ENPC EXAM QUESTIONS AND ANSWERS/ ENPC 2023 UPDATED
VERSION OF THE EXAM ENPC EXAM//
1. During a suicide intervention with your 28yo male patient, to which agreement should you ask for his
consent, verbally or in writing?
a. -“No Harm” contract- health care professionals are obligated to ask suicidal patients to agree to a
no
harm contract, verbally or in writing, detailing specifically that the patient will restrain from harming themselves
b. “No Suicide” contract- typical contraajeminatincts used in the prevention of suicide
c. “Prevention” Contract- typical contracts used in the prevention of suicide
d. “Affirming Life” contract- typical contracts used in the prevention of suicide
2. Courtney 35 is a rape victim. You note that she has an expressed style of coping in her acute rape trauma
syndrome. Which of the following would most lead you to this conclusion?
a. Patients Masked face
b. Patients Distractibiity
c. Patient Smiling
d. Patient having difficulty making decisions
3. Which of the following patients would not require hospitalization?
a. A 29yo self-admitted bulimic male with bradycardia
b. A 27yo female with repeated use of laxatives and diuretics at least two times a week for 3
months
c. A 20yo male suffering from persistent hypothermia
d. A 18yo young woman who is 5’4” and weighs 92 pounds
4. Terry, 35yo, visits your office with the assumption that he is experiencing depression. Terry explains that he
has a history of substance abuse and a family history of mood disorders. He claims that he has recently been
incredibly fatigued, possessing no energy to even perform day to day activities. Even with the sudden onset of
fatigue. Terry explains that he is still experiencing insomnia. He also complains about recurring confusion and
loss of weight, and confesses that he has been experiencing more recurrent suicidal thoughts. Of the following
which is the best medication to prescribe Terry for his situation?
a. Sympathomimetics- thought to be most effective pharmacological treatment for depression,
however they have a potential for abuse
b. Bupropion- better choice due to history of substance
P a g e 1 | 26
, abuse
c. Olanzapine- mood stabilizer more effective for bipolar
d. Risperidone- for mania
5. You are attending to a 30yo male after he was shot at and almost killed. By showing empathy, confrontation,
and immediacy, you are exhibiting which of the following?
a. Identifying the hazard and precipitating event- involves differentiating the precipitating event from
long term psychological problems.
Three b. Counseling keystones relevant to assessment of a crisis- of the counseling keystones relevant to
assessment of a crisis are empathy,
confrontation, and immediacy.
c. Identifying coping mechanisms- does not involve wide-ranging keystones such as empathy, but
rather specific actions such as questioning and increasing adaptive coping by recommending the patient
seek information.
d. Situational support
6. A patient with which of the following findings should be referred to primary care for cardiovascular
problems?
a. A patient with a blood pressure of 130/85- considered prehypertension and should be referred
to
primary care.
b. Systole
c. Diastole
d. Low density lipoprotein level (LDL) of 69 mg/dl- is the desired LDL for patients, anything over 100
mg/dl should warrant a referral to primary care for evaluation of cholesterol.
7. Patients with severe and persistent mental illness (SPMI) exhibit symptoms which interfere with
occupational, academic, and social functioning. Which of the following illnesses eventually touches 100% of
patients affected with SPMI?
a. Unipolar depression- affects 20-30% of SPMI patients
b. Schizophrenia- affects 90% of SPMI patients
c. Dementia- 100% of patients with SPMI are eventually affected by varying degrees of dementia which
interfere with occupational, academic and social functioning
d. Bipolar Depression- affects 40-50% of SPMI patients
8. Before patients enter a hospice they are advised of their right to refuse care, but only if they have which of
the following?
a. Decisional
P a g e 2 | 26
, capability
b. A living will
c. A healthcare directive
d. Informed consent
9. Which of the following statements is not a correct association with the Bronfenbrenner’s ecological
system
model?
a. Children are dynamic entities and develop the skills necessary to _____ that setting
b. The ___ child ____ may be established as _____ by the parents relationships
c. Objective reality influences behaviors and development more than ones perception of
environment
d. Changes in family structure such as the birth of a sibling affect a child’s development
10. A 34yo man who recently had a major car accident comes to your office. He reports that his car hit the car
in front of him. The man says he has a relative with intermittent explosive disorder and worries, that he may
also have it. He is worried that if he has this disorder, it could lead to further problems in the future. When
asked if he hit the car on purpose, he initially denies it, but then indicates that he was particularly annoyed with
the driver in front of him. Which of the following would not be a typical characteristic of this disorder?
a. The degree of aggression was out of proportion to the precipitating psychological stressor
b. He had been drinking alcohol extensively earlier in the
night
c. He felt immediately guilty after the episode
d. He experienced tingling and chest tightness shortly before episode.
11. Of the following antidepressant medications, which is a tetracyclic antidepressant?
a. Maprotiline- a tetracyclic antidepressant, chemical compound consists of primarily 4 rings of
atoms.
b. Amitriptyline- tricyclic antidepressant
c. Amoxapine- tricyclic antidepressant
d. Phenetzine sulfate- MAOI
12. The sexually transmitted disease that causes superficial, painful ulcers surrounded by an erythematous halo
in men but is usually asymptomatic in women is which of the following?
a. Chancroid- although women are usually asymptomatic, men usually have superficial painful, and erosive
ulcers, which are surrounded by an erythematous halo, on the genitalia when affected by chancroid.
b. Herpes Simplex virus type I- painful ulcers on face no halo
P a g e 3 | 26
VERSION OF THE EXAM ENPC EXAM//
1. During a suicide intervention with your 28yo male patient, to which agreement should you ask for his
consent, verbally or in writing?
a. -“No Harm” contract- health care professionals are obligated to ask suicidal patients to agree to a
no
harm contract, verbally or in writing, detailing specifically that the patient will restrain from harming themselves
b. “No Suicide” contract- typical contraajeminatincts used in the prevention of suicide
c. “Prevention” Contract- typical contracts used in the prevention of suicide
d. “Affirming Life” contract- typical contracts used in the prevention of suicide
2. Courtney 35 is a rape victim. You note that she has an expressed style of coping in her acute rape trauma
syndrome. Which of the following would most lead you to this conclusion?
a. Patients Masked face
b. Patients Distractibiity
c. Patient Smiling
d. Patient having difficulty making decisions
3. Which of the following patients would not require hospitalization?
a. A 29yo self-admitted bulimic male with bradycardia
b. A 27yo female with repeated use of laxatives and diuretics at least two times a week for 3
months
c. A 20yo male suffering from persistent hypothermia
d. A 18yo young woman who is 5’4” and weighs 92 pounds
4. Terry, 35yo, visits your office with the assumption that he is experiencing depression. Terry explains that he
has a history of substance abuse and a family history of mood disorders. He claims that he has recently been
incredibly fatigued, possessing no energy to even perform day to day activities. Even with the sudden onset of
fatigue. Terry explains that he is still experiencing insomnia. He also complains about recurring confusion and
loss of weight, and confesses that he has been experiencing more recurrent suicidal thoughts. Of the following
which is the best medication to prescribe Terry for his situation?
a. Sympathomimetics- thought to be most effective pharmacological treatment for depression,
however they have a potential for abuse
b. Bupropion- better choice due to history of substance
P a g e 1 | 26
, abuse
c. Olanzapine- mood stabilizer more effective for bipolar
d. Risperidone- for mania
5. You are attending to a 30yo male after he was shot at and almost killed. By showing empathy, confrontation,
and immediacy, you are exhibiting which of the following?
a. Identifying the hazard and precipitating event- involves differentiating the precipitating event from
long term psychological problems.
Three b. Counseling keystones relevant to assessment of a crisis- of the counseling keystones relevant to
assessment of a crisis are empathy,
confrontation, and immediacy.
c. Identifying coping mechanisms- does not involve wide-ranging keystones such as empathy, but
rather specific actions such as questioning and increasing adaptive coping by recommending the patient
seek information.
d. Situational support
6. A patient with which of the following findings should be referred to primary care for cardiovascular
problems?
a. A patient with a blood pressure of 130/85- considered prehypertension and should be referred
to
primary care.
b. Systole
c. Diastole
d. Low density lipoprotein level (LDL) of 69 mg/dl- is the desired LDL for patients, anything over 100
mg/dl should warrant a referral to primary care for evaluation of cholesterol.
7. Patients with severe and persistent mental illness (SPMI) exhibit symptoms which interfere with
occupational, academic, and social functioning. Which of the following illnesses eventually touches 100% of
patients affected with SPMI?
a. Unipolar depression- affects 20-30% of SPMI patients
b. Schizophrenia- affects 90% of SPMI patients
c. Dementia- 100% of patients with SPMI are eventually affected by varying degrees of dementia which
interfere with occupational, academic and social functioning
d. Bipolar Depression- affects 40-50% of SPMI patients
8. Before patients enter a hospice they are advised of their right to refuse care, but only if they have which of
the following?
a. Decisional
P a g e 2 | 26
, capability
b. A living will
c. A healthcare directive
d. Informed consent
9. Which of the following statements is not a correct association with the Bronfenbrenner’s ecological
system
model?
a. Children are dynamic entities and develop the skills necessary to _____ that setting
b. The ___ child ____ may be established as _____ by the parents relationships
c. Objective reality influences behaviors and development more than ones perception of
environment
d. Changes in family structure such as the birth of a sibling affect a child’s development
10. A 34yo man who recently had a major car accident comes to your office. He reports that his car hit the car
in front of him. The man says he has a relative with intermittent explosive disorder and worries, that he may
also have it. He is worried that if he has this disorder, it could lead to further problems in the future. When
asked if he hit the car on purpose, he initially denies it, but then indicates that he was particularly annoyed with
the driver in front of him. Which of the following would not be a typical characteristic of this disorder?
a. The degree of aggression was out of proportion to the precipitating psychological stressor
b. He had been drinking alcohol extensively earlier in the
night
c. He felt immediately guilty after the episode
d. He experienced tingling and chest tightness shortly before episode.
11. Of the following antidepressant medications, which is a tetracyclic antidepressant?
a. Maprotiline- a tetracyclic antidepressant, chemical compound consists of primarily 4 rings of
atoms.
b. Amitriptyline- tricyclic antidepressant
c. Amoxapine- tricyclic antidepressant
d. Phenetzine sulfate- MAOI
12. The sexually transmitted disease that causes superficial, painful ulcers surrounded by an erythematous halo
in men but is usually asymptomatic in women is which of the following?
a. Chancroid- although women are usually asymptomatic, men usually have superficial painful, and erosive
ulcers, which are surrounded by an erythematous halo, on the genitalia when affected by chancroid.
b. Herpes Simplex virus type I- painful ulcers on face no halo
P a g e 3 | 26
