TEST BANK FOR ANCC PMHNP PSYCH

TEST BANK FOR ANCC PMHNP PSYCH- c c c c c



MENTAL HEALTH NEWEST 2025 ACTUAL EXAM COMP c c c c c c



LETE 300 QUESTIONS AND CORRECT DETAILED ANSWE
c c c c c c



RS(VERIFIED ANSWERS) |ALREADY GRADED A+
c c c c c




Your patient, whose wife died a few months ago, appears to be very unkempt
c c c c c c c c c c c c c


and apathetic. Although several months have passed since his wife's death h
c c c c c c c c c c c c


e has not progressed at all through his grieving. You assessthis condition as
c c c c c c c c c c c c c c


which of the following? c c c


disenfranchised grief c c


panic disorder compl c c


icated grief c


physiologic grief - ANSWER Correct Answer: c c c c c


complicated grief c




A person has uncomplicated grief when he or she has normal physical, psy
c c c c c c c c c c c c


chological, cognitive and spiritual responses to the death of a significant ot
c c c c c c c c c c c


her. But when the person shows persistent maladaptive behaviors such as n
c c c c c c c c c c c


ot taking care of personal hygiene and/or appearanceand does not progress
c c c c c c c c c c c c


through the mourning process, this is complicatedgrief.
c c c c c c c




If a patient has had a myocardial infarction, which of the following atypical
c c c c c c c c c c c c


antidepressants should not be prescribed within the recoveryphase?
c c c c c c c c c


Trazodone c


Duloxetine c


Bupropion
Desvenlafaxine - ANSWER Correct Answer: c c c c

,Trazodone

If a patient has had a myocardial infarction, during the recovery phase,the p
c c c c c c c c c c c c c


atient should not be prescribed this medication. Trazodone (Desyrel) can c
c c c c c c c c c c


ause the patient to develop orthostatic hypotension andpriapism.
c c c c c c c c




To get your teaching ideas and concepts across to a poor reader which ofthe
c c c c c c c c c c c c c c c


following would be most appropriate? c c c c


Use longer sentences. Us
c c c


e abstract concepts. Disc
c c c


ourage questioning. c


Use examples and review. -
c c c c


ANSWER Correct Answer:Use examples and review.
c c c c c c c




To get the idea across to a poor reader use examples and review. The other c
c c c c c c c c c c c c c c c


hoices are not helpful. You should use short sentences and easy toread layou
c c c c c c c c c c c c c


ts; be concrete rather than abstract; and teach them how to askquestions abo
c c c c c c c c c c c c c


ut their health. Also, tell context first and use visual, use common words and
c c c c c c c c c c c c c


examples, and explain meaning.
c c c c




A 21- c


year old woman presents with complaints of milky discharge fromher brea
c c c c c c c c c c c


sts. She doesn't have any other symptoms and is not pregnant, nor has been
c c c c c c c c c c c c c c


before. She tells the nurse about each medication that she takes. Which of t
c c c c c c c c c c c c c


hese drugs may be implicated as the cause of the symptom?
c c c c c c c c c c


aspirin Lam c


otrigineRisp c


eridone
sertraline - ANSWER Correct Answer: c c c c


Risperidone

Risperidone can cause the greatest prolactin elevation among atypical psy
c c c c c c c c c


chotics. A milky white discharge known as galactorrhea could be asign of a
c c c c c c c c c c c c c


n underlying condition. The fact that the woman takes
c c c c c c c c

,Risperidone, an atypical antipsychotic, would likely point to the cause and s
c c c c c c c c c c c


hould be switched with one less likely to have that same side effect.
c c c c c c c c c c c c




Which of the following would be considered one of the main things thatis r
c c c c c c c c c c c c c c


esponsible for about 2/3 of psychiatric hospital readmissions?
c c c c c c c


Not sufficient care. Medicat
c c c


ion noncomplianceBiophys
c c


ical assessments
c


None of the above - ANSWER Correct Answer:
c c c c c c c


Medication noncompliance c




Medication noncompliance is a major problem with the psychiatric mental
c c c c c c c c c c


health patients. The home health nurses assists by helping thepatients
c c c c c c c c c c


to see the relationship between their compliance with their medicationregi
c c c c c c c c c c


men and control of their symptoms.
c c c c c




Which of the following would be considered an important form of commu
c c c c c c c c c c c


nication that can help to promote consistency in the care of thepatient at the
c c c c c c c c c c c c c c


same time that it justifies their stay in the hospital?R
c c c c c c c c c c


eview of care. c c


Documentation c


Verbal reporting c


None of the above - c c c c


ANSWER Correct Answer:Documentation
c c c c




The other 3 options above are incorrect.
c c c c c c


One of the most important aspects of nursing is documentation. Document
c c c c c c c c c c


ation can promote consistency in the care of the patient and isalso used to h
c c c c c c c c c c c c c c c


elp justify the patient remaining in the hospital.
c c c c c c c




Effects of an overdose of LSD (Lysergic acid diethylamide) can includeall
c c c c c c c c c c c c


of the following except?
c c c


Vomiting

, Respiratory failure c c


Hypertensive crisis c


Seizures - ANSWER Correct Answer: c c c c


Hypertensive crisis c




Hypertensive crisis would be considered a symptom of PCP overdose. Vo
c c c c c c c c c c


miting, respiratory failure and seizures would be considered an effectof LS
c c c c c c c c c c c


D overdose.
c




Symptoms of serotonin syndrome include all of the following EXCEPT:inso
c c c c c c c c c c


mnia
nausea
loss of coordination
c c


sweating or shivering with goose bumps - c c c c c c


ANSWER Correct Answer:nausea
c c c c




Symptoms of serotonin syndrome can present in patients that have drugco
c c c c c c c c c c c


mbinations that are contraindicated. They can vary from restlessness and a
c c c c c c c c c c


gitation to tremors, chills, headaches, and insomnia as well as lossof coordi
c c c c c c c c c c c c


nation. Nausea has not been implicated in serotonin syndrome.
c c c c c c c c




What is the rate of suicide attempts for patients having dissociativeidentity
c c c c c c c c c c c c


disorder?
30%
45%
70%
60% - ANSWER Correct Answer:
c c c c


70%

People with dissociative identity disorder have one of the highest risks for s
c c c c c c c c c c c c


uicide. According to the Diagnostic and Statistical Manual of Mental Disor
c c c c c c c c c c


ders (DSM- c


5),more than 70% of outpatients with DID haveattempted suicide, and mult
c c c c c c c c c c c


iple suicide attempts are common.
c c c c