ANCC PMHNP Exam Questions With Accurate Answers.
Behavioral management starts....? - accurate answers-Immediately upon
admission
If a child reports abuse.....? - accurate answers-Interview the child separately
from parents
Report to CPS
Child shows to appointment w/o parents, plays with a toy in a sexual way, or
if you suspect child abuse - accurate answers-Report to CPS, even on suspicion
alone
Where to interview a patient? - accurate answers-Private office with the door
open
Test taking strategies - accurate answers-Narrow it down to 2 possible
choices
When 2 choices are opposite, one is usually the answer
When answer options are very similar to each other, they are usually not
correct
Absolutes are usually incorrect
Test taking strategies 2 - accurate answers-Assessment before intervention
Safety even before assessment
Choose the most comprehensive option
Safety plan is correct, NOT no harm contract
Tics are....? - accurate answers-Contraindication of a stimulant
Before discharge....? - accurate answers-Can a patient stay safe and cope
effectively
Its important to build rapport with adolescents by.... - accurate answers-
Ensuring confidentiality
What you can keep confidential for an adolescent patient: - accurate answers-
If the patient is attracted to the same gender
If the patient is in a relationship with someone of the same age
,What can cause ethical dilemma with parent and child? - accurate answers-
Separating child from parent for interview, but remember that the child is
your primary patient and your patient has a right to confidentiality
What to do for a patient with bipolar disorder who is not taking medications
because they are forgetting? - accurate answers-Behavioral therapy
Women may be at risk of suicide when....? - accurate answers-They are
discharged home without an OB/GYN completing a risk assessment on them
interprofessional collaboration - accurate answers-is encouraged.
Delegation: - accurate answers-Try not to delegate
Pick the option where you do something yourself for the patient. Get informed
consent and fax the labs over for the patient, do not give them their own labs
to carry.
If a patient emails you about exacerbation of a symptom.....? - accurate
answers-Call the patient and perform an assessment. You can't assess a
patient over online chat. You can't perform interventions until you talk to the
patient on the phone for real assessment.
Before referral...? - accurate answers-See if there is something that you can do
for the patient
If culture is specified in a question..... - accurate answers-Choose a culturally
sensitive answer. You do not necessarily need to refer a patient to a provider
who shares the same culture. You can provide culturally sensitive care
yourself.
The patient feels funny because they inhaled acetone..... - accurate answers-
Order a urine drug screen for other substances before you refer them out.
A culture expected response to a stressor... - accurate answers-Does not
necessarily indicate a mental health disorder.
Try to understand the context before diagnosing a disorder.
, If someone presents with a cultural syndrome... - accurate answers-Offer brief
supportive therapy
A patient has somatic complaints and their PCP can't find a medical
explanation for the pain.... - accurate answers-Do a cultural assessment.
Native Americans: - accurate answers-Believe that mental illness and
substance use disorders are caused by an imbalance with the world.
Native Americans 2: - accurate answers-Have the highest rate of suicide and
suicide attempts
Confrontational answers are.... - accurate answers-Usually incorrect
When providing psychoeducation to a patient of a specific culture: - accurate
answers-The information should be based on cultural context
Native Americans 3: - accurate answers-Use a healing stick; do not take the
stick away. Make accommodations for patients.
When serving a multicultural population: - accurate answers-Provide
multicultural teaching; Use ethnospecific assessment parameters
Patients want to use a traditional/spiritual healer - accurate answers-Obtain
clearance for informed consent first but allow this. MAKE CULTURAL
ACCOMMODATIONS!
If a patient can't speak English... - accurate answers-Provide an interpreter for
culturally sensitive care
Susto - accurate answers-Latino Folk illness- a shocking, unpleasant or
frightening experience that is believed to cause the soul to leave the body
Apoptosis - accurate answers-Cell death
Thyroid problems can cause mood abnormalities - accurate answers-
Depressed? Check thyroid. Manic? Check thyroid.
Check TSH first and then T3 and T4. Values are: - accurate answers-0.5-5.0
Behavioral management starts....? - accurate answers-Immediately upon
admission
If a child reports abuse.....? - accurate answers-Interview the child separately
from parents
Report to CPS
Child shows to appointment w/o parents, plays with a toy in a sexual way, or
if you suspect child abuse - accurate answers-Report to CPS, even on suspicion
alone
Where to interview a patient? - accurate answers-Private office with the door
open
Test taking strategies - accurate answers-Narrow it down to 2 possible
choices
When 2 choices are opposite, one is usually the answer
When answer options are very similar to each other, they are usually not
correct
Absolutes are usually incorrect
Test taking strategies 2 - accurate answers-Assessment before intervention
Safety even before assessment
Choose the most comprehensive option
Safety plan is correct, NOT no harm contract
Tics are....? - accurate answers-Contraindication of a stimulant
Before discharge....? - accurate answers-Can a patient stay safe and cope
effectively
Its important to build rapport with adolescents by.... - accurate answers-
Ensuring confidentiality
What you can keep confidential for an adolescent patient: - accurate answers-
If the patient is attracted to the same gender
If the patient is in a relationship with someone of the same age
,What can cause ethical dilemma with parent and child? - accurate answers-
Separating child from parent for interview, but remember that the child is
your primary patient and your patient has a right to confidentiality
What to do for a patient with bipolar disorder who is not taking medications
because they are forgetting? - accurate answers-Behavioral therapy
Women may be at risk of suicide when....? - accurate answers-They are
discharged home without an OB/GYN completing a risk assessment on them
interprofessional collaboration - accurate answers-is encouraged.
Delegation: - accurate answers-Try not to delegate
Pick the option where you do something yourself for the patient. Get informed
consent and fax the labs over for the patient, do not give them their own labs
to carry.
If a patient emails you about exacerbation of a symptom.....? - accurate
answers-Call the patient and perform an assessment. You can't assess a
patient over online chat. You can't perform interventions until you talk to the
patient on the phone for real assessment.
Before referral...? - accurate answers-See if there is something that you can do
for the patient
If culture is specified in a question..... - accurate answers-Choose a culturally
sensitive answer. You do not necessarily need to refer a patient to a provider
who shares the same culture. You can provide culturally sensitive care
yourself.
The patient feels funny because they inhaled acetone..... - accurate answers-
Order a urine drug screen for other substances before you refer them out.
A culture expected response to a stressor... - accurate answers-Does not
necessarily indicate a mental health disorder.
Try to understand the context before diagnosing a disorder.
, If someone presents with a cultural syndrome... - accurate answers-Offer brief
supportive therapy
A patient has somatic complaints and their PCP can't find a medical
explanation for the pain.... - accurate answers-Do a cultural assessment.
Native Americans: - accurate answers-Believe that mental illness and
substance use disorders are caused by an imbalance with the world.
Native Americans 2: - accurate answers-Have the highest rate of suicide and
suicide attempts
Confrontational answers are.... - accurate answers-Usually incorrect
When providing psychoeducation to a patient of a specific culture: - accurate
answers-The information should be based on cultural context
Native Americans 3: - accurate answers-Use a healing stick; do not take the
stick away. Make accommodations for patients.
When serving a multicultural population: - accurate answers-Provide
multicultural teaching; Use ethnospecific assessment parameters
Patients want to use a traditional/spiritual healer - accurate answers-Obtain
clearance for informed consent first but allow this. MAKE CULTURAL
ACCOMMODATIONS!
If a patient can't speak English... - accurate answers-Provide an interpreter for
culturally sensitive care
Susto - accurate answers-Latino Folk illness- a shocking, unpleasant or
frightening experience that is believed to cause the soul to leave the body
Apoptosis - accurate answers-Cell death
Thyroid problems can cause mood abnormalities - accurate answers-
Depressed? Check thyroid. Manic? Check thyroid.
Check TSH first and then T3 and T4. Values are: - accurate answers-0.5-5.0
