ANCC PMHNP PSYCH-MENTAL HEALTH NP LATEST TEST 1 ,2,& 3 EXAM QS & ANS PLUS RATIONALE LATEST 2025-2026 (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.