Sample Test Questions ANCC – PMHNP
With Complete Solutions.
A xpatient xwith xborderline xpersonality xdisorder xexperiences xintense xanxiety xwhen xan
xadult xpsychiatric xand xmental xhealth xnurse xpractitioner xgoes xon xvacation. xThe xbest
xexplanation xfor xthis xreaction xis xthat xthe xpatient:
A. xhas xfailed xto xdevelop xclear xego xboundaries.
B. xhas xfailed xto xmaster xobject xconstancy.
C. xis xemploying xprimitive xidealization.
D. xis xemploying xprojective xidentification. x- xcorrect xanswer. x x x xB. xhas xfailed xto xmaster
xobject xconstancy
2. xA xpatient xhas xbeen xtaking xescitalopram x(Lexapro) x10 xmg xdaily xfor xfour xweeks.
xInitially, xthe xpatient xreported xdepression xand xsuicidal xthoughts. xThe xpatient's xsleep,
xappetite, xenergy, xand xappearance xhave xnow xbegun xto ximprove. xWhich xstatement
xapplies xto xthis xpatient?
A. xThe xmedication xshould xbe xdiscontinued.
B. xThe xmedication xshould xbe xincreased. x
C. xThe xpatient's xrisk xfor xsuicide xis xnot xa xconcern.
D. xThe xpatient's xsuicide xpotential xis xincreased. x- xcorrect xanswer. x x x xD. xThe xpatient's
xsuicide xpotential xis xincreased.
3. xWhich xbehavior xreflects xexistentially xoriented xtherapy?
A. xAttempting xto xunderstand xa xpatient's xsubjective xworld
B. xChallenging xa xpatient's xirrational xbeliefs
C. xDeveloping xspecific xplans xfor xchange
D. xEstablishing xgeneral xgroup xgoals x- xcorrect xanswer. x x x xA. xAttempting xto xunderstand xa
xpatient's xsubjective xworld
4. xServing xas xa xmember xon xa xcrisis xteam, xan xadult xpsychiatric xand xmental xhealth xnurse
xpractitioner xprovides xcrisis xintervention xto xthe xsurvivors xof xa xplane xcrash. xForty-eight
xhours xafter xthe xaccident, xthe xsurvivors xdescribe xvivid xflashbacks, xstartle xreactions, xand
xdisrupted xsleep xpatterns. xThe xnurse xpractitioner xresponds xby:
A. xadvising xthe xsurvivors xto xconsider xusing xa xhypnotic xmedication xfor xa xbrief xperiod.
B. xeducating xthe xsurvivors xabout xprodromal xsymptoms xof xposttraumatic xstress xdisorder.
C. xencouraging xthe xsurvivors xto xrest xduring xthe xday.
, D. xsuggesting xthat xthe xsurvivors xjoin xa xposttrauma xsupport xgroup. x- xcorrect xanswer. x x x
xB. xeducating xthe xsurvivors xabout xprodromal xsymptoms xof xposttraumatic xstress
xdisorder.
5. xAn xadult xpsychiatric xand xmental xhealth xnurse xpractitioner xuses xthe xinterpersonal
xtherapy xmodel xwith xa xpatient xto xestablish xa xtherapeutic xalliance xbased xupon xempathy
xand xtrust. xThe xnurse xpractitioner xrecognizes xthe xpatient's xreadiness xto xterminate
xtherapy xwhen xthe xpatient xdemonstrates:
A. xan xunderstanding xthat xleaving xa xsignificant xother xmay xbe xpainful, xbut xalso xpresents
xan xopportunity xfor xgrowth.
B. xbreathing xand xmuscle xrelaxation xexercises xthat xdecrease xmuscle xtension xand
xanxiety.
C. xfree xassociation, xand xconsiders xthe xnurse xpractitioner's xinterpretation xof xthe xpatient's
xdreams.
D. xnew xadaptive xskills xand xresponses xafter xcompleting x"homework xassignments." x-
xcorrect xanswer. x x x xA. xan xunderstanding xthat xleaving xa xsignificant xother xmay xbe xpainful,
xbut xalso xpresents xan xopportunity xfor xgrowth.
6. xAn xHispanic xpatient xinforms xan xadult xpsychiatric xand xmental xhealth xnurse xpractitioner
xduring xa xwellness xvisit xthat xhe xor xshe xoccasionally xuses xhot xchili xjuice xto xrelieve xa
x"nervous xcondition." xThe xpatient xdenies xany xcomplaints xrelated xto xthis xpractice. xThe
xnurse xpractitioner's xresponse xis xto:
A. xactively xdiscourage xthe xpatient xfrom xcontinuing xthis xtreatment.
B. xoffer xa xmedication xto xtreat xthe xnervous xcondition.
C. xsuggest xan xalternative xfood xto xrelieve xthe xnervous xcondition.
D. xview xthis xas xa xself-care xritual xthat xneeds xto xbe xpreserved. x- xcorrect xanswer. x x x xD.
xview xthis xas xa xself-care xritual xthat xneeds xto xbe xpreserved.
7. xBefore xan xolder xadult xpatient xinitiates xpharmacotherapy xwith xa xmedication xthat xis
xcleared xby xthe xkidneys, xan xadult xpsychiatric xand xmental xhealth xnurse xpractitioner
xassesses xthe xpatient's:
A. xblood xurea xnitrogen xlevel.
B. xcreatinine xclearance.
C. xspecific xgravity.
D. xurinary xsediment. x- xcorrect xanswer. x x x xB. xcreatinine xclearance.
8. xAn xadult xpsychiatric xand xmental xhealth xnurse xpractitioner xuses xa xcognitive-behavioral
xapproach xto xhelp xan xadolescent xpatient xchange xself-defeating xbehaviors. xAfter
xidentifying xthe xinitial xstressor xthat xis xcausing xthe xinappropriate xbehavior, xthe
xtherapeutic xintervention xis xto xidentify:
A. xalternative xpositive xresponses xto xthe xstressor.
B. xnegative xconsequences xof xthe xbehavioral xresponse xto xthe xstressor.
C. xpossible xoutcomes xof xalternative xresponses.
D. xrational xand xirrational xbeliefs xabout xthe xstressor. x- xcorrect xanswer. x x x xD. xrational xand
xirrational xbeliefs xabout xthe xstressor.
With Complete Solutions.
A xpatient xwith xborderline xpersonality xdisorder xexperiences xintense xanxiety xwhen xan
xadult xpsychiatric xand xmental xhealth xnurse xpractitioner xgoes xon xvacation. xThe xbest
xexplanation xfor xthis xreaction xis xthat xthe xpatient:
A. xhas xfailed xto xdevelop xclear xego xboundaries.
B. xhas xfailed xto xmaster xobject xconstancy.
C. xis xemploying xprimitive xidealization.
D. xis xemploying xprojective xidentification. x- xcorrect xanswer. x x x xB. xhas xfailed xto xmaster
xobject xconstancy
2. xA xpatient xhas xbeen xtaking xescitalopram x(Lexapro) x10 xmg xdaily xfor xfour xweeks.
xInitially, xthe xpatient xreported xdepression xand xsuicidal xthoughts. xThe xpatient's xsleep,
xappetite, xenergy, xand xappearance xhave xnow xbegun xto ximprove. xWhich xstatement
xapplies xto xthis xpatient?
A. xThe xmedication xshould xbe xdiscontinued.
B. xThe xmedication xshould xbe xincreased. x
C. xThe xpatient's xrisk xfor xsuicide xis xnot xa xconcern.
D. xThe xpatient's xsuicide xpotential xis xincreased. x- xcorrect xanswer. x x x xD. xThe xpatient's
xsuicide xpotential xis xincreased.
3. xWhich xbehavior xreflects xexistentially xoriented xtherapy?
A. xAttempting xto xunderstand xa xpatient's xsubjective xworld
B. xChallenging xa xpatient's xirrational xbeliefs
C. xDeveloping xspecific xplans xfor xchange
D. xEstablishing xgeneral xgroup xgoals x- xcorrect xanswer. x x x xA. xAttempting xto xunderstand xa
xpatient's xsubjective xworld
4. xServing xas xa xmember xon xa xcrisis xteam, xan xadult xpsychiatric xand xmental xhealth xnurse
xpractitioner xprovides xcrisis xintervention xto xthe xsurvivors xof xa xplane xcrash. xForty-eight
xhours xafter xthe xaccident, xthe xsurvivors xdescribe xvivid xflashbacks, xstartle xreactions, xand
xdisrupted xsleep xpatterns. xThe xnurse xpractitioner xresponds xby:
A. xadvising xthe xsurvivors xto xconsider xusing xa xhypnotic xmedication xfor xa xbrief xperiod.
B. xeducating xthe xsurvivors xabout xprodromal xsymptoms xof xposttraumatic xstress xdisorder.
C. xencouraging xthe xsurvivors xto xrest xduring xthe xday.
, D. xsuggesting xthat xthe xsurvivors xjoin xa xposttrauma xsupport xgroup. x- xcorrect xanswer. x x x
xB. xeducating xthe xsurvivors xabout xprodromal xsymptoms xof xposttraumatic xstress
xdisorder.
5. xAn xadult xpsychiatric xand xmental xhealth xnurse xpractitioner xuses xthe xinterpersonal
xtherapy xmodel xwith xa xpatient xto xestablish xa xtherapeutic xalliance xbased xupon xempathy
xand xtrust. xThe xnurse xpractitioner xrecognizes xthe xpatient's xreadiness xto xterminate
xtherapy xwhen xthe xpatient xdemonstrates:
A. xan xunderstanding xthat xleaving xa xsignificant xother xmay xbe xpainful, xbut xalso xpresents
xan xopportunity xfor xgrowth.
B. xbreathing xand xmuscle xrelaxation xexercises xthat xdecrease xmuscle xtension xand
xanxiety.
C. xfree xassociation, xand xconsiders xthe xnurse xpractitioner's xinterpretation xof xthe xpatient's
xdreams.
D. xnew xadaptive xskills xand xresponses xafter xcompleting x"homework xassignments." x-
xcorrect xanswer. x x x xA. xan xunderstanding xthat xleaving xa xsignificant xother xmay xbe xpainful,
xbut xalso xpresents xan xopportunity xfor xgrowth.
6. xAn xHispanic xpatient xinforms xan xadult xpsychiatric xand xmental xhealth xnurse xpractitioner
xduring xa xwellness xvisit xthat xhe xor xshe xoccasionally xuses xhot xchili xjuice xto xrelieve xa
x"nervous xcondition." xThe xpatient xdenies xany xcomplaints xrelated xto xthis xpractice. xThe
xnurse xpractitioner's xresponse xis xto:
A. xactively xdiscourage xthe xpatient xfrom xcontinuing xthis xtreatment.
B. xoffer xa xmedication xto xtreat xthe xnervous xcondition.
C. xsuggest xan xalternative xfood xto xrelieve xthe xnervous xcondition.
D. xview xthis xas xa xself-care xritual xthat xneeds xto xbe xpreserved. x- xcorrect xanswer. x x x xD.
xview xthis xas xa xself-care xritual xthat xneeds xto xbe xpreserved.
7. xBefore xan xolder xadult xpatient xinitiates xpharmacotherapy xwith xa xmedication xthat xis
xcleared xby xthe xkidneys, xan xadult xpsychiatric xand xmental xhealth xnurse xpractitioner
xassesses xthe xpatient's:
A. xblood xurea xnitrogen xlevel.
B. xcreatinine xclearance.
C. xspecific xgravity.
D. xurinary xsediment. x- xcorrect xanswer. x x x xB. xcreatinine xclearance.
8. xAn xadult xpsychiatric xand xmental xhealth xnurse xpractitioner xuses xa xcognitive-behavioral
xapproach xto xhelp xan xadolescent xpatient xchange xself-defeating xbehaviors. xAfter
xidentifying xthe xinitial xstressor xthat xis xcausing xthe xinappropriate xbehavior, xthe
xtherapeutic xintervention xis xto xidentify:
A. xalternative xpositive xresponses xto xthe xstressor.
B. xnegative xconsequences xof xthe xbehavioral xresponse xto xthe xstressor.
C. xpossible xoutcomes xof xalternative xresponses.
D. xrational xand xirrational xbeliefs xabout xthe xstressor. x- xcorrect xanswer. x x x xD. xrational xand
xirrational xbeliefs xabout xthe xstressor.
