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ANCC PMHNP PSYCH-MENTAL HEALTH NP EXAM
LATEST 2024 (TEST 1, 2, & 3) QUESTIONS & ANSWERS
WITH RATIONALES (TEST 1-3 LATEST VERSIONS EACH
WITH 100 QUESTIONS EACH) | NEWEST VERSIONS
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1.What is the primary purpose of a mental health assessment? o A) To diagnose medical conditions o B) To develop a treatment plan o C) To gather comprehensive information about the patient's mental health o D) To evaluate the effectiveness of medication Correct Answer: C
- Which of the following is a hallmark symptom of depression? o A) Excessive energy o B) Euphoria o C) Anhedonia o D) Hallucinations Correct Answer: C
- Which medication class is primarily used to treat anxiety disorders? o A) Antipsychotics o B) Benzodiazepines o C) Antidepressants o D) Mood stabilizers Correct Answer: B
- What is the most common side effect of selective serotonin reuptake inhibitors (SSRIs)? o A) Weight gain o B) Sexual dysfunction o C) Drowsiness
o D) Hypertension Correct Answer: B
- What is the primary focus of cognitive behavioral therapy (CBT)? o A) Exploring unconscious motivations o B) Changing maladaptive thought patterns o C) Using medication to alter brain chemistry o D) Regressing to childhood experiences Correct Answer: B 6.A patient with schizoaffective disorder and a substance abuse disorder experiences auditory hallucinations causing anxiety. What condition needs to be addressed first? Substance abuse Schizoaffective disorder Anxiety Delusions - ANS-Correct Answer: Substance abuse 7.When there are comorbid conditions in a crisis situation determinations must be made. The substance abuse will compound the psychiatric condition. Interventions need to be made to address the substance abuse first. 8.In what situation would a psychiatric nurse provide forced treatment? When court mandated When the patient has Alzheimer's When referred by a physician Never - ANS-Correct Answer: When court mandated Psychiatric nurses have an ethical responsibility to balance patient's rights with necessary forced treatment for safety. Forced treatment is done when court mandated. 9.Which of the following medications is a cholinesterase inhibitor used to treat clients with dementia? Cognex Zyprexa
1 3.You are interviewing a woman who has unexplained bruises. You know that in interviewing this woman you should do all of the following EXCEPT: Conduct the interview in private. Be understanding. Inform the patient if a referral to protective services must be made. Probe for answers that the patient is not willing to give. - ANS-Correct Answer: Probe for answers that the patient is not willing to give. 14.The interview should be non-threatening and supportive. Probing for answers that the patient is not willing to give is something that you must not do. Also you should not try to prove abuse by accusations, display disapproval of the perpetrator or the situation, place blame or make judgments. 15.Which of the following best defines the term "values clarification"? the science that deals with the rightness and wrongness of actions conduct that results from serious critical thinking about how individuals ought to treat others a process of self-exploration through which individuals identify and rank their own ideals and concepts that give meaning to their lives a valid, legally recognized claim or entitlement - ANS-Correct answer: a process of self-exploration through which individuals identify and rank their own ideals and concepts that give meaning to their lives Values are ideals or concepts that give meaning to an individual's life. Values clarification is a process of self-exploration through which individuals identify and rank their own personal values. This process increases awareness about why individuals behave in certain ways. 16.What term is used to describe the science that looks at the rightness and wrongness of an action taken or to be taken? Morality. Ethics. Factual decision making. Hard morality. - ANS-Correct Answer: Ethics.
Ethics is the science that looks at the rightness and wrongness of an action taken or to be taken. It is a mental health nurse's responsibility to always act in the best interest of the patient, and protect them.
- Which of the following is a common symptom of schizophrenia? o A) Compulsions o B) Delusions o C) Phobias o D) Mood swings Correct Answer: B
- What is the recommended first-line treatment for attention- deficit/hyperactivity disorder (ADHD) in children? o A) Antidepressants o B) Behavioral therapy o C) Stimulants o D) Antipsychotics Correct Answer: C
- Which of the following is a risk factor for suicide? o A) High socioeconomic status o B) Strong family support o C) History of previous suicide attempts o D) Good physical health Correct Answer: C
- What does the acronym "DSM" stand for in mental health? o A) Diagnostic and Statistical Manual o B) Diagnosis and Symptom Management o C) Dynamic and Static Methods o D) Diagnostic and Screening Measures Correct Answer: A
- Which neurotransmitter is most closely associated with mood regulation? o A) Dopamine o B) Serotonin o C) Norepinephrine
o D) Psychodynamic exploration Correct Answer: B
- Which mental health condition is characterized by recurrent episodes of binge eating followed by compensatory behaviors? o A) Anorexia nervosa o B) Bulimia nervosa o C) Binge-eating disorder o D) Obsessive-compulsive disorder Correct Answer: B
- Which of the following is NOT a common symptom of PTSD? o A) Flashbacks o B) Hyperarousal o C) Anorexia o D) Avoidance Correct Answer: C
- What is the primary treatment for generalized anxiety disorder (GAD)? o A) Antipsychotics o B) SSRIs or SNRIs o C) Mood stabilizers o D) Benzodiazepines Correct Answer: B
- What type of therapy focuses on understanding the impact of childhood experiences on current behavior? o A) Cognitive Behavioral Therapy o B) Psychodynamic Therapy o C) Humanistic Therapy o D) Behavior Therapy Correct Answer: B
- Which disorder is characterized by an intense fear of weight gain and distorted body image? o A) Bulimia nervosa o B) Anorexia nervosa o C) Binge-eating disorder o D) Body Dysmorphic Disorder Correct Answer: B 21 - 30
- What is the first-line medication for treating obsessive- compulsive disorder (OCD)? o A) Benzodiazepines o B) SSRIs o C) Mood stabilizers o D) Atypical antipsychotics Correct Answer: B
- Which of the following symptoms is most indicative of a manic episode? o A) Hypersomnia o B) Increased energy and decreased need for sleep o C) Excessive worry o D) Social withdrawal Correct Answer: B
- What is the primary concern when a patient presents with a significant change in behavior and suicidal ideation? o A) Medication adherence o B) Family dynamics o C) Safety o D) Social support Correct Answer: C
- Which therapy involves exposure to feared situations to reduce anxiety? o A) Cognitive Behavioral Therapy o B) Exposure Therapy o C) Dialectical Behavior Therapy o D) Psychodynamic Therapy Correct Answer: B
- What is the hallmark of psychosis? o A) Mood swings o B) Altered reality perception o C) Memory loss o D) Social anxiety Correct Answer: B
- Which of the following medications is commonly used to stabilize mood in bipolar disorder? o A) SSRIs
o C) Sleep disturbances o D) Difficulty concentrating Correct Answer: B
- What is the most appropriate initial response when a patient expresses suicidal thoughts? o A) Dismiss their feelings o B) Ask if they have a plan o C) Change the subject o D) Tell them to calm down Correct Answer: B
- Which class of medications is most commonly associated with a risk of tardive dyskinesia? o A) SSRIs o B) Tricyclics o C) Atypical antipsychotics o D) Typical antipsychotics Correct Answer: D
- Which is a common cognitive distortion in depression? o A) Catastrophizing o B) Personalization o C) Overgeneralization o D) All of the above Correct Answer: D
- What is a common sign of substance use disorder? o A) Consistent employment o B) Maintaining social relationships o C) Withdrawal symptoms when not using o D) Healthy coping mechanisms Correct Answer: C
- Which assessment tool is commonly used to screen for depression? o A) GAD- 7 o B) PHQ- 9 o C) CAGE o D) AUDIT Correct Answer: B
- What is the primary benefit of group therapy?
o A) Individual attention o B) Peer support and feedback o C) Reduced cost of treatment o D) Isolation from others Correct Answer: B
- In which condition might you find "positive symptoms"? o A) Major depressive disorder o B) Generalized anxiety disorder o C) Schizophrenia o D) Bipolar disorder Correct Answer: C
- What type of therapy focuses on present moment awareness and acceptance? o A) Cognitive Behavioral Therapy o B) Mindfulness-Based Therapy o C) Psychodynamic Therapy o D) Exposure Therapy Correct Answer: B
- Which of the following is a common treatment for panic disorder? o A) Cognitive restructuring o B) Exposure therapy o C) Benzodiazepines o D) SSRIs Correct Answer: D 41 - 50
- Which psychiatric disorder is characterized by extreme mood swings? o A) Depression o B) Bipolar disorder o C) Anxiety disorder o D) Schizophrenia Correct Answer: B
- What is a significant risk factor for developing PTSD? o A) Regular exercise o B) Previous trauma exposure
- What is the typical duration for diagnosing persistent depressive disorder (dysthymia)? o A) 1 month o B) 6 months o C) 2 years o D) 5 years Correct Answer: C
- Which psychological disorder often includes symptoms of compulsive hoarding? o A) Major depressive disorder o B) Obsessive-compulsive disorder o C) Generalized anxiety disorder o D) Body dysmorphic disorder Correct Answer: B
- What is a common treatment for ADHD? o A) Cognitive therapy o B) Stimulant medications o C) Antidepressants o D) Antipsychotics Correct Answer: B 51 - 60
- Which of the following is a core symptom of schizophrenia? o A) Mood swings o B) Hallucinations o C) Panic attacks o D) Eating disorders Correct Answer: B
- What is the primary aim of psychodynamic therapy? o A) Change thought patterns o B) Explore unconscious processes o C) Modify behavior o D) Improve interpersonal skills Correct Answer: B
- Which type of therapy is specifically designed to treat anxiety disorders? o A) Art therapy
o B) Exposure therapy o C) Play therapy o D) Music therapy Correct Answer: B
- What is a common side effect of SSRIs? o A) Increased energy o B) Sexual dysfunction o C) Weight loss o D) Sedation Correct Answer: B
- Which term describes the phenomenon of experiencing both depressive and manic symptoms? o A) Unipolar depression o B) Mixed episode o C) Cyclothymia o D) Dysthymia Correct Answer: B
- What is the main focus of solution-focused brief therapy (SFBT)? o A) Analyzing past problems o B) Identifying solutions and future goals o C) Exploring childhood experiences o D) Diagnosing mental illness Correct Answer: B
- Which of the following is considered a negative symptom of schizophrenia? o A) Hallucinations o B) Delusions o C) Anhedonia o D) Disorganized speech Correct Answer: C
- What is the first-line treatment for major depressive disorder? o A) Electroconvulsive therapy o B) Antidepressants o C) Psychotherapy o D) Hospitalization Correct Answer: B
o B) Social communication difficulties o C) Hyperactivity o D) Mood swings Correct Answer: B
- Which of the following is NOT typically a symptom of a manic episode? o A) Decreased need for sleep o B) Racing thoughts o C) Increased impulsivity o D) Anhedonia Correct Answer: D
- What is the typical duration required for diagnosing major depressive disorder? o A) 2 weeks o B) 1 month o C) 6 months o D) 1 year Correct Answer: A
- Which term describes the therapeutic alliance between therapist and client? o A) Transference o B) Rapport o C) Countertransference o D) Projection Correct Answer: B
- Which therapy emphasizes the importance of self- actualization? o A) Behavioral therapy o B) Psychodynamic therapy o C) Humanistic therapy o D) Cognitive therapy Correct Answer: C
- Which of the following medications is typically used to treat ADHD? o A) SSRIs o B) Antipsychotics o C) Stimulants
o D) Tricyclic antidepressants Correct Answer: C
- What is a common characteristic of bipolar II disorder? o A) Presence of full manic episodes o B) Hypomanic episodes o C) Chronic depression o D) Lack of mood variability Correct Answer: B 71 - 80
- Which symptom is most associated with social anxiety disorder? o A) Compulsions o B) Agoraphobia o C) Fear of social situations o D) Generalized worry Correct Answer: C
- What type of medication is used to treat attention- deficit/hyperactivity disorder (ADHD)? o A) Antidepressants o B) Mood stabilizers o C) Stimulants o D) Atypical antipsychotics Correct Answer: C
- What is the goal of exposure therapy? o A) To reduce symptoms through medication o B) To help clients avoid feared situations o C) To gradually desensitize clients to fear o D) To analyze unconscious conflicts Correct Answer: C
- Which disorder is characterized by excessive worry about multiple aspects of life? o A) Generalized Anxiety Disorder o B) Social Anxiety Disorder o C) Panic Disorder o D) Specific Phobia Correct Answer: A
o C) Norepinephrine o D) Glutamate Correct Answer: B 81 - 90
- What is the main feature of somatic symptom disorder? o A) Presence of delusions o B) Physical symptoms without a medical cause o C) Mood instability o D) Memory loss Correct Answer: B
- What is a key principle of cognitive behavioral therapy (CBT)? o A) Focus on childhood experiences o B) Restructuring negative thought patterns o C) Enhancing transference o D) Avoiding discussions about the past Correct Answer: B
- Which term describes the occurrence of two or more disorders in the same individual? o A) Dual diagnosis o B) Co-occurring disorders o C) Comorbidity o D) All of the above Correct Answer: D
- Which of the following is an effective treatment for insomnia? o A) Benzodiazepines o B) Stimulants o C) Cognitive Behavioral Therapy for Insomnia (CBT-I) o D) Antidepressants Correct Answer: C
- What is the first step in crisis intervention? o A) Assessing risk factors o B) Providing therapy o C) Referring to a specialist o D) Offering medication Correct Answer: A
- Which condition is characterized by both depressive and manic episodes? o A) Major depressive disorder o B) Bipolar I disorder o C) Cyclothymic disorder o D) Bipolar II disorder Correct Answer: B
- What is a common characteristic of psychotic disorders? o A) Mood swings o B) Altered perceptions of reality o C) Memory issues o D) Social anxiety Correct Answer: B
- Which of the following is a primary symptom of generalized anxiety disorder (GAD)? o A) Panic attacks o B) Specific phobias o C) Excessive worry o D) Social withdrawal Correct Answer: C
- What is the main treatment goal for individuals with schizophrenia? o A) Complete recovery o B) Symptom management and functional improvement o C) Social isolation o D) Intensive medication Correct Answer: B
- Which of the following is NOT a symptom of panic disorder? o A) Racing heart o B) Feelings of impending doom o C) Prolonged sadness o D) Shortness of breath Correct Answer: C 91 - 100
- What is a potential side effect of lithium? o A) Hyperglycemia
