Sample Test Questions ANCC - PMHNP
2024–2025 ANCC PMHNP Psychiatric-Mental
Health NP Exam Prep – Test 1, 2 & 3 Questions
and Answers Graded A+ Test Bank
A patient with borderline personality disorder
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 boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - correct
answer-B. has failed to master object constancy
2. A patient has been taking escitalopram
(Lexapro) 10 mg daily for four weeks. Initially, the
patient reported depression and suicidal thoughts.
The patient's sleep, appetite, energy, and
, appearance have now begun to improve. Which
statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. -
correct answer-D. The patient's suicide potential
is increased.
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 - correct
answer-A. Attempting to understand a patient's
subjective world
4. Serving as a member on a crisis team, an adult
psychiatric and mental health nurse practitioner
provides crisis intervention to the survivors of a
plane crash. Forty-eight hours after the accident,
the survivors describe vivid flashbacks, startle
reactions, and disrupted sleep patterns. The
nurse practitioner responds by:
2024–2025 ANCC PMHNP Psychiatric-Mental
Health NP Exam Prep – Test 1, 2 & 3 Questions
and Answers Graded A+ Test Bank
A patient with borderline personality disorder
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 boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - correct
answer-B. has failed to master object constancy
2. A patient has been taking escitalopram
(Lexapro) 10 mg daily for four weeks. Initially, the
patient reported depression and suicidal thoughts.
The patient's sleep, appetite, energy, and
, appearance have now begun to improve. Which
statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. -
correct answer-D. The patient's suicide potential
is increased.
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 - correct
answer-A. Attempting to understand a patient's
subjective world
4. Serving as a member on a crisis team, an adult
psychiatric and mental health nurse practitioner
provides crisis intervention to the survivors of a
plane crash. Forty-eight hours after the accident,
the survivors describe vivid flashbacks, startle
reactions, and disrupted sleep patterns. The
nurse practitioner responds by:
