ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM
LATEST (TEST 1 ,2,& 3 ) QUESTIONS AND
ANSWERS PLUS RATIONALE ALREADY GRADED A
TEST 1
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:
Documentation
RATIONALE: 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:
Hypertensive crisis
RATIONALE: 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:
nausea
Symptoms of serotonin syndrome can present in patients that have drug combinations
that are contraindicated. They can vary from restlessness and agitation to tremors,
chills, headaches, and insomnia as well as loss of coordination. Nausea has not been
implicated in serotonin syndrome.
What is the rate of suicide attempts for patients having dissociative identity disorder?
30%
45%
, 70%
60% - -Correct Answer:
70%
RATIONALE: People with dissociative identity disorder have one of the highest risks
for suicide. According to the Diagnostic and Statistical Manual of Mental Disorders
(DSM5),more than 70% of outpatients with DID have attempted suicide, and multiple
suicide attempts are common.
Of the following, which would not be considered a phase of schizophrenia treatment?
Maintenance
Acute
Cognitive
Stabilization - -Correct Answer:
Cognitive
RATIONALE: Cognitive is not one of the three phases of schizophrenia
treatment. The three phases are: Phase 1: acute
Phase 2: stabilization
Phase 3: maintenance
The patient should be monitored for effects of psychotropic medications which
can impact cardiac rhythms. Which of the following could be a potential cardiac
side effect? A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above - -Correct Answer:
A prolonged QT interval
RATIONALE: With antipsychotic drugs, the triclyclic action can cause problems. These
medications can cause a widening of the QRS or a prolonged QT interval.
This is a measure of the ventricular repolarization.
Sullivan described three developmental cognitive modes of experience and
believed that mental disorders are related to the persistence of one of the early
modes. The mode that begins in early childhood as the child begins to connect
experiences in sequence is which of the following? prototaxic mode parataxic
mode syntaxic mode composite mode - -Correct Answer:
parataxic mode
RATIONALE: The parataxic mode begins in early childhood. The child may not make
logical sense of the experiences and may see them as coincidence or chance events.
The child seeks to relieve anxiety by repeating familiar experiences, although he or she
may not understand what he or she is doing.
,Which of the following acts have provided the greatest protection for the
individual not to lose or be denied health insurance coverage?
Patient Protection and Affordable Care Act
OSHA
ISPN
None of the above - -Correct Answer:
Patient Protection and Affordable Care Act
RATIONALE: The other 3 options above are incorrect.
For several decades now, the ANA (American Nurses Association) has
been working and advocating for reforms that will help to guarantee the
access of high-quality health care. This act has helped millions of people,
but ANA recognizes the fact that this debate is far from being over. The
ANA is dedicated to educating the nursing public about the changing
systems and their impacts on people's lives and the nursing profession.
Which of the following is an example of Western alternative medical
systems? TCM (traditional Chinese medicine) naturopathy ayurveda
acupuncture - -Correct answer:
naturopathy
Naturopathy and homeopathy are examples of Western alternative medical systems.
Naturopathy emphasizes health restoration rather than disease treatment and
combines nutrition, homeopathy, therapeutic counseling and other therapies. The
underlying belief is that the individual assumes responsibility for his or her recovery.
What is NOT a sign of alcohol intoxication?
Nystagmus
Mood lability
The face has pale skin.
Aggressive impulses - -Correct Answer:
The face has pale skin.
RATIONALE A flushed face is a sign of alcohol intoxication. Other signs include
:
disinhibition of sexual impulses, impaired judgment, and impaired occupational
functioning.
In terms of styles of leadership in therapeutic groups, which type of leader encourages
individual creativity and group cohesiveness?
autocratic democratic laissez-faire
psychotherapeutic - -Correct Answer:
democratic
, RATIONALE: There are three main styles of group leadership: autocratic, democratic,
and laissez-faire. A democratic leadership style focuses on the members of the group.
Members are encouraged to participate fully in problem-solving of issues that relate to
the group. This type of leader encourages individual creativity and group cohesiveness.
All of the following are considered to be types of family structures except?
Nuclear family
Behavioral family
Blended family
Extended family - -Correct Answer:
Behavioral family
RATIONALE: The major types of family structures are:
Nuclear family
Blended family
Extended family
Single-parent family
Other familial systems
What would NOT be an appropriate way to deal with a patient in the psychiatric unit who
is prone to protracted angry outbursts?
Using reassuring touch
Determining the source of the patient's anger
Remaining calm
Setting verbal limits on behavior - -Correct answer: Using reassuring touch
RATIONALE: This would not be appropriate for interacting with an angry patient. When
coping with an angry patient, don't shout or argue with the client and avoid touching the
client or invading the client's space. This can escalate the anger. Touching the client
can be threatening and make them feel cornered. This may result in retaliation.
N-STAT is an ANA program that does which of the following?
unifies nurses' political voices recommends nursing health
policies assures a safe workplace for nurses evaluates
Medicare and Medicaid reforms - -Correct Answer:
unifies nurses' political voices
RATIONALE: Nurses are the largest group among the health care disciplines The
Nurses Strategic Action Team (N-STAT) is an ANA program that unifies nurses'
political voices across the country to enact measures to benefit health care for
everyone.
