ANCC - PMHNP ACTUAL TEST
Questions and Answers
1. A patient with borderline personality disorder experiences
intense anxiety when an adult psychiatric and mental health nurse
practitioner goes on vaca-tion. The best explanation for this
reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification.: B. has failed to master object constancy
2. 2. A patient has been taking escitalopram (Lexapro) 10 mg daily
for four weeks. Initially, the patient reported depression and suicidal
thoughts. The patient's sleep, appetite, energy, and appearance
have now begun to improve. Which statement applies to this
patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased.: D. The patient's suicide potential
is increased.
1/
14
, 3. 3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals: A. Attempting to understand a patient's
subjective world
4. 4. Serving as a member on a crisis team, an adult psychiatric and
mental health nurse practitioner provides crisis intervention to the
survivors of a plane crash. Forty-eight hours after the accident, the
survivors describe vivid flash-backs, startle reactions, and disrupted
sleep patterns. The nurse practitioner responds by:
A. advising the survivors to consider using a hypnotic medication
for a brief period.
B. educating the survivors about prodromal symptoms of
posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a posttrauma support group.: B.
educating the survivors about prodromal symptoms of posttraumatic stress disorder.
5. 5. An adult psychiatric and mental health nurse practitioner
uses the in-terpersonal therapy model with a patient to establish
a therapeutic alliance based upon empathy and trust. The nurse
practitioner recognizes the patient's readiness to terminate therapy
2/
14
Questions and Answers
1. A patient with borderline personality disorder experiences
intense anxiety when an adult psychiatric and mental health nurse
practitioner goes on vaca-tion. The best explanation for this
reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification.: B. has failed to master object constancy
2. 2. A patient has been taking escitalopram (Lexapro) 10 mg daily
for four weeks. Initially, the patient reported depression and suicidal
thoughts. The patient's sleep, appetite, energy, and appearance
have now begun to improve. Which statement applies to this
patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased.: D. The patient's suicide potential
is increased.
1/
14
, 3. 3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals: A. Attempting to understand a patient's
subjective world
4. 4. Serving as a member on a crisis team, an adult psychiatric and
mental health nurse practitioner provides crisis intervention to the
survivors of a plane crash. Forty-eight hours after the accident, the
survivors describe vivid flash-backs, startle reactions, and disrupted
sleep patterns. The nurse practitioner responds by:
A. advising the survivors to consider using a hypnotic medication
for a brief period.
B. educating the survivors about prodromal symptoms of
posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a posttrauma support group.: B.
educating the survivors about prodromal symptoms of posttraumatic stress disorder.
5. 5. An adult psychiatric and mental health nurse practitioner
uses the in-terpersonal therapy model with a patient to establish
a therapeutic alliance based upon empathy and trust. The nurse
practitioner recognizes the patient's readiness to terminate therapy
2/
14
