ANCC Domain 2 Questions and Answers 2025

ANCC Domain 2 Questions
and Answers 2025
AA78Ay/oAcattlemanAreferredAforAtreatmentAofArefractoryAdepressionAbyAhisAprimaryAcare
AproviderAreportsAcontinuedAthoughtsAofAfailure,AlackAofApurposeAinAlife,AlackAofAinterestAin

Aranching,Afishing,Ahunting,AorAfamilyAsinceAlosingAhisAdriver'sAlicenseAdueAtoADUIAsix

AmonthsAago.AWhichAof AtheAfollowingAareasAisAanAassessmentApriority?

A.APriorAandAcurrentAmedications,Adose,AclinicalAresponse,AsideAeffects
B.AExtentAofAalcoholAuseAandAmotivationAtoAreduceAtoAsafeAlevels
C.AThoughtsAofAself-harm,Aplan,Aintent,Aaccess
D.ASleepApatternsA(early-middle-lateAawakening),AsleepAhygieneA-
ACORRECTAANSWERSA-C.AThoughtsAofAself-harm,Aplan,Aintent,Aaccess

AA32Ay/oACaucasianACatholicAfemaleApatientApresentsAforAherAtherapyAsession.ASheAisAups
etAbecauseAsheAandAherAhusbandAhaveAbeenAinAanAargumentAoverAfinances.ASheAdoesAno
tAworkAandAstaysAatAhomeAtoAtakeAcareAofAtheAchildren.ASheAreportsAfeelingAsadAandAhasAh
adAthoughtsAofAhurtingAherself.ASheAhasAaApastAhistoryAofAoverdosingAwithATylenolAseveral
AyearsAago.AWhichAofAtheAfollowingAplacesAherAatAhigh-riskAforAsuicide?

A.Aage
B.Agender
C.ApreviousAsuicideAattempt
D.AmaritalAstatusA-ACORRECTAANSWERSA-C.ApreviousAsuicideAattempt
DuringAaAfollow-
upAmedicationAvisitAwithAaA13Ay/oAmale,AhisAmotherAstayedAlongerAtoAaskAtheApsychiatricAm
entalAhealthAnurseApractitionerA(PMHNP)AaAquestion.ASpecifically,AhisAmotherAstates,A"theA
schoolAsentAhomeAinformationAaboutAtheAhumanApapillomavirusAandAsuggestedAmyAsonAs
eeAhisAprimaryAcareAproviderAtoAgetAanAimmunization.AWhyAdidAIAgetAthisAinformationAforAm
yAson?AFurthermore,AheAisAnotAsexuallyAactive."AWhichAofAtheAfollowingAwouldAbeAtheAPMH
NP'sAbestAresponse?
A.AAsAyourAson'sAPMHNP,AIAcannotAprovideAyouAwithAinformationAaboutAimmunizations
B.AIAunderstandAyourAconcernAwithAtalkingAtoAyourAsonAaboutAbecomingAsexuallyAactive.AL
et'sAaddressAhowAtoAstartAtheAconversation.
C.ADecisionsAaboutAimmunizationsAcanAbeAdifficult.ATheACentersAforADiseaseAControlAandA
PreventionArecommendAthatAallAmalesAbetweenAtheAagesAofA11-
12,AorAasAearlyAasA9AyearsAofAage,AreceiveAthisAvaccination.AWhatAconcernsAdoAyouAhave?
D.AYouAareA-ACORRECTAANSWERSA-
C.ADecisionsAaboutAimmunizationsAcanAbeAdifficult.ATheACentersAforADiseaseAControlAandA
PreventionArecommendAthatAallAmalesAbetweenAtheAagesAofA11-
12,AorAasAearlyAasA9AyearsAofAage,AreceiveAthisAvaccination.AWhatAconcernsAdoAyouAhave?
WhatAopeningAquestionAorAstatementAbyAaAPsychiatric-
MentalAHealthANurseAPractitionerAfacilitatesAcommunicationAatAanAinitialAvisit?
A.ATellAmeAyourAconcernsAandAhowAIAmayAbeAofAhelp.

, B.ATellAmeAwhatAyouAthinkAtheAproblemAis.
C.AWhatAseemsAtoAbeAtheAproblemAtoday?
D.AWhatAproblemAdoesAyourAprimaryAcareAphysicianAwantAusAtoAevaluate?A-
ACORRECTAANSWERSA-A.ATellAmeAyourAconcernsAandAhowAIAmayAbeAof Ahelp.

