ANCC ELABORATED EXAM QUESTIONS
WITH CORRECT ANSWERS
You have students from local psychiatric nurse practitioner programs follow you in your clinical practice
to show them what you do as a Psychiatric Nurse Practitioner. This is called being a:
a. Preceptor
b. Mentor
c. Professor
d. Teacher - CORRECT ANSWER -A
A Psychiatric Mental Health Nurse Practitioner providing psychiatric consultation makes a home visit
after the police found an 86-year-old widow wandering the streets at 4AM after emergency call from
her daughter. The woman has been living with her daughter for the past ten years, after her husband
died. Her daughter is a 66-year-old, single, retired schoolteacher, appears thin, exhausted, and reports
little sleep for past two years trying to care for her mother. The daughter reports that her mother
becomes increasingly confused every evening and wanders the house unable to sleep at night. The
daughter is unable to leave her mother alone for even a short period of time because unsupervised her
mother will turn on the gas stove burner, leave it unattended, and she escapes the house at every
chance to wander the neighborhood. Her mother is socially pleasant, disoriented to time and place, and
does not recognize her dau - CORRECT ANSWER -A
As a psychiatric nurse practitioner, you evaluate your patients for health concerns and beyond, in a
holistic manner. your current patient has a blood sugar of 186 and a hemoglobin A1C of 6.7. You refer
this patient to an internal medicine practitioner with whom you frequently share patients. You have just
violated:
A. The DATA Act
B. The Adams Act
C. No statute
D. The Stark law - CORRECT ANSWER -C
,Which of the following is not insured by the Universal Bill of Rights for Mental Health Patients?
A. The right to refuse a particular mode of treatment regardless of informed, voluntary, written consent,
or situation.
B. The right to freedom from restraint or seclusion, other than as a mode of treatment during an
emergency situation.
C. The right to be given a reasonable explanation of one's general mental and physical condition, the
objectives of treatment, and the possible adverse effects of recommended treatment.
D. The right to ongoing participation in the planning of mental health services provided in a manner
appropriate to a person's capabilities. - CORRECT ANSWER -A
During an outpatient medication evaluation a depressed client reports persistent anger toward his
former boss after losing his job due to arguments and assaultive behavior toward co-workers. The client
has been waiting outside the plant in the afternoon, watching for the boss to leave to confront him
regarding his terminated employment. What responsibility does the PMHNP have in this situation?
A. Contact the client's boss to notify him of potential harm.
B. Ask the client to sign a "no harm to others" agreement and document in chart.
C. Consult state board of nursing regarding state law requirements on reporting potential harm.
D. Advise the client to stop going to the plan and avoid any contact with his former boss. - CORRECT
ANSWER -C
Your patient is a 32-year-old who is diagnosed with major depression-recurrent, insomnia, and chronic
lower back pain. The patient has seen you for three medication management sessions over the last two
months. During the fourth medication management session, the patient states that money is tight and
an appointment is required with the general practice (GP) physician every time a refill of the
Hydrocodone (pain medication) is needed. The patient asks you to refill the Hydrocodone to save the
cost of another medical visit. you:
A. State that you certification is for psychiatric care only and refer him back to his GP.
B. State that you are willing to discuss alternative medications to manage his pain.
C. State that you can refill this prescription just once.
, D. State that you would be willing to call his GP to discuss the issues and help him out. - CORRECT
ANSWER -A
You are a nurse practitioner (NP) who performs psychotherapy. your patient is distraught, and you call
in the NP who is performing the medication management to sit in and discuss and determine if an
emergency medication evaluation is needed. After the discussion of medication changes that will take
place, the medication manager NP asks the crying patient if she needs a hug. The patient stands and
extends her arms outward. The medication NP gives her a chaste hug and leaves the room. Is this a case
of inappropriate touch or battery?
A. Yes. This is inappropriate, as you never touch a patient under any circumstances.
B. No but, nonverbal communication methods are not sufficient for ensuring agreement to hug a
patient.
C. Yes. This is a case of battery. The patient did not verbally say that it was okay to touch.
D. No. This is a case where there was a question asked, nonverbal consent was given, and the NP gave
the - CORRECT ANSWER -D
A social worker concerned about a Nigerian refugee who seems to be suffering from severe post-
traumatic stress disorder since arriving in U.S. three months ago referred this man to an African
American female Psychiatric-Mental Health Nurse Practitioner in the community mental health center.
The PMHNP builds rapport by exploring the values, beliefs, life experiences, and accepted behaviors of
this young Nigerian man as she seeks to understand the context of his transition to the U.S. before
making any diagnosis or proposed intervention. The PMHNP is striving to provide what type of mental
health care?
a. Alternative care
b. Individualized care
c. Culturally competent care
Culture specific car - CORRECT ANSWER -C
You are a psychiatric nurse practitioner (NP) and have many patients with comorbid medical and mental
health issues. As a part of your continuous quality improvement (CQI) process, you might best serve
your practice by:
WITH CORRECT ANSWERS
You have students from local psychiatric nurse practitioner programs follow you in your clinical practice
to show them what you do as a Psychiatric Nurse Practitioner. This is called being a:
a. Preceptor
b. Mentor
c. Professor
d. Teacher - CORRECT ANSWER -A
A Psychiatric Mental Health Nurse Practitioner providing psychiatric consultation makes a home visit
after the police found an 86-year-old widow wandering the streets at 4AM after emergency call from
her daughter. The woman has been living with her daughter for the past ten years, after her husband
died. Her daughter is a 66-year-old, single, retired schoolteacher, appears thin, exhausted, and reports
little sleep for past two years trying to care for her mother. The daughter reports that her mother
becomes increasingly confused every evening and wanders the house unable to sleep at night. The
daughter is unable to leave her mother alone for even a short period of time because unsupervised her
mother will turn on the gas stove burner, leave it unattended, and she escapes the house at every
chance to wander the neighborhood. Her mother is socially pleasant, disoriented to time and place, and
does not recognize her dau - CORRECT ANSWER -A
As a psychiatric nurse practitioner, you evaluate your patients for health concerns and beyond, in a
holistic manner. your current patient has a blood sugar of 186 and a hemoglobin A1C of 6.7. You refer
this patient to an internal medicine practitioner with whom you frequently share patients. You have just
violated:
A. The DATA Act
B. The Adams Act
C. No statute
D. The Stark law - CORRECT ANSWER -C
,Which of the following is not insured by the Universal Bill of Rights for Mental Health Patients?
A. The right to refuse a particular mode of treatment regardless of informed, voluntary, written consent,
or situation.
B. The right to freedom from restraint or seclusion, other than as a mode of treatment during an
emergency situation.
C. The right to be given a reasonable explanation of one's general mental and physical condition, the
objectives of treatment, and the possible adverse effects of recommended treatment.
D. The right to ongoing participation in the planning of mental health services provided in a manner
appropriate to a person's capabilities. - CORRECT ANSWER -A
During an outpatient medication evaluation a depressed client reports persistent anger toward his
former boss after losing his job due to arguments and assaultive behavior toward co-workers. The client
has been waiting outside the plant in the afternoon, watching for the boss to leave to confront him
regarding his terminated employment. What responsibility does the PMHNP have in this situation?
A. Contact the client's boss to notify him of potential harm.
B. Ask the client to sign a "no harm to others" agreement and document in chart.
C. Consult state board of nursing regarding state law requirements on reporting potential harm.
D. Advise the client to stop going to the plan and avoid any contact with his former boss. - CORRECT
ANSWER -C
Your patient is a 32-year-old who is diagnosed with major depression-recurrent, insomnia, and chronic
lower back pain. The patient has seen you for three medication management sessions over the last two
months. During the fourth medication management session, the patient states that money is tight and
an appointment is required with the general practice (GP) physician every time a refill of the
Hydrocodone (pain medication) is needed. The patient asks you to refill the Hydrocodone to save the
cost of another medical visit. you:
A. State that you certification is for psychiatric care only and refer him back to his GP.
B. State that you are willing to discuss alternative medications to manage his pain.
C. State that you can refill this prescription just once.
, D. State that you would be willing to call his GP to discuss the issues and help him out. - CORRECT
ANSWER -A
You are a nurse practitioner (NP) who performs psychotherapy. your patient is distraught, and you call
in the NP who is performing the medication management to sit in and discuss and determine if an
emergency medication evaluation is needed. After the discussion of medication changes that will take
place, the medication manager NP asks the crying patient if she needs a hug. The patient stands and
extends her arms outward. The medication NP gives her a chaste hug and leaves the room. Is this a case
of inappropriate touch or battery?
A. Yes. This is inappropriate, as you never touch a patient under any circumstances.
B. No but, nonverbal communication methods are not sufficient for ensuring agreement to hug a
patient.
C. Yes. This is a case of battery. The patient did not verbally say that it was okay to touch.
D. No. This is a case where there was a question asked, nonverbal consent was given, and the NP gave
the - CORRECT ANSWER -D
A social worker concerned about a Nigerian refugee who seems to be suffering from severe post-
traumatic stress disorder since arriving in U.S. three months ago referred this man to an African
American female Psychiatric-Mental Health Nurse Practitioner in the community mental health center.
The PMHNP builds rapport by exploring the values, beliefs, life experiences, and accepted behaviors of
this young Nigerian man as she seeks to understand the context of his transition to the U.S. before
making any diagnosis or proposed intervention. The PMHNP is striving to provide what type of mental
health care?
a. Alternative care
b. Individualized care
c. Culturally competent care
Culture specific car - CORRECT ANSWER -C
You are a psychiatric nurse practitioner (NP) and have many patients with comorbid medical and mental
health issues. As a part of your continuous quality improvement (CQI) process, you might best serve
your practice by:
