ANCC Actual Exam |Sample Questions and Verified Answers Version 2| 2023/ 2024 Update| 100% Correct
1. A patient who has borderline personality disorder
... [Show More] experiences intense anxiety when the psychiatric-mental health nurse practitioner goes on vacation. The most appropriate explanation for this reaction is that the patient:
A. employs primitive idealization.
B. employs projective identification.
C. has not developed clear ego boundaries.
D. has not developed object constancy.
Answer: D. has not developed object constancy.
2. An initial psychiatric evaluation of a patient reveals a normal mental status and appropriate behavior, despite a parent's reports of "disobedience, poor grades, and laziness." To further assess the patient's functioning, the psychiatric-mental health nurse practitioner:
A. asks the parent to bring in the patient's educational and medical records.
B. meets with the parent and patient together to explore the discrepant report.
C. asks that the parent complete a Child Behavioral Checklist at home.
D. screens for signs of emotional, physical, sexual, or verbal abuse of the patient.
Answer: B. meets with the parent and patient together to explore the discrepant report.
3. The psychiatric-mental health nurse practitioner is employed in a newly created attending role on a psychiatric inpatient unit. To promote an interprofessional environment, the nurse practitioner:
A. discusses the resistance directly with the physicians.
B. assigns a role for all staff members in improving patient outcomes.
C. educates staff members on the role of a psychiatric-mental health nurse practitioner.
D. works with the nurse manager to organize all levels of nursing staff.
Answer: B. assigns a role for all staff members in improving patient outcomes.
4. The psychiatric-mental health nurse practitioner sees a 12-year-old patient who takes lisdexamfetamine (Vyvanse) 50 mg daily for attention-deficit hyperactivity disorder. The nurse practitioner observes a tic, which the parents report began after the patient began taking the psychostimulant, and it has been increasing in severity. Both the parents and the school report that the medication is helpful. The nurse practitioner:
A. continues the psychostimulant and has the parents and school observe the patient.
B. increases the dose of the psychostimulant and schedules a follow-up appointment in three months.
C. discontinues the psychostimulant, prescribes guanfacine extended release (Intuniv), and monitors the patient.
D. prescribes methylphenidate extended release (Concerta) on a dose appropriate for the patient's age and monitors the patient. [Show Less]