InAevaluatingAtheAfunctionalAstatusAofAaA68Ay/oAwomanAwhoAhasAdepression,AtheAInstrume
ntalAActivitiesAofADailyALivingAScaleAincludesAwhichAofAtheAfollowingAactivities?
A.AUsingAtelephone
B.AFilingAtaxes
C.ABathing
D.AToiletingA-ACORRECTAANSWERSA-A.AUsingAtelephone
AnAadultAfemaleApatientAhasAbeenAprescribedAanASSRIAforAanAinitialAepisodeAofAmajorAdepr
ession.ASheAisAfearfulAofAsideAeffectsAandAofAbecomingAsuicidal.AWhichAofAtheAfollowingAinit
ialAresponsesAisAmostAappropriate?
A.ASSRI'sAareAtheAsafestAantidepressantAmedicationsAandArarelyAcauseAsuicidalAthoughts.A
TryAtheAmedicationAandAweAcanAwatchAcloselyAforAanyAsideAeffects.
B.ASSRI'sAareAgenerallyAquiteAsafeAandArarelyAcauseAsuicidalAthoughts.AIAcouldAcallAyouAev
eryAfewAdaysAtoAseeAifAyouAareAhavingAanyAofAtheseAthoughts.
C.AHaveAyouAeverAhadAfeelingsAofAhurtingAyourself?AIfAyouAtookAtheAmedicationAandAhadAth
oughtsAlikeAthat,AwhatAwouldAyouAdo?
D.AHaveAyouAeverAhadAfeelingsAofAhurtingAyourself?AIfAyouAtookAtheAmedicationAandAhadAth
oughtsAlikeAthat,AwouldAyouAbeAwillingAtoAcallAtheAcrisisAhotline?A-ACORRECTAANSWERSA-
C.AHaveAyouAeverAhadAfeelingsAofAhurtingAyourself?AIfAyouAtookAtheAmedicationAandAhadAth
oughtsAlikeAthat,AwhatAwouldAyouAdo?
AApsychiatricAmentalAhealthAnurseApractitionerA(PMHNP)AisAworkingAinAanAintegratedAcareA
clinicAandAhisAfamilyAnurseApractitionerAcolleagueAasksAforAaAconsult.ATheAfamilyAnurseApra
ctitionerAasksAtheAPMHNPAwhatAantidepressantAtoAstartAforAaApatientAwhoAhasAaAscoreAofA
15AonAtheApatientAhealthAquestionnaireA9A(PHQ9).AWhatAisAtheAappropriateAresponse?
A.AAAscoreAofA15AonAtheApatientAhealthAquestionnaireAindicatesAmoderateAdepression,AsoAt
heApatientAshouldAbeAstartedAonAaAselectiveAserotoninAnorepinephrineAreuptakeAinhibitor.
B.AAAscoreAofA15AonAtheApatientAhealthAquestionnaireA9AindicatesApossibleAmoderateAdepr
ession,AbutAaAfollow-
upAinterviewAisArequiredAtoAassessAforAdepression.AIAcanAseeAthisApatientAtodayAandAfurther
AassessAforAdepressionAandAtheAappropriateAtreatment

C.AAAscoreAofA15AonAtheApatientAhealthAquestionnaireA9AindicatesAsevereAdepression,AsoAy
ouAshouldAstartAaAselectiveAserotoninAreuptakeAinhibitorAandAanA-
ACORRECTAANSWERSA-

B.AAAscoreAofA15AonAtheApatientAhealthAquestionnaireA9AindicatesApossibleAmoderateAdepr
ession,AbutAaAfollow-
upAinterviewAisArequiredAtoAassessAforAdepression.AIAcanAseeAthisApatientAtodayAandAfurther
AassessAforAdepressionAandAtheAappropriateAtreatment

AnAexampleAofAaAscreeningAtoolAthatAmeasuresAseverityAandAtracksAchangeAinAspecificAsy
mptomsAis
A.ATheAmini-mentalAstateAexaminationA(MMSE)
B.ATheAbehaviorAandASymptomAIdentificationAScaleA(BASIS)
C.ATheAShortAFormA36A(SF-36)
D.ATheACAGEA-ACORRECTAANSWERSA-A.ATheAmini-mentalAstateAexaminationA(MMSE)