ANCC® PMHNP Psych-Mental Health
NP EXAM1 NEWEST 2024 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
Your
... [Show More] 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 - ANSWERS,Correct Answer:
complicated grief
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 - ANSWERS,Correct Answer:
Trazodone
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. - ANSWERS,Correct Answer:
Use examples and review.
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 - ANSWERS,Correct Answer:
Risperidone
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 - ANSWERS,Correct Answer:
Medication noncompliance
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 - ANSWERS,Correct Answer:
Documentation
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 - ANSWERS,Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP overdose. Vomiting, respiratory failure
and seizures would be considered an effect [Show Less]