ANCC PMHNP PSYCH MENTAL HEALTH NP TEST | QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | LATEST
UPDATE
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- Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical,
psychological, 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.
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- 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.
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- 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
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.
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- 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.
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- 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.
Which of the following would be considered an important form of communication
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- 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.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the
following except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - CORRECT ANSWER- 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.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - CORRECT ANSWER- Correct
Answer:
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | LATEST
UPDATE
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- Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical,
psychological, 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.
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- 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.
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- 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
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.
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- 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.
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- 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.
Which of the following would be considered an important form of communication
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- 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.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the
following except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - CORRECT ANSWER- 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.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - CORRECT ANSWER- Correct
Answer:
