ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST 2022-
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
Your patient, whose wife died a few months ago, appears to be very
unkempt and apathetic. Although several months have passed since his
wife's death he has not progressed at all through his grieving. You assess
this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - ANSWER-Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal
physical, psychological, cognitive and spiritual responses to the
death of a significant other. But when the person shows persistent
maladaptive behaviors such as not taking care of personal hygiene
and/or appearance and does not progress through the mourning
process, this is complicated grief.
If a patient has had a myocardial infarction, which of the following
atypical antidepressants should not be prescribed within the recovery
phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - ANSWER-Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery
phase, the patient should not be prescribed this medication.
Trazodone (Desyrel) can cause the patient to develop orthostatic
hypotension and priapism.
,ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST 2022-
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
To get your teaching ideas and concepts across to a poor reader which of
the following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - ANSWER-Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review.
The other choices are not helpful. You should use short sentences
and easy to read layouts; be concrete rather than abstract; and
teach them how to ask questions about their health. Also, tell context
first and use visual, use common words and examples, and explain
meaning.
A 21-year old woman presents with complaints of milky discharge from
her breasts. She doesn't have any other symptoms and is not pregnant,
nor has been before. She tells the nurse about each medication that she
takes. Which of these drugs may be implicated as the cause of the
symptom?
aspirin
Lamotrigine
Risperidone
sertraline - ANSWER-Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among
atypical psychotics. A milky white discharge known as galactorrhea
could be a sign of an underlying condition. The fact that the woman
takes Risperidone, an atypical antipsychotic, would likely point to
the cause and should be switched with one less likely to have that
same side effect.
,ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST 2022-
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
Which of the following would be considered one of the main things that
is responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - ANSWER-Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric
mental health patients. The home health nurses assists by helping
the patients
to see the relationship between their compliance with their
medication regimen and control of their symptoms.
Which of the following would be considered an important form of
communication that can help to promote consistency in the care of the
patient at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above - ANSWER-Correct Answer:
Documentation
The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation.
Documentation can promote consistency in the care of the patient
and is also used to help justify the patient remaining in the hospital.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include
all of the following except?
, ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST 2022-
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - ANSWER-Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP
overdose. Vomiting, respiratory failure and seizures would be
considered an effect
of LSD overdose.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - ANSWER-Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have
drug combinations that are contraindicated. They can vary from
restlessness and agitation to tremors, chills, headaches, and
insomnia as well as loss of coordination. Nausea has not been
implicated in serotonin syndrome.
What is the rate of suicide attempts for patients having dissociative
identity disorder?
30%
45%
70%
60% - ANSWER-Correct Answer:
70%
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
Your patient, whose wife died a few months ago, appears to be very
unkempt and apathetic. Although several months have passed since his
wife's death he has not progressed at all through his grieving. You assess
this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - ANSWER-Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal
physical, psychological, cognitive and spiritual responses to the
death of a significant other. But when the person shows persistent
maladaptive behaviors such as not taking care of personal hygiene
and/or appearance and does not progress through the mourning
process, this is complicated grief.
If a patient has had a myocardial infarction, which of the following
atypical antidepressants should not be prescribed within the recovery
phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - ANSWER-Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery
phase, the patient should not be prescribed this medication.
Trazodone (Desyrel) can cause the patient to develop orthostatic
hypotension and priapism.
,ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST 2022-
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
To get your teaching ideas and concepts across to a poor reader which of
the following would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - ANSWER-Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review.
The other choices are not helpful. You should use short sentences
and easy to read layouts; be concrete rather than abstract; and
teach them how to ask questions about their health. Also, tell context
first and use visual, use common words and examples, and explain
meaning.
A 21-year old woman presents with complaints of milky discharge from
her breasts. She doesn't have any other symptoms and is not pregnant,
nor has been before. She tells the nurse about each medication that she
takes. Which of these drugs may be implicated as the cause of the
symptom?
aspirin
Lamotrigine
Risperidone
sertraline - ANSWER-Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among
atypical psychotics. A milky white discharge known as galactorrhea
could be a sign of an underlying condition. The fact that the woman
takes Risperidone, an atypical antipsychotic, would likely point to
the cause and should be switched with one less likely to have that
same side effect.
,ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST 2022-
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
Which of the following would be considered one of the main things that
is responsible for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - ANSWER-Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric
mental health patients. The home health nurses assists by helping
the patients
to see the relationship between their compliance with their
medication regimen and control of their symptoms.
Which of the following would be considered an important form of
communication that can help to promote consistency in the care of the
patient at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above - ANSWER-Correct Answer:
Documentation
The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation.
Documentation can promote consistency in the care of the patient
and is also used to help justify the patient remaining in the hospital.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include
all of the following except?
, ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM LATEST 2022-
2024 TEST 1 , LATEST VERSION QS & ANS PLUS RATIONALE 100
QS| NEW VERSION ALREADY GRADED A
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - ANSWER-Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP
overdose. Vomiting, respiratory failure and seizures would be
considered an effect
of LSD overdose.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - ANSWER-Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have
drug combinations that are contraindicated. They can vary from
restlessness and agitation to tremors, chills, headaches, and
insomnia as well as loss of coordination. Nausea has not been
implicated in serotonin syndrome.
What is the rate of suicide attempts for patients having dissociative
identity disorder?
30%
45%
70%
60% - ANSWER-Correct Answer:
70%
