PMHNP ANCC exam practice
A 20-year-antique Asian guy who became lately recognized with schizophrenia comes in
your office for a follow-up appointment. During the evaluation, he talks approximately his
enjoy within the organization home, wondering that the television is sending him messages
through news anchors at some stage in the 10 pm information. What symptom is the client
describing?
A. Paranoia
B. Illusions
C. Ideas of reference
D. Neologisms - ANS-C. Ideas of reference
A 23-year-old girl gives with a records of extreme mood swings, volatile relationships, and
recurrent self-harm behaviors. Which of the subsequent personality disorders exceptional
suits her presentation?
A. Narcissistic
B. Borderline
C. Histrionic
D. Antisocial - ANS-B. Borderline
A 23-yr-old lady is delivered to the ER after attempting suicide through cutting her wrists.
Which nursing motion by the PMHNP might be of highest priority to begin with?
A. Assess her coping behaviors
B. Assess her modern level of suicidality
C. Take her essential symptoms
D. Assess her fitness history - ANS-C. Take her important signs and symptoms
A 34-12 months-vintage patient with a records of schizophrenia gives to the medical
institution with restlessness, inability to sit down still, and constant pacing. The signs and
symptoms commenced rapidly after an increase in her antipsychotic medication dosage.
Which of the following is the maximum probably aspect effect she's experiencing?
A. Tardive dyskinesia
B. Akathisia
C. Dystonia
D. Parkinsonism - ANS-B. Akathisia
A forty-yr-antique male affected person with a history of alcohol use sickness is brought to
the ED with confusion, nystagmus, and ataxia. His family reports that he has been drinking
closely and has negative nutritional consumption. Which of the following remedies must be
initiated right now?
A. IV thiamine
B. IV haloperidol
C. Oral folic acid
D. IV lorazepam - ANS-A. IV thiamine
,Pt is displaying signs and symptoms of Wernicke's encephalopathy, a situation caused by
thiamine deficiency
A fifty two-12 months-old patient with a history of bipolar disease is brought to the ED by
family individuals due to confusion, agitation, and muscle stiffness. His medicinal drugs
consist of lithium, valproate, and haloperidol. Vital signs and symptoms monitor a
temperature of 102 F, bp a hundred and sixty/a hundred, and heart charge of a hundred and
ten bpm. What is the most probable prognosis?
A. Lithium toxicity
B. Serotonin Syndrome
C. Neuroleptic malignant syndrome
D. Acute valproate toxicity - ANS-C. Neuroleptic malignant syndrome
A 65-yr-old affected person with OCPD and generalized anxiety disease gives with
worsening anxiety and new onset hand tremors. His current medicinal drugs include
sertraline and albuterol. Which of the following is maximum probable cause of his new
signs?
A. Sertaline-precipitated serotonin syndrome
B. Albuterol facet outcomes
C. Essential tremor
D. Parkinson's disorder - ANS-B. Albuterol facet effects
A seventy four-yr-vintage married white lady changed into mentioned you with the aid of her
number one care issuer for a psychiatric assessment. She had a normal medical and
neurological examination in the ultimate 2 months. The purchaser presents with her husband
of 45 years who states, "My spouse is just no longer the identical anymore, she is irritable
and asks the same query numerous instances, despite the fact that I've replied it normally."
The client responds, "Oh, Henry, you do the same component, it's only a normal part of
getting older, and the children think the entirety is best." During the evaluation you compete
the mini mental reputation examination (MMSE) and the purchaser scores 18. As the
PMHNP treating the consumer, the effects of her MMSE suggest which stage of cognitive
impairment?
A. No cognitive impairment
b. Mild cognitive impairment
c. Moderate cognitive impairment
d. Severe cognitive impairment - ANS-c. Moderate cognitive impairment
A customer is showing low vanity, negative strength of will, self-doubt, and a excessive level
of dependency. These behaviors suggest developmental failure of which of the subsequent
stages of improvement?
A. Infancy
B. Early youth
C. Late youth
D. School age - ANS-B. Early youth
, A customer provides with lawsuits of modifications in urge for food, feeling fatigued,
problems with sleep-rest cycle, and modifications in libido. What is the neuroanatomical
location of the brain this is chargeable for the everyday law of these features?
A. Thalamus
B. Hypothalamus
C. Limbic machine
D. Hippocampus - ANS-B. Hypothalamus
urge for food, sleep, and libido are regulated via the hypothalamus
A client returns for a observe-up appointment three weeks after starting on fluoxetine 20 mg.
During this appointment, you notice that her speech is a little speedy, in marked assessment
to the psychomotor retardation and paucity of spontaneous speech she displayed on her first
go to. Instead of searching at the floor, she now makes ordinary eye contact. Her affect has
long gone from constricted to expansive. She keeps to have difficulty snoozing, but her
electricity has progressed and she states she feels "a lot better!" What have to you conclude
about the shift inside the client's presentation?
A. She is experiencing the activating side outcomes of fluoxetine.
B. She is becoming euthymic
C. She is turning into hypomanic
D. She is in a mixed nation. - ANS-C. She is turning into hypomanic
A customer says to the PMHNP, Some days lifestyles is simply not well worth it. All my
spouse and I do is fight and scream. Things at domestic had been be calmer and less
difficult if I simply wasn't there anymore." The most healing response is:
A. Do you suggest yo are thinking about leaving your spouse to moving out?"
B. Tell me what you mean by way of "it'd be less complicated if you weren't there anymore."
C. So you're wondering suicide is probably an option for you?
D. Remain silent. - ANS-B. Tell me what you mean by means of "it'd be easier in case you
were not there anymore."
A customer who has been hooked on opioids has not utilized in 15 days. During your
remedy control go to, the customer states "I'm going to die from no longer having my
Opanas. You need to present me something now". The PMHNP's satisfactory reaction is:
A. I recognize you feel very uncomfortable and we want to get you to the ER immediately to
prevent a seizure"
B. I know you feel very uncomforatble, let's take your crucial signs and symptoms and
communicate about a tribulation on Catapres to treat your withdrawal signs and symptoms.
C. You have been the use of Opana for a long time and it's miles going to take several
months for the withdrawal to cease. In the intervening time I will see you weekly
D. There is no remedy for opioid withdrawal, you'll have to wait it out. - ANS-B. I realize
you're feeling very uncomforatble, allow's take your essential signs and speak approximately
a tribulation on Catapres to deal with your withdrawal signs and symptoms.
A consumer who is experiencing difficulties with operating reminiscence, planning and
prioritizing, perception into his issues, and impulse manage provides for evaluation. In
making plans his care, the PMHNP have to observe his or her know-how that these signs
represent problems with the:
A 20-year-antique Asian guy who became lately recognized with schizophrenia comes in
your office for a follow-up appointment. During the evaluation, he talks approximately his
enjoy within the organization home, wondering that the television is sending him messages
through news anchors at some stage in the 10 pm information. What symptom is the client
describing?
A. Paranoia
B. Illusions
C. Ideas of reference
D. Neologisms - ANS-C. Ideas of reference
A 23-year-old girl gives with a records of extreme mood swings, volatile relationships, and
recurrent self-harm behaviors. Which of the subsequent personality disorders exceptional
suits her presentation?
A. Narcissistic
B. Borderline
C. Histrionic
D. Antisocial - ANS-B. Borderline
A 23-yr-old lady is delivered to the ER after attempting suicide through cutting her wrists.
Which nursing motion by the PMHNP might be of highest priority to begin with?
A. Assess her coping behaviors
B. Assess her modern level of suicidality
C. Take her essential symptoms
D. Assess her fitness history - ANS-C. Take her important signs and symptoms
A 34-12 months-vintage patient with a records of schizophrenia gives to the medical
institution with restlessness, inability to sit down still, and constant pacing. The signs and
symptoms commenced rapidly after an increase in her antipsychotic medication dosage.
Which of the following is the maximum probably aspect effect she's experiencing?
A. Tardive dyskinesia
B. Akathisia
C. Dystonia
D. Parkinsonism - ANS-B. Akathisia
A forty-yr-antique male affected person with a history of alcohol use sickness is brought to
the ED with confusion, nystagmus, and ataxia. His family reports that he has been drinking
closely and has negative nutritional consumption. Which of the following remedies must be
initiated right now?
A. IV thiamine
B. IV haloperidol
C. Oral folic acid
D. IV lorazepam - ANS-A. IV thiamine
,Pt is displaying signs and symptoms of Wernicke's encephalopathy, a situation caused by
thiamine deficiency
A fifty two-12 months-old patient with a history of bipolar disease is brought to the ED by
family individuals due to confusion, agitation, and muscle stiffness. His medicinal drugs
consist of lithium, valproate, and haloperidol. Vital signs and symptoms monitor a
temperature of 102 F, bp a hundred and sixty/a hundred, and heart charge of a hundred and
ten bpm. What is the most probable prognosis?
