ANCC PMHNP PSYCH-MENTAL
HEALTH NP LATEST EXAMS| TESTS
1 ,2, AND 3 QUESTIONS, ANSWERS,
AND RATIONALE LATEST 2024-2025
TEST 1
Your client, 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
ANS✔✔ : complicated grief
RATIONALE: 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 client has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - -RIGHT
ANS✔✔ : Trazodone
,RATIONALE: If a client has had a myocardial infarction, during the
recovery phase, the client should not be prescribed this medication.
Trazodone (Desyrel) can cause the client 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
ANS✔✔ : Use examples and review.
RATIONALE: 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 ANS✔✔ :
Risperidone
RATIONALE: 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.
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
ANS✔✔ : Medication
noncompliance
RATIONALE: Medication noncompliance is a major problem with the
psychiatric mental health clients. The home health nurses assists by helping
the clients
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
client at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above - -RIGHT
ANS✔✔ : Documentation
RATIONALE: 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 client and is also
used to help justify the client 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 ANS✔✔ :
Hypertensive crisis
RATIONALE: 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 - -RIGHT
ANS✔✔ : nausea
Symptoms of serotonin syndrome can present in clients 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 clients having dissociative identity
disorder?
30%
45%
70%
60% - -RIGHT ANS✔✔
: 70%
, RATIONALE: 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 outclients 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 ANS✔✔ :
Cognitive
RATIONALE: 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 client 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
ANS✔✔ : A prolonged QT interval
RATIONALE: 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
ANS✔✔ : parataxic mode
RATIONALE: 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 he or she is doing.
HEALTH NP LATEST EXAMS| TESTS
1 ,2, AND 3 QUESTIONS, ANSWERS,
AND RATIONALE LATEST 2024-2025
TEST 1
Your client, 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
ANS✔✔ : complicated grief
RATIONALE: 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 client has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - -RIGHT
ANS✔✔ : Trazodone
,RATIONALE: If a client has had a myocardial infarction, during the
recovery phase, the client should not be prescribed this medication.
Trazodone (Desyrel) can cause the client 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
ANS✔✔ : Use examples and review.
RATIONALE: 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 ANS✔✔ :
Risperidone
RATIONALE: 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.
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
ANS✔✔ : Medication
noncompliance
RATIONALE: Medication noncompliance is a major problem with the
psychiatric mental health clients. The home health nurses assists by helping
the clients
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
client at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above - -RIGHT
ANS✔✔ : Documentation
RATIONALE: 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 client and is also
used to help justify the client 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 ANS✔✔ :
Hypertensive crisis
RATIONALE: 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 - -RIGHT
ANS✔✔ : nausea
Symptoms of serotonin syndrome can present in clients 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 clients having dissociative identity
disorder?
30%
45%
70%
60% - -RIGHT ANS✔✔
: 70%
, RATIONALE: 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 outclients 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 ANS✔✔ :
Cognitive
RATIONALE: 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 client 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
ANS✔✔ : A prolonged QT interval
RATIONALE: 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
ANS✔✔ : parataxic mode
RATIONALE: 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 he or she is doing.
