ANCC Review Questions (PMHNP IQ) Qbank answered
all correctly answered; latest updated summer 2022.
The Centers for Medicare and Medicaid Services (CMS) administer what two
major public insurance programs? Correct Answer: Medicaid and Medicare
How is Medicaid funded? Correct Answer: by both federal and state tax dollars
Who is eligible for Medicaid? Correct Answer: Low-income children
Low-income pregnant women
Elderly and disabled individuals who qualify for the Supplemental Security
Income Program
How is Medicare funded? Correct Answer: by federal tax dollars
Who is eligible for Medicare? Correct Answer: The elderly age 65 and older
having worked 40 quarters and paid Medicare taxes
Certain younger individuals with disabilities
Individuals with end-stage renal disease
Individuals in need of a kidney transplant
Individuals receiving Social Security Disability and who have amyotrophic lateral
sclerosis
What is covered under Medicare Part A? Correct Answer: hospitalization (up to
90 days), skilled nursing facility (up to 100 days), hospice (up to 6 months for
terminally ill), and some home health care
What is covered under Medicare Part B? Correct Answer: ambulatory practitioner
service; physical, occupational, and speech therapy; medical equipment; diagnostic
tests; and some preventative care
What is Medicare Part C? Correct Answer: Medicare Advantage; optional
coverage for beneficiaries who can choose to receive all of their health care
services through one of the provider organizations covered under the Medicare
Advantage Plan
What is Medicare Part D? Correct Answer: optional coverage for outpatient
pharmaceuticals; prescription drug coverage program available to all Medicare
beneficiaries. Private companies approved by Medicare provide the coverage.
,What service is guaranteed to be covered by Medicaid? Correct Answer: family
planning services
Other services covered under Medicaid include:
inpatient medical hospitalizations
outpatient services
home health services
home health aides
skilled nursing facilities services for those age 21 and older
services rendered by NPs and nurse midwives
medical supplies for use in-home
pregnancy-related services up to 60 days postpartum
What services may not be covered under Medicaid? Correct Answer: vision care
eyeglasses
dental care
dentures
hearing exams
hearing aides
routine physical exams
inpatient psychiatric hospitalizations
health alliance Correct Answer: public agency that uses its bargaining power to
negotiate competitive prices for health insurance from the private insurance market
special interest agency Correct Answer: group of people seeking or receiving
special advantages through political lobbying
public interest groups Correct Answer: promote issues of general public concern
political action committee Correct Answer: an organization that raises money
privately to influence elections or legislation, especially at the federal level
preventative factors Correct Answer: factors that prevent or protect the person
from developing a psychiatric condition or disorder
What are the 3 categories of preventative factors? Correct Answer: biological,
psychological, social
,Biological preventative factors Correct Answer: Without a history of mental
illness in the family
Healthy nutritional status
Good general health
Psychological preventative factors Correct Answer: Good self-esteem
Good self-concept
Internal locus of control
Healthy ego defenses
Social preventative factors Correct Answer: Low-stress occupation
Higher socioeconomic status
Higher level of education
What is a risk closely associated with lamotrigine? Correct Answer: Stevens-
Johnson syndrome - a serious, life-threatening side effect in which a painful
burning rash appears
Treatment: discontinue medication immediately; patient should report to ER for
stabilization
According to Erik Erikson, failure to resolve which psychosocial stage is
associated with later development of conversion disorder? Correct Answer:
Initiative vs. Guilt
Failure to successfully resolve the psychosocial stage Initiative vs Guilt is
associated with later development of this psychopathology
According to Erik Erikson, failure to resolve the Trust vs Mistrust psychosocial
stage is associated with later development of what? Correct Answer: psychosis,
addictions, depression
According to Erik Erikson, failure to resolve the Autonomy vs Shame and Doubt
psychosocial stage is associated with later development of what? Correct Answer:
paranoia, obsession, compulsions, and impulsivity
According to Erik Erikson, failure to resolve the Industry vs Inferiority
psychosocial stage is associated with later development of what? Correct Answer:
creative inhibition
What are Erik Erikson's stages of psychosocial development? Correct Answer:
Trust vs Mistrust: birth to 12-18 months
, Autonomy vs Shame and Doubt: 12-18 months to 3 years
Initiative vs Guilt: 3 to 5-6 years
Industry vs Inferiority: 5-6 years to adolescence
Identity vs Role Confusion: adolescence to adulthood
Intimacy vs Isolation: adulthood
Generativity vs Stagnation: middle adulthood
Ego Integrity vs Despair: late adulthood
Trust vs Mistrust Correct Answer: Erikson's first stage during the first year of life,
infants learn to trust when they are cared for in a consistent warm manner
birth to 12-18 months
Autonomy vs Shame and Doubt Correct Answer: 12-18 months to 3 years
Erikson's stage in which a toddler learns to exercise will and to do things
independently; failure to do so causes shame and doubt
Failure to resolve the Autonomy vs. Shame and Doubt phase can lead to what?
Correct Answer: the development of paranoia, obsessions, compulsions
Initiative vs Guilt Correct Answer: 3 to 5-6 years
Erikson's third stage in which the child finds independence in planning, playing
and other activities
Failure to resolve the Initiative vs. Guilt stage can lead to the development of
what? Correct Answer: conversion disorder, phobias, and psychosomatic disorders
Industry vs Inferiority Correct Answer: 5-6 years to adolescence
Erikson's fourth stage of identity typically occurs between the ages of 7-13; when a
child successfully navigates this stage, they develop competency and learn to be
productive
Failure to resolve the Industry vs. Inferiority stage can contribute to what? Correct
Answer: creative inhibition
Identity vs Role Confusion Correct Answer: Erikson's stage during which
teenagers and young adults (adolescence to adulthood) search for and become their
true selves
all correctly answered; latest updated summer 2022.
