ANCC PMHNP PSYCH-MENTAL HEALTH NP TEST 1
,2,& 3 EXAM Questions With Answers And
RATIONALEs
TEST 1
In terms of styles of leadership in therapeutic groups, which type of leader encourages
individual creativity and group cohesiveness?
autocratic democratic laissez-faire
psychotherapeutic - -Correct
ANSWER: democratic
RATIONALE: There are three main styles of group leadership: autocratic, democratic,
and laissez-faire. A democratic leadership style focuses on the members of the group.
Members are encouraged to participate fully in problem-solving of issues that relate to
the group. This type of leader encourages individual creativity and group cohesiveness.
All of the following are considered to be types of family structures except?
Nuclear family
Behavioral family
Blended family
Extended family - -Correct ANSWER:
Behavioral family
RATIONALE: The major types of family structures are:
Nuclear family
Blended family
Extended family
Single-parent family
Other familial systems
What would NOT be an appropriate way to deal with a patient in the psychiatric unit who
is prone to protracted angry outbursts?
Using reassuring touch
Determining the source of the patient's anger
Remaining calm
Setting verbal limits on behavior - -Correct ANSWER: Using reassuring
touch
,RATIONALE: This would not be appropriate for interacting with an angry patient. When
coping with an angry patient, don't shout or argue with the client and avoid touching the
client or invading the client's space. This can escalate the anger. Touching the client
can be threatening and make them feel cornered. This may result in retaliation.
N-STAT is an ANA program that does which of the following?
unifies nurses' political voices recommends nursing health
policies assures a safe workplace for nurses evaluates
Medicare and Medicaid reforms - -Correct ANSWER:
unifies nurses' political voices
RATIONALE: Nurses are the largest group among the health care disciplines The
Nurses Strategic Action Team (N-STAT) is an ANA program that unifies nurses'
political voices across the country to enact measures to benefit health care for
everyone.
Examples of DSM-V diagnostic criteria for schizophrenia include all of the following
EXCEPT:
hallucinations
thought insertion
disorganized speech
delusions - -Correct
ANSWER: thought insertion
RATIONALE: DSM-V diagnostic criteria for schizophrenia include delusions,
hallucinations, disorganized speech, disorganized or catatonic behavior, and negative
symptoms.
Abraham Maslow established that human needs are hierarchical, with lower level (most
basic) needs being critical to survival. Which of the following is the highest level of
needs in Maslow's hierarchy?
esteem and recognition
self-actualization love
and belonging safety - -
Correct ANSWER: self-
actualization
RATIONALE: Abraham Maslow's hierarchy of needs from lowest to highest are:
physiologic, safety, love and belonging, esteem and recognition, and self-actualization.
Self-actualization is the fulfillment of a person's unique potential.
,How well a drug passes through natural body barriers such as the skin or stomach is
known as the drug's:
diffusion
metabolism
bioavailability absorption - -
Correct ANSWER:
absorption
RATIONALE: A drug's absorption is how well it passes through natural body barriers
such as the skin, stomach, intestines, blood-brain barrier and other membranous
tissues. Some considerations include whether the barrier is a lipid base or not.
Antidepressant medications are known to work by increasing the concentration of which
of the following in the body?
Serotonin
Dopamine
Norephinephrine
All of the above - -Correct ANSWER:
All of the above
RATIONALE: These actions occur because the brain blocks the reuptake of these
neurotransmitters by the neurons. In addition, the enzyme monoamine
oxidase can inactive these at various sites in the nervous system.
Which of the following would more than likely be included in treatment of the patient with
depression?
Cognitive therapy
Psychopharmacology
Individual therapy
All of the above - -Correct
ANSWER:
All of the above
RATIONALE: Treatment of depression can include:
Cognitive therapy
Psychopharmacology
Individual therapy
Group/family therapy
Electroconvulsive therapy
Light therapy
, Transcranial magnetic stimulation
Which of the following individuals would be the most likely to be homeless?
16 year old white male.
67 year old Hispanic female
49 year old female Native American 19
year old Asian male - -Correct ANSWER:
16 year old white male.
RATIONALE: Studies have shown that approximately 39 percent of the homeless
are under the age of 18.
Studies have shown that more males are homeless then females.
Studies have shown that 39 percent of the homeless are white.
What test should be administered for a patient who is taking lithium, and it is suspected
has arrhythmia?
ACH
EKG
ABG
EEG - -Correct ANSWER:
EKG
RATIONALE: Arrhythmia is a side effect of lithium. The patient needs to be monitored
for risky side effects. An EKG or electrocardiogram would be used.
Akathisia, akinesia, dystonia, and tardive dyskinesia are all side effects considered to
affect which system:
lymphatic
skeletal
endocrine
muscular - -Correct ANSWER:
muscular
RATIONALE: The muscular system is responsible for extrapyramidal side effects. The
best way to prevent involuntary muscular movements that could be irreversible is to
monitor carefully. If symptoms are present, it can be treated by reducing the current
dose, or changing the patient to an atypical agent.
The gathering and interpretation of data based on valid observed and patient-
reported information, in addition to research-derived evidence, is known as which of
the following? Interventions
,2,& 3 EXAM Questions With Answers And
RATIONALEs
TEST 1
In terms of styles of leadership in therapeutic groups, which type of leader encourages
individual creativity and group cohesiveness?
autocratic democratic laissez-faire
psychotherapeutic - -Correct
ANSWER: democratic
RATIONALE: There are three main styles of group leadership: autocratic, democratic,
and laissez-faire. A democratic leadership style focuses on the members of the group.
Members are encouraged to participate fully in problem-solving of issues that relate to
the group. This type of leader encourages individual creativity and group cohesiveness.
All of the following are considered to be types of family structures except?
Nuclear family
Behavioral family
Blended family
Extended family - -Correct ANSWER:
Behavioral family
RATIONALE: The major types of family structures are:
Nuclear family
Blended family
Extended family
Single-parent family
Other familial systems
What would NOT be an appropriate way to deal with a patient in the psychiatric unit who
is prone to protracted angry outbursts?
Using reassuring touch
Determining the source of the patient's anger
Remaining calm
Setting verbal limits on behavior - -Correct ANSWER: Using reassuring
touch
,RATIONALE: This would not be appropriate for interacting with an angry patient. When
coping with an angry patient, don't shout or argue with the client and avoid touching the
client or invading the client's space. This can escalate the anger. Touching the client
can be threatening and make them feel cornered. This may result in retaliation.
N-STAT is an ANA program that does which of the following?
unifies nurses' political voices recommends nursing health
policies assures a safe workplace for nurses evaluates
Medicare and Medicaid reforms - -Correct ANSWER:
unifies nurses' political voices
RATIONALE: Nurses are the largest group among the health care disciplines The
Nurses Strategic Action Team (N-STAT) is an ANA program that unifies nurses'
political voices across the country to enact measures to benefit health care for
everyone.
Examples of DSM-V diagnostic criteria for schizophrenia include all of the following
EXCEPT:
hallucinations
thought insertion
disorganized speech
delusions - -Correct
ANSWER: thought insertion
RATIONALE: DSM-V diagnostic criteria for schizophrenia include delusions,
hallucinations, disorganized speech, disorganized or catatonic behavior, and negative
symptoms.
Abraham Maslow established that human needs are hierarchical, with lower level (most
basic) needs being critical to survival. Which of the following is the highest level of
needs in Maslow's hierarchy?
esteem and recognition
self-actualization love
and belonging safety - -
Correct ANSWER: self-
actualization
RATIONALE: Abraham Maslow's hierarchy of needs from lowest to highest are:
physiologic, safety, love and belonging, esteem and recognition, and self-actualization.
Self-actualization is the fulfillment of a person's unique potential.
,How well a drug passes through natural body barriers such as the skin or stomach is
known as the drug's:
diffusion
metabolism
bioavailability absorption - -
Correct ANSWER:
absorption
RATIONALE: A drug's absorption is how well it passes through natural body barriers
such as the skin, stomach, intestines, blood-brain barrier and other membranous
tissues. Some considerations include whether the barrier is a lipid base or not.
Antidepressant medications are known to work by increasing the concentration of which
of the following in the body?
Serotonin
Dopamine
Norephinephrine
All of the above - -Correct ANSWER:
All of the above
RATIONALE: These actions occur because the brain blocks the reuptake of these
neurotransmitters by the neurons. In addition, the enzyme monoamine
oxidase can inactive these at various sites in the nervous system.
Which of the following would more than likely be included in treatment of the patient with
depression?
Cognitive therapy
Psychopharmacology
Individual therapy
All of the above - -Correct
ANSWER:
All of the above
RATIONALE: Treatment of depression can include:
Cognitive therapy
Psychopharmacology
Individual therapy
Group/family therapy
Electroconvulsive therapy
Light therapy
, Transcranial magnetic stimulation
Which of the following individuals would be the most likely to be homeless?
16 year old white male.
67 year old Hispanic female
49 year old female Native American 19
year old Asian male - -Correct ANSWER:
16 year old white male.
RATIONALE: Studies have shown that approximately 39 percent of the homeless
are under the age of 18.
Studies have shown that more males are homeless then females.
Studies have shown that 39 percent of the homeless are white.
What test should be administered for a patient who is taking lithium, and it is suspected
has arrhythmia?
ACH
EKG
ABG
EEG - -Correct ANSWER:
EKG
RATIONALE: Arrhythmia is a side effect of lithium. The patient needs to be monitored
for risky side effects. An EKG or electrocardiogram would be used.
Akathisia, akinesia, dystonia, and tardive dyskinesia are all side effects considered to
affect which system:
lymphatic
skeletal
endocrine
muscular - -Correct ANSWER:
muscular
RATIONALE: The muscular system is responsible for extrapyramidal side effects. The
best way to prevent involuntary muscular movements that could be irreversible is to
monitor carefully. If symptoms are present, it can be treated by reducing the current
dose, or changing the patient to an atypical agent.
The gathering and interpretation of data based on valid observed and patient-
reported information, in addition to research-derived evidence, is known as which of
the following? Interventions
