ANCC Domain 1-5 questions
A 14 y/o woman admitted to a psychiatric unit following an overdose on alcohol and
benzodiazepines after the breakup of a dating has made seductive remarks to her roommate,
the Psychiatric-Mental Health Nurse Practitioner wishes to encompass the topic of sexual
orientation. What is the satisfactory introductory method to this topic?
A. Are you attracted to ladies in place of boys?
B. Did you overdose after breaking apart with a female friend or boyfriend?
C. What is your revel in in sexual relationships?
D. Are you sexually energetic? - ANS-C. What is your revel in in sexual relationships?
A 17 y/o girl offers on your sanatorium reporting anhedonia, reduced energy, and hopelessness
for the beyond 2 years. She denies ingesting alcohol, smoking or the use of illegal materials.
Her physical examination consequences are within normal limits and he or she denies suicidal
ideations. As the treating psychiatric mental fitness nurse practitioner, you decide to prescribe
her bupropion (Wellbutrin). Of the subsequent, that's a contraindication for bupropion?
A. Bulimia
B. Fatigue
C. Dysthymia
D. Smoking - ANS-A. Bulimia
A 20 y/o male and not using a previous psychiatric history arrives at the emergency room with
his university roommate. The roommate reviews that the affected person has been performing
erratic for the past month, speakme to those who do not exist, on foot around bare, and
accusing the roommate of spying on him. The patient's important signs are inside normal limits
and his neurological exam does now not show any abnormalities. The maximum vital first
laboratory check might be which of the subsequent?
A. Toxicology check
B. Complete blood depend
C. Liver function assessments
D. Non comparison CT test of the mind - ANS-A. Toxicology take a look at
A 24 y/o mother of a 2 y/o infant affords to the health center. Which of the subsequent facial
traits would lead the PMHNP to trust the kid has fetal alcohol syndrome?
A. High nasal bridge, plump midface, and massive eyelid commencing
B. Large head, thick top lip, and overdeveloped jaw
C. Small head, skinny top lip, and easy philtrum
D. Long nose, huge eyelid beginning, and advanced philtrum - ANS-C. Small head, skinny
higher lip, and clean philtrum
A 31 y/o married woman with a history of anorexia nervosa, binging-purging kind, all through her
young adults and early 20s, is pregnant. She has had prior spontaneous abortions in past due
,20s. She is worried whether or not this being pregnant may also cause recurrence of her earlier
ingesting sickness, adversely effect fetal improvement, or have an effect on the likelihood of
full-term transport. At 5'7" she keeps a weight of one hundred twenty pounds by means of
running 6-10 miles each day as conditioning for marathons and a 2,000 calorie day by day
vegan weight loss plan. What life-style modifications might reduce dangers of exacerbating an
eating disease and growing likelihood of regular fetal improvement and full-time period delivery?
A. Increase daily caloric intake through 250 energy, lessen walking to 4-eight miles day by day
with reduction in 2d or 1/3 trimester, add prenatal diet, calcium supplement, and plan a 20-30#
gradual weight gain over the route of pregnancy
B. Increase every day caloric intake - ANS-C. Increase day by day caloric consumption by
means of 500 energy, reducing going for walks to 2-4 miles, alternate with stretching and yoga
in 2nd and thirst trimesters, add pre-natal nutrition and diet B-12 complement, plan a 28-forty#
gradual weight advantage over the direction of being pregnant
A 32 y/o Caucasian Catholic woman affected person affords for her remedy session. She is
upset because she and her husband have been in a controversy over price range. She does
now not work and stays at home to attend to the children. She reports feeling sad and has had
mind of wounding herself. She has a past records of overdosing with Tylenol several years ago.
Which of the following locations her at excessive-risk for suicide?
A. Age
B. Gender
C. Preceding suicide strive
D. Marital reputation - ANS-C. Preceding suicide try
A 33 y/o woman affected person has been recognized with bipolar sickness. Before starting this
patient on lithium (Eskalith) for mood stabilization, which of the subsequent laboratory tests are
appropriate to gain for this patient?
A. Thyroid function exams, creatinine, complete blood remember
B. Thyroid characteristic exams, liver function tests, being pregnant test
C. Thyroid characteristic tests, creatinine, liver function checks
D. Thyroid characteristic exams, creatinine, pregnancy take a look at - ANS-D. Thyroid feature
assessments, creatinine, being pregnant check
A 34 y/o African American girl provides for an preliminary psychiatric assessment. On
examination, she reports she thinks she has interest deficit ailment because she has a quick
attention span, bad current reminiscence, anxiousness, and temper lability, and she or he is
sweating more. Which laboratory check need to the psychiatric mental health nurse practitioner
order to rule out an organic etiology of her symptoms?
A. Prolactin level
B. Cortisol level
C. Thyroid profile
D. Comprehensive metabolic panel - ANS-C. Thyroid profile
,A 36 y/o woman become fired from her job as a paralegal at a regulation firm. She had labored
for the same attorney for 10 years. As soon as she came in the door from work, her husband
noticed she regarded disappointed and asked her is she become alright. She without delay
started yelling at her husband because he had no longer given their 5 y/o daughter a bathtub
and had not wiped clean the residence. Which of the subsequent protection mechanisms is
being proven by way of this woman?
A. Conversion
B. Dissociation
C. Displacement
D. Rationalization - ANS-C. Displacement
A 37 y/o male with schizophrenia, paranoid kind, lives in supervised housing and is followed by
way of the Assertive Community Treatment Team thru a Community Mental Health Center
(CMHC) in which the Psychiatric-Mental Health Nurse Practitioner notes that he has refused to
peer any primary care company (PCP) in the course of the beyond several years
notwithstanding efforts with the aid of case managers to accompany him to clinical visits. He has
won 30 kilos in beyond three years on clozapine when you consider that his remaining inpatient
hospitalization. His WBC and ANC counts remain inside normal limits, but he has multiplied
cholesterol, lipids, and A1C stages. What is the maximum suitable intervention to facilitate care
for this affected person?
A. Advise the patient that he wishes to see a PCP to deal with his elevated cholesterol and
blood sugar degrees and ask what has avoided him from seeing a PCP whilst referred inside
the past
B. Advise the affected person that he wishes to peer a PCP to deal with hi - ANS-C. Explain the
health risks of his extended cholesterol and blood sugar degrees and one by one ask the
affected person and case supervisor what has averted him from seeing PCP while referred in
past
A 37 y/o affected person with schizophrenia is commenced on a excessive dose of
chlorpromazine (Thorazine). The subsequent day, he complains of lightheadedness after
standing up. Vital sign adjustments mirror a giant decrease in BP and an increase in coronary
heart rate. You suspect this is secondary to the alpha 1-adrenergic blockade that is inflicting
A. Decreased sweating
B. Dry mouth
C. Respiratory depression
D. Orthostatic hypotension - ANS-D. Orthostatic hypotension
A 43 y/o male is dealt with for Bipolar I on lithium. Which of the subsequent hematologic
adjustments is associated with lithium?
A. Anemia
B. Leukocytosis
C. Leukopenia
D. Agranulocytosis - ANS-B. Leukocytosis
, A 43 y/o male patient presents to the psychiatric intellectual fitness nurse practitioner (PMHNP)
for a medicinal drug observe-up appointment. As part of his observe-up visit, his blood strain
analyzing is 156/102 millimeters of mercury. The patient states he has been having
complications for the previous few weeks due to the fact he ran out of his blood stress remedy.
The PMHNP's best action is which of the subsequent?
A. Refer the patient to the emergency branch for an assessment
B. Call the drugstore to verify which antihypertensive the affected person is taking and write a
30 day-deliver of this remedy
C. Call a local circle of relatives nurse practitioner and request that she replenish this patient's
medicinal drugs
D. Contact the patient's number one care issuer, provide an explanation for the affected
person's symptoms, and request his medicinal drug be refilled and he take delivery of a
observe-up appointment - ANS-D. Contact the affected person's number one care company,
explain the patient's signs, and request his medication be refilled and he be given a observe-up
appointment
A forty four y/o man affords to the psychiatric intellectual health nurse practitioner at his
spouse's insistence. The affected person turned into hospitalized for a slight pay attention harm
after a motor vehicle accident four weeks ago. He reviews a three yr records of drinking alcohol.
The affected person states he was at the store per week in the past whilst he found out the shop
clerk became an imposter changing his spouse. The affected person's wife insists that her
husband is delusional and she or he intends to document for divorce if he does now not get
assist. Which of the subsequent types of delusions is the affected person expressing?
A. Clerambault syndrome
B. Delusion of doubles
C. Capgras syndrome
D. Fregoli phenomenon - ANS-C. Capgras syndrome
A 45 y/o girl with Type 1 Bipolar Disorder experiencing an acute episode of depression with
psychotic capabilities requires a transient leave of absence from her job as an administrative
assistant to a college most important. The patient has signed a launch of statistics for the
Psychiatric-mental Health Nurse Practitioner to disclose complete mental health statistics to the
predominant and the human assets department to facilitate her slow return to paintings. The
affected person fears that she will lose her job because of her psychiatric disease. What is the
maximum appropriate facts the Psychiatric-Mental Health Nurse Practitioner can provide in this
example?
A. Employers can't discriminate towards people with a intellectual health disorder, that's taken
into consideration a incapacity protected by the Americans with Disabilities Act of 1990
B. Employers can't discriminate against people with a intellectual fitness ailment, that's included
as co - ANS-A. Employers can't discriminate against individuals with a intellectual health
sickness, that is considered a disability covered by using the Americans with Disabilities Act of
1990
A 14 y/o woman admitted to a psychiatric unit following an overdose on alcohol and
benzodiazepines after the breakup of a dating has made seductive remarks to her roommate,
the Psychiatric-Mental Health Nurse Practitioner wishes to encompass the topic of sexual
orientation. What is the satisfactory introductory method to this topic?
A. Are you attracted to ladies in place of boys?
B. Did you overdose after breaking apart with a female friend or boyfriend?
C. What is your revel in in sexual relationships?
D. Are you sexually energetic? - ANS-C. What is your revel in in sexual relationships?
A 17 y/o girl offers on your sanatorium reporting anhedonia, reduced energy, and hopelessness
for the beyond 2 years. She denies ingesting alcohol, smoking or the use of illegal materials.
Her physical examination consequences are within normal limits and he or she denies suicidal
ideations. As the treating psychiatric mental fitness nurse practitioner, you decide to prescribe
her bupropion (Wellbutrin). Of the subsequent, that's a contraindication for bupropion?
A. Bulimia
B. Fatigue
C. Dysthymia
D. Smoking - ANS-A. Bulimia
A 20 y/o male and not using a previous psychiatric history arrives at the emergency room with
his university roommate. The roommate reviews that the affected person has been performing
erratic for the past month, speakme to those who do not exist, on foot around bare, and
accusing the roommate of spying on him. The patient's important signs are inside normal limits
and his neurological exam does now not show any abnormalities. The maximum vital first
laboratory check might be which of the subsequent?
A. Toxicology check
B. Complete blood depend
C. Liver function assessments
D. Non comparison CT test of the mind - ANS-A. Toxicology take a look at
A 24 y/o mother of a 2 y/o infant affords to the health center. Which of the subsequent facial
traits would lead the PMHNP to trust the kid has fetal alcohol syndrome?
A. High nasal bridge, plump midface, and massive eyelid commencing
B. Large head, thick top lip, and overdeveloped jaw
C. Small head, skinny top lip, and easy philtrum
D. Long nose, huge eyelid beginning, and advanced philtrum - ANS-C. Small head, skinny
higher lip, and clean philtrum
A 31 y/o married woman with a history of anorexia nervosa, binging-purging kind, all through her
young adults and early 20s, is pregnant. She has had prior spontaneous abortions in past due
,20s. She is worried whether or not this being pregnant may also cause recurrence of her earlier
ingesting sickness, adversely effect fetal improvement, or have an effect on the likelihood of
full-term transport. At 5'7" she keeps a weight of one hundred twenty pounds by means of
running 6-10 miles each day as conditioning for marathons and a 2,000 calorie day by day
vegan weight loss plan. What life-style modifications might reduce dangers of exacerbating an
eating disease and growing likelihood of regular fetal improvement and full-time period delivery?
A. Increase daily caloric intake through 250 energy, lessen walking to 4-eight miles day by day
with reduction in 2d or 1/3 trimester, add prenatal diet, calcium supplement, and plan a 20-30#
gradual weight gain over the route of pregnancy
B. Increase every day caloric intake - ANS-C. Increase day by day caloric consumption by
means of 500 energy, reducing going for walks to 2-4 miles, alternate with stretching and yoga
in 2nd and thirst trimesters, add pre-natal nutrition and diet B-12 complement, plan a 28-forty#
gradual weight advantage over the direction of being pregnant
A 32 y/o Caucasian Catholic woman affected person affords for her remedy session. She is
upset because she and her husband have been in a controversy over price range. She does
now not work and stays at home to attend to the children. She reports feeling sad and has had
mind of wounding herself. She has a past records of overdosing with Tylenol several years ago.
Which of the following locations her at excessive-risk for suicide?
A. Age
B. Gender
C. Preceding suicide strive
D. Marital reputation - ANS-C. Preceding suicide try
A 33 y/o woman affected person has been recognized with bipolar sickness. Before starting this
patient on lithium (Eskalith) for mood stabilization, which of the subsequent laboratory tests are
appropriate to gain for this patient?
A. Thyroid function exams, creatinine, complete blood remember
B. Thyroid characteristic exams, liver function tests, being pregnant test
C. Thyroid characteristic tests, creatinine, liver function checks
D. Thyroid characteristic exams, creatinine, pregnancy take a look at - ANS-D. Thyroid feature
assessments, creatinine, being pregnant check
A 34 y/o African American girl provides for an preliminary psychiatric assessment. On
examination, she reports she thinks she has interest deficit ailment because she has a quick
attention span, bad current reminiscence, anxiousness, and temper lability, and she or he is
sweating more. Which laboratory check need to the psychiatric mental health nurse practitioner
order to rule out an organic etiology of her symptoms?
A. Prolactin level
B. Cortisol level
C. Thyroid profile
D. Comprehensive metabolic panel - ANS-C. Thyroid profile
,A 36 y/o woman become fired from her job as a paralegal at a regulation firm. She had labored
for the same attorney for 10 years. As soon as she came in the door from work, her husband
noticed she regarded disappointed and asked her is she become alright. She without delay
started yelling at her husband because he had no longer given their 5 y/o daughter a bathtub
and had not wiped clean the residence. Which of the subsequent protection mechanisms is
being proven by way of this woman?
A. Conversion
B. Dissociation
C. Displacement
D. Rationalization - ANS-C. Displacement
A 37 y/o male with schizophrenia, paranoid kind, lives in supervised housing and is followed by
way of the Assertive Community Treatment Team thru a Community Mental Health Center
(CMHC) in which the Psychiatric-Mental Health Nurse Practitioner notes that he has refused to
peer any primary care company (PCP) in the course of the beyond several years
notwithstanding efforts with the aid of case managers to accompany him to clinical visits. He has
won 30 kilos in beyond three years on clozapine when you consider that his remaining inpatient
hospitalization. His WBC and ANC counts remain inside normal limits, but he has multiplied
cholesterol, lipids, and A1C stages. What is the maximum suitable intervention to facilitate care
for this affected person?
A. Advise the patient that he wishes to see a PCP to deal with his elevated cholesterol and
blood sugar degrees and ask what has avoided him from seeing a PCP whilst referred inside
the past
B. Advise the affected person that he wishes to peer a PCP to deal with hi - ANS-C. Explain the
health risks of his extended cholesterol and blood sugar degrees and one by one ask the
affected person and case supervisor what has averted him from seeing PCP while referred in
past
A 37 y/o affected person with schizophrenia is commenced on a excessive dose of
chlorpromazine (Thorazine). The subsequent day, he complains of lightheadedness after
standing up. Vital sign adjustments mirror a giant decrease in BP and an increase in coronary
heart rate. You suspect this is secondary to the alpha 1-adrenergic blockade that is inflicting
A. Decreased sweating
B. Dry mouth
C. Respiratory depression
D. Orthostatic hypotension - ANS-D. Orthostatic hypotension
A 43 y/o male is dealt with for Bipolar I on lithium. Which of the subsequent hematologic
adjustments is associated with lithium?
A. Anemia
B. Leukocytosis
C. Leukopenia
D. Agranulocytosis - ANS-B. Leukocytosis
, A 43 y/o male patient presents to the psychiatric intellectual fitness nurse practitioner (PMHNP)
for a medicinal drug observe-up appointment. As part of his observe-up visit, his blood strain
analyzing is 156/102 millimeters of mercury. The patient states he has been having
complications for the previous few weeks due to the fact he ran out of his blood stress remedy.
The PMHNP's best action is which of the subsequent?
A. Refer the patient to the emergency branch for an assessment
B. Call the drugstore to verify which antihypertensive the affected person is taking and write a
30 day-deliver of this remedy
C. Call a local circle of relatives nurse practitioner and request that she replenish this patient's
medicinal drugs
D. Contact the patient's number one care issuer, provide an explanation for the affected
person's symptoms, and request his medicinal drug be refilled and he take delivery of a
observe-up appointment - ANS-D. Contact the affected person's number one care company,
explain the patient's signs, and request his medication be refilled and he be given a observe-up
appointment
A forty four y/o man affords to the psychiatric intellectual health nurse practitioner at his
spouse's insistence. The affected person turned into hospitalized for a slight pay attention harm
after a motor vehicle accident four weeks ago. He reviews a three yr records of drinking alcohol.
The affected person states he was at the store per week in the past whilst he found out the shop
clerk became an imposter changing his spouse. The affected person's wife insists that her
husband is delusional and she or he intends to document for divorce if he does now not get
assist. Which of the subsequent types of delusions is the affected person expressing?
A. Clerambault syndrome
B. Delusion of doubles
C. Capgras syndrome
D. Fregoli phenomenon - ANS-C. Capgras syndrome
A 45 y/o girl with Type 1 Bipolar Disorder experiencing an acute episode of depression with
psychotic capabilities requires a transient leave of absence from her job as an administrative
assistant to a college most important. The patient has signed a launch of statistics for the
Psychiatric-mental Health Nurse Practitioner to disclose complete mental health statistics to the
predominant and the human assets department to facilitate her slow return to paintings. The
affected person fears that she will lose her job because of her psychiatric disease. What is the
maximum appropriate facts the Psychiatric-Mental Health Nurse Practitioner can provide in this
example?
A. Employers can't discriminate towards people with a intellectual health disorder, that's taken
into consideration a incapacity protected by the Americans with Disabilities Act of 1990
B. Employers can't discriminate against people with a intellectual fitness ailment, that's included
as co - ANS-A. Employers can't discriminate against individuals with a intellectual health
sickness, that is considered a disability covered by using the Americans with Disabilities Act of
1990
