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ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST TEST 1 ,2,& 3 EXAM QS & ANS PLUS RATIONALE LATEST, Exams of Psychology

ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST TEST 1 ,2,& 3 EXAM QS & ANS PLUS RATIONALE LATEST 2023-2024(LATEST VERSIONS 100QS AND ANS EACH) NEW VERSIONALREADY GRADED A

Typology: Exams

2024/2025

Available from 07/04/2025

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TEST 1
complicated grief
RATIONALE: A person has uncomplicated grief when he or she has
normal physical, psychological, 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.
ANCC PMHNP PSYCH-
MENTAL
HEALTH
NP
LATEST TEST 1 ,2,& 3
EXAM QS & ANS
PLUS
RATIONAL
E
LATEST 2023-2024 (LATEST
VERSION
ALREADY
GRADE
D
NE
W
A
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
:
unkempt
and
Your patient, whose wife died a few months ago, appears to be
very
apathetic. Although several months have passed since
his
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Download ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST TEST 1 ,2,& 3 EXAM QS & ANS PLUS RATIONALE LATEST and more Exams Psychology in PDF only on Docsity!

TEST 1

complicated grief

RATIONALE: A person has uncomplicated grief when he or she has

normal physical, psychological, 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.

ANCC PMHNP PSYCH-

MENTAL

HEALTH

NP

LATEST TEST 1 ,2,& 3

EXAM QS & ANS

PLUS

RATIONAL

LATEST 2023-2024 (LATEST E

VERSION

ALREADY

GRADE

D

VERSIONS 100QS AND ANS

EACH)

NE

W

A

wife's death he has

not

progressed at all through his grieving.

You

assess this condition as which of

the

following

disenfranchised

griefpanic

disorder complicated

grief physiologic grief - -

Answer Correct

unkempt

and

Your patient, whose wife died a few months ago, appears to be

very apathetic. Although several months have passed since

his

If a patient has had a myocardial infarction, which of the

following atypical antidepressants should not be prescribed within

the recovery phase?

Trazodon

e

Duloxetin

e

None of the above - -Correct

Answer: Medication

noncompliance

RATIONALE: Medication noncompliance is a major problem with the

psychiatric mental health patients. The home health nurses assists by

helping the patients

to see the relationship between their compliance with their medication

regimen and control of their symptoms.

Which of the following would be considered an important form of

communication that can help to promote consistency in the care of the

patient at the

same time that it justifies their stay in the hospital?

Review of care.

Documentation

Verbal reporting

None of the above - -Correct

Answer: Documentation

RATIONALE: 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

Hypertensive crisis

Seizures - -Correct

Answer: Hypertensive

crisis

RATIONALE: Hypertensive crisis would be considered a symptom of PCP

overdose.

Vomiting, respiratory failure and seizures would be

considered an effect of LSD overdose.

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

combinations 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 identity

RATIONALE: People with dissociative identity disorder have one of the

highest risks for suicide. According to the Diagnostic and Statistical

Manual of Mental Disorders (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

Cognitive

Stabilization - -Correct

Answer: Cognitive

RATIONALE: Cognitive is not one of the three phases of schizophrenia

treatment. The three phases are:

Phase 1: acute

Phase 2:

stabilization Phase

3: maintenance

The patient should be monitored for effects of psychotropic medications

which can impact cardiac rhythms. Which of the following could be a

potential

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

RATIONALE: With antipsychotic drugs, the triclyclic action can cause

problems. These medications can cause a widening of the QRS or a

prolonged QT interval.

This is a measure of the ventricular repolarization.

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

RATIONALE: 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.

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

RATIONALE: 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

RATIONALE: DSM-V diagnostic criteria for schizophrenia include delusions,

hallucinations, disorganized 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

following is the highest level of needs in Maslow's hierarchy?

esteem and recognition

self-actualization

love and belonging

safety - -Correct

Answer: self-

actualization

RATIONALE: Abraham Maslow's hierarchy of needs from lowest to

highest are: physiologic, safety, love and belonging, esteem and

recognition, and self-actualization. Self-actualization is the fulfillment of

a person's unique potential.

How well a drug passes through natural body barriers such as the skin or

stomach is known as the drug's:

diffusion

metabolism

bioavailability

absorption - -

Correct Answer:

absorption

RATIONALE: 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

concentration of which of the following in the body?

Serotonin

Dopamine

Norephinephrine

Which of the following would more than likely be included in treatment of the

patient with depression?

Cognitive therapy

Psychopharmacology

Individual therapy

All of the above - -Correct

Answer: All of the above

RATIONALE: Treatment of depression can

include: Cognitive therapy

Psychopharmacology

Individual therapy

Group/family therapy

Electroconvulsive

therapy Light therapy

Transcranial magnetic stimulation

Which of the following individuals would be the most likely to be homeless?

16 year old white male.

67 year old Hispanic female

49 year old female Native American

19 year old Asian male - -Correct

Answer: 16 year old white male.

RATIONALE: 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

RATIONALE: 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

RATIONALE: 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

What action would be appropriate for documenting a patient's care?

Charting opinions

Charting in ink

Charting events before they happen

Charting generalizations - -Correct

Answer: Charting in ink

RATIONALE: This is the only appropriate charting action. You would not

chart the following: opinions that are not supported by facts or defame

patients, chart events before they happen, chart generalizations,

suppositions or pat phrases, obliterate, erase, alter or destroy a record,

or leave blank spaces. If an incident report is filed, do not note it in the

chart.

Relationships between people are each unique. However, all

relationships can be categorized into three major types. They are:

social, intimate, and therapeutic

social, intimate, and empathetic

social, warm, and empathetic

public, private, and therapeutic - -Correct

Answer: social, intimate, and therapeutic

RATIONALE: The three categories of relationship types are: social,

intimate, and therapeutic. Social relationships are primarily for friendship.

Intimate relationships involve two people who are emotionally committed

to each other. The therapeutic relationship focuses on the needs,

experiences, feelings, and ideas of the client only.

If the client cannot organize his or her thoughts, or has difficulty

answering open-ended questions, the nurse should do which of the

following?

continue to ask the open-ended questions until the client can answer