ANCC Study Book Ch 2-7, 9-17
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the primary role of the PMHNP in medication management?
✔✔Assess effectiveness, side effects, and adjust the regimen as needed.
What is a core ethical principle in psychiatric practice?
✔✔Respect for patient autonomy.
What is the most important factor when determining a client's capacity to consent?
✔✔Ability to understand, evaluate, and communicate a decision.
What is a defining symptom of generalized anxiety disorder?
✔✔Excessive worry occurring more days than not for at least 6 months.
What neurotransmitter imbalance is often associated with depression?
✔✔Low serotonin levels.
1
,What is the therapeutic goal of mood stabilizers in bipolar disorder?
✔✔Prevent manic and depressive episodes.
What is a key indicator of therapeutic progress in PTSD treatment?
✔✔Reduction in re-experiencing and avoidance behaviors.
What does the term “informed consent” mean in psychiatric care?
✔✔Providing enough information for a client to voluntarily accept or decline treatment.
What is a legal requirement for involuntary psychiatric hospitalization?
✔✔The client poses a danger to self or others or is gravely disabled.
What is the purpose of the mental status examination?
✔✔Evaluate appearance, behavior, cognition, and mood.
What is one advantage of using second-generation antipsychotics?
✔✔Lower risk of extrapyramidal side effects.
2
,What clinical sign should prompt monitoring for lithium toxicity?
✔✔Confusion, tremor, and slurred speech.
What is the first-line therapy for moderate to severe major depressive disorder?
✔✔SSRIs combined with psychotherapy.
What is the purpose of therapeutic boundaries in mental health care?
✔✔Protect both the client and the clinician from harm.
What is one risk factor for developing substance use disorder?
✔✔Family history of addiction.
What therapeutic approach focuses on identifying distorted thinking?
✔✔Cognitive behavioral therapy.
What is one sign of opioid overdose?
✔✔Pinpoint pupils and respiratory depression.
3
, What is the key difference between delirium and dementia?
✔✔Delirium has a sudden onset and fluctuating course.
What condition is characterized by mood swings, impulsivity, and unstable relationships?
✔✔Borderline personality disorder.
What tool is used to assess alcohol withdrawal severity?
✔✔CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol, Revised).
What is a common side effect of SSRIs during the first weeks of use?
✔✔Gastrointestinal upset and headache.
What is the priority concern in a client presenting with command hallucinations?
✔✔Risk of harm to self or others.
What is the purpose of collaborative care in mental health?
✔✔Coordinate services across disciplines to improve client outcomes.
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the primary role of the PMHNP in medication management?
✔✔Assess effectiveness, side effects, and adjust the regimen as needed.
What is a core ethical principle in psychiatric practice?
✔✔Respect for patient autonomy.
What is the most important factor when determining a client's capacity to consent?
✔✔Ability to understand, evaluate, and communicate a decision.
What is a defining symptom of generalized anxiety disorder?
✔✔Excessive worry occurring more days than not for at least 6 months.
What neurotransmitter imbalance is often associated with depression?
✔✔Low serotonin levels.
1
,What is the therapeutic goal of mood stabilizers in bipolar disorder?
✔✔Prevent manic and depressive episodes.
What is a key indicator of therapeutic progress in PTSD treatment?
✔✔Reduction in re-experiencing and avoidance behaviors.
What does the term “informed consent” mean in psychiatric care?
✔✔Providing enough information for a client to voluntarily accept or decline treatment.
What is a legal requirement for involuntary psychiatric hospitalization?
✔✔The client poses a danger to self or others or is gravely disabled.
What is the purpose of the mental status examination?
✔✔Evaluate appearance, behavior, cognition, and mood.
What is one advantage of using second-generation antipsychotics?
✔✔Lower risk of extrapyramidal side effects.
2
,What clinical sign should prompt monitoring for lithium toxicity?
✔✔Confusion, tremor, and slurred speech.
What is the first-line therapy for moderate to severe major depressive disorder?
✔✔SSRIs combined with psychotherapy.
What is the purpose of therapeutic boundaries in mental health care?
✔✔Protect both the client and the clinician from harm.
What is one risk factor for developing substance use disorder?
✔✔Family history of addiction.
What therapeutic approach focuses on identifying distorted thinking?
✔✔Cognitive behavioral therapy.
What is one sign of opioid overdose?
✔✔Pinpoint pupils and respiratory depression.
3
, What is the key difference between delirium and dementia?
✔✔Delirium has a sudden onset and fluctuating course.
What condition is characterized by mood swings, impulsivity, and unstable relationships?
✔✔Borderline personality disorder.
What tool is used to assess alcohol withdrawal severity?
✔✔CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol, Revised).
What is a common side effect of SSRIs during the first weeks of use?
✔✔Gastrointestinal upset and headache.
What is the priority concern in a client presenting with command hallucinations?
✔✔Risk of harm to self or others.
What is the purpose of collaborative care in mental health?
✔✔Coordinate services across disciplines to improve client outcomes.
4
