ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM
fg fg fg fg fg
LATEST 2024 (TEST 1, 2, & 3) QUESTIONS &
fg fg fg fg fg fg fg fg fg
ANSWERS WITH RATIONALES (TEST 1-3 LATEST
fg fg fg fg fg fg
VERSIONS EACH WITH 100 QUESTIONS EACH) |
fg fg fg fg fg fg fg
NEWEST VERSIONS ALREADY GRADED A+
fg fg fg fg fg
TEST
fg1
Your fgpatient, fgwhose fgwife fgdied fga fgfew fgmonths fgago, fgappears fgto fgbe fgvery
fgunkempt fganda fg pathetic. fgAlthough fgseveral fgmonths fghave fgpassed fgsince fghis fgwife's
fgdeath fghe fghas fgnotfp
g rogressed fgat fgall fgthrough fghis fggrieving. fgYou fgassess fgthis
fgcondition fgas fgwhich fgof fgthe fgfollowing?
fgdisenfranchised fggrief
fgpanic fgdisorder
fgcomplicated fggrief
fgphysiologic fggrief fg- fg-Correct
fgAnswer:fc g omplicated fggrief
RATIONALE: fgA fgperson fghas fguncomplicated fggrief fgwhen fghe fgor fgshe fghas fgnormal
fgphysical,fp
g sychological, fgcognitive fgand fgspiritual fgresponses fgto fgthe fgdeath fgof fga fgsignificant
fgother. fgButfw
g hen fgthe fgperson fgshows fgpersistent fgmaladaptive fgbehaviors fgsuch fgas fgnot
fgtaking fgcare fgof fgpersonal fghygiene fgand/or fgappearance fgand fgdoes fgnot fgprogress fgthrough
fgthe fgmourning fgprocess, fgthis fgis fgcomplicated fggrief.
If fga fgpatient fghas fghad fga fgmyocardial fginfarction, fgwhich fgof fgthe fgfollowing fgatypical
fa
g ntidepressants fgshould fgnot fgbe fgprescribed fgwithin fgthe fgrecovery fgphase?
fgTrazodone
fgDuloxetine
fgBupropion
fgDesvenlafaxine fg- fg-Correct
fgAnswer:fT g razodone
,RATIONALE: fgIf fga fgpatient fghas fghad fga fgmyocardial fginfarction, fgduring fgthe fgrecovery
fgphase,ftg he fgpatient fgshould fgnot fgbe fgprescribed fgthis fgmedication. fgTrazodone fg(Desyrel)
fgcan fgcause fgthe fgpatient fgto fgdevelop fgorthostatic fghypotension fgand fgpriapism.
To fgget fgyour fgteaching fgideas fgand fgconcepts fgacross fgto fga fgpoor fgreader fgwhich fgof fgthe
fgfollowingw fg ould fgbe fgmost fgappropriate?
fgUse fglonger fgsentences.
fgUse fgabstract fgconcepts.
fgDiscourage fgquestioning.
fgUse fgexamples fgand fgreview. fg- fg-Correct
fgAnswer:fU g se fgexamples fgand fgreview.
RATIONALE: fgTo fgget fgthe fgidea fgacross fgto fga fgpoor fgreader fguse fgexamples fgand fgreview.
fgThe fgother fgchoices fgare fgnot fghelpful. fgYou fgshould fguse fgshort fgsentences fgand fgeasy fgto
fgread fglayouts;fb
g e fgconcrete fgrather fgthan fgabstract; fgand fgteach fgthem fghow fgto fgask
fgquestions fgabout fgtheir fghealth. fgAlso, fgtell fgcontext fgfirst fgand fguse fgvisual, fguse fgcommon
fgwords fgand fgexamples, fgand fgexplain fgmeaning.
A fg21-year fgold fgwoman fgpresents fgwith fgcomplaints fgof fgmilky fgdischarge fgfrom fgher
fgbreasts. fgShed fg oesn't fghave fgany fgother fgsymptoms fgand fgis fgnot fgpregnant, fgnor fghas fgbeen
fgbefore. fgShe fgtells fgthe fgnurse fgabout fgeach fgmedication fgthat fgshe fgtakes. fgWhich fgof fgthese
fgdrugs fgmay fgbe fgimplicated fgas fgthe fgcause fgof fgthe fgsymptom?
fgaspirin
fgLamotrigine
fgRisperidone
fgsertraline fg- fg-Correct
fgAnswer:fR g isperidone
RATIONALE: fgRisperidone fgcan fgcause fgthe fggreatest fgprolactin fgelevation fgamong fgatypical
fgpsychotics. fgA fgmilky fgwhite fgdischarge fgknown fgas fggalactorrhea fgcould fgbe fga fgsign fgof fgan
fgunderlying fgcondition. fgThe fgfact fgthat fgthe fgwoman fgtakes fgRisperidone, fgan fgatypical
fgantipsychotic, fgwould fglikely fgpoint fgto fgthe fgcause fgand fgshould fgbe fgswitched fgwith fgone fgless
fglikelyft
g o fghave fgthat fgsame fgside fgeffect.
Which fgof fgthe fgfollowing fgwould fgbe fgconsidered fgone fgof fgthe fgmain fgthings fgthat fgis
fgresponsibleff g or fgabout fg2/3 fgof fgpsychiatric fghospital fgreadmissions?
fgNot fgsufficient fgcare.
fgMedication fgnoncompliance
fgBiophysical fgassessments
fgNone fgof fgthe fgabove fg- fg-Correct
fgAnswer:fM g edication fgnoncompliance
RATIONALE: fgMedication fgnoncompliance fgis fga fgmajor fgproblem fgwith fgthe fgpsychiatric
fgmentalfh g ealth fgpatients. fgThe fghome fghealth fgnurses fgassists fgby fghelping fgthe fgpatients
to fgsee fgthe fgrelationship fgbetween fgtheir fgcompliance fgwith fgtheir fgmedication fgregimen fgand
fc
g ontrol fgof fgtheir fgsymptoms.
,Which fgof fgthe fgfollowing fgwould fgbe fgconsidered fgan fgimportant fgform fgof
fgcommunication fgthatc fg an fghelp fgto fgpromote fgconsistency fgin fgthe fgcare fgof fgthe fgpatient
fgat fgthe
same fgtime fgthat fgit fgjustifies fgtheir fgstay fgin fgthe fghospital?
fgReview fgof fgcare.
fgDocumentation
fgVerbal fgreporting
fgNone fgof fgthe fgabove fg- fg-Correct
fgAnswer:fD g ocumentation
RATIONALE: fgThe fgother fg3 fgoptions fgabove fgare fgincorrect.
One fgof fgthe fgmost fgimportant fgaspects fgof fgnursing fgis fgdocumentation. fgDocumentation
fgcan fgpromote fgconsistency fgin fgthe fgcare fgof fgthe fgpatient fgand fgis fgalso fgused fgto fghelp fgjustify
fgthe fgpatientfr
g emaining fgin fgthe fghospital.
Effects fgof fgan fgoverdose fgof fgLSD fg(Lysergic fgacid fgdiethylamide) fgcan fginclude fgall fgof
fgtheff
g ollowing fgexcept?
fgVomiting
fgRespiratory fgfailure
fgHypertensive fgcrisis
fgSeizures fg- fg-Correct
fgAnswer:fH g ypertensive fgcrisis
RATIONALE: fgHypertensive fgcrisis fgwould fgbe fgconsidered fga fgsymptom fgof fgPCP fgoverdose.
Vomiting, fgrespiratory fgfailure fgand fgseizures fgwould fgbe fgconsidered fgan
fgeffectfo
g f fgLSD fgoverdose.
Symptoms fgof fgserotonin fgsyndrome fginclude fgall fgof fgthe fgfollowing fgEXCEPT:
fginsomnia
fgnausea
fgloss fgof fgcoordination
fgsweating fgor fgshivering fgwith fggoose fgbumps fg- fg-Correct
fgAnswer:fn g ausea
Symptoms fgof fgserotonin fgsyndrome fgcan fgpresent fgin fgpatients fgthat fghave fgdrug
fgcombinationsft g hat fgare fgcontraindicated. fgThey fgcan fgvary fgfrom fgrestlessness fgand
fgagitation fgto fgtremors, fgchills, fgheadaches, fgand fginsomnia fgas fgwell fgas fgloss fgof
fgcoordination. fgNausea fghas fgnot fgbeenfi gmplicated fgin fgserotonin fgsyndrome.
What fgis fgthe fgrate fgof fgsuicide fgattempts fgfor fgpatients fghaving fgdissociative fgidentity fgdisorder?
fg30%
fg45%
fg70%
fg60% fg- fg-Correct
fgAnswer:f7 g 0%
, RATIONALE: fgPeople fgwith fgdissociative fgidentity fgdisorder fghave fgone fgof fgthe fghighest
fgrisks fgforfs
g uicide. fgAccording fgto fgthe fgDiagnostic fgand fgStatistical fgManual fgof fgMental
fgDisorders fg(DSM- fg5),more fgthan fg70% fgof fgoutpatients fgwith fgDID fghave fgattempted fgsuicide,
fgand fgmultiple fgsuicide fgattempts fgare fgcommon.
Of fgthe fgfollowing, fgwhich fgwould fgnot fgbe fgconsidered fga fgphase fgof fgschizophrenia
fgtreatment?
fgMaintenance
fgAcute
fgCognitive
fgStabilization fg- fg-Correct
fgAnswer:fC g ognitive
RATIONALE: fgCognitive fgis fgnot fgone fgof fgthe fgthree fgphases fgof fgschizophrenia
fgtreatment.fTg he fgthree fgphases fgare:
Phase f g 1: f g acute
fgPhase fg2:
fgstabilization fgPhase
fg3: fgmaintenance
The fgpatient fgshould fgbe fgmonitored fgfor fgeffects fgof fgpsychotropic fgmedications fgwhich fgcan
fi
gmpact fgcardiac fgrhythms. fgWhich fgof fgthe fgfollowing fgcould fgbe fga fgpotential
cardiac fgside fgeffect?
fgA fgprolonged fgQT fginterval
fgNarrowing fgof fgthe fgQRS
fgBoth fgA fgand fgB
fgNone fgof fgthe fgabove fg- fg-Correct
fgAnswer:fA g fgprolonged fgQT fginterval
RATIONALE: fgWith fgantipsychotic fgdrugs, fgthe fgtriclyclic fgaction fgcan fgcause fgproblems.
fgThesefmg edications fgcan fgcause fga fgwidening fgof fgthe fgQRS fgor fga fgprolonged fgQT fginterval.
This fgis fga fgmeasure fgof fgthe fgventricular fgrepolarization.
Sullivan fgdescribed fgthree fgdevelopmental fgcognitive fgmodes fgof fgexperience fgand fgbelieved
ft
g hat fgmental fgdisorders fgare fgrelated fgto fgthe fgpersistence fgof fgone fgof fgthe fgearly fgmodes.
fgThe fgmode fgthat fgbegins fgin fgearly fgchildhood fgas fgthe fgchild fgbegins fgto fgconnect
fgexperiences fgin fgsequence fgis fgwhich fgof fgthe fgfollowing?
fgprototaxic fgmode
fgparataxic fgmode
fgsyntaxic fgmode
fgcomposite fgmode fg- fg-Correct
fgAnswer:fpg arataxic fgmode
RATIONALE: fgThe fgparataxic fgmode fgbegins fgin fgearly fgchildhood. fgThe fgchild fgmay fgnot
fgmake fglogical fgsense fgof fgthe fgexperiences fgand fgmay fgsee fgthem fgas fgcoincidence fgor
fgchance fgevents. fgThe fgchild fgseeks fgto fgrelieve fganxiety fgby fgrepeating fgfamiliar fgexperiences,
fgalthough fghe fgor fgshefm
g ay fgnot fgunderstand fgwhat fghe fgor fgshe fgis fgdoing.