LATEST (TEST 1 ,2,& 3 ) QUESTIONS AND
ANSWERS PLUS RATIONALE ALREADY GRADED A
TEST 1
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:
Documentation
RATIONALE: 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:
Hypertensive crisis
RATIONALE: 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:
nausea
Symptoms of serotonin syndrome can present in patients that have drug combinations
that are contraindicated. They can vary from restlessness and agitation to tremors,
chills, headaches, and insomnia as well as loss of coordination. Nausea has not been
implicated in serotonin syndrome.
What is the rate of suicide attempts for patients having dissociative identity disorder?
30%
45%
, 70%
60% - -Correct Answer:
70%
RATIONALE: People with dissociative identity disorder have one of the highest risks
for suicide. According to the Diagnostic and Statistical Manual of Mental Disorders
(DSM5),more than 70% of outpatients with DID have attempted suicide, and multiple
suicide attempts are common.
Of the following, which would not be considered a phase of schizophrenia treatment?
Maintenance
Acute
Cognitive
Stabilization - -Correct Answer:
Cognitive
RATIONALE: Cognitive is not one of the three phases of schizophrenia
treatment. The three phases are: Phase 1: acute
Phase 2: stabilization
Phase 3: maintenance
The patient should be monitored for effects of psychotropic medications which
can impact cardiac rhythms. Which of the following could be a potential cardiac
side effect? A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above - -Correct Answer:
A prolonged QT interval
RATIONALE: With antipsychotic drugs, the triclyclic action can cause problems. These
medications can cause a widening of the QRS or a prolonged QT interval.
This is a measure of the ventricular repolarization.
Sullivan described three developmental cognitive modes of experience and
believed that mental disorders are related to the persistence of one of the early
modes. The mode that begins in early childhood as the child begins to connect
experiences in sequence is which of the following? prototaxic mode parataxic
mode syntaxic mode composite mode - -Correct Answer:
parataxic mode
RATIONALE: The parataxic mode begins in early childhood. The child may not make
logical sense of the experiences and may see them as coincidence or chance events.
The child seeks to relieve anxiety by repeating familiar experiences, although he or she
may not understand what he or she is doing.
,Which of the following acts have provided the greatest protection for the
individual not to lose or be denied health insurance coverage?
Patient Protection and Affordable Care Act
OSHA
ISPN
None of the above - -Correct Answer:
Patient Protection and Affordable Care Act
RATIONALE: The other 3 options above are incorrect.
For several decades now, the ANA (American Nurses Association) has
been working and advocating for reforms that will help to guarantee the
access of high-quality health care. This act has helped millions of people,
but ANA recognizes the fact that this debate is far from being over. The
ANA is dedicated to educating the nursing public about the changing
systems and their impacts on people's lives and the nursing profession.
Which of the following is an example of Western alternative medical
systems? TCM (traditional Chinese medicine) naturopathy ayurveda
acupuncture - -Correct answer:
naturopathy
Naturopathy and homeopathy are examples of Western alternative medical systems.
Naturopathy emphasizes health restoration rather than disease treatment and
combines nutrition, homeopathy, therapeutic counseling and other therapies. The
underlying belief is that the individual assumes responsibility for his or her recovery.
What is NOT a sign of alcohol intoxication?
Nystagmus
Mood lability
The face has pale skin.
Aggressive impulses - -Correct Answer:
The face has pale skin.
RATIONALE A flushed face is a sign of alcohol intoxication. Other signs include
:
disinhibition of sexual impulses, impaired judgment, and impaired occupational
functioning.
In terms of styles of leadership in therapeutic groups, which type of leader encourages
individual creativity and group cohesiveness?
autocratic democratic laissez-faire
psychotherapeutic - -Correct Answer:
democratic
, RATIONALE: There are three main styles of group leadership: autocratic, democratic,
and laissez-faire. A democratic leadership style focuses on the members of the group.
Members are encouraged to participate fully in problem-solving of issues that relate to
the group. This type of leader encourages individual creativity and group cohesiveness.
All of the following are considered to be types of family structures except?
Nuclear family
Behavioral family
Blended family
Extended family - -Correct Answer:
Behavioral family
RATIONALE: The major types of family structures are:
Nuclear family
Blended family
Extended family
Single-parent family
Other familial systems
What would NOT be an appropriate way to deal with a patient in the psychiatric unit who
is prone to protracted angry outbursts?
Using reassuring touch
Determining the source of the patient's anger
Remaining calm
Setting verbal limits on behavior - -Correct answer: Using reassuring touch
RATIONALE: This would not be appropriate for interacting with an angry patient. When
coping with an angry patient, don't shout or argue with the client and avoid touching the
client or invading the client's space. This can escalate the anger. Touching the client
can be threatening and make them feel cornered. This may result in retaliation.
N-STAT is an ANA program that does which of the following?
unifies nurses' political voices recommends nursing health
policies assures a safe workplace for nurses evaluates
Medicare and Medicaid reforms - -Correct Answer:
unifies nurses' political voices
RATIONALE: Nurses are the largest group among the health care disciplines The
Nurses Strategic Action Team (N-STAT) is an ANA program that unifies nurses'
political voices across the country to enact measures to benefit health care for
everyone.
