ANCC – PMHNP Sample Test Questions Complete Solution

A patient with borderline personality disorder 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. - B. has failed to master object constancy 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. - 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 - 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 post-trauma support group. - B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.