fg fg fg fg fg
LATEST 2024 (TEST 1, 2, & 3) QUESTIONS &
fg fg fg fg fg fg fg fg fg
ANSWERS WITH RATIONALES (TEST 1-3 LATEST
fg fg fg fg fg fg
VERSIONS EACH WITH 100 QUESTIONS EACH) |
fg fg fg fg fg fg fg
NEWEST VERSIONS ALREADY GRADED A+
fg fg fg fg fg
TEST
fg1
Your fgpatient, fgwhose fgwife fgdied fga fgfew fgmonths fgago, fgappears fgto fgbe fgvery
fgunkempt fganda fg pathetic. fgAlthough fgseveral fgmonths fghave fgpassed fgsince fghis fgwife's
fgdeath fghe fghas fgnotfp
g rogressed fgat fgall fgthrough fghis fggrieving. fgYou fgassess fgthis
fgcondition fgas fgwhich fgof fgthe fgfollowing?
fgdisenfranchised fggrief
fgpanic fgdisorder
fgcomplicated fggrief
fgphysiologic fggrief fg- fg-Correct
fgAnswer:fc g omplicated fggrief
RATIONALE: fgA fgperson fghas fguncomplicated fggrief fgwhen fghe fgor fgshe fghas fgnormal
fgphysical,fp
g sychological, fgcognitive fgand fgspiritual fgresponses fgto fgthe fgdeath fgof fga fgsignificant
fgother. fgButfw
g hen fgthe fgperson fgshows fgpersistent fgmaladaptive fgbehaviors fgsuch fgas fgnot
fgtaking fgcare fgof fgpersonal fghygiene fgand/or fgappearance fgand fgdoes fgnot fgprogress fgthrough
fgthe fgmourning fgprocess, fgthis fgis fgcomplicated fggrief.
If fga fgpatient fghas fghad fga fgmyocardial fginfarction, fgwhich fgof fgthe fgfollowing fgatypical
fa
g ntidepressants fgshould fgnot fgbe fgprescribed fgwithin fgthe fgrecovery fgphase?
fgTrazodone
fgDuloxetine
fgBupropion
fgDesvenlafaxine fg- fg-Correct
fgAnswer:fT g razodone
,RATIONALE: fgIf fga fgpatient fghas fghad fga fgmyocardial fginfarction, fgduring fgthe fgrecovery
fgphase,ftg he fgpatient fgshould fgnot fgbe fgprescribed fgthis fgmedication. fgTrazodone fg(Desyrel)
fgcan fgcause fgthe fgpatient fgto fgdevelop fgorthostatic fghypotension fgand fgpriapism.
To fgget fgyour fgteaching fgideas fgand fgconcepts fgacross fgto fga fgpoor fgreader fgwhich fgof fgthe
fgfollowingw fg ould fgbe fgmost fgappropriate?
fgUse fglonger fgsentences.
fgUse fgabstract fgconcepts.
fgDiscourage fgquestioning.
fgUse fgexamples fgand fgreview. fg- fg-Correct
fgAnswer:fU g se fgexamples fgand fgreview.
RATIONALE: fgTo fgget fgthe fgidea fgacross fgto fga fgpoor fgreader fguse fgexamples fgand fgreview.
fgThe fgother fgchoices fgare fgnot fghelpful. fgYou fgshould fguse fgshort fgsentences fgand fgeasy fgto
fgread fglayouts;fb
g e fgconcrete fgrather fgthan fgabstract; fgand fgteach fgthem fghow fgto fgask
fgquestions fgabout fgtheir fghealth. fgAlso, fgtell fgcontext fgfirst fgand fguse fgvisual, fguse fgcommon
fgwords fgand fgexamples, fgand fgexplain fgmeaning.
A fg21-year fgold fgwoman fgpresents fgwith fgcomplaints fgof fgmilky fgdischarge fgfrom fgher
fgbreasts. fgShed fg oesn't fghave fgany fgother fgsymptoms fgand fgis fgnot fgpregnant, fgnor fghas fgbeen
fgbefore. fgShe fgtells fgthe fgnurse fgabout fgeach fgmedication fgthat fgshe fgtakes. fgWhich fgof fgthese
fgdrugs fgmay fgbe fgimplicated fgas fgthe fgcause fgof fgthe fgsymptom?
fgaspirin
fgLamotrigine
fgRisperidone
fgsertraline fg- fg-Correct
fgAnswer:fR g isperidone
RATIONALE: fgRisperidone fgcan fgcause fgthe fggreatest fgprolactin fgelevation fgamong fgatypical
fgpsychotics. fgA fgmilky fgwhite fgdischarge fgknown fgas fggalactorrhea fgcould fgbe fga fgsign fgof fgan
fgunderlying fgcondition. fgThe fgfact fgthat fgthe fgwoman fgtakes fgRisperidone, fgan fgatypical
fgantipsychotic, fgwould fglikely fgpoint fgto fgthe fgcause fgand fgshould fgbe fgswitched fgwith fgone fgless
fglikelyft
g o fghave fgthat fgsame fgside fgeffect.
Which fgof fgthe fgfollowing fgwould fgbe fgconsidered fgone fgof fgthe fgmain fgthings fgthat fgis
fgresponsibleff g or fgabout fg2/3 fgof fgpsychiatric fghospital fgreadmissions?
fgNot fgsufficient fgcare.
fgMedication fgnoncompliance
fgBiophysical fgassessments
fgNone fgof fgthe fgabove fg- fg-Correct
fgAnswer:fM g edication fgnoncompliance
RATIONALE: fgMedication fgnoncompliance fgis fga fgmajor fgproblem fgwith fgthe fgpsychiatric
fgmentalfh g ealth fgpatients. fgThe fghome fghealth fgnurses fgassists fgby fghelping fgthe fgpatients
to fgsee fgthe fgrelationship fgbetween fgtheir fgcompliance fgwith fgtheir fgmedication fgregimen fgand
fc
g ontrol fgof fgtheir fgsymptoms.
,Which fgof fgthe fgfollowing fgwould fgbe fgconsidered fgan fgimportant fgform fgof
fgcommunication fgthatc fg an fghelp fgto fgpromote fgconsistency fgin fgthe fgcare fgof fgthe fgpatient
fgat fgthe
same fgtime fgthat fgit fgjustifies fgtheir fgstay fgin fgthe fghospital?
fgReview fgof fgcare.
fgDocumentation
fgVerbal fgreporting
fgNone fgof fgthe fgabove fg- fg-Correct
fgAnswer:fD g ocumentation
RATIONALE: fgThe fgother fg3 fgoptions fgabove fgare fgincorrect.
One fgof fgthe fgmost fgimportant fgaspects fgof fgnursing fgis fgdocumentation. fgDocumentation
fgcan fgpromote fgconsistency fgin fgthe fgcare fgof fgthe fgpatient fgand fgis fgalso fgused fgto fghelp fgjustify
fgthe fgpatientfr
g emaining fgin fgthe fghospital.
Effects fgof fgan fgoverdose fgof fgLSD fg(Lysergic fgacid fgdiethylamide) fgcan fginclude fgall fgof
fgtheff
g ollowing fgexcept?
fgVomiting
fgRespiratory fgfailure
fgHypertensive fgcrisis
fgSeizures fg- fg-Correct
fgAnswer:fH g ypertensive fgcrisis
RATIONALE: fgHypertensive fgcrisis fgwould fgbe fgconsidered fga fgsymptom fgof fgPCP fgoverdose.
Vomiting, fgrespiratory fgfailure fgand fgseizures fgwould fgbe fgconsidered fgan
fgeffectfo
g f fgLSD fgoverdose.