The Centers for Medicare and Medicaid Services (CMS) administer what two
major public insurance programs? Correct Answer: Medicaid and Medicare
How is Medicaid funded? Correct Answer: by both federal and state tax dollars
Who is eligible for Medicaid? Correct Answer: Low-income children
Low-income pregnant women
Elderly and disabled individuals who qualify for the Supplemental Security
Income Program
How is Medicare funded? Correct Answer: by federal tax dollars
Who is eligible for Medicare? Correct Answer: The elderly age 65 and older
having worked 40 quarters and paid Medicare taxes
Certain younger individuals with disabilities
Individuals with end-stage renal disease
Individuals in need of a kidney transplant
Individuals receiving Social Security Disability and who have amyotrophic lateral
sclerosis
What is covered under Medicare Part A? Correct Answer: hospitalization (up to
90 days), skilled nursing facility (up to 100 days), hospice (up to 6 months for
terminally ill), and some home health care
What is covered under Medicare Part B? Correct Answer: ambulatory practitioner
service; physical, occupational, and speech therapy; medical equipment; diagnostic
tests; and some preventative care
What is Medicare Part C? Correct Answer: Medicare Advantage; optional
coverage for beneficiaries who can choose to receive all of their health care
services through one of the provider organizations covered under the Medicare
Advantage Plan
What is Medicare Part D? Correct Answer: optional coverage for outpatient
pharmaceuticals; prescription drug coverage program available to all Medicare
beneficiaries. Private companies approved by Medicare provide the coverage.
,What service is guaranteed to be covered by Medicaid? Correct Answer: family
planning services
Other services covered under Medicaid include:
inpatient medical hospitalizations
outpatient services
home health services
home health aides
skilled nursing facilities services for those age 21 and older
services rendered by NPs and nurse midwives
medical supplies for use in-home
pregnancy-related services up to 60 days postpartum
What services may not be covered under Medicaid? Correct Answer: vision care
eyeglasses
dental care
dentures
hearing exams
hearing aides
routine physical exams
inpatient psychiatric hospitalizations
health alliance Correct Answer: public agency that uses its bargaining power to
negotiate competitive prices for health insurance from the private insurance market
special interest agency Correct Answer: group of people seeking or receiving
special advantages through political lobbying
public interest groups Correct Answer: promote issues of general public concern
political action committee Correct Answer: an organization that raises money
privately to influence elections or legislation, especially at the federal level
preventative factors Correct Answer: factors that prevent or protect the person
from developing a psychiatric condition or disorder
What are the 3 categories of preventative factors? Correct Answer: biological,
psychological, social
,Biological preventative factors Correct Answer: Without a history of mental
illness in the family
Healthy nutritional status
Good general health
Psychological preventative factors Correct Answer: Good self-esteem
Good self-concept
Internal locus of control
Healthy ego defenses
Social preventative factors Correct Answer: Low-stress occupation
Higher socioeconomic status
Higher level of education
What is a risk closely associated with lamotrigine? Correct Answer: Stevens-
Johnson syndrome - a serious, life-threatening side effect in which a painful
burning rash appears
Treatment: discontinue medication immediately; patient should report to ER for
stabilization
According to Erik Erikson, failure to resolve which psychosocial stage is
associated with later development of conversion disorder? Correct Answer:
Initiative vs. Guilt
Failure to successfully resolve the psychosocial stage Initiative vs Guilt is
associated with later development of this psychopathology
According to Erik Erikson, failure to resolve the Trust vs Mistrust psychosocial
stage is associated with later development of what? Correct Answer: psychosis,
addictions, depression
According to Erik Erikson, failure to resolve the Autonomy vs Shame and Doubt
psychosocial stage is associated with later development of what? Correct Answer:
paranoia, obsession, compulsions, and impulsivity
According to Erik Erikson, failure to resolve the Industry vs Inferiority
psychosocial stage is associated with later development of what? Correct Answer:
creative inhibition
What are Erik Erikson's stages of psychosocial development? Correct Answer:
Trust vs Mistrust: birth to 12-18 months
, Autonomy vs Shame and Doubt: 12-18 months to 3 years
Initiative vs Guilt: 3 to 5-6 years
Industry vs Inferiority: 5-6 years to adolescence
Identity vs Role Confusion: adolescence to adulthood
Intimacy vs Isolation: adulthood
Generativity vs Stagnation: middle adulthood
Ego Integrity vs Despair: late adulthood
Trust vs Mistrust Correct Answer: Erikson's first stage during the first year of life,
infants learn to trust when they are cared for in a consistent warm manner
birth to 12-18 months
Autonomy vs Shame and Doubt Correct Answer: 12-18 months to 3 years
Erikson's stage in which a toddler learns to exercise will and to do things
independently; failure to do so causes shame and doubt
Failure to resolve the Autonomy vs. Shame and Doubt phase can lead to what?
Correct Answer: the development of paranoia, obsessions, compulsions
Initiative vs Guilt Correct Answer: 3 to 5-6 years
Erikson's third stage in which the child finds independence in planning, playing
and other activities
Failure to resolve the Initiative vs. Guilt stage can lead to the development of
what? Correct Answer: conversion disorder, phobias, and psychosomatic disorders
Industry vs Inferiority Correct Answer: 5-6 years to adolescence
Erikson's fourth stage of identity typically occurs between the ages of 7-13; when a
child successfully navigates this stage, they develop competency and learn to be
productive
Failure to resolve the Industry vs. Inferiority stage can contribute to what? Correct
Answer: creative inhibition
Identity vs Role Confusion Correct Answer: Erikson's stage during which
teenagers and young adults (adolescence to adulthood) search for and become their
true selves
