ANCC Practice Questions
Domain 2 Exam with Complete
Solutions
A patient comes into your office inn a full manic episode. This patient has a diagnosis of Bipolar and
Alcohol Use Disorder, moderate. You have a report from the patient's chemical dependency counselor
indicating that inpatient chemical dependency counseling is needed. Your patient has been on the fence
about inpatient chemical dependency treatment in the past. You assess the patient and find a strong
odor of alcohol, auditory and visual hallucinations, flight of ideas, lack of sleep for 3 days, suicidal
ideations without a firm plan, and plans to drive to another state to gamble. The patient's brother who
accompanies him corroborates this information. In order to best treat this patient you:
a. Admit him to the dual diagnosis chemical dependency unit with an order for the collection of
laboratory values.
b. Admit him to the inpatient chemical dependency program.
c. Send the patient home with his brother and a prescr - Correct Answers: D
Appraisal of the patient's suicidal ideation, plan, method, intent, and access to implement plan would be
documented in which part of the standard psychiatric evaluation?
a. History of Presenting Illness
b. Review of Systems
c. Diagnosis
d. Mental Status Exam - Correct Answers: D
Violence directed toward women by an intimate partner is a serious health problem worldwide. Which
of the following women has the greatest risk factors for being the victim of violence?
a. 26 years old, recently separated, Asian American woman living in Boston, Massachusetts
b. 42 years old, divorced, Caucasian woman dating a recently divorced man in Denver, Colorado
c. 17 years old, single, Native American woman living with employed boyfriend in Galena, Alaska
d. 35 years old, pregnant, African American woman living with her husband in suburb of Dallas, Texas -
Correct Answers: C
, Which of the following statements would be most likely to be effective in changing sexual behavior
when counseling a sexually active 15-year-old adolescent girl?
a. Always use condoms when having sex.
b. Use this sample condom
c. Require your partner to use a condom
d. Always carry condoms in your purse. - Correct Answers: B
A PMHNP is working in an integrated care clinic and his family nurse practitioner colleague asks for a
consult. The family nurse practitioner asks the PMHNP what antidepressant to start for a patient who
has a score of 15 on the PHQ-9. What is the appropriate response?
a. A score of 15 on the PHQ9 indicates moderate depression, so the patient should be started on a
selective serotonin norepinephrine reuptake inhibitor.
b. A score of 15 on the PHQ9 indicates severe depression, so you should start a SSRI and an atypical
antipsychotic
c. A score of 15 on the PHQ9 indicates moderate depression, so y9ou can refer the patient to therapy
and start an antidepressant.
d. A score of 15 on the PHQ9 indicates possible moderate depression, but a follow-up interview is
required to assess for depression. I can see this patient today and further assess for depression and the
appropriate treatment. - Correct Answers: D
A 10-year-old child lost her father to an unexpected heart attack. Normally confident, sociable and an
excellent student, her teachers and mother report that she has withdrawn, become disinterested in
schoolmates and schoolwork, and easily becomes tearful if anyone mentions her father. What non-
pharmacological intervention would be most helpful at this time to facilitate her grieving and loss?
a. Bibliotherapy
b. Play therapy
c. Individual therapy
d. Psychoeducation group - Correct Answers: D
A mother presents to the clinic with her 9-year-old daughter because she is worried about her. The
mother tells you that her daughter has been waking up in the middle of the night screaming off and on
for the past several months. When she goes into her daughter's room, she is sitting up in bed and is
initially inconsolable but eventually will go back to sleep. The mother is crying and tells you she is unable
Domain 2 Exam with Complete
Solutions
A patient comes into your office inn a full manic episode. This patient has a diagnosis of Bipolar and
Alcohol Use Disorder, moderate. You have a report from the patient's chemical dependency counselor
indicating that inpatient chemical dependency counseling is needed. Your patient has been on the fence
about inpatient chemical dependency treatment in the past. You assess the patient and find a strong
odor of alcohol, auditory and visual hallucinations, flight of ideas, lack of sleep for 3 days, suicidal
ideations without a firm plan, and plans to drive to another state to gamble. The patient's brother who
accompanies him corroborates this information. In order to best treat this patient you:
a. Admit him to the dual diagnosis chemical dependency unit with an order for the collection of
laboratory values.
b. Admit him to the inpatient chemical dependency program.
c. Send the patient home with his brother and a prescr - Correct Answers: D
Appraisal of the patient's suicidal ideation, plan, method, intent, and access to implement plan would be
documented in which part of the standard psychiatric evaluation?
a. History of Presenting Illness
b. Review of Systems
c. Diagnosis
d. Mental Status Exam - Correct Answers: D
Violence directed toward women by an intimate partner is a serious health problem worldwide. Which
of the following women has the greatest risk factors for being the victim of violence?
a. 26 years old, recently separated, Asian American woman living in Boston, Massachusetts
b. 42 years old, divorced, Caucasian woman dating a recently divorced man in Denver, Colorado
c. 17 years old, single, Native American woman living with employed boyfriend in Galena, Alaska
d. 35 years old, pregnant, African American woman living with her husband in suburb of Dallas, Texas -
Correct Answers: C
, Which of the following statements would be most likely to be effective in changing sexual behavior
when counseling a sexually active 15-year-old adolescent girl?
a. Always use condoms when having sex.
b. Use this sample condom
c. Require your partner to use a condom
d. Always carry condoms in your purse. - Correct Answers: B
A PMHNP is working in an integrated care clinic and his family nurse practitioner colleague asks for a
consult. The family nurse practitioner asks the PMHNP what antidepressant to start for a patient who
has a score of 15 on the PHQ-9. What is the appropriate response?
a. A score of 15 on the PHQ9 indicates moderate depression, so the patient should be started on a
selective serotonin norepinephrine reuptake inhibitor.
b. A score of 15 on the PHQ9 indicates severe depression, so you should start a SSRI and an atypical
antipsychotic
c. A score of 15 on the PHQ9 indicates moderate depression, so y9ou can refer the patient to therapy
and start an antidepressant.
d. A score of 15 on the PHQ9 indicates possible moderate depression, but a follow-up interview is
required to assess for depression. I can see this patient today and further assess for depression and the
appropriate treatment. - Correct Answers: D
A 10-year-old child lost her father to an unexpected heart attack. Normally confident, sociable and an
excellent student, her teachers and mother report that she has withdrawn, become disinterested in
schoolmates and schoolwork, and easily becomes tearful if anyone mentions her father. What non-
pharmacological intervention would be most helpful at this time to facilitate her grieving and loss?
a. Bibliotherapy
b. Play therapy
c. Individual therapy
d. Psychoeducation group - Correct Answers: D
A mother presents to the clinic with her 9-year-old daughter because she is worried about her. The
mother tells you that her daughter has been waking up in the middle of the night screaming off and on
for the past several months. When she goes into her daughter's room, she is sitting up in bed and is
initially inconsolable but eventually will go back to sleep. The mother is crying and tells you she is unable
