ANCC Practice Questions Domain 5
Exam with complete solution
You have students from local psychiatric nurse practitioner programs follow you in your
clinical practice to show them what you do as a Psychiatric Nurse Practitioner. This is
called being a:
a. Preceptor
b. Mentor
c. Professor
d. Teacher - Answer-A
A Psychiatric Mental Health Nurse Practitioner providing psychiatric consultation makes
a home visit after the police found an 86-year-old widow wandering the streets at 4AM
after emergency call from her daughter. The woman has been living with her daughter
for the past ten years, after her husband died. Her daughter is a 66-year-old, single,
retired schoolteacher, appears thin, exhausted, and reports little sleep for past two
years trying to care for her mother. The daughter reports that her mother becomes
increasingly confused every evening and wanders the house unable to sleep at night.
The daughter is unable to leave her mother alone for even a short period of time
because unsupervised her mother will turn on the gas stove burner, leave it unattended,
and she escapes the house at every chance to wander the neighborhood. Her mother is
socially pleasant, disoriented to time and place, and does not recognize her dau -
Answer-A
As a psychiatric nurse practitioner, you evaluate your patients for health concerns and
beyond, in a holistic manner. your current patient has a blood sugar of 186 and a
hemoglobin A1C of 6.7. You refer this patient to an internal medicine practitioner with
whom you frequently share patients. You have just violated:
A. The DATA Act
B. The Adams Act
C. No statute
D. The Stark law - Answer-C
Which of the following is not insured by the Universal Bill of Rights for Mental Health
Patients?
A. The right to refuse a particular mode of treatment regardless of informed, voluntary,
written consent, or situation.
B. The right to freedom from restraint or seclusion, other than as a mode of treatment
during an emergency situation.
C. The right to be given a reasonable explanation of one's general mental and physical
condition, the objectives of treatment, and the possible adverse effects of recommended
treatment.
D. The right to ongoing participation in the planning of mental health services provided
in a manner appropriate to a person's capabilities. - Answer-A
,During an outpatient medication evaluation a depressed client reports persistent anger
toward his former boss after losing his job due to arguments and assaultive behavior
toward co-workers. The client has been waiting outside the plant in the afternoon,
watching for the boss to leave to confront him regarding his terminated employment.
What responsibility does the PMHNP have in this situation?
A. Contact the client's boss to notify him of potential harm.
B. Ask the client to sign a "no harm to others" agreement and document in chart.
C. Consult state board of nursing regarding state law requirements on reporting
potential harm.
D. Advise the client to stop going to the plan and avoid any contact with his former boss.
- Answer-C
Your patient is a 32-year-old who is diagnosed with major depression-recurrent,
insomnia, and chronic lower back pain. The patient has seen you for three medication
management sessions over the last two months. During the fourth medication
management session, the patient states that money is tight and an appointment is
required with the general practice (GP) physician every time a refill of the Hydrocodone
(pain medication) is needed. The patient asks you to refill the Hydrocodone to save the
cost of another medical visit. you:
A. State that you certification is for psychiatric care only and refer him back to his GP.
B. State that you are willing to discuss alternative medications to manage his pain.
C. State that you can refill this prescription just once.
D. State that you would be willing to call his GP to discuss the issues and help him out. -
Answer-A
You are a nurse practitioner (NP) who performs psychotherapy. your patient is
distraught, and you call in the NP who is performing the medication management to sit
in and discuss and determine if an emergency medication evaluation is needed. After
the discussion of medication changes that will take place, the medication manager NP
asks the crying patient if she needs a hug. The patient stands and extends her arms
outward. The medication NP gives her a chaste hug and leaves the room. Is this a case
of inappropriate touch or battery?
A. Yes. This is inappropriate, as you never touch a patient under any circumstances.
B. No but, nonverbal communication methods are not sufficient for ensuring agreement
to hug a patient.
C. Yes. This is a case of battery. The patient did not verbally say that it was okay to
touch.
D. No. This is a case where there was a question asked, nonverbal consent was given,
and the NP gave the - Answer-D
A social worker concerned about a Nigerian refugee who seems to be suffering from
severe post-traumatic stress disorder since arriving in U.S. three months ago referred
this man to an African American female Psychiatric-Mental Health Nurse Practitioner in
the community mental health center. The PMHNP builds rapport by exploring the
, values, beliefs, life experiences, and accepted behaviors of this young Nigerian man as
she seeks to understand the context of his transition to the U.S. before making any
diagnosis or proposed intervention. The PMHNP is striving to provide what type of
mental health care?
a. Alternative care
b. Individualized care
c. Culturally competent care
Culture specific car - Answer-C
You are a psychiatric nurse practitioner (NP) and have many patients with comorbid
medical and mental health issues. As a part of your continuous quality improvement
(CQI) process, you might best serve your practice by:
a. Develop a journal group with a general practice colleague to read the latest articles
on self-care for advanced practice nurses.
b. Subscribe to Medscape and read it daily to see about new medications being
developed for personality disorders.
c. Developing a peer review process of your charts with a general practice colleague.
d. Subscribe to Medscape Psychiatry and read it critically noting studies that apply to
your patient's access to care issues. - Answer-C
The Nurse Practitioner (NP) attends a local meeting where allocation of resources for
healthcare will be discussed. One of the stakeholders has a pamphlet that describes the
types of healthcare providers available to help persons in need of health care. The NP
notices that Nurse Practitioners are labeled as "Paraprofessionals". In the meeting, the
NP asks the organization responsible for the pamphlet why they have identified the
Nurse Practitioners as paraprofessionals when a Nurse Practitioner is by law working as
85-90% of the same capacity as a Medical Doctor. The NP goes on the explain what a
Nurse Practitioner does in various areas of practice. This is an example of:
a. Promoting nurse practitioners in the community
b. Public education on the NP scope and standards of practice
c. Correcting misinformation that deliberately misleads the public
d. Advocating for the role and value of the Nurse Practitioner - Answer-D
As a nurse practitioner (NP), you teach your patients that mental illness is no different
from any other physical illness that a person suffers. In classes for the community, you
emphasize that everybody has a brain and it is another organ in the body. You remind
the audience that illness in the brain is no different from illness in the heart, lungs, or
liver. This is an example of:
a. Reducing Stigma
b. Cross education
c. Holistic Dynamism
d. Integrated health - Answer-A
The Veterans Health Administration (VHA) is asking to let its advanced practice
registered nurses (APRNs) work independently, even in states that normally require
physician oversight. You begin a writing campaign within your state nursing association
Exam with complete solution
You have students from local psychiatric nurse practitioner programs follow you in your
clinical practice to show them what you do as a Psychiatric Nurse Practitioner. This is
called being a:
a. Preceptor
b. Mentor
c. Professor
d. Teacher - Answer-A
A Psychiatric Mental Health Nurse Practitioner providing psychiatric consultation makes
a home visit after the police found an 86-year-old widow wandering the streets at 4AM
after emergency call from her daughter. The woman has been living with her daughter
for the past ten years, after her husband died. Her daughter is a 66-year-old, single,
retired schoolteacher, appears thin, exhausted, and reports little sleep for past two
years trying to care for her mother. The daughter reports that her mother becomes
increasingly confused every evening and wanders the house unable to sleep at night.
The daughter is unable to leave her mother alone for even a short period of time
because unsupervised her mother will turn on the gas stove burner, leave it unattended,
and she escapes the house at every chance to wander the neighborhood. Her mother is
socially pleasant, disoriented to time and place, and does not recognize her dau -
Answer-A
As a psychiatric nurse practitioner, you evaluate your patients for health concerns and
beyond, in a holistic manner. your current patient has a blood sugar of 186 and a
hemoglobin A1C of 6.7. You refer this patient to an internal medicine practitioner with
whom you frequently share patients. You have just violated:
A. The DATA Act
B. The Adams Act
C. No statute
D. The Stark law - Answer-C
Which of the following is not insured by the Universal Bill of Rights for Mental Health
Patients?
A. The right to refuse a particular mode of treatment regardless of informed, voluntary,
written consent, or situation.
B. The right to freedom from restraint or seclusion, other than as a mode of treatment
during an emergency situation.
C. The right to be given a reasonable explanation of one's general mental and physical
condition, the objectives of treatment, and the possible adverse effects of recommended
treatment.
D. The right to ongoing participation in the planning of mental health services provided
in a manner appropriate to a person's capabilities. - Answer-A
,During an outpatient medication evaluation a depressed client reports persistent anger
toward his former boss after losing his job due to arguments and assaultive behavior
toward co-workers. The client has been waiting outside the plant in the afternoon,
watching for the boss to leave to confront him regarding his terminated employment.
What responsibility does the PMHNP have in this situation?
A. Contact the client's boss to notify him of potential harm.
B. Ask the client to sign a "no harm to others" agreement and document in chart.
C. Consult state board of nursing regarding state law requirements on reporting
potential harm.
D. Advise the client to stop going to the plan and avoid any contact with his former boss.
- Answer-C
Your patient is a 32-year-old who is diagnosed with major depression-recurrent,
insomnia, and chronic lower back pain. The patient has seen you for three medication
management sessions over the last two months. During the fourth medication
management session, the patient states that money is tight and an appointment is
required with the general practice (GP) physician every time a refill of the Hydrocodone
(pain medication) is needed. The patient asks you to refill the Hydrocodone to save the
cost of another medical visit. you:
A. State that you certification is for psychiatric care only and refer him back to his GP.
B. State that you are willing to discuss alternative medications to manage his pain.
C. State that you can refill this prescription just once.
D. State that you would be willing to call his GP to discuss the issues and help him out. -
Answer-A
You are a nurse practitioner (NP) who performs psychotherapy. your patient is
distraught, and you call in the NP who is performing the medication management to sit
in and discuss and determine if an emergency medication evaluation is needed. After
the discussion of medication changes that will take place, the medication manager NP
asks the crying patient if she needs a hug. The patient stands and extends her arms
outward. The medication NP gives her a chaste hug and leaves the room. Is this a case
of inappropriate touch or battery?
A. Yes. This is inappropriate, as you never touch a patient under any circumstances.
B. No but, nonverbal communication methods are not sufficient for ensuring agreement
to hug a patient.
C. Yes. This is a case of battery. The patient did not verbally say that it was okay to
touch.
D. No. This is a case where there was a question asked, nonverbal consent was given,
and the NP gave the - Answer-D
A social worker concerned about a Nigerian refugee who seems to be suffering from
severe post-traumatic stress disorder since arriving in U.S. three months ago referred
this man to an African American female Psychiatric-Mental Health Nurse Practitioner in
the community mental health center. The PMHNP builds rapport by exploring the
, values, beliefs, life experiences, and accepted behaviors of this young Nigerian man as
she seeks to understand the context of his transition to the U.S. before making any
diagnosis or proposed intervention. The PMHNP is striving to provide what type of
mental health care?
a. Alternative care
b. Individualized care
c. Culturally competent care
Culture specific car - Answer-C
You are a psychiatric nurse practitioner (NP) and have many patients with comorbid
medical and mental health issues. As a part of your continuous quality improvement
(CQI) process, you might best serve your practice by:
a. Develop a journal group with a general practice colleague to read the latest articles
on self-care for advanced practice nurses.
b. Subscribe to Medscape and read it daily to see about new medications being
developed for personality disorders.
c. Developing a peer review process of your charts with a general practice colleague.
d. Subscribe to Medscape Psychiatry and read it critically noting studies that apply to
your patient's access to care issues. - Answer-C
The Nurse Practitioner (NP) attends a local meeting where allocation of resources for
healthcare will be discussed. One of the stakeholders has a pamphlet that describes the
types of healthcare providers available to help persons in need of health care. The NP
notices that Nurse Practitioners are labeled as "Paraprofessionals". In the meeting, the
NP asks the organization responsible for the pamphlet why they have identified the
Nurse Practitioners as paraprofessionals when a Nurse Practitioner is by law working as
85-90% of the same capacity as a Medical Doctor. The NP goes on the explain what a
Nurse Practitioner does in various areas of practice. This is an example of:
a. Promoting nurse practitioners in the community
b. Public education on the NP scope and standards of practice
c. Correcting misinformation that deliberately misleads the public
d. Advocating for the role and value of the Nurse Practitioner - Answer-D
As a nurse practitioner (NP), you teach your patients that mental illness is no different
from any other physical illness that a person suffers. In classes for the community, you
emphasize that everybody has a brain and it is another organ in the body. You remind
the audience that illness in the brain is no different from illness in the heart, lungs, or
liver. This is an example of:
a. Reducing Stigma
b. Cross education
c. Holistic Dynamism
d. Integrated health - Answer-A
The Veterans Health Administration (VHA) is asking to let its advanced practice
registered nurses (APRNs) work independently, even in states that normally require
physician oversight. You begin a writing campaign within your state nursing association
