ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM
LATEST 2024 (TEST 1, 2, & 3) QUESTIONS & ANSWERS
WITH RATIONALES (TEST 1-3 LATEST VERSIONS
EACH WITH 100 QUESTIONS EACH) | NEWEST
VERSIONS ALREADY GRADED A+
, TEST
Q1
Your Qpatient, Qwhose Qwife Qdied Qa Qfew Qmonths Qago, Qappears Qto Qbe Qvery
Qunkempt QandQ apathetic. QAlthough Qseveral Qmonths Qhave Qpassed Qsince Qhis
Qwife's Qdeath Qhe Qhas QnotQprogressed Qat Qall Qthrough Qhis Qgrieving. QYou Qassess
Qthis Qcondition Qas Qwhich Qof Qthe Qfollowing?
Qdisenfranchised Qgrief
Qpanic Qdisorder
Qcomplicated Qgrief
Qphysiologic Qgrief Q- Q-Correct
QAnswer:Q complicated Qgrief
RATIONALE: QA Qperson Qhas Quncomplicated Qgrief Qwhen Qhe Qor Qshe Qhas Qnormal
Qphysical,Qpsychological, Qcognitive Qand Qspiritual Qresponses Qto Qthe Qdeath Qof Qa
Qsignificant Qother. QButQ
when Qthe Qperson Qshows Qpersistent Qmaladaptive Qbehaviors
Qsuch Qas Qnot Qtaking Qcare Qof Qpersonal Qhygiene Qand/or Qappearance Qand Qdoes Qnot
Qprogress Qthrough Qthe Qmourning Qprocess, Qthis Qis Qcomplicated Qgrief.
If Qa Qpatient Qhas Qhad Qa Qmyocardial Qinfarction, Qwhich Qof Qthe Qfollowing Qatypical
antidepressants Qshould Qnot Qbe Qprescribed Qwithin Qthe Qrecovery Qphase?
Q
QTrazodone
QDuloxetine
QBupropion
QDesvenlafaxine Q- Q-Correct
QAnswer:Q Trazodone
,RATIONALE: QIf Qa Qpatient Qhas Qhad Qa Qmyocardial Qinfarction, Qduring Qthe Qrecovery
Qphase,Qthe Qpatient Qshould Qnot Qbe Qprescribed Qthis Qmedication. QTrazodone Q(Desyrel)
Qcan Qcause Qthe Qpatient Qto Qdevelop Qorthostatic Qhypotension Qand Qpriapism.
To Qget Qyour Qteaching Qideas Qand Qconcepts Qacross Qto Qa Qpoor Qreader Qwhich Qof Qthe
QfollowingQwould Qbe Qmost Qappropriate?
QUse Qlonger Qsentences.
QUse Qabstract Qconcepts.
QDiscourage Qquestioning.
QUse Qexamples Qand Qreview. Q- Q-Correct
QAnswer:Q Use Qexamples Qand Qreview.
RATIONALE: QTo Qget Qthe Qidea Qacross Qto Qa Qpoor Qreader Quse Qexamples Qand Qreview.
QThe Qother Qchoices Qare Qnot Qhelpful. QYou Qshould Quse Qshort Qsentences Qand Qeasy Qto
Qread Qlayouts;Q
be Qconcrete Qrather Qthan Qabstract; Qand Qteach Qthem Qhow Qto Qask
Qquestions Qabout Qtheir Qhealth. QAlso, Qtell Qcontext Qfirst Qand Quse Qvisual, Quse Qcommon
Qwords Qand Qexamples, Qand Qexplain Qmeaning.
A Q21-year Qold Qwoman Qpresents Qwith Qcomplaints Qof Qmilky Qdischarge Qfrom Qher
Qbreasts. QSheQ doesn't Qhave Qany Qother Qsymptoms Qand Qis Qnot Qpregnant, Qnor Qhas
Qbeen Qbefore. QShe Qtells Qthe Qnurse Qabout Qeach Qmedication Qthat Qshe Qtakes. QWhich
Qof Qthese Qdrugs Qmay Qbe Qimplicated Qas Qthe Qcause Qof Qthe Qsymptom?
Qaspirin
QLamotrigine
QRisperidone
Qsertraline Q- Q-Correct
QAnswer:Q Risperidone
RATIONALE: QRisperidone Qcan Qcause Qthe Qgreatest Qprolactin Qelevation Qamong
Qatypical Qpsychotics. QA Qmilky Qwhite Qdischarge Qknown Qas Qgalactorrhea Qcould Qbe Qa
Qsign Qof Qan Qunderlying Qcondition. QThe Qfact Qthat Qthe Qwoman Qtakes QRisperidone, Qan
Qatypical Qantipsychotic, Qwould Qlikely Qpoint Qto Qthe Qcause Qand Qshould Qbe Qswitched Qwith
Qone Qless QlikelyQ
to Qhave Qthat Qsame Qside Qeffect.
Which Qof Qthe Qfollowing Qwould Qbe Qconsidered Qone Qof Qthe Qmain Qthings Qthat Qis
QresponsibleQ for Qabout Q2/3 Qof Qpsychiatric Qhospital Qreadmissions?
QNot Qsufficient Qcare.
QMedication Qnoncompliance
QBiophysical Qassessments
QNone Qof Qthe Qabove Q- Q-Correct
QAnswer:Q Medication Qnoncompliance
RATIONALE: QMedication Qnoncompliance Qis Qa Qmajor Qproblem Qwith Qthe Qpsychiatric
QmentalQ health Qpatients. QThe Qhome Qhealth Qnurses Qassists Qby Qhelping Qthe Qpatients
to Qsee Qthe Qrelationship Qbetween Qtheir Qcompliance Qwith Qtheir Qmedication Qregimen
QandQ control Qof Qtheir Qsymptoms.
, Which Qof Qthe Qfollowing Qwould Qbe Qconsidered Qan Qimportant Qform Qof
Qcommunication QthatQ can Qhelp Qto Qpromote Qconsistency Qin Qthe Qcare Qof Qthe Qpatient
Qat Qthe
same Qtime Qthat Qit Qjustifies Qtheir Qstay Qin Qthe Qhospital?
QReview Qof Qcare.
QDocumentation
QVerbal Qreporting
QNone Qof Qthe Qabove Q- Q-Correct
QAnswer:Q Documentation
RATIONALE: QThe Qother Q3 Qoptions Qabove Qare Qincorrect.
One Qof Qthe Qmost Qimportant Qaspects Qof Qnursing Qis Qdocumentation. QDocumentation
Qcan Qpromote Qconsistency Qin Qthe Qcare Qof Qthe Qpatient Qand Qis Qalso Qused Qto Qhelp
Qjustify Qthe QpatientQ
remaining Qin Qthe Qhospital.
Effects Qof Qan Qoverdose Qof QLSD Q(Lysergic Qacid Qdiethylamide) Qcan Qinclude Qall
Qof QtheQ
following Qexcept?
QVomiting
QRespiratory Qfailure
QHypertensive Qcrisis
QSeizures Q- Q-Correct
QAnswer:Q Hypertensive
Qcrisis
RATIONALE: QHypertensive Qcrisis Qwould Qbe Qconsidered Qa Qsymptom Qof QPCP
Qoverdose.
Vomiting, Qrespiratory Qfailure Qand Qseizures Qwould Qbe Qconsidered Qan
QeffectQ
of QLSD Qoverdose.
Symptoms Qof Qserotonin Qsyndrome Qinclude Qall Qof Qthe Qfollowing QEXCEPT:
Qinsomnia
Qnausea
Qloss Qof Qcoordination
Qsweating Qor Qshivering Qwith Qgoose Qbumps Q- Q-Correct
QAnswer:Q nausea
Symptoms Qof Qserotonin Qsyndrome Qcan Qpresent Qin Qpatients Qthat Qhave Qdrug
QcombinationsQ that Qare Qcontraindicated. QThey Qcan Qvary Qfrom Qrestlessness Qand
Qagitation Qto Qtremors, Qchills, Qheadaches, Qand Qinsomnia Qas Qwell Qas Qloss Qof
Qcoordination. QNausea Qhas Qnot QbeenQ implicated Qin Qserotonin Qsyndrome.
What Qis Qthe Qrate Qof Qsuicide Qattempts Qfor Qpatients Qhaving Qdissociative Qidentity
Qdisorder?
Q30%
Q45%
Q70%
Q60% Q- Q-Correct
QAnswer:Q 70%
LATEST 2024 (TEST 1, 2, & 3) QUESTIONS & ANSWERS
WITH RATIONALES (TEST 1-3 LATEST VERSIONS
EACH WITH 100 QUESTIONS EACH) | NEWEST
VERSIONS ALREADY GRADED A+
, TEST
Q1
Your Qpatient, Qwhose Qwife Qdied Qa Qfew Qmonths Qago, Qappears Qto Qbe Qvery
Qunkempt QandQ apathetic. QAlthough Qseveral Qmonths Qhave Qpassed Qsince Qhis
Qwife's Qdeath Qhe Qhas QnotQprogressed Qat Qall Qthrough Qhis Qgrieving. QYou Qassess
Qthis Qcondition Qas Qwhich Qof Qthe Qfollowing?
Qdisenfranchised Qgrief
Qpanic Qdisorder
Qcomplicated Qgrief
Qphysiologic Qgrief Q- Q-Correct
QAnswer:Q complicated Qgrief
RATIONALE: QA Qperson Qhas Quncomplicated Qgrief Qwhen Qhe Qor Qshe Qhas Qnormal
Qphysical,Qpsychological, Qcognitive Qand Qspiritual Qresponses Qto Qthe Qdeath Qof Qa
Qsignificant Qother. QButQ
when Qthe Qperson Qshows Qpersistent Qmaladaptive Qbehaviors
Qsuch Qas Qnot Qtaking Qcare Qof Qpersonal Qhygiene Qand/or Qappearance Qand Qdoes Qnot
Qprogress Qthrough Qthe Qmourning Qprocess, Qthis Qis Qcomplicated Qgrief.
If Qa Qpatient Qhas Qhad Qa Qmyocardial Qinfarction, Qwhich Qof Qthe Qfollowing Qatypical
antidepressants Qshould Qnot Qbe Qprescribed Qwithin Qthe Qrecovery Qphase?
Q
QTrazodone
QDuloxetine
QBupropion
QDesvenlafaxine Q- Q-Correct
QAnswer:Q Trazodone
,RATIONALE: QIf Qa Qpatient Qhas Qhad Qa Qmyocardial Qinfarction, Qduring Qthe Qrecovery
Qphase,Qthe Qpatient Qshould Qnot Qbe Qprescribed Qthis Qmedication. QTrazodone Q(Desyrel)
Qcan Qcause Qthe Qpatient Qto Qdevelop Qorthostatic Qhypotension Qand Qpriapism.
To Qget Qyour Qteaching Qideas Qand Qconcepts Qacross Qto Qa Qpoor Qreader Qwhich Qof Qthe
QfollowingQwould Qbe Qmost Qappropriate?
QUse Qlonger Qsentences.
QUse Qabstract Qconcepts.
QDiscourage Qquestioning.
QUse Qexamples Qand Qreview. Q- Q-Correct
QAnswer:Q Use Qexamples Qand Qreview.
RATIONALE: QTo Qget Qthe Qidea Qacross Qto Qa Qpoor Qreader Quse Qexamples Qand Qreview.
QThe Qother Qchoices Qare Qnot Qhelpful. QYou Qshould Quse Qshort Qsentences Qand Qeasy Qto
Qread Qlayouts;Q
be Qconcrete Qrather Qthan Qabstract; Qand Qteach Qthem Qhow Qto Qask
Qquestions Qabout Qtheir Qhealth. QAlso, Qtell Qcontext Qfirst Qand Quse Qvisual, Quse Qcommon
Qwords Qand Qexamples, Qand Qexplain Qmeaning.
A Q21-year Qold Qwoman Qpresents Qwith Qcomplaints Qof Qmilky Qdischarge Qfrom Qher
Qbreasts. QSheQ doesn't Qhave Qany Qother Qsymptoms Qand Qis Qnot Qpregnant, Qnor Qhas
Qbeen Qbefore. QShe Qtells Qthe Qnurse Qabout Qeach Qmedication Qthat Qshe Qtakes. QWhich
Qof Qthese Qdrugs Qmay Qbe Qimplicated Qas Qthe Qcause Qof Qthe Qsymptom?
Qaspirin
QLamotrigine
QRisperidone
Qsertraline Q- Q-Correct
QAnswer:Q Risperidone
RATIONALE: QRisperidone Qcan Qcause Qthe Qgreatest Qprolactin Qelevation Qamong
Qatypical Qpsychotics. QA Qmilky Qwhite Qdischarge Qknown Qas Qgalactorrhea Qcould Qbe Qa
Qsign Qof Qan Qunderlying Qcondition. QThe Qfact Qthat Qthe Qwoman Qtakes QRisperidone, Qan
Qatypical Qantipsychotic, Qwould Qlikely Qpoint Qto Qthe Qcause Qand Qshould Qbe Qswitched Qwith
Qone Qless QlikelyQ
to Qhave Qthat Qsame Qside Qeffect.
Which Qof Qthe Qfollowing Qwould Qbe Qconsidered Qone Qof Qthe Qmain Qthings Qthat Qis
QresponsibleQ for Qabout Q2/3 Qof Qpsychiatric Qhospital Qreadmissions?
QNot Qsufficient Qcare.
QMedication Qnoncompliance
QBiophysical Qassessments
QNone Qof Qthe Qabove Q- Q-Correct
QAnswer:Q Medication Qnoncompliance
RATIONALE: QMedication Qnoncompliance Qis Qa Qmajor Qproblem Qwith Qthe Qpsychiatric
QmentalQ health Qpatients. QThe Qhome Qhealth Qnurses Qassists Qby Qhelping Qthe Qpatients
to Qsee Qthe Qrelationship Qbetween Qtheir Qcompliance Qwith Qtheir Qmedication Qregimen
QandQ control Qof Qtheir Qsymptoms.
, Which Qof Qthe Qfollowing Qwould Qbe Qconsidered Qan Qimportant Qform Qof
Qcommunication QthatQ can Qhelp Qto Qpromote Qconsistency Qin Qthe Qcare Qof Qthe Qpatient
Qat Qthe
same Qtime Qthat Qit Qjustifies Qtheir Qstay Qin Qthe Qhospital?
QReview Qof Qcare.
QDocumentation
QVerbal Qreporting
QNone Qof Qthe Qabove Q- Q-Correct
QAnswer:Q Documentation
RATIONALE: QThe Qother Q3 Qoptions Qabove Qare Qincorrect.
One Qof Qthe Qmost Qimportant Qaspects Qof Qnursing Qis Qdocumentation. QDocumentation
Qcan Qpromote Qconsistency Qin Qthe Qcare Qof Qthe Qpatient Qand Qis Qalso Qused Qto Qhelp
Qjustify Qthe QpatientQ
remaining Qin Qthe Qhospital.
Effects Qof Qan Qoverdose Qof QLSD Q(Lysergic Qacid Qdiethylamide) Qcan Qinclude Qall
Qof QtheQ
following Qexcept?
QVomiting
QRespiratory Qfailure
QHypertensive Qcrisis
QSeizures Q- Q-Correct
QAnswer:Q Hypertensive
Qcrisis
RATIONALE: QHypertensive Qcrisis Qwould Qbe Qconsidered Qa Qsymptom Qof QPCP
Qoverdose.
Vomiting, Qrespiratory Qfailure Qand Qseizures Qwould Qbe Qconsidered Qan
QeffectQ
of QLSD Qoverdose.
Symptoms Qof Qserotonin Qsyndrome Qinclude Qall Qof Qthe Qfollowing QEXCEPT:
Qinsomnia
Qnausea
Qloss Qof Qcoordination
Qsweating Qor Qshivering Qwith Qgoose Qbumps Q- Q-Correct
QAnswer:Q nausea
Symptoms Qof Qserotonin Qsyndrome Qcan Qpresent Qin Qpatients Qthat Qhave Qdrug
QcombinationsQ that Qare Qcontraindicated. QThey Qcan Qvary Qfrom Qrestlessness Qand
Qagitation Qto Qtremors, Qchills, Qheadaches, Qand Qinsomnia Qas Qwell Qas Qloss Qof
Qcoordination. QNausea Qhas Qnot QbeenQ implicated Qin Qserotonin Qsyndrome.
What Qis Qthe Qrate Qof Qsuicide Qattempts Qfor Qpatients Qhaving Qdissociative Qidentity
Qdisorder?
Q30%
Q45%
Q70%
Q60% Q- Q-Correct
QAnswer:Q 70%
