SAMPLE TEST QUESTIONS ANCC -
PMHNP QUESTIONS WITH
COMPLETE SOLUTIONS
Aapatientawithaborderlineapersonalityadisorderaexperiencesaintenseaanxietyawhenaanaadulta
psychiatricaandamentalahealthanurseapractitioneragoesaonavacation.aTheabestaexplanationaf
orathisareactionaisathatatheapatient:
A.ahasafailedatoadevelopaclearaegoaboundaries.
B.ahasafailedatoamasteraobjectaconstancy.
C.aisaemployingaprimitiveaidealization.
D.aisaemployingaprojectiveaidentification.a-aans--B.ahasafailedatoamasteraobjectaconstancy
2.aAapatientahasabeenatakingaescitaloprama(Lexapro)a10amgadailyaforafouraweeks.aInitially,at
heapatientareportedadepressionaandasuicidalathoughts.aTheapatient'sasleep,aappetite,aenerg
y,aandaappearanceahaveanowabegunatoaimprove.aWhichastatementaappliesatoathisapatient?
A.aTheamedicationashouldabeadiscontinued.
B.aTheamedicationashouldabeaincreased.a
C.aTheapatient'sariskaforasuicideaisanotaaaconcern.
D.aTheapatient'sasuicideapotentialaisaincreased.a-aans--
D.aTheapatient'sasuicideapotentialaisaincreased.
3.aWhichabehaviorareflectsaexistentiallyaorientedatherapy?
A.aAttemptingatoaunderstandaaapatient'sasubjectiveaworld
B.aChallengingaaapatient'sairrationalabeliefs
C.aDevelopingaspecificaplansaforachange
D.aEstablishingageneralagroupagoalsa-aans--
A.aAttemptingatoaunderstandaaapatient'sasubjectiveaworld
4.aServingaasaaamemberaonaaacrisisateam,aanaadultapsychiatricaandamentalahealthanurseapr
actitioneraprovidesacrisisainterventionatoatheasurvivorsaofaaaplaneacrash.aForty-
eightahoursaafteratheaaccident,atheasurvivorsadescribeavividaflashbacks,astartleareactions,aa
ndadisruptedasleepapatterns.aTheanurseapractitionerarespondsaby:
A.aadvisingatheasurvivorsatoaconsiderausingaaahypnoticamedicationaforaaabriefaperiod.
B.aeducatingatheasurvivorsaaboutaprodromalasymptomsaofaposttraumaticastressadisorder.
C.aencouragingatheasurvivorsatoarestaduringatheaday.
D.asuggestingathatatheasurvivorsajoinaaaposttraumaasupportagroup.a-aans--
B.aeducatingatheasurvivorsaaboutaprodromalasymptomsaofaposttraumaticastressadisorder.
5.aAnaadultapsychiatricaandamentalahealthanurseapractitionerausesatheainterpersonalatherap
yamodelawithaaapatientatoaestablishaaatherapeuticaallianceabasedauponaempathyaandatrust.aT
heanurseapractitionerarecognizesatheapatient'sareadinessatoaterminateatherapyawhenatheapa
tientademonstrates:
, A.aanaunderstandingathataleavingaaasignificantaotheramayabeapainful,abutaalsoapresentsaanao
pportunityaforagrowth.
B.abreathingaandamusclearelaxationaexercisesathatadecreaseamuscleatensionaandaanxiety.
C.afreeaassociation,aandaconsidersatheanurseapractitioner'sainterpretationaofatheapatient'sadr
eams.
D.anewaadaptiveaskillsaandaresponsesaafteracompletinga"homeworkaassignments."a-aans--
A.aanaunderstandingathataleavingaaasignificantaotheramayabeapainful,abutaalsoapresentsaanao
pportunityaforagrowth.
6.aAnaHispanicapatientainformsaanaadultapsychiatricaandamentalahealthanurseapractitionerad
uringaaawellnessavisitathataheaorasheaoccasionallyausesahotachiliajuiceatoarelieveaaa"nervousa
condition."aTheapatientadeniesaanyacomplaintsarelatedatoathisapractice.aTheanurseapractition
er'saresponseaisato:
A.aactivelyadiscourageatheapatientafromacontinuingathisatreatment.
B.aofferaaamedicationatoatreatatheanervousacondition.
C.asuggestaanaalternativeafoodatoarelieveatheanervousacondition.
D.aviewathisaasaaaself-carearitualathataneedsatoabeapreserved.a-aans--D.aviewathisaasaaaself-
carearitualathataneedsatoabeapreserved.
7.aBeforeaanaolderaadultapatientainitiatesapharmacotherapyawithaaamedicationathataisacleare
dabyatheakidneys,aanaadultapsychiatricaandamentalahealthanurseapractitioneraassessesatheap
atient's:
A.abloodaureaanitrogenalevel.
B.acreatinineaclearance.
C.aspecificagravity.
D.aurinaryasediment.a-aans--B.acreatinineaclearance.
8.aAnaadultapsychiatricaandamentalahealthanurseapractitionerausesaaacognitive-
behavioralaapproachatoahelpaanaadolescentapatientachangeaself-
defeatingabehaviors.aAfteraidentifyingatheainitialastressorathataisacausingatheainappropriateab
ehavior,atheatherapeuticainterventionaisatoaidentify:
A.aalternativeapositivearesponsesatoatheastressor.
B.anegativeaconsequencesaofatheabehavioralaresponseatoatheastressor.
C.apossibleaoutcomesaofaalternativearesponses.
D.arationalaandairrationalabeliefsaaboutatheastressor.a-aans--
D.arationalaandairrationalabeliefsaaboutatheastressor.
9.aWhichacharacteristicaofafluoxetinea(Prozac)aprovidesatheagreatestadegreeaofasafetyaforap
atientsawhoahaveasevereadepression?
A.aGreateraefficacyathanatricyclicaantidepressants
B.aLessapotentialaforadrugainteraction
C.aLessapotentialaforainjuryawithaintentionalaoverdose
D.aLessapotentialaforasuicidalathinkinga-aans--
C.aLessapotentialaforainjuryawithaintentionalaoverdose
PMHNP QUESTIONS WITH
COMPLETE SOLUTIONS
Aapatientawithaborderlineapersonalityadisorderaexperiencesaintenseaanxietyawhenaanaadulta
psychiatricaandamentalahealthanurseapractitioneragoesaonavacation.aTheabestaexplanationaf
orathisareactionaisathatatheapatient:
A.ahasafailedatoadevelopaclearaegoaboundaries.
B.ahasafailedatoamasteraobjectaconstancy.
C.aisaemployingaprimitiveaidealization.
D.aisaemployingaprojectiveaidentification.a-aans--B.ahasafailedatoamasteraobjectaconstancy
2.aAapatientahasabeenatakingaescitaloprama(Lexapro)a10amgadailyaforafouraweeks.aInitially,at
heapatientareportedadepressionaandasuicidalathoughts.aTheapatient'sasleep,aappetite,aenerg
y,aandaappearanceahaveanowabegunatoaimprove.aWhichastatementaappliesatoathisapatient?
A.aTheamedicationashouldabeadiscontinued.
B.aTheamedicationashouldabeaincreased.a
C.aTheapatient'sariskaforasuicideaisanotaaaconcern.
D.aTheapatient'sasuicideapotentialaisaincreased.a-aans--
D.aTheapatient'sasuicideapotentialaisaincreased.
3.aWhichabehaviorareflectsaexistentiallyaorientedatherapy?
A.aAttemptingatoaunderstandaaapatient'sasubjectiveaworld
B.aChallengingaaapatient'sairrationalabeliefs
C.aDevelopingaspecificaplansaforachange
D.aEstablishingageneralagroupagoalsa-aans--
A.aAttemptingatoaunderstandaaapatient'sasubjectiveaworld
4.aServingaasaaamemberaonaaacrisisateam,aanaadultapsychiatricaandamentalahealthanurseapr
actitioneraprovidesacrisisainterventionatoatheasurvivorsaofaaaplaneacrash.aForty-
eightahoursaafteratheaaccident,atheasurvivorsadescribeavividaflashbacks,astartleareactions,aa
ndadisruptedasleepapatterns.aTheanurseapractitionerarespondsaby:
A.aadvisingatheasurvivorsatoaconsiderausingaaahypnoticamedicationaforaaabriefaperiod.