A. Lithium toxicity
B. Serotonin Syndrome
C. Neuroleptic malignant syndrome
D. Acute valproate toxicity - ANS-C. Neuroleptic malignant syndrome
A 65-yr-old affected person with OCPD and generalized anxiety disease gives with
worsening anxiety and new onset hand tremors. His current medicinal drugs include
sertraline and albuterol. Which of the following is maximum probable cause of his new
signs?
A. Sertaline-precipitated serotonin syndrome
B. Albuterol facet outcomes
C. Essential tremor
D. Parkinson's disorder - ANS-B. Albuterol facet effects
A seventy four-yr-vintage married white lady changed into mentioned you with the aid of her
number one care issuer for a psychiatric assessment. She had a normal medical and
neurological examination in the ultimate 2 months. The purchaser presents with her husband
of 45 years who states, "My spouse is just no longer the identical anymore, she is irritable
and asks the same query numerous instances, despite the fact that I've replied it normally."
The client responds, "Oh, Henry, you do the same component, it's only a normal part of
getting older, and the children think the entirety is best." During the evaluation you compete
the mini mental reputation examination (MMSE) and the purchaser scores 18. As the
PMHNP treating the consumer, the effects of her MMSE suggest which stage of cognitive
impairment?
A. No cognitive impairment
b. Mild cognitive impairment
c. Moderate cognitive impairment
d. Severe cognitive impairment - ANS-c. Moderate cognitive impairment
A customer is showing low vanity, negative strength of will, self-doubt, and a excessive level
of dependency. These behaviors suggest developmental failure of which of the subsequent
stages of improvement?
A. Infancy
B. Early youth
C. Late youth
D. School age - ANS-B. Early youth
, A customer provides with lawsuits of modifications in urge for food, feeling fatigued,
problems with sleep-rest cycle, and modifications in libido. What is the neuroanatomical
location of the brain this is chargeable for the everyday law of these features?
A. Thalamus
B. Hypothalamus
C. Limbic machine
D. Hippocampus - ANS-B. Hypothalamus
urge for food, sleep, and libido are regulated via the hypothalamus
A client returns for a observe-up appointment three weeks after starting on fluoxetine 20 mg.
During this appointment, you notice that her speech is a little speedy, in marked assessment
to the psychomotor retardation and paucity of spontaneous speech she displayed on her first
go to. Instead of searching at the floor, she now makes ordinary eye contact. Her affect has
long gone from constricted to expansive. She keeps to have difficulty snoozing, but her
electricity has progressed and she states she feels "a lot better!" What have to you conclude
about the shift inside the client's presentation?
A. She is experiencing the activating side outcomes of fluoxetine.
B. She is becoming euthymic
C. She is turning into hypomanic
D. She is in a mixed nation. - ANS-C. She is turning into hypomanic
A customer says to the PMHNP, Some days lifestyles is simply not well worth it. All my
spouse and I do is fight and scream. Things at domestic had been be calmer and less
difficult if I simply wasn't there anymore." The most healing response is:
A. Do you suggest yo are thinking about leaving your spouse to moving out?"
B. Tell me what you mean by way of "it'd be less complicated if you weren't there anymore."
C. So you're wondering suicide is probably an option for you?
D. Remain silent. - ANS-B. Tell me what you mean by means of "it'd be easier in case you
were not there anymore."
A customer who has been hooked on opioids has not utilized in 15 days. During your
remedy control go to, the customer states "I'm going to die from no longer having my
Opanas. You need to present me something now". The PMHNP's satisfactory reaction is:
A. I recognize you feel very uncomfortable and we want to get you to the ER immediately to
prevent a seizure"
B. I know you feel very uncomforatble, let's take your crucial signs and symptoms and
communicate about a tribulation on Catapres to treat your withdrawal signs and symptoms.
C. You have been the use of Opana for a long time and it's miles going to take several
months for the withdrawal to cease. In the intervening time I will see you weekly
D. There is no remedy for opioid withdrawal, you'll have to wait it out. - ANS-B. I realize
you're feeling very uncomforatble, allow's take your essential signs and speak approximately
a tribulation on Catapres to deal with your withdrawal signs and symptoms.
A consumer who is experiencing difficulties with operating reminiscence, planning and
prioritizing, perception into his issues, and impulse manage provides for evaluation. In
making plans his care, the PMHNP have to observe his or her know-how that these signs
represent problems with the:
