ANCC PMHNP PSYCH MENTAL HEALTH
NP EXAM LATEST 2025 VERSION A AND
VERSIONB NEWEST COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
ANSWERS)ALREADY GRADED A+.pdf
Your patient, whose wife died a few months ago, appears to be very unkempt and
apathetic. Although several months have passed since his wife's death he has not
progressed at all through his grieving. You assess this condition as which of the
following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - answers Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical, psychological,
cognitive and spiritual responses to the death of a significant other. But when the
person shows persistent maladaptive behaviors such as not taking care of personal
hygiene and/or appearance and does not progress through the mourning process, this
is complicated grief.
If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - answers Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery phase, the patient
should not be prescribed this medication. Trazodone (Desyrel) can cause the patient to
develop orthostatic hypotension and priapism.
To get your teaching ideas and concepts across to a poor reader which of the following
would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - answers Correct Answer:
,Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices
are not helpful. You should use short sentences and easy to read layouts; be concrete
rather than abstract; and teach them how to ask questions about their health. Also, tell
context first and use visual, use common words and examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from her breasts. She
doesn't have any other symptoms and is not pregnant, nor has been before. She tells
the nurse about each medication that she takes. Which of these drugs may be
implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline - answers Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A
milky white discharge known as galactorrhea could be a sign of an underlying condition.
The fact that the woman takes Risperidone, an atypical antipsychotic, would likely point
to the cause and should be switched with one less likely to have that same side effect.
Which of the following would be considered one of the main things that is responsible
for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - answers Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health
patients. The home health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and
control of their symptoms.
Which of the following would be considered an important form of communication that
can help to promote consistency in the care of the patient at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above - answers Correct Answer:
Documentation
The other 3 options above are incorrect.
, One of the most important aspects of nursing is documentation. Documentation can
promote consistency in the care of the patient and is also used to help justify the patient
remaining in the hospital.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the
following except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - answers Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP overdose. Vomiting,
respiratory failure and seizures would be considered an effect
of LSD overdose.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - answers Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have drug combinations
that are contraindicated. They can vary from restlessness and agitation to tremors,
chills, headaches, and insomnia as well as loss of coordination. Nausea has not been
implicated in serotonin syndrome.
What is the rate of suicide attempts for patients having dissociative identity disorder?
30%
45%
70%
60% - answers Correct Answer:
70%
People with dissociative identity disorder have one of the highest risks for suicide.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5),more
than 70% of outpatients with DID have attempted suicide, and multiple suicide attempts
are common.
Of the following, which would not be considered a phase of schizophrenia treatment?
Maintenance
Acute
Cognitive
Stabilization - answers Correct Answer:
Cognitive
NP EXAM LATEST 2025 VERSION A AND
VERSIONB NEWEST COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED
ANSWERS)ALREADY GRADED A+.pdf
Your patient, whose wife died a few months ago, appears to be very unkempt and
apathetic. Although several months have passed since his wife's death he has not
progressed at all through his grieving. You assess this condition as which of the
following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief - answers Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical, psychological,
cognitive and spiritual responses to the death of a significant other. But when the
person shows persistent maladaptive behaviors such as not taking care of personal
hygiene and/or appearance and does not progress through the mourning process, this
is complicated grief.
If a patient has had a myocardial infarction, which of the following atypical
antidepressants should not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine - answers Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery phase, the patient
should not be prescribed this medication. Trazodone (Desyrel) can cause the patient to
develop orthostatic hypotension and priapism.
To get your teaching ideas and concepts across to a poor reader which of the following
would be most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. - answers Correct Answer:
,Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices
are not helpful. You should use short sentences and easy to read layouts; be concrete
rather than abstract; and teach them how to ask questions about their health. Also, tell
context first and use visual, use common words and examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from her breasts. She
doesn't have any other symptoms and is not pregnant, nor has been before. She tells
the nurse about each medication that she takes. Which of these drugs may be
implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline - answers Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A
milky white discharge known as galactorrhea could be a sign of an underlying condition.
The fact that the woman takes Risperidone, an atypical antipsychotic, would likely point
to the cause and should be switched with one less likely to have that same side effect.
Which of the following would be considered one of the main things that is responsible
for about 2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above - answers Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health
patients. The home health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and
control of their symptoms.
Which of the following would be considered an important form of communication that
can help to promote consistency in the care of the patient at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above - answers Correct Answer:
Documentation
The other 3 options above are incorrect.
, One of the most important aspects of nursing is documentation. Documentation can
promote consistency in the care of the patient and is also used to help justify the patient
remaining in the hospital.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the
following except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures - answers Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP overdose. Vomiting,
respiratory failure and seizures would be considered an effect
of LSD overdose.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps - answers Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have drug combinations
that are contraindicated. They can vary from restlessness and agitation to tremors,
chills, headaches, and insomnia as well as loss of coordination. Nausea has not been
implicated in serotonin syndrome.
What is the rate of suicide attempts for patients having dissociative identity disorder?
30%
45%
70%
60% - answers Correct Answer:
70%
People with dissociative identity disorder have one of the highest risks for suicide.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5),more
than 70% of outpatients with DID have attempted suicide, and multiple suicide attempts
are common.
Of the following, which would not be considered a phase of schizophrenia treatment?
Maintenance
Acute
Cognitive
Stabilization - answers Correct Answer:
Cognitive