B.aeducatingatheasurvivorsaaboutaprodromalasymptomsaofaposttraumaticastressadisorder.
C.aencouragingatheasurvivorsatoarestaduringatheaday.
D.asuggestingathatatheasurvivorsajoinaaaposttraumaasupportagroup.a-aans--
B.aeducatingatheasurvivorsaaboutaprodromalasymptomsaofaposttraumaticastressadisorder.
5.aAnaadultapsychiatricaandamentalahealthanurseapractitionerausesatheainterpersonalatherap
yamodelawithaaapatientatoaestablishaaatherapeuticaallianceabasedauponaempathyaandatrust.aT
heanurseapractitionerarecognizesatheapatient'sareadinessatoaterminateatherapyawhenatheapa
tientademonstrates:
, A.aanaunderstandingathataleavingaaasignificantaotheramayabeapainful,abutaalsoapresentsaanao
pportunityaforagrowth.
B.abreathingaandamusclearelaxationaexercisesathatadecreaseamuscleatensionaandaanxiety.
C.afreeaassociation,aandaconsidersatheanurseapractitioner'sainterpretationaofatheapatient'sadr
eams.
D.anewaadaptiveaskillsaandaresponsesaafteracompletinga"homeworkaassignments."a-aans--
A.aanaunderstandingathataleavingaaasignificantaotheramayabeapainful,abutaalsoapresentsaanao
pportunityaforagrowth.
6.aAnaHispanicapatientainformsaanaadultapsychiatricaandamentalahealthanurseapractitionerad
uringaaawellnessavisitathataheaorasheaoccasionallyausesahotachiliajuiceatoarelieveaaa"nervousa
condition."aTheapatientadeniesaanyacomplaintsarelatedatoathisapractice.aTheanurseapractition
er'saresponseaisato:
A.aactivelyadiscourageatheapatientafromacontinuingathisatreatment.
B.aofferaaamedicationatoatreatatheanervousacondition.
C.asuggestaanaalternativeafoodatoarelieveatheanervousacondition.
D.aviewathisaasaaaself-carearitualathataneedsatoabeapreserved.a-aans--D.aviewathisaasaaaself-
carearitualathataneedsatoabeapreserved.
7.aBeforeaanaolderaadultapatientainitiatesapharmacotherapyawithaaamedicationathataisacleare
dabyatheakidneys,aanaadultapsychiatricaandamentalahealthanurseapractitioneraassessesatheap
atient's:
A.abloodaureaanitrogenalevel.
B.acreatinineaclearance.
C.aspecificagravity.
D.aurinaryasediment.a-aans--B.acreatinineaclearance.
8.aAnaadultapsychiatricaandamentalahealthanurseapractitionerausesaaacognitive-
behavioralaapproachatoahelpaanaadolescentapatientachangeaself-
defeatingabehaviors.aAfteraidentifyingatheainitialastressorathataisacausingatheainappropriateab
ehavior,atheatherapeuticainterventionaisatoaidentify:
A.aalternativeapositivearesponsesatoatheastressor.
B.anegativeaconsequencesaofatheabehavioralaresponseatoatheastressor.
C.apossibleaoutcomesaofaalternativearesponses.
D.arationalaandairrationalabeliefsaaboutatheastressor.a-aans--
D.arationalaandairrationalabeliefsaaboutatheastressor.
9.aWhichacharacteristicaofafluoxetinea(Prozac)aprovidesatheagreatestadegreeaofasafetyaforap
atientsawhoahaveasevereadepression?
A.aGreateraefficacyathanatricyclicaantidepressants
B.aLessapotentialaforadrugainteraction
C.aLessapotentialaforainjuryawithaintentionalaoverdose
D.aLessapotentialaforasuicidalathinkinga-aans--
C.aLessapotentialaforainjuryawithaintentionalaoverdose
