Sample Test Questions ANCC - PMHNP

A patient with borderline personality dis- order 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 bound- aries. B. has failed to master object constancy. C. is employing primitive idealization. D. is employing projective identification. 2. A patient has been taking escitalo- pram (Lexapro) 10 mg daily for four weeks. Initially, the patient reported de- pression and suicidal thoughts. The patient's sleep, appetite, energy, and ap- pearance have now begun to improve. Which statement applies to this patient? A. The medication should be discontin- ued. B.The medication should be increased. C.The patient's risk for suicide is not a concern. D.The patient's suicide potential is in- creased. 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 4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner provides crisis inter- vention to the survivors of a plane crash. Forty-eight hours after the accident, the B. has failed to master object constancy D.The patient's suicide potential is in- creased. A. Attempting to understand a patient's subjective world