ANCC PMHNP PSYCH-MENTAL HEALTH NP TEST 1Questions and Answers
1. Your patient, whose wife died a few months ago, appears to be very
unkempt and apathetic. Although several months have passed since his
wife's death he has not progressed at all through his grieving. You assess
this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief: Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical, psycholog-
ical, cognitive and spiritual responses to the death of a significant other. But when
the person shows persistent maladaptive behaviors such as not taking care of
personal hygiene and/or appearance and does not progress through the mourning
process, this is complicated grief.
2. If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine: Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery phase, the patient
should not be prescribed this medication. Trazodone (Desyrel) can cause the
patient to develop orthostatic hypotension and priapism.
3. To get your teaching ideas and concepts across to a poor reader which of
the following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review.: Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices
are not helpful. You should use short sentences and easy to read layouts; be
, 2
concrete rather than abstract; and teach them how to ask questions about their
health. Also, tell context first and use visual, use common words and examples,
and explain meaning.
4. A 21-year old woman presents with complaints of milky discharge from
her breasts. She doesn't have any other symptoms and is not pregnant, nor
has been before. She tells the nurse about each medication that she takes.
Which of these drugs may be implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline: Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics.
A milky white discharge known as galactorrhea could be a sign of an underlying
condition. The fact that the woman takes Risperidone, an atypical antipsychotic,
would likely point to the cause and should be switched with one less likely to have
that same side effect.
5. Which of the following would be considered one of the main things that is
responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above: Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health
patients. The home health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and
control of their symptoms.
6. Which of the following would be considered an important form of commu-
nication that can help to promote consistency in the care of the patient at
the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
,None of the above: Correct Answer:
Documentation
The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation. Documentation
can promote consistency in the care of the patient and is also used to help justify
the patient remaining in the hospital.
7. Effects of an overdose of LSD (Lysergic acid diethylamide) can include all
of the following except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures: Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP overdose. Vomiting,
respiratory failure and seizures would be considered an effect
of LSD overdose.
8. Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps: Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have drug combi-
nations that are contraindicated. They can vary from restlessness and agitation to
tremors, chills, headaches, and insomnia as well as loss of coordination. Nausea
has not been implicated in serotonin syndrome.
9. What is the rate of suicide attempts for patients having dissociative iden-
tity disorder?
30%
45%
70%
60%: Correct Answer:
70%
People with dissociative identity disorder have one of the highest risks for sui-
, 6
cide. According to the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5),more than 70% of outpatients with DID have attempted suicide, and
multiple suicide attempts are common.
10. Of the following, which would not be considered a phase of schizophrenia
treatment?
Maintenance
Acute
Cognitive
Stabilization: Correct Answer:
Cognitive
Cognitive is not one of the three phases of schizophrenia treatment.
The three phases are:
Phase 1: acute
Phase 2: stabilization
Phase 3: maintenance
11. The patient should be monitored for effects of psychotropic medications
which can impact cardiac rhythms. Which of the following could be a poten-
tial
cardiac side effect?
A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above: Correct Answer:
A prolonged QT interval
With antipsychotic drugs, the triclyclic action can cause problems. These medica-
tions can cause a widening of the QRS or a prolonged QT interval.
This is a measure of the ventricular repolarization.
12. Sullivan described three developmental cognitive modes of experience
and believed that mental disorders are related to the persistence of one of
the early modes. The mode that begins in early childhood as the child begins
to connect experiences in sequence is which of the following?
prototaxic mode
parataxic mode
syntaxic mode
composite mode: Correct Answer:
1. Your patient, whose wife died a few months ago, appears to be very
unkempt and apathetic. Although several months have passed since his
wife's death he has not progressed at all through his grieving. You assess
this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief: Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical, psycholog-
ical, cognitive and spiritual responses to the death of a significant other. But when
the person shows persistent maladaptive behaviors such as not taking care of
personal hygiene and/or appearance and does not progress through the mourning
process, this is complicated grief.
2. If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine: Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery phase, the patient
should not be prescribed this medication. Trazodone (Desyrel) can cause the
patient to develop orthostatic hypotension and priapism.
3. To get your teaching ideas and concepts across to a poor reader which of
the following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review.: Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices
are not helpful. You should use short sentences and easy to read layouts; be
, 2
concrete rather than abstract; and teach them how to ask questions about their
health. Also, tell context first and use visual, use common words and examples,
and explain meaning.
4. A 21-year old woman presents with complaints of milky discharge from
her breasts. She doesn't have any other symptoms and is not pregnant, nor
has been before. She tells the nurse about each medication that she takes.
Which of these drugs may be implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline: Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics.
A milky white discharge known as galactorrhea could be a sign of an underlying
condition. The fact that the woman takes Risperidone, an atypical antipsychotic,
would likely point to the cause and should be switched with one less likely to have
that same side effect.
5. Which of the following would be considered one of the main things that is
responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above: Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health
patients. The home health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and
control of their symptoms.
6. Which of the following would be considered an important form of commu-
nication that can help to promote consistency in the care of the patient at
the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
,None of the above: Correct Answer:
Documentation
The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation. Documentation
can promote consistency in the care of the patient and is also used to help justify
the patient remaining in the hospital.
7. Effects of an overdose of LSD (Lysergic acid diethylamide) can include all
of the following except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures: Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP overdose. Vomiting,
respiratory failure and seizures would be considered an effect
of LSD overdose.
8. Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps: Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have drug combi-
nations that are contraindicated. They can vary from restlessness and agitation to
tremors, chills, headaches, and insomnia as well as loss of coordination. Nausea
has not been implicated in serotonin syndrome.
9. What is the rate of suicide attempts for patients having dissociative iden-
tity disorder?
30%
45%
70%
60%: Correct Answer:
70%
People with dissociative identity disorder have one of the highest risks for sui-
, 6
cide. According to the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5),more than 70% of outpatients with DID have attempted suicide, and
multiple suicide attempts are common.
10. Of the following, which would not be considered a phase of schizophrenia
treatment?
Maintenance
Acute
Cognitive
Stabilization: Correct Answer:
Cognitive
Cognitive is not one of the three phases of schizophrenia treatment.
The three phases are:
Phase 1: acute
Phase 2: stabilization
Phase 3: maintenance
11. The patient should be monitored for effects of psychotropic medications
which can impact cardiac rhythms. Which of the following could be a poten-
tial
cardiac side effect?
A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above: Correct Answer:
A prolonged QT interval
With antipsychotic drugs, the triclyclic action can cause problems. These medica-
tions can cause a widening of the QRS or a prolonged QT interval.
This is a measure of the ventricular repolarization.
12. Sullivan described three developmental cognitive modes of experience
and believed that mental disorders are related to the persistence of one of
the early modes. The mode that begins in early childhood as the child begins
to connect experiences in sequence is which of the following?
prototaxic mode
parataxic mode
syntaxic mode
composite mode: Correct Answer:
