ANCC Domain 2 questions
2024–2025 ANCC PMHNP Psychiatric-Mental
Health NP Exam Prep – Test 1, 2 & 3 Questions
and Answers Graded A+ Test Bank
A 78 y/o cattleman referred for treatment of
refractory depression by his primary care provider
reports continued thoughts of failure, lack of
purpose in life, lack of interest in ranching, fishing,
hunting, or family since losing his driver's license
due to DUI six months ago. Which of the following
areas is an assessment priority?
A. Prior and current medications, dose, clinical
response, side effects
B. Extent of alcohol use and motivation to reduce
to safe levels
C. Thoughts of self-harm, plan, intent, access
D. Sleep patterns (early-middle-late awakening),
sleep hygiene - correct answer-C. Thoughts of
self-harm, plan, intent, access
,A 32 y/o Caucasian Catholic female patient
presents for her therapy session. She is upset
because she and her husband have been in an
argument over finances. She does not work and
stays at home to take care of the children. She
reports feeling sad and has had thoughts of
hurting herself. She has a past history of
overdosing with Tylenol several years ago. Which
of the following places her at high-risk for suicide?
A. age
B. gender
C. previous suicide attempt
D. marital status - correct answer-C. previous
suicide attempt
During a follow-up medication visit with a 13 y/o
male, his mother stayed longer to ask the
psychiatric mental health nurse practitioner
(PMHNP) a question. Specifically, his mother
states, "the school sent home information about
the human papillomavirus and suggested my son
see his primary care provider to get an
immunization. Why did I get this information for
my son? Furthermore, he is not sexually active."
,Which of the following would be the PMHNP's
best response?
A. As your son's PMHNP, I cannot provide you
with information about immunizations
B. I understand your concern with talking to your
son about becoming sexually active. Let's address
how to start the conversation.
C. Decisions about immunizations can be difficult.
The Centers for Disease Control and Prevention
recommend that all males between the ages of
11-12, or as early as 9 years of age, receive this
vaccination. What concerns do you have?
D. You are - correct answer-C. Decisions about
immunizations can be difficult. The Centers for
Disease Control and Prevention recommend that
all males between the ages of 11-12, or as early
as 9 years of age, receive this vaccination. What
concerns do you have?
What opening question or statement by a
Psychiatric-Mental Health Nurse Practitioner
facilitates communication at an initial visit?
A. Tell me your concerns and how I may be of
help.
B. Tell me what you think the problem is.
C. What seems to be the problem today?
, D. What problem does your primary care
physician want us to evaluate? - correct answer-
A. Tell me your concerns and how I may be of
help.
In evaluating the functional status of a 68 y/o
woman who has depression, the Instrumental
Activities of Daily Living Scale includes which of
the following activities?
A. Using telephone
B. Filing taxes
C. Bathing
D. Toileting - correct answer-A. Using telephone
An adult female patient has been prescribed an
SSRI for an initial episode of major depression.
She is fearful of side effects and of becoming
suicidal. Which of the following initial responses is
most appropriate?
A. SSRI's are the safest antidepressant
medications and rarely cause suicidal thoughts.
Try the medication and we can watch closely for
any side effects.
B. SSRI's are generally quite safe and rarely
cause suicidal thoughts. I could call you every few
2024–2025 ANCC PMHNP Psychiatric-Mental
Health NP Exam Prep – Test 1, 2 & 3 Questions
and Answers Graded A+ Test Bank
A 78 y/o cattleman referred for treatment of
refractory depression by his primary care provider
reports continued thoughts of failure, lack of
purpose in life, lack of interest in ranching, fishing,
hunting, or family since losing his driver's license
due to DUI six months ago. Which of the following
areas is an assessment priority?
A. Prior and current medications, dose, clinical
response, side effects
B. Extent of alcohol use and motivation to reduce
to safe levels
C. Thoughts of self-harm, plan, intent, access
D. Sleep patterns (early-middle-late awakening),
sleep hygiene - correct answer-C. Thoughts of
self-harm, plan, intent, access
,A 32 y/o Caucasian Catholic female patient
presents for her therapy session. She is upset
because she and her husband have been in an
argument over finances. She does not work and
stays at home to take care of the children. She
reports feeling sad and has had thoughts of
hurting herself. She has a past history of
overdosing with Tylenol several years ago. Which
of the following places her at high-risk for suicide?
A. age
B. gender
C. previous suicide attempt
D. marital status - correct answer-C. previous
suicide attempt
During a follow-up medication visit with a 13 y/o
male, his mother stayed longer to ask the
psychiatric mental health nurse practitioner
(PMHNP) a question. Specifically, his mother
states, "the school sent home information about
the human papillomavirus and suggested my son
see his primary care provider to get an
immunization. Why did I get this information for
my son? Furthermore, he is not sexually active."
,Which of the following would be the PMHNP's
best response?
A. As your son's PMHNP, I cannot provide you
with information about immunizations
B. I understand your concern with talking to your
son about becoming sexually active. Let's address
how to start the conversation.
C. Decisions about immunizations can be difficult.
The Centers for Disease Control and Prevention
recommend that all males between the ages of
11-12, or as early as 9 years of age, receive this
vaccination. What concerns do you have?
D. You are - correct answer-C. Decisions about
immunizations can be difficult. The Centers for
Disease Control and Prevention recommend that
all males between the ages of 11-12, or as early
as 9 years of age, receive this vaccination. What
concerns do you have?
What opening question or statement by a
Psychiatric-Mental Health Nurse Practitioner
facilitates communication at an initial visit?
A. Tell me your concerns and how I may be of
help.
B. Tell me what you think the problem is.
C. What seems to be the problem today?
, D. What problem does your primary care
physician want us to evaluate? - correct answer-
A. Tell me your concerns and how I may be of
help.
In evaluating the functional status of a 68 y/o
woman who has depression, the Instrumental
Activities of Daily Living Scale includes which of
the following activities?
A. Using telephone
B. Filing taxes
C. Bathing
D. Toileting - correct answer-A. Using telephone
An adult female patient has been prescribed an
SSRI for an initial episode of major depression.
She is fearful of side effects and of becoming
suicidal. Which of the following initial responses is
most appropriate?
A. SSRI's are the safest antidepressant
medications and rarely cause suicidal thoughts.
Try the medication and we can watch closely for
any side effects.
B. SSRI's are generally quite safe and rarely
cause suicidal thoughts. I could call you every few
