Focused ANCC Exam Resource – Chapter Exercises |
Case-Based Questions with Stepwise Explanations
In evaluating a client for insomnia, which of the following is most consistent with a presentation of
transient insomnia? (p305) - ✔✔Usually caused by stress, jet lag, or physical environmental concerns.
Insomnia is a common finding in clients with psychiatric disorder and is most commonly found in clients
diagnosed with (p305) - ✔✔Mood disorders
Insomnia in children is most often caused by (p305) - ✔✔Family stress
A PMHNP is working with a woman whom she suspects is in a violent domestic relationship. The client
denies this and refuses to discuss her home life. The continues to present at the clinic for treatment of
minor injuries and always is brought by her boyfriend. The client refuses to discuss abuse as a cause of
her injuries, simply stating "I am clumsy." The best initial intervention for the PMHNP to take is (p305) -
✔✔Spend a long time with the client building a trusting relationship.
A brief period of insomnia is usually associated with - ✔✔Anxiety, anticipation or consequences of a
stressful experience, or jet leg. (p337)
Although insomnia can occur as a consequence of many psychiatric disorders, research has found that
patients with mood disorders are most apt to have - ✔✔Insomnia (p337)
Stress within the family is the most common cause of insomnia - ✔✔Childhood (p337)
Spending time to build rapport and a trusting relationship with an abused patient - ✔✔Helps the patient
feel safer and more comfortable talking about the abuse (p337)
, A diagnosis of MR is made when a person has significant below-average intelligence accompanied by
impaired adaptive functioning. The IQ range for consideration of MR is an (p287) - ✔✔IQ below 70
Most of the stimulants commonly used to treat ADHD are classified as Schedule II controlled substances.
The exception is (p287) - ✔✔Strattera
A child presents with a behavioral pattern of negative, defiant, disobedient and hostile behavior,
especially towards adults in authority roles. The most likely diagnosis for this child is (p288) -
✔✔Oppositional Defiant Disorder
Which of the following is not required to make a diagnosis of Conduct Disorder? (p288) - ✔✔Poor
interpersonal relationships with limited peer supports
Strattera - ✔✔First non-stimulant medication FDA approved for ADHD
Although poor interpersonal relationships can be a consequence of the conduct disorders - ✔✔It is not a
required diagnostic criteria.
Impulsivity is a common behavioral manifestation of personality disorders. The PMHNP working with a
client with high impulsivity should consider what pharmacological interventions? (p259) - ✔✔USE of
SSRI
The affective instability common in some personality disorders ban be clinically managed with what
medications? (p259) - ✔✔Antipsychotic agents
The cluster of personality disorders that manifest with dramatic, overly affective behavior is (p260) -
✔✔Cluster B
Etiological models that attempt to explain the development of personality disorders include which of
the following? (p260) - ✔✔Object relations theory
Case-Based Questions with Stepwise Explanations
In evaluating a client for insomnia, which of the following is most consistent with a presentation of
transient insomnia? (p305) - ✔✔Usually caused by stress, jet lag, or physical environmental concerns.
Insomnia is a common finding in clients with psychiatric disorder and is most commonly found in clients
diagnosed with (p305) - ✔✔Mood disorders
Insomnia in children is most often caused by (p305) - ✔✔Family stress
A PMHNP is working with a woman whom she suspects is in a violent domestic relationship. The client
denies this and refuses to discuss her home life. The continues to present at the clinic for treatment of
minor injuries and always is brought by her boyfriend. The client refuses to discuss abuse as a cause of
her injuries, simply stating "I am clumsy." The best initial intervention for the PMHNP to take is (p305) -
✔✔Spend a long time with the client building a trusting relationship.
A brief period of insomnia is usually associated with - ✔✔Anxiety, anticipation or consequences of a
stressful experience, or jet leg. (p337)
Although insomnia can occur as a consequence of many psychiatric disorders, research has found that
patients with mood disorders are most apt to have - ✔✔Insomnia (p337)
Stress within the family is the most common cause of insomnia - ✔✔Childhood (p337)
Spending time to build rapport and a trusting relationship with an abused patient - ✔✔Helps the patient
feel safer and more comfortable talking about the abuse (p337)
, A diagnosis of MR is made when a person has significant below-average intelligence accompanied by
impaired adaptive functioning. The IQ range for consideration of MR is an (p287) - ✔✔IQ below 70
Most of the stimulants commonly used to treat ADHD are classified as Schedule II controlled substances.
The exception is (p287) - ✔✔Strattera
A child presents with a behavioral pattern of negative, defiant, disobedient and hostile behavior,
especially towards adults in authority roles. The most likely diagnosis for this child is (p288) -
✔✔Oppositional Defiant Disorder
Which of the following is not required to make a diagnosis of Conduct Disorder? (p288) - ✔✔Poor
interpersonal relationships with limited peer supports
Strattera - ✔✔First non-stimulant medication FDA approved for ADHD
Although poor interpersonal relationships can be a consequence of the conduct disorders - ✔✔It is not a
required diagnostic criteria.
Impulsivity is a common behavioral manifestation of personality disorders. The PMHNP working with a
client with high impulsivity should consider what pharmacological interventions? (p259) - ✔✔USE of
SSRI
The affective instability common in some personality disorders ban be clinically managed with what
medications? (p259) - ✔✔Antipsychotic agents
The cluster of personality disorders that manifest with dramatic, overly affective behavior is (p260) -
✔✔Cluster B
Etiological models that attempt to explain the development of personality disorders include which of
the following? (p260) - ✔✔Object relations theory
