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PMHNP ANCC Sample Test Questions & Answers (Verified)

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Pass your PMHNP certification with confidence using these ANCC sample test questions and verified answers. Perfect for psychiatric mental health nurse practitioner exam prep.

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PMHNP -ANCC SAMPLE TEST QUESTIONS
WITH 100% SOLVED -GRADED A+
VERIFIED 2026 - 2027 UPDATE


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. -
correct answer- D. The patient's suicide potential
is increased.


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 - correct
answer- A. Attempting to understand a patient's
subjective world


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 practitioner 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. - correct answer- B. educating the
survivors about prodromal symptoms of posttraumatic
stress disorder.


5. An adult psychiatric and mental health nurse
practitioner uses the interpersonal therapy model with a

, patient to establish a therapeutic alliance based upon
empathy and trust. The nurse practitioner recognizes the
patient's readiness to terminate therapy when the patient
demonstrates:
A. an understanding that leaving a significant other may
be painful, but also presents an opportunity for growth.
B. breathing and muscle relaxation exercises that
decrease muscle tension and anxiety.
C. free association, and considers the nurse practitioner's
interpretation of the patient's dreams.
D. new adaptive skills and responses after completing
"homework assignments." - correct answer- A.
an understanding that leaving a significant other may be
painful, but also presents an opportunity for growth.


6. An Hispanic patient informs an adult psychiatric and
mental health nurse practitioner during a wellness visit
that he or she occasionally uses hot chili juice to relieve a
"nervous condition." The patient denies any complaints
related to this practice. The nurse practitioner's response
is to:
A. actively discourage the patient from continuing this
treatment.

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