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
