ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST TEST 1 ,2,& 3 EXAM QS & ANS PLUS RATIONALE LATEST 2022-2024 (TEST 1-3 LATEST VERSIONS 100 QS AND ANS EACH) | NEW VERSION ALREADY GRADED A

ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST

TEST 1 ,2,& 3 EXAM QS & ANS PLUS RATIONALE

LATEST 2022-2024 (TEST 1-3 LATEST VERSIONS 100

QS AND ANS EACH) | NEW VERSION ALREADY

GRADED A

TEST 1

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

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.

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

antidepressants should not be prescribed within the recovery phase?

Trazodone

Duloxetine

Bupropion

Desvenlafaxine - -Correct Answer:

Trazodone

RATIONALE: 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.

RATIONALE: 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 concrete rather than abstract; and teach them how to ask questions about their

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

Risperidone

sertraline - -Correct Answer:

Risperidone

RATIONALE: Risperidone can cause the greatest prolactin elevation among atypical

psychotics. A milky white discharge known as galactorrhea could be a sign of an

underlying condition. The fact that the woman takes Risperidone, an atypical

antipsychotic, would likely point to the cause and should be switched with one less likely

to have that same side effect.

Which of the following would be considered one of the main things that is responsible

for about 2/3 of psychiatric hospital readmissions?

Not sufficient care.

Medication noncompliance

Biophysical assessments

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 disorder?

30%

45%

70%

60% - -Correct Answer:

70%

RATIONALE: People with dissociative identity disorder have one of the highest risks for

suicide. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM5),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.