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ANCC - PMHNP SAMPLE TEST QUESTIONS
2026 100% PASS ASSURED UPDATED EXAM
SOLUTIONS.
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.
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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:
A. advising the survivors to consider using a
hypnotic medication for a brief period.
ANCC - PMHNP SAMPLE TEST QUESTIONS
2026 100% PASS ASSURED UPDATED EXAM
SOLUTIONS.
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.
, 2 | Page
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:
A. advising the survivors to consider using a
hypnotic medication for a brief period.
