ANCC Psychiatric-Mental Health Nurse Prac oner
Sample Ques ons and answers | Updated New
1. An 18-year-old pa ent diagnosed with bipolar disorder wants to enter a research study that
will test an experimental drug. The psychiatric-mental health nurse prac oner's ini al
response is,:
A. "All drug treatments are too risky for you at this me in your illness."
B. "Let's discuss the risks of poten ally changing your medica ons."
C. "We will have to see if you meet the inclusion criteria for this research study."
D. "You will have only a small chance of receiving the experimental drug." - Answer B. "Let's
discuss the risks of poten ally changing your medica ons."
2. A 14-year-old pa ent has nonspecific reports of pain in their legs. The physical examina on is
unremarkable. Laboratory results are within normal limits except for a markedly elevated
alkaline phosphatase level. The psychiatric-mental health nurse prac oner:
A. interprets the findings as normally occurring during a rapid adolescent growth spurt.
B. obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early
rheuma c fever.
C. orders a repeat blood test.
D. suspects that the pa ent has acute pancrea s. - Answer A. interprets the findings as
normally occurring during a rapid adolescent growth spurt.
3. Laboratory findings for a pa ent with an alcohol use disorder indicate increased liver
func on values and:
A. decreased mean corpuscular volume (MCV) and normal triglyceride levels.
B. elevated potassium and chloride levels.
C. increased MCV and elevated triglyceride levels.
D. increased urine and serum crea nine levels. - Answer C. increased MCV and elevated
triglyceride levels.
, 4. A new pa ent arrives at the office for treatment for depression. The pa ent reports taking
simvasta n (Zocor) and lisinopril (Zestril). When selec ng an an depressant, the psychiatric-
mental health nurse prac oner eliminates fluoxe ne hydrochloride (Prozac), based on the
knowledge that the combina on can lead to increased plasma levels of the sta n, resul ng in
an increased risk of muscle damage and rhabdomyolysis. What is the nurse prac oner's
ra onale?
A. Both medica ons are CYP450 3A4 inhibitors.
B. Both medica ons are CYP450 3A4 substrates.
C. One medica on is a CYP450 3A4 substrate and one is a CYP450 3A4 inducer.
D. One medica on is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor. - Answer D. One
medica on is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
5. During a mental status examina on, an 18-year-old pa ent reports feeling bugs crawling
under their skin. The psychiatric-mental health nurse prac oner documents this statement as
a:
A. developmental disorder, and suspects cocaine use.
B. hypnagogic hallucina on, and suspects schizophrenia.hypnopompic hallucina on, and
suspects schizophrenia.perceptual disturbance, and suspects the use of cocaine. - Answer A.
perceptual disturbance, and suspects the use of cocaine.
6. The psychiatric-mental health nurse prac oner is responsible for ini a ng quality
improvement at a community mental health clinic. The effec ve strategy for evalua ng the
clinic's services is to:
A. analyze the data from epidemiological studies.
B. conduct a root cause analysis.
C. interview pa ent families.
D. use a survey to elicit pa ent sa sfac on responses. - Answer D. use a survey to elicit pa ent
sa sfac on responses.
Sample Ques ons and answers | Updated New
1. An 18-year-old pa ent diagnosed with bipolar disorder wants to enter a research study that
will test an experimental drug. The psychiatric-mental health nurse prac oner's ini al
response is,:
A. "All drug treatments are too risky for you at this me in your illness."
B. "Let's discuss the risks of poten ally changing your medica ons."
C. "We will have to see if you meet the inclusion criteria for this research study."
D. "You will have only a small chance of receiving the experimental drug." - Answer B. "Let's
discuss the risks of poten ally changing your medica ons."
2. A 14-year-old pa ent has nonspecific reports of pain in their legs. The physical examina on is
unremarkable. Laboratory results are within normal limits except for a markedly elevated
alkaline phosphatase level. The psychiatric-mental health nurse prac oner:
A. interprets the findings as normally occurring during a rapid adolescent growth spurt.
B. obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early
rheuma c fever.
C. orders a repeat blood test.
D. suspects that the pa ent has acute pancrea s. - Answer A. interprets the findings as
normally occurring during a rapid adolescent growth spurt.
3. Laboratory findings for a pa ent with an alcohol use disorder indicate increased liver
func on values and:
A. decreased mean corpuscular volume (MCV) and normal triglyceride levels.
B. elevated potassium and chloride levels.
C. increased MCV and elevated triglyceride levels.
D. increased urine and serum crea nine levels. - Answer C. increased MCV and elevated
triglyceride levels.
, 4. A new pa ent arrives at the office for treatment for depression. The pa ent reports taking
simvasta n (Zocor) and lisinopril (Zestril). When selec ng an an depressant, the psychiatric-
mental health nurse prac oner eliminates fluoxe ne hydrochloride (Prozac), based on the
knowledge that the combina on can lead to increased plasma levels of the sta n, resul ng in
an increased risk of muscle damage and rhabdomyolysis. What is the nurse prac oner's
ra onale?
A. Both medica ons are CYP450 3A4 inhibitors.
B. Both medica ons are CYP450 3A4 substrates.
C. One medica on is a CYP450 3A4 substrate and one is a CYP450 3A4 inducer.
D. One medica on is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor. - Answer D. One
medica on is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
5. During a mental status examina on, an 18-year-old pa ent reports feeling bugs crawling
under their skin. The psychiatric-mental health nurse prac oner documents this statement as
a:
A. developmental disorder, and suspects cocaine use.
B. hypnagogic hallucina on, and suspects schizophrenia.hypnopompic hallucina on, and
suspects schizophrenia.perceptual disturbance, and suspects the use of cocaine. - Answer A.
perceptual disturbance, and suspects the use of cocaine.
6. The psychiatric-mental health nurse prac oner is responsible for ini a ng quality
improvement at a community mental health clinic. The effec ve strategy for evalua ng the
clinic's services is to:
A. analyze the data from epidemiological studies.
B. conduct a root cause analysis.
C. interview pa ent families.
D. use a survey to elicit pa ent sa sfac on responses. - Answer D. use a survey to elicit pa ent
sa sfac on responses.
