ANCC - PMHNP ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A patient with borderline personality disorder experiences intense
anxiety when an adult psychiatric and mental health nurse
practitioner goes on vacation. The best explanation for this reaction
is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. -
correct answer ✅B. has failed to master object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for
four weeks. Initially, the patient reported depression and suicidal
thoughts. The patient's sleep, appetite, energy, and appearance
have now begun to improve. Which statement applies to this
patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. -
correct answer ✅D. The patient's suicide potential is increased.
, ANCC - PMHNP ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals -
correct answer ✅A. Attempting to understand a patient's
subjective world
4. Serving as a member on a crisis team, an adult psychiatric and
mental health nurse practitioner provides crisis intervention to the
survivors of a plane crash. Forty-eight hours after the accident, the
survivors describe vivid flashbacks, startle reactions, and disrupted
sleep patterns. The nurse practitioner responds by:
A. advising the survivors to consider using a hypnotic medication
for a brief period.
B. educating the survivors about prodromal symptoms of
posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A patient with borderline personality disorder experiences intense
anxiety when an adult psychiatric and mental health nurse
practitioner goes on vacation. The best explanation for this reaction
is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. -
correct answer ✅B. has failed to master object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for
four weeks. Initially, the patient reported depression and suicidal
thoughts. The patient's sleep, appetite, energy, and appearance
have now begun to improve. Which statement applies to this
patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. -
correct answer ✅D. The patient's suicide potential is increased.
, ANCC - PMHNP ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals -
correct answer ✅A. Attempting to understand a patient's
subjective world
4. Serving as a member on a crisis team, an adult psychiatric and
mental health nurse practitioner provides crisis intervention to the
survivors of a plane crash. Forty-eight hours after the accident, the
survivors describe vivid flashbacks, startle reactions, and disrupted
sleep patterns. The nurse practitioner responds by:
A. advising the survivors to consider using a hypnotic medication
for a brief period.
B. educating the survivors about prodromal symptoms of
posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
