. She is SELECTED ANSWER 👀 B. The NP must do as the patient requests as long as
he is competent
When a clinical trial fails to reject the null hypothesis (I.e., when p-value >0.050, the
investigator may have missed a true intervention effect. One should consider the following
to avoid a Type II error:
A. Alpha level
B. Effect size
C. Power
D. Sample bias SELECTED ANSWER 👀 C. Power
,The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) insures which of the
following?
A. Mental health and substance use disorder benefits must be available through both in-
network-providers and out-of-network providers by a group health plan
B. Small employers who insure 50 or fewer covered lives are exempt from the provisions of
this MHPAEA law
C. Group health plans may obtain an exemption if they can demonstrate expected cost
increase resulting from implementation of the parity provisions greater than a 5% increase
in the cost under existing plan
D. Annual or lifetime dollar limits on mental health and substance use disorder benefits are
no lower than any such dollar limits for medical and surgical benefits offered by a group
health plan SELECTED ANSWER 👀 D. Annual or lifetime dollar limits on mental health
and substance use disorder benefits are no lower than any such dollar limits for medical and
surgical benefits offered by a group health plan
The core values that underlie advanced practice nursing and culturally competent care
include:
A. Care, advocacy, respect
B. Care, respect, collaboration
C. Respect, advocacy, partnership
D. Autonomy, respect, collaboration SELECTED ANSWER 👀 C. Respect, advocacy,
partnership
Which of the following is not insured by the Universal Bill of Rights for Mental Health
Patients?
A. The right to refuse a particular mode of treatment regardless of informed, voluntary,
written consent or situation
B. The right to be given reasonable explanation of one's general mental and physical
condition, the objectives of treatment, and the possible adverse effects of recommended
treatment
,C. The right to ongoing participation in the planning of mental health services provided in a
manner appropriate to a person's capabilities
D. The right to freedom from restraint or seclusion, other than as a mode of treatment during
an emergency situation SELECTED ANSWER 👀 A. The right to refuse a particular mode
of treatment regardless of informed, voluntary, written consent or situation
To advocate for the skills and value of the psychiatric nurse practitioner (NP), you:
A. Arrange for your office to participate in a walk for Alzheimer's Disease
B. Arrange for a local TV station to interview you about what Psychiatric NPs can do for the
community
C. Arrange a meet and greet with other nurses at a drug luncheon promoting a psychiatric
medication
D. Arrange for you and other psychiatric nurses to participate in a blood drive for a local
psychiatric hospital SELECTED ANSWER 👀 B. Arrange for a local TV station to interview
you about what Psychiatric NPs can do for the community
When interpreting confidence intervals around relative risk reduction, a wider confidence
interval reflects that:
A. There is a statistically significant different in effect
B. The estimate of effect is less precise
C. There is not statistically significant difference in effect
D. The estimate of effect is more precise SELECTED ANSWER 👀 B. The estimate of
effect is less precise
Which study design is appropriate in determining the difference in effectiveness of one
medication compared to another medication in the treatment of bipolar disorder?
A. Cross-sectional design
B. Case-Controlled trial
, C. Cohort design
D. Randomized Controlled trial SELECTED ANSWER 👀 D. Randomized Controlled trial
As a Psychiatric nurse practitioner (NP), you accept an RN student who is studying to
become a psychiatric NP. You ask the student to perform an initial psychiatric evaluation on
a new patient while you observe. As the preceptor, you are responsible for:
A. Gaining permission from the patient for the student to perform the evaluation. The ability
of the student to perform the evaluation is their professional responsibility
B. Satisfaction of the patient with the outcome of the evaluation
C. The patient feeling that he or she is being judged for "incarceration" in a chemical
dependency treatment program
D. Gaining permission from the patient for the student to perform the evaluation and to
ensure the quality of the evaluation SELECTED ANSWER 👀 D. Gaining permission from
the patient for the student to perform the evaluation and to ensure the quality of the
evaluation
Your patient is receiving Medicare and Social Security Disability payments. This money
helps her to pay for food, clothing, shelter, and medications. She recently began to work
part time. Her work has greatly improved her mood an self-perception. She has taken on
more work. The additional income has caused he to lose her disability and Medicare
funding. She is concerned that she will not be able to get her medication, pay for housing,
and some of the other things she was able to afford before. How do you counsel her?
A. Discuss with her your assessment that her mood has improved since working and self-
supporting. Assist her to find programs that will help her to continue
B. Advise her to maintain her Medicare and Social Security benefits because she will
always have her food, clothing, shelter, and medication support
C. Advise her that her counselor can help her with financial issues - programs, services, and
resourc SELECTED ANSWER 👀 A. Discuss with her your assessment that her mood has
improved since working and self-supporting. Assist her to find programs that will help her to
continue
ACTUAL EXAM QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES UPDATED |
INSTANT PDF DOWNLOAD
The Nurse practitioner (NP) is seeing a 72 y/o male for depression management. Upon
assessment, the patient is alert, oriented, and non-suicidal or homicidal. The patient is able
to manage his activities of daily living. The NP witnesses the man's wife verbally abusing
him on several occasions. The NP has verbal reports from staff nurses and their nursing
notes that the man has come into the unit with bruising and contusions inconsistent with his
affluent lifestyle and physical and verbal abuse, he tells her that it is occurring He also tells
her that he does not want to do anything about the situation. He tells her specifically that he
does not want her to contact any authorities about the situation.
A. Arrange to remove the patient to a safer environment
B. The NP must do as the patient requests as long as he is competent
C. Take pictures of the bruises and contusions and save them to the patient's record
D. She is SELECTED ANSWER 👀 B. The NP must do as the patient requests as long as
he is competent
When a clinical trial fails to reject the null hypothesis (I.e., when p-value >0.050, the
investigator may have missed a true intervention effect. One should consider the following
to avoid a Type II error:
A. Alpha level
B. Effect size
C. Power
D. Sample bias SELECTED ANSWER 👀 C. Power
,The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) insures which of the
following?
A. Mental health and substance use disorder benefits must be available through both in-
network-providers and out-of-network providers by a group health plan
B. Small employers who insure 50 or fewer covered lives are exempt from the provisions of
this MHPAEA law
C. Group health plans may obtain an exemption if they can demonstrate expected cost
increase resulting from implementation of the parity provisions greater than a 5% increase
in the cost under existing plan
D. Annual or lifetime dollar limits on mental health and substance use disorder benefits are
no lower than any such dollar limits for medical and surgical benefits offered by a group
health plan SELECTED ANSWER 👀 D. Annual or lifetime dollar limits on mental health
and substance use disorder benefits are no lower than any such dollar limits for medical and
surgical benefits offered by a group health plan
The core values that underlie advanced practice nursing and culturally competent care
include:
A. Care, advocacy, respect
B. Care, respect, collaboration
C. Respect, advocacy, partnership
D. Autonomy, respect, collaboration SELECTED ANSWER 👀 C. Respect, advocacy,
partnership
Which of the following is not insured by the Universal Bill of Rights for Mental Health
Patients?
A. The right to refuse a particular mode of treatment regardless of informed, voluntary,
written consent or situation
B. The right to be given reasonable explanation of one's general mental and physical
condition, the objectives of treatment, and the possible adverse effects of recommended
treatment
,C. The right to ongoing participation in the planning of mental health services provided in a
manner appropriate to a person's capabilities
D. The right to freedom from restraint or seclusion, other than as a mode of treatment during
an emergency situation SELECTED ANSWER 👀 A. The right to refuse a particular mode
of treatment regardless of informed, voluntary, written consent or situation
To advocate for the skills and value of the psychiatric nurse practitioner (NP), you:
A. Arrange for your office to participate in a walk for Alzheimer's Disease
B. Arrange for a local TV station to interview you about what Psychiatric NPs can do for the
community
C. Arrange a meet and greet with other nurses at a drug luncheon promoting a psychiatric
medication
D. Arrange for you and other psychiatric nurses to participate in a blood drive for a local
psychiatric hospital SELECTED ANSWER 👀 B. Arrange for a local TV station to interview
you about what Psychiatric NPs can do for the community
When interpreting confidence intervals around relative risk reduction, a wider confidence
interval reflects that:
A. There is a statistically significant different in effect
B. The estimate of effect is less precise
C. There is not statistically significant difference in effect
D. The estimate of effect is more precise SELECTED ANSWER 👀 B. The estimate of
effect is less precise
Which study design is appropriate in determining the difference in effectiveness of one
medication compared to another medication in the treatment of bipolar disorder?
A. Cross-sectional design
B. Case-Controlled trial
, C. Cohort design
D. Randomized Controlled trial SELECTED ANSWER 👀 D. Randomized Controlled trial
As a Psychiatric nurse practitioner (NP), you accept an RN student who is studying to
become a psychiatric NP. You ask the student to perform an initial psychiatric evaluation on
a new patient while you observe. As the preceptor, you are responsible for:
A. Gaining permission from the patient for the student to perform the evaluation. The ability
of the student to perform the evaluation is their professional responsibility
B. Satisfaction of the patient with the outcome of the evaluation
C. The patient feeling that he or she is being judged for "incarceration" in a chemical
dependency treatment program
D. Gaining permission from the patient for the student to perform the evaluation and to
ensure the quality of the evaluation SELECTED ANSWER 👀 D. Gaining permission from
the patient for the student to perform the evaluation and to ensure the quality of the
evaluation
Your patient is receiving Medicare and Social Security Disability payments. This money
helps her to pay for food, clothing, shelter, and medications. She recently began to work
part time. Her work has greatly improved her mood an self-perception. She has taken on
more work. The additional income has caused he to lose her disability and Medicare
funding. She is concerned that she will not be able to get her medication, pay for housing,
and some of the other things she was able to afford before. How do you counsel her?
A. Discuss with her your assessment that her mood has improved since working and self-
supporting. Assist her to find programs that will help her to continue
B. Advise her to maintain her Medicare and Social Security benefits because she will
always have her food, clothing, shelter, and medication support
C. Advise her that her counselor can help her with financial issues - programs, services, and
resourc SELECTED ANSWER 👀 A. Discuss with her your assessment that her mood has
improved since working and self-supporting. Assist her to find programs that will help her to
continue
