Chamberlain University-Illinois NR 668
Sample Test Questions ANCC – PMHNP
Exam Questions Verified and Provided
with A+ Graded Answers Latest Updated
2026
A patient with borderline personality disorder B. has failed to master object
constancy 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.
2.A patient has been taking escitalopram (Lexapro) D. The patient's suicide potential is
increased. 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.
3.Which behavior reflects existentially oriented A. Attempting to understand a patient's subjective
world 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
4. Serving as a member on a crisis team, an adult B. educating the survivors about prodromal symptoms of
posttraumatic psychiatric and mental health nurse practitioner stress disorder.
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.
, 5.An adult psychiatric and mental health nurse A. an understanding that leaving a significant other may be painful,
but practitioner uses the interpersonal therapy model also presents an opportunity for growth.
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."
6.An Hispanic patient informs an adult psychiatricD. view this as a self-care ritual that needs to be preserved.
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.
B.offer a medication to treat the
nervous condition.
C. suggest an alternative food to relieve
the nervous condition.
D.view this as a self-care ritual that needs to
be preserved.
7. Before an older
adult patient initiates B. creatinine
clearance. pharmacotherapy with a medication that is cleared
by the kidneys, an adult psychiatric and mental
health nurse practitioner assesses the patient's:
A. blood urea nitrogen level.
B.creatinine clearance.
C. specific gravity.
D.urinary sediment.
8. An adult psychiatric and mental health nurse
D. rational and irrational beliefs about the stressor. practitioner uses a cognitive-behavioral approach
to help an adolescent patient change self-
defeating behaviors. After identifying the
initial
stressor that is causing the inappropriate behavior,
the therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B.negative consequences of the behavioral
response to the stressor.
C. possible outcomes of alternative responses.
D.rational and irrational beliefs about the stressor.
Sample Test Questions ANCC – PMHNP
Exam Questions Verified and Provided
with A+ Graded Answers Latest Updated
2026
A patient with borderline personality disorder B. has failed to master object
constancy 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.
2.A patient has been taking escitalopram (Lexapro) D. The patient's suicide potential is
increased. 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.
3.Which behavior reflects existentially oriented A. Attempting to understand a patient's subjective
world 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
4. Serving as a member on a crisis team, an adult B. educating the survivors about prodromal symptoms of
posttraumatic psychiatric and mental health nurse practitioner stress disorder.
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.
, 5.An adult psychiatric and mental health nurse A. an understanding that leaving a significant other may be painful,
but practitioner uses the interpersonal therapy model also presents an opportunity for growth.
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."
6.An Hispanic patient informs an adult psychiatricD. view this as a self-care ritual that needs to be preserved.
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.
B.offer a medication to treat the
nervous condition.
C. suggest an alternative food to relieve
the nervous condition.
D.view this as a self-care ritual that needs to
be preserved.
7. Before an older
adult patient initiates B. creatinine
clearance. pharmacotherapy with a medication that is cleared
by the kidneys, an adult psychiatric and mental
health nurse practitioner assesses the patient's:
A. blood urea nitrogen level.
B.creatinine clearance.
C. specific gravity.
D.urinary sediment.
8. An adult psychiatric and mental health nurse
D. rational and irrational beliefs about the stressor. practitioner uses a cognitive-behavioral approach
to help an adolescent patient change self-
defeating behaviors. After identifying the
initial
stressor that is causing the inappropriate behavior,
the therapeutic intervention is to identify:
A. alternative positive responses to the stressor.
B.negative consequences of the behavioral
response to the stressor.
C. possible outcomes of alternative responses.
D.rational and irrational beliefs about the stressor.