Symptoms fgof fgserotonin fgsyndrome fginclude fgall fgof fgthe fgfollowing fgEXCEPT:
fginsomnia
fgnausea
fgloss fgof fgcoordination
fgsweating fgor fgshivering fgwith fggoose fgbumps fg- fg-Correct
fgAnswer:fn g ausea
Symptoms fgof fgserotonin fgsyndrome fgcan fgpresent fgin fgpatients fgthat fghave fgdrug
fgcombinationsft g hat fgare fgcontraindicated. fgThey fgcan fgvary fgfrom fgrestlessness fgand
fgagitation fgto fgtremors, fgchills, fgheadaches, fgand fginsomnia fgas fgwell fgas fgloss fgof
fgcoordination. fgNausea fghas fgnot fgbeenfi gmplicated fgin fgserotonin fgsyndrome.
What fgis fgthe fgrate fgof fgsuicide fgattempts fgfor fgpatients fghaving fgdissociative fgidentity fgdisorder?
fg30%
fg45%
fg70%
fg60% fg- fg-Correct
fgAnswer:f7 g 0%
, RATIONALE: fgPeople fgwith fgdissociative fgidentity fgdisorder fghave fgone fgof fgthe fghighest
fgrisks fgforfs
g uicide. fgAccording fgto fgthe fgDiagnostic fgand fgStatistical fgManual fgof fgMental
fgDisorders fg(DSM- fg5),more fgthan fg70% fgof fgoutpatients fgwith fgDID fghave fgattempted fgsuicide,
fgand fgmultiple fgsuicide fgattempts fgare fgcommon.
Of fgthe fgfollowing, fgwhich fgwould fgnot fgbe fgconsidered fga fgphase fgof fgschizophrenia
fgtreatment?
fgMaintenance
fgAcute
fgCognitive
fgStabilization fg- fg-Correct
fgAnswer:fC g ognitive
RATIONALE: fgCognitive fgis fgnot fgone fgof fgthe fgthree fgphases fgof fgschizophrenia
fgtreatment.fTg he fgthree fgphases fgare:
Phase f g 1: f g acute
fgPhase fg2:
fgstabilization fgPhase
fg3: fgmaintenance
The fgpatient fgshould fgbe fgmonitored fgfor fgeffects fgof fgpsychotropic fgmedications fgwhich fgcan
fi
gmpact fgcardiac fgrhythms. fgWhich fgof fgthe fgfollowing fgcould fgbe fga fgpotential
cardiac fgside fgeffect?
fgA fgprolonged fgQT fginterval
fgNarrowing fgof fgthe fgQRS
fgBoth fgA fgand fgB
fgNone fgof fgthe fgabove fg- fg-Correct
fgAnswer:fA g fgprolonged fgQT fginterval
RATIONALE: fgWith fgantipsychotic fgdrugs, fgthe fgtriclyclic fgaction fgcan fgcause fgproblems.
fgThesefmg edications fgcan fgcause fga fgwidening fgof fgthe fgQRS fgor fga fgprolonged fgQT fginterval.
This fgis fga fgmeasure fgof fgthe fgventricular fgrepolarization.
Sullivan fgdescribed fgthree fgdevelopmental fgcognitive fgmodes fgof fgexperience fgand fgbelieved
ft
g hat fgmental fgdisorders fgare fgrelated fgto fgthe fgpersistence fgof fgone fgof fgthe fgearly fgmodes.
fgThe fgmode fgthat fgbegins fgin fgearly fgchildhood fgas fgthe fgchild fgbegins fgto fgconnect
fgexperiences fgin fgsequence fgis fgwhich fgof fgthe fgfollowing?
fgprototaxic fgmode
fgparataxic fgmode
fgsyntaxic fgmode
fgcomposite fgmode fg- fg-Correct
fgAnswer:fpg arataxic fgmode
RATIONALE: fgThe fgparataxic fgmode fgbegins fgin fgearly fgchildhood. fgThe fgchild fgmay fgnot
fgmake fglogical fgsense fgof fgthe fgexperiences fgand fgmay fgsee fgthem fgas fgcoincidence fgor
fgchance fgevents. fgThe fgchild fgseeks fgto fgrelieve fganxiety fgby fgrepeating fgfamiliar fgexperiences,
fgalthough fghe fgor fgshefm
g ay fgnot fgunderstand fgwhat fghe fgor fgshe fgis fgdoing.
