ANCC - PMHNP SAMPLE TEST QUESTIONS /
STUDY GUIDE / ACTUAL QUESTIONS AND
ANSWERS (A+ GUIDE SOLUTION) NEWEST
2025/2026
A patient with borderline personality disorder experiences intense anxiety
when an adult psychiatric and mental health nurse practitioner goes on
vacation. The best explanation for this reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - answer-B. has failed to master
object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks.
Initially, the patient reported depression and suicidal thoughts. The patient's
sleep, appetite, energy, and appearance have now begun to improve. Which
statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. - answer-D. The patient's suicide
potential is increased.
, 19. According to current clinical guidelines for treating a patient with bipolar I
disorder mania with psychotic features, an adult psychiatric and mental health
nurse practitioner prescribes:
A. alprazolam (Xanax).
B. citalopram (Celexa).
C. lamotrigine (Lamictal).
D. quetiapine (Seroquel). - answer-D. quetiapine (Seroquel).
20. A hospital-based adult psychiatric and mental health nurse practitioner
collaborates with a multidisciplinary team that is charged with establishing a
psychiatric outpatient clinic. Advocating for the role of advanced practice
nurses, the nurse practitioner initially educates the team that advanced
practice nurses:
A. are readily available to meet patient needs.
B. can autonomously provide a full range of comprehensive services.
C. can perform case management functions.
D. provide cost-effective care delivery. - answer-B. can autonomously provide a
full range of comprehensive services.
10. When lobbying a local congressional representative to include nurse
practitioners in reimbursement for services in all areas of the country, an adult
psychiatric and mental health nurse practitioner emphasizes the:
STUDY GUIDE / ACTUAL QUESTIONS AND
ANSWERS (A+ GUIDE SOLUTION) NEWEST
2025/2026
A patient with borderline personality disorder experiences intense anxiety
when an adult psychiatric and mental health nurse practitioner goes on
vacation. The best explanation for this reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. - answer-B. has failed to master
object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks.
Initially, the patient reported depression and suicidal thoughts. The patient's
sleep, appetite, energy, and appearance have now begun to improve. Which
statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. - answer-D. The patient's suicide
potential is increased.
, 19. According to current clinical guidelines for treating a patient with bipolar I
disorder mania with psychotic features, an adult psychiatric and mental health
nurse practitioner prescribes:
A. alprazolam (Xanax).
B. citalopram (Celexa).
C. lamotrigine (Lamictal).
D. quetiapine (Seroquel). - answer-D. quetiapine (Seroquel).
20. A hospital-based adult psychiatric and mental health nurse practitioner
collaborates with a multidisciplinary team that is charged with establishing a
psychiatric outpatient clinic. Advocating for the role of advanced practice
nurses, the nurse practitioner initially educates the team that advanced
practice nurses:
A. are readily available to meet patient needs.
B. can autonomously provide a full range of comprehensive services.
C. can perform case management functions.
D. provide cost-effective care delivery. - answer-B. can autonomously provide a
full range of comprehensive services.
10. When lobbying a local congressional representative to include nurse
practitioners in reimbursement for services in all areas of the country, an adult
psychiatric and mental health nurse practitioner emphasizes the:
