ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST TEST BANK 2024| 3
REAL EXAM VERSIONS|CONTAINS 680+ ACTUAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS AND RATIONALES|ALREADY PASSED AND
SCORED A+
TEST 1
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 - -RIGHT
SOLUTION> complicated
grief
EXPLAINATION> A person has uncomplicated grief when he or she has
normalphysical, psychological, cognitive and spiritual responses to the
death of asignificant 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 - -RIGHT
SOLUTION> Trazodone
,EXPLAINATION> 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.
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. - -RIGHT
SOLUTION> Use examples and
review.
EXPLAINATION> 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 - -RIGHT
SOLUTION>Risperidone
EXPLAINATION> Risperidone can cause the greatest prolactin elevation
among atypical psychotics. A milky white discharge known as galactorrhea
could bea 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.
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 - -RIGHT
SOLUTION> Medication
noncompliance
EXPLAINATION> 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 - -RIGHT
SOLUTION> Documentation
EXPLAINATION> 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?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - -RIGHT
SOLUTION>Hypertensive
crisis
EXPLAINATION> Hypertensive crisis would be considered a symptom of
PCPoverdose.
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 - -RIGHT
SOLUTION> 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% - -RIGHT
SOLUTION>
70%
, EXPLAINATION> People with dissociative identity disorder have one of the
highest risks for suicide. According to the Diagnostic and Statistical Manual
of Mental Disorders (DSM- 5),more than 70% of outpatients with DID have
attempted suicide, and multiple suicide attempts are common.
Of the following, which would not be considered a phase of schizophrenia
treatment?
Maintenance
Acute
Cognitive
Stabilization - -RIGHT
SOLUTION>Cognitive
EXPLAINATION> Cognitive is not one of the three phases of schizophrenia
treatment. The three phases are:
Phase 1: acute
Phase 2:
stabilization Phase
3: maintenance
The patient should be monitored for effects of psychotropic medications
which can impact cardiac rhythms. Which of the following could be a
potential
cardiac side effect?
A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above - -RIGHT
SOLUTION> A prolonged QT
interval
EXPLAINATION> With antipsychotic drugs, the triclyclic action can cause
problems. These medications can cause a widening of the QRS or a
prolonged QT interval.
This is a measure of the ventricular repolarization.
Sullivan described three developmental cognitive modes of experience
and believed that mental disorders are related to the persistence of one
of the early modes. The mode that begins in early childhood as the child
begins to connect experiences in sequence is which of the following?
prototaxic mode
parataxic mode
syntaxic mode
composite mode - -RIGHT
SOLUTION> parataxic mode
EXPLAINATION> The parataxic mode begins in early childhood. The child
may not make logical sense of the experiences and may see them as
coincidence or chance events. The child seeks to relieve anxiety by
repeating familiar experiences, although he or she may not understand what
REAL EXAM VERSIONS|CONTAINS 680+ ACTUAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS AND RATIONALES|ALREADY PASSED AND
SCORED A+
TEST 1
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 - -RIGHT
SOLUTION> complicated
grief
EXPLAINATION> A person has uncomplicated grief when he or she has
normalphysical, psychological, cognitive and spiritual responses to the
death of asignificant 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 - -RIGHT
SOLUTION> Trazodone
,EXPLAINATION> 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.
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. - -RIGHT
SOLUTION> Use examples and
review.
EXPLAINATION> 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 - -RIGHT
SOLUTION>Risperidone
EXPLAINATION> Risperidone can cause the greatest prolactin elevation
among atypical psychotics. A milky white discharge known as galactorrhea
could bea 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.
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 - -RIGHT
SOLUTION> Medication
noncompliance
EXPLAINATION> 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 - -RIGHT
SOLUTION> Documentation
EXPLAINATION> 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?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - -RIGHT
SOLUTION>Hypertensive
crisis
EXPLAINATION> Hypertensive crisis would be considered a symptom of
PCPoverdose.
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 - -RIGHT
SOLUTION> 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% - -RIGHT
SOLUTION>
70%
, EXPLAINATION> People with dissociative identity disorder have one of the
highest risks for suicide. According to the Diagnostic and Statistical Manual
of Mental Disorders (DSM- 5),more than 70% of outpatients with DID have
attempted suicide, and multiple suicide attempts are common.
Of the following, which would not be considered a phase of schizophrenia
treatment?
Maintenance
Acute
Cognitive
Stabilization - -RIGHT
SOLUTION>Cognitive
EXPLAINATION> Cognitive is not one of the three phases of schizophrenia
treatment. The three phases are:
Phase 1: acute
Phase 2:
stabilization Phase
3: maintenance
The patient should be monitored for effects of psychotropic medications
which can impact cardiac rhythms. Which of the following could be a
potential
cardiac side effect?
A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above - -RIGHT
SOLUTION> A prolonged QT
interval
EXPLAINATION> With antipsychotic drugs, the triclyclic action can cause
problems. These medications can cause a widening of the QRS or a
prolonged QT interval.
This is a measure of the ventricular repolarization.
Sullivan described three developmental cognitive modes of experience
and believed that mental disorders are related to the persistence of one
of the early modes. The mode that begins in early childhood as the child
begins to connect experiences in sequence is which of the following?
prototaxic mode
parataxic mode
syntaxic mode
composite mode - -RIGHT
SOLUTION> parataxic mode
EXPLAINATION> The parataxic mode begins in early childhood. The child
may not make logical sense of the experiences and may see them as
coincidence or chance events. The child seeks to relieve anxiety by
repeating familiar experiences, although he or she may not understand what
