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ANCC PMHNP PSYCH-MENTAL HEALTH NP
Exam 2024 | PSYCH-MENTAL HEALTH NP
ANCC PMHNP ACTUAL EXAM LATEST
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- 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.
- If a patient has had a myocardial infarction, which of the following atypical antidepressants should not be prescribed within the recovery phase? Trazodone Duloxetine Bbupropion 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.
- 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 2 Concrete rather than abstract; and teach them how to ask questions about their 1 / 32 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
verbal reporting None of the above: correct answer: documentation 2 / 3 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 H ypertensive 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.
- 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- 6 Cide. According to the diagnostic and statistical manual of mental disorders 3 / 32 (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
parataxic mode syntaxic mode Composite mode: correct answer: Parataxic mode 4 / 32 The parataxic mode begins in early childhood. The child may not make logical sense of the experiences and may see them as coincidence or chance events. The child seeks to relieve anxiety by repeating familiar experiences, although he or she may not understand what he or she is doing.
- Which of the following acts have provided the greatest protection for the individual not to lose or be denied health insurance coverage? Patient protection and affordable care act osha Ispn None of the above: correct answer: Patient protection and affordable care act The other 3 options above are incorrect. For several decades now, the ana (american nurses association) has been working and advocating for reforms that will help to guarantee the access Of high-quality health care. This act has helped millions of people, but ana recognizes the fact that this debate is far from being over. The ana is dedicated to educating the nursing public about the changing systems and their impacts on people's lives and the nursing profession.
- Which of the following is an example of western alternative medical systems? Tcm (traditional chinese medicine) Naturopathy Ayurveda Acupuncture: correct answer: Naturopathy Naturopathy and homeopathy are examples of western alternative medical sys- tems. Naturopathy emphasizes health restoration rather than disease treatment and combines nutrition, homeopathy, therapeutic counseling and other therapies. The underlying belief is that the individual assumes responsibility for his or her recovery.
- What is not a sign of alcohol intoxication? Nystagmus Mood lability The face has pale skin. 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.
- 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:
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.
- 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.
- 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.
- 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. 14
- How well a drug passes through natural body barriers such as the skin or stomach is known as the drug's: Diffusion 7 / 32 Metabolism bioavailability Absorption: correct answer: Absorption A drug's absorption is how well it passes through natural body barriers such as the skin, stomach, intestines, blood-brain barrier and other membranous tissues. Some considerations include whether the barrier is a lipid base or not.
- Antidepressant medications are known to work by increasing the con- centration of which of the following in the body?
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.
- 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.
- 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.
- 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
Crisis intervention: correct answer: evidence-based 9 / 32 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.
- 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.
- 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
- If the client cannot organize his or her thoughts, or has difficulty answer- ing open-ended questions, the nurse should do which of the following? Continue to ask the open-ended questions until the client can answer Stop questioning the client altogether Ask more direct questions focused on one specific behavior or symptom ask general multiple choice questions: correct answer: Ask more direct questions focused on one specific behavior or symptom If the client cannot organize his or her thoughts, or has difficulty answering open- ended questions, the nurse should use more direct questions to obtain information. Questions need to be clear simple, and focused on one specific Behavior or symptom; they should not cause the client to remember several things At once. 11 / 32
- The study of the distribution, incidence, prevalence, and duration of a disease is known by which of the following terms? Pharmacokinetics etiology epidemiology Pathogenesis: correct answer: Epidemiology Epidemiology is the study of the distribution, incidence, prevalence, and duration of a disease. Etiology refers to cause or origination of a disease. Pathogenesis is the
manner of development of the disease. Pharmacokinetics refers to the movement of the drug into, through and out of the body.
- Which of the following would not be considered a common side effect of paroxetine? Somnolence gi upset headache Hypokalemia: correct answer: Hypokalemia Some of the more common side effects of paroxetine would be considered: somnolence Gi upset headache dizziness insomnia
- Which of the following physical conditions could potentially cause a patient To exhibit potential psychiatric symptoms such as confusion? Urinary tract infections Chest pain thyroid disorders Both a and c: correct answer: Both a and c When a patient is having an admission assessment, there should be a physical 24 Examination performed prior to the psychiatric assessment. Such problems as urinary tract infections, especially with the older adults can cause the patient to exhibit symptoms of confusion, among other things. 12 / 32
The brain. Excess glutamate and dopamine in the mesolimbic pathway; decreased dopamine in the mesocortical pathway, and in gaba and serotonin are implicated 13 / 32 In people affected by schizophrenia. Decreased norepinephrine is implicated in depression.
- What is the risk for a 50 year old patient taking nsaids while taking ssris? Seizures arrhythmia serotonin syndrome Gastrointestinal bleeding: correct answer: Gastrointestinal bleeding Patient medications need to be monitored for possible interactions. There are different risks with different medications. Gastrointestinal bleeding is a risk that will increase if a patient takes both ssris and nsaids.
- When the registered nurse is making the decision about delegating any care To an unlicensed person, which of the following statements would not be correct? If the task is to be performed under the nurses scope of practice, then do not delegate it. If the outcome is not one that is reasonably predictable, then do not delegate it.
If the task cannot be safely performed according to clear directions, then it is all right to delegate it. If there are any specific laws against delegation of the task, do not delegate it.: the other 3 options above would be correct examples of when not to delegate a task to an unlicensed person. If the task cannot be safely performed according to clear directions, then it would not be all right to delegate it.
- Attention deficit hyperactivity disorder (adhd) is divided into three sub- types that specify the dominant associated behaviors. They include all but which of the following? Hyperactive-impulsive type manic type Inattentive type Combined type: correct answer: manic type 28 There is no manic type of adhd. Adhd is among the most common of childhood psychiatric conditions. It is characterized by symptoms of inattention, impulsivity, 14 / 32 And overactivity that occur in at least two different settings, with significant impair- ment in functioning.
- Typically, which type of mental health care involves a minimum of about 3 months and is reserved for patients that have been transferred from acute care setting That are at a chronic risk for harming themselves or others because of mental illness? Community-based care primary care Long-term care Residential services: correct answer:
