ANCC Sample Questions
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The
physical examination is unremarkable. Laboratory results are within normal limits except
for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse
practitioner: -
interprets the findings as normally occurring during a rapid adolescent growth
spurt.
A new patient arrives at the office for treatment for depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the
psychiatric-mental health nurse practitioner eliminates fluoxetine (Prozac), based on the
knowledge that the combination can lead to increased plasma levels of the statin,
resulting in an increased risk of muscle damage and rhabdomyolysis. The nurse
practitioner's reason is that: -
one medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but
refuses to meet if the family members are present. The psychiatric-mental health nurse
practitioner: -
asks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality
improvement at a community mental health clinic. The effective strategy for evaluating
the clinic's services is to: -
use a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she recently
started. The nurse practitioner decides to provide psychoeducation and to: -
e-mail drug information and resources.
Any court of law that evaluates the standards of care provided by a psychiatric-mental
health nurse practitioner: -
considers what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health
professionals are asked to provide crisis counseling service, after a gunman recently
took a class hostage at a local elementary school, wounded several students, and then
shot himself. In preparing for this assignment, the nurse practitioner recognizes that: -
a child's developmental stage will influence his or her response to catastrophic
stress.
Which community-based program is a tertiary level intervention? –
A 14-year-old patient has nonspecific complaints about pain in his or her legs. The
physical examination is unremarkable. Laboratory results are within normal limits except
for a markedly elevated alkaline phosphatase level. The psychiatric-mental health nurse
practitioner: -
interprets the findings as normally occurring during a rapid adolescent growth
spurt.
A new patient arrives at the office for treatment for depression. The patient reports
taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an antidepressant, the
psychiatric-mental health nurse practitioner eliminates fluoxetine (Prozac), based on the
knowledge that the combination can lead to increased plasma levels of the statin,
resulting in an increased risk of muscle damage and rhabdomyolysis. The nurse
practitioner's reason is that: -
one medication is a CYP450 3A4 substrate and one is a CYP450 3A4 inhibitor.
A 28-year-old patient who is psychotic arrives at the clinic with family members but
refuses to meet if the family members are present. The psychiatric-mental health nurse
practitioner: -
asks the family members to leave for the appointment.
The psychiatric-mental health nurse practitioner is responsible for initiating quality
improvement at a community mental health clinic. The effective strategy for evaluating
the clinic's services is to: -
use a survey to elicit patient satisfaction responses.
The psychiatric-mental health nurse practitioner evaluates a new adult patient via
telemedicine. The patient has questions about a new medication that he or she recently
started. The nurse practitioner decides to provide psychoeducation and to: -
e-mail drug information and resources.
Any court of law that evaluates the standards of care provided by a psychiatric-mental
health nurse practitioner: -
considers what a reasonably prudent health care provider would do.
The psychiatric-mental health nurse practitioner and a team of local mental health
professionals are asked to provide crisis counseling service, after a gunman recently
took a class hostage at a local elementary school, wounded several students, and then
shot himself. In preparing for this assignment, the nurse practitioner recognizes that: -
a child's developmental stage will influence his or her response to catastrophic
stress.
Which community-based program is a tertiary level intervention? –
