SAMPLE TEST QUESTIONS ANCC -
PMHNP
Aoopatientoowithooborderlineoopersonalityoodisorderooexperiencesoointenseooanxietyoowhe
nooanooadultoopsychiatricooandoomentaloohealthoonurseoopractitioneroogoesooonoovacation.
ooTheoobestooexplanationooforoothisooreactionooisoothatootheoopatient:
A.oohasoofailedootooodevelopooclearooegoooboundaries.
B.oohasoofailedootooomasterooobjectooconstancy.
C.ooisooemployingooprimitiveooidealization.
D.ooisooemployingooprojectiveooidentification.oo-ooans--
B.oohasoofailedootooomasterooobjectooconstancy
2.ooAoopatientoohasoobeenootakingooescitalopramoo(Lexapro)oo10oomgoodailyooforoofouroow
eeks.ooInitially,ootheoopatientooreportedoodepressionooandoosuicidaloothoughts.ooTheoopati
ent'soosleep,ooappetite,ooenergy,ooandooappearanceoohaveoonowoobegunootoooimprove.oo
Whichoostatementooappliesootooothisoopatient?
A.ooTheoomedicationooshouldoobeoodiscontinued.
B.ooTheoomedicationooshouldoobeooincreased.oo
C.ooTheoopatient'sooriskooforoosuicideooisoonotooaooconcern.
D.ooTheoopatient'soosuicideoopotentialooisooincreased.oo-ooans--
D.ooTheoopatient'soosuicideoopotentialooisooincreased.
3.ooWhichoobehaviorooreflectsooexistentiallyooorientedootherapy?
A.ooAttemptingootooounderstandooaoopatient'soosubjectiveooworld
B.ooChallengingooaoopatient'sooirrationaloobeliefs
C.ooDevelopingoospecificooplansooforoochange
D.ooEstablishingoogeneraloogroupoogoalsoo-ooans--
A.ooAttemptingootooounderstandooaoopatient'soosubjectiveooworld
4.ooServingooasooaoomemberooonooaoocrisisooteam,ooanooadultoopsychiatricooandoomentalo
ohealthoonurseoopractitionerooprovidesoocrisisoointerventionootoootheoosurvivorsooofooaoopla
neoocrash.ooForty-
eightoohoursooafterootheooaccident,ootheoosurvivorsoodescribeoovividooflashbacks,oostartleo
oreactions,ooandoodisruptedoosleepoopatterns.ooTheoonurseoopractitioneroorespondsooby:
A.ooadvisingootheoosurvivorsootoooconsideroousingooaoohypnoticoomedicationooforooaoobrief
ooperiod.
, B.ooeducatingootheoosurvivorsooaboutooprodromaloosymptomsooofooposttraumaticoostresso
odisorder.
C.ooencouragingootheoosurvivorsootooorestooduringootheooday.
D.oosuggestingoothatootheoosurvivorsoojoinooaooposttraumaoosupportoogroup.oo-ooans--
B.ooeducatingootheoosurvivorsooaboutooprodromaloosymptomsooofooposttraumaticoostresso
odisorder.
5.ooAnooadultoopsychiatricooandoomentaloohealthoonurseoopractitioneroousesootheoointerper
sonalootherapyoomodeloowithooaoopatientootoooestablishooaootherapeuticooallianceoobasedo
ouponooempathyooandootrust.ooTheoonurseoopractitioneroorecognizesootheoopatient'sooread
inessootoooterminateootherapyoowhenootheoopatientoodemonstrates:
A.ooanoounderstandingoothatooleavingooaoosignificantoootheroomayoobeoopainful,oobutooalso
oopresentsooanooopportunityooforoogrowth.
B.oobreathingooandoomuscleoorelaxationooexercisesoothatoodecreaseoomuscleootensionooa
ndooanxiety.
C.oofreeooassociation,ooandooconsidersootheoonurseoopractitioner'soointerpretationooofoothe
oopatient'soodreams.
D.oonewooadaptiveooskillsooandooresponsesooafteroocompletingoo"homeworkooassignment
s."oo-ooans--
A.ooanoounderstandingoothatooleavingooaoosignificantoootheroomayoobeoopainful,oobutooalso
oopresentsooanooopportunityooforoogrowth.
6.ooAnooHispanicoopatientooinformsooanooadultoopsychiatricooandoomentaloohealthoonurseoo
practitionerooduringooaoowellnessoovisitoothatooheoooroosheoooccasionallyoousesoohotoochili
oojuiceootooorelieveooaoo"nervousoocondition."ooTheoopatientoodeniesooanyoocomplaintsoore
latedootooothisoopractice.ooTheoonurseoopractitioner'sooresponseooisooto:
A.ooactivelyoodiscourageootheoopatientoofromoocontinuingoothisootreatment.
B.ooofferooaoomedicationootoootreatootheoonervousoocondition.
C.oosuggestooanooalternativeoofoodootooorelieveootheoonervousoocondition.
D.ooviewoothisooasooaooself-careooritualoothatooneedsootooobeoopreserved.oo-ooans--
D.ooviewoothisooasooaooself-careooritualoothatooneedsootooobeoopreserved.
7.ooBeforeooanooolderooadultoopatientooinitiatesoopharmacotherapyoowithooaoomedicationoo
thatooisooclearedoobyootheookidneys,ooanooadultoopsychiatricooandoomentaloohealthoonurseo
opractitionerooassessesootheoopatient's:
A.oobloodooureaoonitrogenoolevel.
B.oocreatinineooclearance.
C.oospecificoogravity.
D.oourinaryoosediment.oo-ooans--B.oocreatinineooclearance.
8.ooAnooadultoopsychiatricooandoomentaloohealthoonurseoopractitioneroousesooaoocognitive-
behavioralooapproachootooohelpooanooadolescentoopatientoochangeooself-
defeatingoobehaviors.ooAfterooidentifyingootheooinitialoostressoroothatooisoocausingootheooin
appropriateoobehavior,ootheootherapeuticoointerventionooisootoooidentify:
A.ooalternativeoopositiveooresponsesootoootheoostressor.
B.oonegativeooconsequencesooofootheoobehavioralooresponseootoootheoostressor.
PMHNP
Aoopatientoowithooborderlineoopersonalityoodisorderooexperiencesoointenseooanxietyoowhe
nooanooadultoopsychiatricooandoomentaloohealthoonurseoopractitioneroogoesooonoovacation.
ooTheoobestooexplanationooforoothisooreactionooisoothatootheoopatient:
A.oohasoofailedootooodevelopooclearooegoooboundaries.
B.oohasoofailedootooomasterooobjectooconstancy.
C.ooisooemployingooprimitiveooidealization.
D.ooisooemployingooprojectiveooidentification.oo-ooans--
B.oohasoofailedootooomasterooobjectooconstancy
2.ooAoopatientoohasoobeenootakingooescitalopramoo(Lexapro)oo10oomgoodailyooforoofouroow
eeks.ooInitially,ootheoopatientooreportedoodepressionooandoosuicidaloothoughts.ooTheoopati
ent'soosleep,ooappetite,ooenergy,ooandooappearanceoohaveoonowoobegunootoooimprove.oo
Whichoostatementooappliesootooothisoopatient?
A.ooTheoomedicationooshouldoobeoodiscontinued.
B.ooTheoomedicationooshouldoobeooincreased.oo
C.ooTheoopatient'sooriskooforoosuicideooisoonotooaooconcern.
D.ooTheoopatient'soosuicideoopotentialooisooincreased.oo-ooans--
D.ooTheoopatient'soosuicideoopotentialooisooincreased.
3.ooWhichoobehaviorooreflectsooexistentiallyooorientedootherapy?
A.ooAttemptingootooounderstandooaoopatient'soosubjectiveooworld
B.ooChallengingooaoopatient'sooirrationaloobeliefs
C.ooDevelopingoospecificooplansooforoochange
D.ooEstablishingoogeneraloogroupoogoalsoo-ooans--
A.ooAttemptingootooounderstandooaoopatient'soosubjectiveooworld
4.ooServingooasooaoomemberooonooaoocrisisooteam,ooanooadultoopsychiatricooandoomentalo
ohealthoonurseoopractitionerooprovidesoocrisisoointerventionootoootheoosurvivorsooofooaoopla
neoocrash.ooForty-
eightoohoursooafterootheooaccident,ootheoosurvivorsoodescribeoovividooflashbacks,oostartleo
oreactions,ooandoodisruptedoosleepoopatterns.ooTheoonurseoopractitioneroorespondsooby:
A.ooadvisingootheoosurvivorsootoooconsideroousingooaoohypnoticoomedicationooforooaoobrief
ooperiod.
, B.ooeducatingootheoosurvivorsooaboutooprodromaloosymptomsooofooposttraumaticoostresso
odisorder.
C.ooencouragingootheoosurvivorsootooorestooduringootheooday.
D.oosuggestingoothatootheoosurvivorsoojoinooaooposttraumaoosupportoogroup.oo-ooans--
B.ooeducatingootheoosurvivorsooaboutooprodromaloosymptomsooofooposttraumaticoostresso
odisorder.
5.ooAnooadultoopsychiatricooandoomentaloohealthoonurseoopractitioneroousesootheoointerper
sonalootherapyoomodeloowithooaoopatientootoooestablishooaootherapeuticooallianceoobasedo
ouponooempathyooandootrust.ooTheoonurseoopractitioneroorecognizesootheoopatient'sooread
inessootoooterminateootherapyoowhenootheoopatientoodemonstrates:
A.ooanoounderstandingoothatooleavingooaoosignificantoootheroomayoobeoopainful,oobutooalso
oopresentsooanooopportunityooforoogrowth.
B.oobreathingooandoomuscleoorelaxationooexercisesoothatoodecreaseoomuscleootensionooa
ndooanxiety.
C.oofreeooassociation,ooandooconsidersootheoonurseoopractitioner'soointerpretationooofoothe
oopatient'soodreams.
D.oonewooadaptiveooskillsooandooresponsesooafteroocompletingoo"homeworkooassignment
s."oo-ooans--
A.ooanoounderstandingoothatooleavingooaoosignificantoootheroomayoobeoopainful,oobutooalso
oopresentsooanooopportunityooforoogrowth.
6.ooAnooHispanicoopatientooinformsooanooadultoopsychiatricooandoomentaloohealthoonurseoo
practitionerooduringooaoowellnessoovisitoothatooheoooroosheoooccasionallyoousesoohotoochili
oojuiceootooorelieveooaoo"nervousoocondition."ooTheoopatientoodeniesooanyoocomplaintsoore
latedootooothisoopractice.ooTheoonurseoopractitioner'sooresponseooisooto:
A.ooactivelyoodiscourageootheoopatientoofromoocontinuingoothisootreatment.
B.ooofferooaoomedicationootoootreatootheoonervousoocondition.
C.oosuggestooanooalternativeoofoodootooorelieveootheoonervousoocondition.
D.ooviewoothisooasooaooself-careooritualoothatooneedsootooobeoopreserved.oo-ooans--
D.ooviewoothisooasooaooself-careooritualoothatooneedsootooobeoopreserved.
7.ooBeforeooanooolderooadultoopatientooinitiatesoopharmacotherapyoowithooaoomedicationoo
thatooisooclearedoobyootheookidneys,ooanooadultoopsychiatricooandoomentaloohealthoonurseo
opractitionerooassessesootheoopatient's:
A.oobloodooureaoonitrogenoolevel.
B.oocreatinineooclearance.
C.oospecificoogravity.
D.oourinaryoosediment.oo-ooans--B.oocreatinineooclearance.
8.ooAnooadultoopsychiatricooandoomentaloohealthoonurseoopractitioneroousesooaoocognitive-
behavioralooapproachootooohelpooanooadolescentoopatientoochangeooself-
defeatingoobehaviors.ooAfterooidentifyingootheooinitialoostressoroothatooisoocausingootheooin
appropriateoobehavior,ootheootherapeuticoointerventionooisootoooidentify:
A.ooalternativeoopositiveooresponsesootoootheoostressor.
B.oonegativeooconsequencesooofootheoobehavioralooresponseootoootheoostressor.