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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. - B. has failed to master object constancy 
2. A patient has been taking escitalopram (Lexapro) 10 mg dail...
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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. - B. has failed to master object constancy 
2. A patient has been taking escitalopram (Lexapro) 10 mg dail...
What direct-acting dopamine receptor agonist is recommended to be used in the treatments of 
neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade? 
A) benzotropine (Cogentin) 
B) bromocriptine (Parlodel) 
C) dantrolene (Dantrium) 
D) trihexyphenidyl (Artane) - A) Bromocriptine (Parlodel) is the recommended direct acting 
dopamine receptor agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a 
muscle relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Ar...
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What direct-acting dopamine receptor agonist is recommended to be used in the treatments of 
neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade? 
A) benzotropine (Cogentin) 
B) bromocriptine (Parlodel) 
C) dantrolene (Dantrium) 
D) trihexyphenidyl (Artane) - A) Bromocriptine (Parlodel) is the recommended direct acting 
dopamine receptor agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a 
muscle relaxant. Benzotropine (Cogentin) and Trihexyphenidyl (Ar...
ANCC PMHNP BOARD EXAM review 2023
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ANCC PMHNP BOARD EXAM review 2023
ANCC PMHNP BOARD EXAM review 2023
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ANCC PMHNP BOARD EXAM review 2023
ANCC Review Questions and Answers(PMHNP IQ)(Latest 2022/2023 updated questions with complete solution) 
 What direct-acting dopamine receptor agonist is recommended to be used in the treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade? - Correct Answer Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a muscle relaxant. Benzotropine (Cogentin) and Trihexyphenidyl ...
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ANCC Review Questions and Answers(PMHNP IQ)(Latest 2022/2023 updated questions with complete solution) 
 What direct-acting dopamine receptor agonist is recommended to be used in the treatments of neuroleptic malignant syndrome (NMS) fo help lower the dopamine blockade? - Correct Answer Bromocriptine (Parlodel) is the recommended direct acting dopamine receptor agonist to help decrease the dopamine blockade. Danrolene (Dantrium) is a muscle relaxant. Benzotropine (Cogentin) and Trihexyphenidyl ...
1. You see a patient for a routine medication visit. At the end of the session, the patient asks questions and the session ends up 50 minutes in length. You normally charge for the 30-minute appointment, but instead you charge for the 1-hour appointment. The 1-hour appointment includes a full body assessment that you did not perform. This violation is known as: 
- Over-coding 
- Super-coding 
- Down-coding 
- Up-coding 
- Up-coding 
Rationale: Up-coding is a fraudulent practice in which the prov...
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1. You see a patient for a routine medication visit. At the end of the session, the patient asks questions and the session ends up 50 minutes in length. You normally charge for the 30-minute appointment, but instead you charge for the 1-hour appointment. The 1-hour appointment includes a full body assessment that you did not perform. This violation is known as: 
- Over-coding 
- Super-coding 
- Down-coding 
- Up-coding 
- Up-coding 
Rationale: Up-coding is a fraudulent practice in which the prov...
1. The following scenario is an example of the defense mechanism sublimation: 
- A mother of a child killed in a drive-by shooting becomes involved in legislative change for gun laws and violence. 
- A host despises one of the party guests yet greets him warmly and offers him food, beverages, and special attention. 
- An employee is embarrassed by a boss at work and angrily cuts a driver off on the way home. 
- A group therapy strongly dislike another member but claims that it is the member who ...
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1. The following scenario is an example of the defense mechanism sublimation: 
- A mother of a child killed in a drive-by shooting becomes involved in legislative change for gun laws and violence. 
- A host despises one of the party guests yet greets him warmly and offers him food, beverages, and special attention. 
- An employee is embarrassed by a boss at work and angrily cuts a driver off on the way home. 
- A group therapy strongly dislike another member but claims that it is the member who ...
1. The PMHNP treating a patient for schizophrenia on ziprasidone orders an electrocardiogram. Which QTc interval result places the patient at greatest risk for torsades de pointes? 
- 300-500 milliseconds 
- 500-700 milliseconds 
- 160-260 milliseconds 
- 100-200 milliseconds 
- 500-700 milliseconds 
Rationale: A patient with a QTc interval of 500-700 milliseconds is at higher risk of developing torsades de pointes. 
1. A patient with a diagnosis of schizophrenia has a history of suicidal ideati...
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1. The PMHNP treating a patient for schizophrenia on ziprasidone orders an electrocardiogram. Which QTc interval result places the patient at greatest risk for torsades de pointes? 
- 300-500 milliseconds 
- 500-700 milliseconds 
- 160-260 milliseconds 
- 100-200 milliseconds 
- 500-700 milliseconds 
Rationale: A patient with a QTc interval of 500-700 milliseconds is at higher risk of developing torsades de pointes. 
1. A patient with a diagnosis of schizophrenia has a history of suicidal ideati...
ANCC IQ Domains 2 answered all correctly answered; latest updated summer 2022. 
 
In the aftermath of a tornado that destroyed over 100 homes in a rural Midwest community, the PMHNP draws on principles of crisis intervention while working with an elderly couple who lost everything in the storm during the night. Which of the following statements is most appropriate at the initial encounter? 
- What is your biggest concern right now? I will help you as much as you can. 
- Tell me everything that h...
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ANCC IQ Domains 2 answered all correctly answered; latest updated summer 2022. 
 
In the aftermath of a tornado that destroyed over 100 homes in a rural Midwest community, the PMHNP draws on principles of crisis intervention while working with an elderly couple who lost everything in the storm during the night. Which of the following statements is most appropriate at the initial encounter? 
- What is your biggest concern right now? I will help you as much as you can. 
- Tell me everything that h...
2 yr. old child with Fetal Alcohol Syndrome (FAS) 
small head, short eye lid opening, flat midface, smooth philtrum, underdeveloped jaw, thin upper lip, and short nose 
Neuroleptic Malignant Syndrome (NMS) 
- Acute mental status change, muscular rigidity, and autonomic instability (fever) 
Elderly pt c/o tinnitus; the PMHNP would associate which of the following findings with an acoustic neuroma? 
- Unilateral tinnitus (ringing in the ears) may be the first symptom of an acoustic neuroma 
- Sx/s...
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2 yr. old child with Fetal Alcohol Syndrome (FAS) 
small head, short eye lid opening, flat midface, smooth philtrum, underdeveloped jaw, thin upper lip, and short nose 
Neuroleptic Malignant Syndrome (NMS) 
- Acute mental status change, muscular rigidity, and autonomic instability (fever) 
Elderly pt c/o tinnitus; the PMHNP would associate which of the following findings with an acoustic neuroma? 
- Unilateral tinnitus (ringing in the ears) may be the first symptom of an acoustic neuroma 
- Sx/s...