ANCC – PMHNP Sample Test Questions (Answered and Graded A+) A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric and mental health nurse practitioner goes on vacation. The
best explanation for this reaction is that the patient:
- has failed to develop clear ego boundaries.
- has failed to master object constancy.
- is employing primitive idealization.
- is employing projective identification.
- has failed to master object constancy
- A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks.
- The medication should be discontinued.
- The medication should be increased.
- The patient's risk for suicide is not a concern.
- The patient's suicide potential is increased.
- The patient's suicide potential is increased.
- Which behavior reflects existentially oriented therapy? 1 / 2
Initially, the patient reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance have now begun to improve. Which statement applies to this patient?
- Attempting to understand a patient's subjective world
- Challenging a patient's irrational beliefs
- Developing specific plans for change
- Establishing general group goals
- Attempting to understand a patient's subjective world
- Serving as a member on a crisis team, an adult psychiatric and mental health
nurse practitioner provides crisis intervention to the survivors of a plane crash.Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner responds
by:
- advising the survivors to consider using a hypnotic medication for a brief
- educating the survivors about prodromal symptoms of posttraumatic stress
- encouraging the survivors to rest during the day.
- suggesting that the survivors join a post trauma support group.
- educating the survivors about prodromal symptoms of posttraumatic stress
- An adult psychiatric and mental health nurse practitioner uses the
period.
disorder.
disorder.
interpersonal therapy model with a patient to establish a therapeutic alliance based upon empathy and trust. The nurse practitioner recognizes the patient's
readiness to terminate therapy when the patient demonstrates:
- an understanding that leaving a significant other may be painful, but also
- / 2
presents an opportunity for growth.