Sample Test Questions ANCC -
PMHNP
1. A patient with borderline personality disorder experiences
intense anxiety when an adult psychiatric and mental health
nurse practitioner goes on vacation. The best explanation for
this reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification.: B. has failed to master object
constancy
2. 2. A patient has been taking escitalopram (Lexapro) 10 mg daily
for four weeks. Initially, the patient reported depression and
suicidal thoughts. The patient's sleep, appetite, energy, and
appearance have now begun to improve. Which statement applies
to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased.: D. The patient's suicide
potential is increased.
3. 3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals: A. Attempting to understand a patient's
1/
14
, Sample Test Questions ANCC -
PMHNP
subjective world
4. 4. Serving as a member on a crisis team, an adult psychiatric
and mental health nurse practitioner provides crisis intervention to
the survivors of a plane crash. Forty-eight hours after the accident,
the survivors describe vivid flashbacks, startle reactions, and
disrupted sleep patterns. The nurse practi-tioner responds by:
A. advising the survivors to consider using a hypnotic medication
for a brief period.
B. educating the survivors about prodromal symptoms of
posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a posttrauma support group.: B.
educating the survivors about prodromal symptoms of posttraumatic stress disorder.
2/
14
PMHNP
1. A patient with borderline personality disorder experiences
intense anxiety when an adult psychiatric and mental health
nurse practitioner goes on vacation. The best explanation for
this reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification.: B. has failed to master object
constancy
2. 2. A patient has been taking escitalopram (Lexapro) 10 mg daily
for four weeks. Initially, the patient reported depression and
suicidal thoughts. The patient's sleep, appetite, energy, and
appearance have now begun to improve. Which statement applies
to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased.: D. The patient's suicide
potential is increased.
3. 3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals: A. Attempting to understand a patient's
1/
14
, Sample Test Questions ANCC -
PMHNP
subjective world
4. 4. Serving as a member on a crisis team, an adult psychiatric
and mental health nurse practitioner provides crisis intervention to
the survivors of a plane crash. Forty-eight hours after the accident,
the survivors describe vivid flashbacks, startle reactions, and
disrupted sleep patterns. The nurse practi-tioner responds by:
A. advising the survivors to consider using a hypnotic medication
for a brief period.
B. educating the survivors about prodromal symptoms of
posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a posttrauma support group.: B.
educating the survivors about prodromal symptoms of posttraumatic stress disorder.
2/
14
