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2025 2026 ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM (TEST 1, 2, & 3)300+ Qs & As WITH RATIONALES LATEST UPDATE SPRING 2025 A+ GRADE
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1. 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: Correct Answer: complicated grief A person has uncomplicated grief when he or she has normal physical, psycholog- ical, 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. 2. 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: 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. 3. 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.: 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 1 / 32
None of the above: Correct Answer: Documentation 2 / 32
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.
7. Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the following except? Vomiting Respiratory failure Hypertensive crisis Seizures: 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. 8. Symptoms of serotonin syndrome include all of the following EXCEPT: insomnia nausea loss of coordination sweating or shivering with goose bumps: Correct Answer: nausea Symptoms of serotonin syndrome can present in patients that have drug combi- nations 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. 9. What is the rate of suicide attempts for patients having dissociative iden- tity disorder? 30% 45% 70% 60%: Correct Answer: 70% People with dissociative identity disorder have one of the highest risks for sui-
(DSM-5),more than 70% of outpatients with DID have attempted suicide, and multiple suicide attempts are common.
10. Of the following, which would not be considered a phase of schizophrenia treatment? Maintenance Acute Cognitive Stabilization: Correct Answer: Cognitive Cognitive is not one of the three phases of schizophrenia treatment. The three phases are: Phase 1: acute Phase 2: stabilization Phase 3: maintenance 11. The patient should be monitored for effects of psychotropic medications which can impact cardiac rhythms. Which of the following could be a poten- tial cardiac side effect? A prolonged QT interval Narrowing of the QRS Both A and B None of the above: Correct Answer: A prolonged QT interval With antipsychotic drugs, the triclyclic action can cause problems. These medica- tions can cause a widening of the QRS or a prolonged QT interval. This is a measure of the ventricular repolarization. 12. Sullivan described three developmental cognitive modes of experience and believed that mental disorders are related to the persistence of one of the early modes. The mode that begins in early childhood as the child begins to connect experiences in sequence is which of the following? prototaxic mode parataxic mode syntaxic mode composite mode: Correct Answer:
parataxic mode 4 / 32
Aggressive impulses: Correct Answer: The face has pale skin. 5 / 32
A flushed face is a sign of alcohol intoxication. Other signs include disinhibition of sexual impulses, impaired judgment, and impaired occupational functioning.
16. In terms of styles of leadership in therapeutic groups, which type of leader encourages individual creativity and group cohesiveness? autocratic democratic laissez-faire psychotherapeutic: Correct Answer: democratic There are three main styles of group leadership: autocratic, democratic, and laissez-faire. A democratic leadership style focuses on the members of the group. Members are encouraged to participate fully in problem-solving of issues that relate to the group. This type of leader encourages individual creativity and group cohesiveness. 17. All of the following are considered to be types of family structures ex- cept? Nuclear family Behavioral family Blended family Extended family: Correct Answer: Behavioral family The major types of family structures are: Nuclear family Blended family Extended family Single-parent family Other familial systems 18. What would NOT be an appropriate way to deal with a patient in the psychiatric unit who is prone to protracted angry outbursts? Using reassuring touch Determining the source of the patient's anger Remaining calm Setting verbal limits on behavior: Correct answer: Using reassuring touch
with an angry patient, don't shout or argue with the client and avoid touching the client or invading the client's space. This can escalate the anger. Touching the client can be threatening and make them feel cornered. This may result in retaliation.
19. N-STAT is an ANA program that does which of the following? unifies nurses' political voices recommends nursing health policies assures a safe workplace for nurses evaluates Medicare and Medicaid reforms: Correct Answer: unifies nurses' political voices Nurses are the largest group among the health care disciplines The Nurses Strategic Action Team (N-STAT) is an ANA program that unifies nurses' political voices across the country to enact measures to benefit health care for everyone. 20. Examples of DSM-V diagnostic criteria for schizophrenia include all of the following EXCEPT: hallucinations thought insertion disorganized speech delusions: Correct Answer: thought insertion DSM-V diagnostic criteria for schizophrenia include delusions, hallucinations, dis- organized speech, disorganized or catatonic behavior, and negative symptoms. 21. Abraham Maslow established that human needs are hierarchical, with lower level (most basic) needs being critical to survival. Which of the follow- ing is the highest level of needs in Maslow's hierarchy? esteem and recognition self-actualization love and belonging safety: Correct Answer: self-actualization Abraham Maslow's hierarchy of needs from lowest to highest are: physiologic, safety, love and belonging, esteem and recognition, and self-actualization. Self-ac- tualization is the fulfillment of a person's unique potential.
22. How well a drug passes through natural body barriers such as the skin or stomach is known as the drug's: diffusion 7 / 32
less? 16 year old white male. 8 / 32
67 year old Hispanic female 49 year old female Native American 19 year old Asian male: Correct Answer: 16 year old white male. Studies have shown that approximately 39 percent of the homeless are under the age of 18. Studies have shown that more males are homeless then females. Studies have shown that 39 percent of the homeless are white.
26. What test should be administered for a patient who is taking lithium, and it is suspected has arrhythmia? ACH EKG ABG EEG: Correct answer: EKG Arrhythmia is a side effect of lithium. The patient needs to be monitored for risky side effects. An EKG or electrocardiogram would be used. 27. Akathisia, akinesia, dystonia, and tardive dyskinesia are all side effects considered to affect which system: lymphatic skeletal endocrine muscular: Correct Answer: muscular The muscular system is responsible for extrapyramidal side effects. The best way to prevent involuntary muscular movements that could be irreversible is to monitor carefully. If symptoms are present, it can be treated by reducing the current dose, or changing the patient to an atypical agent. 28. The gathering and interpretation of data based on valid observed and patient-reported information, in addition to research-derived evidence, isknown as which of the following? Interventions Managed care Evidence-based
Evidence-based practice is typically used in the nursing process. The best available evidence is applied in order to improve the quality of clinical judgments.
29. Preventative factors are those that protect the individual from a disorder. Which of the following would be considered a social preventative factor? healthy nutritional status good self-esteem healthy ego defenses higher level of education: Correct answer: higher level of education Preventative factors are those that protect the individual from a disorder. They are coping mechanisms or resources that facilitate a healthy response to stress. Social preventative factors include: low-stress occupations; higher socioeconomic status; and a higher level of education. 30. Which of the following would probably not be considered as having a partnership with community-based mental health care? Crisis centers Insurance companies Group homes Shelters: Correct Answer: Insurance companies Insurance companies would not be the typical partner with mental health care. Such places could include: Crisis centers Group homes Shelters Patient homes Work sites Mental health clinics Senior centers Schools/colleges
Clinics for the homeless 10 / 32