ANCC - PMHNP SAMPLE TEST QUESTIONS

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ANCC - PMHNP SAMPLE TEST QUESTIONS

CORRECT SOLUTIONS.

A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental health nurse practitioner goes on vacation. The best explanation for

this reaction is that the patient:

• has failed to develop clear ego boundaries.
• has failed to master object constancy.
• is employing primitive idealization.
• is employing projective identification. - correct answer- B.

has failed to master object constancy

• 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?

• The medication should be discontinued.
• The medication should be increased.
• The patient's risk for suicide is not a concern.
• The patient's suicide potential is increased. - correct answer-
• The patient's suicide potential is increased.
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• Which behavior reflects existentially oriented therapy?
• Attempting to understand a patient's subjective world
• Challenging a patient's irrational beliefs
• Developing specific plans for change
• Establishing general group goals - correct answer- A.

Attempting to understand a patient's subjective world

• 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 flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner

responds by:

• advising the survivors to consider using a hypnotic

medication for a brief period.

• educating the survivors about prodromal symptoms of

posttraumatic stress disorder.

• encouraging the survivors to rest during the day.
• suggesting that the survivors join a posttrauma support

group. - correct answer- B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.

• An adult psychiatric and mental health nurse practitioner

uses the interpersonal therapy model with a patient to establish a therapeutic alliance based upon empathy and trust. The

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