ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM
LATEST 2024 (TEST 1, 2, & 3) QUESTIONS &
ANSWERS WITH RATIONALES (TEST 1-3 LATEST
VERSIONS EACH WITH 100 QUESTIONS EACH) |
NEWEST VERSIONS ALREADY GRADED A+
Your patient, whose wife died a few months ago, appears to be very unkempt and apathetic. Although
several months have passed since his wife's death he has not progressed at all through his grieving. You
assess this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - Correct answer-Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical, psychological, cognitive and
spiritual responses to the death of a significant other. But when the person shows persistent
maladaptive behaviors such as not taking care of personal hygiene and/or appearance and does not
progress through the mourning process, this is complicated grief.
If a patient has had a myocardial infarction, which of the following atypical antidepressants should not
be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
,Desvenlafaxine - Correct answer-Correct Answer:
Trazodone
What should the nurse include when developing a plan of care for a client in the manic phase of
bipolar disorder?
!!!!!! Redirecting the client's excess energy to more constructive activities
What should a nurse consider when planning care for a client who is using ritualistic behavior?
Clients do not want to repeat their rituals but feel compelled to do so
A nurse is working with a client experiencing a major depressive episode. What is a long-term
outcome for this client?
Verbalizing realistic perceptions of self and others
A client in the mental health clinic has pressured speech and mumbles incoherently. What is the most
appropriate nursing intervention?
A client in the mental health clinic has pressured speech and mumbles incoherently. What is the most
appropriate nursing intervention?
When planning nursing care for a client with severe agoraphobia, what should the nurse do first?
Determine the client's degree of impairment
A nurse concludes that a client has successfully achieved the long-term outcome of mobilizing
effective coping responses when the client states the plan to do what when feelings of anxiety begin?
!!!!!!!!Perform a relaxation exercise
An adult is found to have schizotypal personality disorder. How should a nurse describe the client's
behavior?
Introverted and emotionally withdrawn
A primary healthcare provider prescribes an antidepressant for a hospitalized client who has been
severely depressed. Eight days later the nurse notes that the client is neatly dressed and well
groomed. The client smiles at the nurse and says, "Things sure look better today." What nursing
response is appropriate in light of the client's statement?
Arranging for constant supervision of the client
The nurse is caring for a client who has attempted suicide. What is the most desirable short-term
client outcome during this crisis situation?
!!!!!!!Establishing a no-suicide contract
,If a patient has had a myocardial infarction, during the recovery phase, the patient should not be
prescribed this medication. Trazodone (Desyrel) can cause the patient to develop orthostatic
hypotension and priapism.
To get your teaching ideas and concepts across to a poor reader which of the following would be most
appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - Correct answer-Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices are not helpful. You
should use short sentences and easy to read layouts; be concrete rather than abstract; and teach them
how to ask questions about their health. Also, tell context first and use visual, use common words and
examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from her breasts. She doesn't have
any other symptoms and is not pregnant, nor has been before. She tells the nurse about each
medication that she takes. Which of these drugs may be implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline - Correct answer-Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A milky white
discharge known as galactorrhea could be a sign of an underlying condition. The fact that the woman
takes Risperidone, an atypical antipsychotic, would likely point to the cause and should be switched with
one less likely to have that same side effect.
Which of the following would be considered one of the main things that is responsible for about 2/3 of
psychiatric hospital readmissions?
, Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - Correct answer-Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health patients. The home
health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and control of their
symptoms.
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-Correct Answer:
Documentation
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-Correct Answer:
LATEST 2024 (TEST 1, 2, & 3) QUESTIONS &
ANSWERS WITH RATIONALES (TEST 1-3 LATEST
VERSIONS EACH WITH 100 QUESTIONS EACH) |
NEWEST VERSIONS ALREADY GRADED A+
Your patient, whose wife died a few months ago, appears to be very unkempt and apathetic. Although
several months have passed since his wife's death he has not progressed at all through his grieving. You
assess this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - Correct answer-Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical, psychological, cognitive and
spiritual responses to the death of a significant other. But when the person shows persistent
maladaptive behaviors such as not taking care of personal hygiene and/or appearance and does not
progress through the mourning process, this is complicated grief.
If a patient has had a myocardial infarction, which of the following atypical antidepressants should not
be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
,Desvenlafaxine - Correct answer-Correct Answer:
Trazodone
What should the nurse include when developing a plan of care for a client in the manic phase of
bipolar disorder?
!!!!!! Redirecting the client's excess energy to more constructive activities
What should a nurse consider when planning care for a client who is using ritualistic behavior?
Clients do not want to repeat their rituals but feel compelled to do so
A nurse is working with a client experiencing a major depressive episode. What is a long-term
outcome for this client?
Verbalizing realistic perceptions of self and others
A client in the mental health clinic has pressured speech and mumbles incoherently. What is the most
appropriate nursing intervention?
A client in the mental health clinic has pressured speech and mumbles incoherently. What is the most
appropriate nursing intervention?
When planning nursing care for a client with severe agoraphobia, what should the nurse do first?
Determine the client's degree of impairment
A nurse concludes that a client has successfully achieved the long-term outcome of mobilizing
effective coping responses when the client states the plan to do what when feelings of anxiety begin?
!!!!!!!!Perform a relaxation exercise
An adult is found to have schizotypal personality disorder. How should a nurse describe the client's
behavior?
Introverted and emotionally withdrawn
A primary healthcare provider prescribes an antidepressant for a hospitalized client who has been
severely depressed. Eight days later the nurse notes that the client is neatly dressed and well
groomed. The client smiles at the nurse and says, "Things sure look better today." What nursing
response is appropriate in light of the client's statement?
Arranging for constant supervision of the client
The nurse is caring for a client who has attempted suicide. What is the most desirable short-term
client outcome during this crisis situation?
!!!!!!!Establishing a no-suicide contract
,If a patient has had a myocardial infarction, during the recovery phase, the patient should not be
prescribed this medication. Trazodone (Desyrel) can cause the patient to develop orthostatic
hypotension and priapism.
To get your teaching ideas and concepts across to a poor reader which of the following would be most
appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - Correct answer-Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices are not helpful. You
should use short sentences and easy to read layouts; be concrete rather than abstract; and teach them
how to ask questions about their health. Also, tell context first and use visual, use common words and
examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from her breasts. She doesn't have
any other symptoms and is not pregnant, nor has been before. She tells the nurse about each
medication that she takes. Which of these drugs may be implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline - Correct answer-Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A milky white
discharge known as galactorrhea could be a sign of an underlying condition. The fact that the woman
takes Risperidone, an atypical antipsychotic, would likely point to the cause and should be switched with
one less likely to have that same side effect.
Which of the following would be considered one of the main things that is responsible for about 2/3 of
psychiatric hospital readmissions?
, Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - Correct answer-Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health patients. The home
health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and control of their
symptoms.
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-Correct Answer:
Documentation
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-Correct Answer:
