ANCC CERTIFICATION EXAM 2025/2026 UPDATE REAL
QUESTIONS AND ANSWERS VERIFIED FOR GUARANTEED PASS
GRADED A+
In evaluating a client for insomnia, which of the following is most consistent with a presentation of
transient insomnia? (p305) - ANSWER Usually caused by stress, jet lag, or physical environmental
concerns.
Insomnia is a common finding in clients with psychiatric disorder and is most commonly found in
clients diagnosed with (p305) - ANSWER Mood disorders
Insomnia in children is most often caused by (p305) - ANSWER Family stress
A PMHNP is working with a woman whom she suspects is in a violent domestic relationship. The
client denies this and refuses to discuss her home life. The continues to present at the clinic for
treatment of minor injuries and always is brought by her boyfriend. The client refuses to discuss
abuse as a cause of her injuries, simply stating "I am clumsy." The best initial intervention for the
PMHNP to take is (p305) - ANSWER Spend a long time with the client building a trusting relationship.
A brief period of insomnia is usually associated with - ANSWER Anxiety, anticipation or consequences
of a stressful experience, or jet leg. (p337)
Although insomnia can occur as a consequence of many psychiatric disorders, research has found
that patients with mood disorders are most apt to have - ANSWER Insomnia (p337)
Stress within the family is the most common cause of ________ insomnia - ANSWER Childhood
(p337)
Spending time to build rapport and a trusting relationship with an abused patient - ANSWER Helps
the patient feel safer and more comfortable talking about the abuse (p337)
A diagnosis of MR is made when a person has significant below-average intelligence accompanied by
impaired adaptive functioning. The IQ range for consideration of MR is an (p287) - ANSWER IQ below
70
, Most of the stimulants commonly used to treat ADHD are classified as Schedule II controlled
substances. The exception is (p287) - ANSWER Strattera
A child presents with a behavioral pattern of negative, defiant, disobedient and hostile behavior,
especially towards adults in authority roles. The most likely diagnosis for this child is (p288) -
ANSWER Oppositional Defiant Disorder
Which of the following is not required to make a diagnosis of Conduct Disorder? (p288) - ANSWER
Poor interpersonal relationships with limited peer supports
Strattera - ANSWER First non-stimulant medication FDA approved for ADHD
Although poor interpersonal relationships can be a consequence of the conduct disorders - ANSWER
It is not a required diagnostic criteria.
Impulsivity is a common behavioral manifestation of personality disorders. The PMHNP working with
a client with high impulsivity should consider what pharmacological interventions? (p259) - ANSWER
USE of SSRI
The affective instability common in some personality disorders ban be clinically managed with what
medications? (p259) - ANSWER Antipsychotic agents
The cluster of personality disorders that manifest with dramatic, overly affective behavior is (p260) -
ANSWER Cluster B
Etiological models that attempt to explain the development of personality disorders include which of
the following? (p260) - ANSWER Object relations theory
During one's development, patterns of oneself are internalized in relation to others. Object relations
theory - ANSWER Demonstrates one way to explain the development of personality disorders
Cluster B Personality Disorder - ANSWER Antisocial, borderline, histrionic, narcissistic
SSRIs - ANSWER Improve the depressed mood and have successfully modulated impulsive behaviors
in those with personality disorders
QUESTIONS AND ANSWERS VERIFIED FOR GUARANTEED PASS
GRADED A+
In evaluating a client for insomnia, which of the following is most consistent with a presentation of
transient insomnia? (p305) - ANSWER Usually caused by stress, jet lag, or physical environmental
concerns.
Insomnia is a common finding in clients with psychiatric disorder and is most commonly found in
clients diagnosed with (p305) - ANSWER Mood disorders
Insomnia in children is most often caused by (p305) - ANSWER Family stress
A PMHNP is working with a woman whom she suspects is in a violent domestic relationship. The
client denies this and refuses to discuss her home life. The continues to present at the clinic for
treatment of minor injuries and always is brought by her boyfriend. The client refuses to discuss
abuse as a cause of her injuries, simply stating "I am clumsy." The best initial intervention for the
PMHNP to take is (p305) - ANSWER Spend a long time with the client building a trusting relationship.
A brief period of insomnia is usually associated with - ANSWER Anxiety, anticipation or consequences
of a stressful experience, or jet leg. (p337)
Although insomnia can occur as a consequence of many psychiatric disorders, research has found
that patients with mood disorders are most apt to have - ANSWER Insomnia (p337)
Stress within the family is the most common cause of ________ insomnia - ANSWER Childhood
(p337)
Spending time to build rapport and a trusting relationship with an abused patient - ANSWER Helps
the patient feel safer and more comfortable talking about the abuse (p337)
A diagnosis of MR is made when a person has significant below-average intelligence accompanied by
impaired adaptive functioning. The IQ range for consideration of MR is an (p287) - ANSWER IQ below
70
, Most of the stimulants commonly used to treat ADHD are classified as Schedule II controlled
substances. The exception is (p287) - ANSWER Strattera
A child presents with a behavioral pattern of negative, defiant, disobedient and hostile behavior,
especially towards adults in authority roles. The most likely diagnosis for this child is (p288) -
ANSWER Oppositional Defiant Disorder
Which of the following is not required to make a diagnosis of Conduct Disorder? (p288) - ANSWER
Poor interpersonal relationships with limited peer supports
Strattera - ANSWER First non-stimulant medication FDA approved for ADHD
Although poor interpersonal relationships can be a consequence of the conduct disorders - ANSWER
It is not a required diagnostic criteria.
Impulsivity is a common behavioral manifestation of personality disorders. The PMHNP working with
a client with high impulsivity should consider what pharmacological interventions? (p259) - ANSWER
USE of SSRI
The affective instability common in some personality disorders ban be clinically managed with what
medications? (p259) - ANSWER Antipsychotic agents
The cluster of personality disorders that manifest with dramatic, overly affective behavior is (p260) -
ANSWER Cluster B
Etiological models that attempt to explain the development of personality disorders include which of
the following? (p260) - ANSWER Object relations theory
During one's development, patterns of oneself are internalized in relation to others. Object relations
theory - ANSWER Demonstrates one way to explain the development of personality disorders
Cluster B Personality Disorder - ANSWER Antisocial, borderline, histrionic, narcissistic
SSRIs - ANSWER Improve the depressed mood and have successfully modulated impulsive behaviors
in those with personality disorders
