American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified

Question 1

During an initial psychiatric interview of a 15-year-old female, the PMHNP noted the presence of peripheral edema and Russell's sign. These physical signs are symptoms of which of the following conditions?

A. Systemic lupus erythematosus

B. Hyponatremia

C. Pregnancy

D. Anorexia nervosa

Correct Answer: D

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 2

A PMHNP who is working at a community mental health clinic is assigned to collaborate with school leaders on developing primary prevention strategies to promote mental health for teenagers with histories of truancy. Which of the following is an example of a primary prevention strategy?

A. Mandated treatment

B. Drop-in center for teenagers with substance abuse issues

C. Emotional intelligence skills class for at-risk adolescents

D. Hotline

Correct Answer: C

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 3

A young woman brings her 77-year-old father to a clinic. She believes her father has Alzheimer's disease because he has been depressed and forgetful lately. What are the earliest symptoms of Alzheimer's disease?

A. Cognitive impairment

B. Behavioral symptoms

C. Decline in functional independence

D. Mood changes

Correct Answer: D

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 4

Which of the following is a systemic effect of hyponatremia?

A. Weight gain

B. Hypotension

C. Fever

D. Thirst

Correct Answer: A

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 5

At what age would you expect a child to sit alone with good coordination, imitate scribble, develop mild separation anxiety, and respond to social play such as peek-a-boo?

A. 16 weeks

B. 12 months

C. 18 months

D. 2 years

Correct Answer: B

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 6

A patient diagnosed with major depressive disorder is prescribed cognitive-behavioral therapy (CBT). Which statement by the patient indicates an understanding of CBT?

A. "CBT will involve taking medication to reduce my symptoms of depression."

B. "CBT will help me understand the reasons for my depression and how to cope with it."

C. "CBT will teach me relaxation techniques to reduce anxiety and stress."

D. "CBT will help me identify and challenge negative thoughts contributing to my depression."

Correct Answer: D

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 7

Which of the following is a systemic effect of hyperthyroidism?

A. Weight gain

B. Decreased libido

C. Constipation

D. Compulsive movement

Correct Answer: D

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 8

The medical term for chronic nail biting is which of the following?

A. onychophagia

B. excoriation disorder

C. oniomania

D. trichotillomania

Correct Answer: A

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 9

A 17-year-old male patient who started an atypical antipsychotic one week ago arrives at the ED with high blood pressure, hyperactive reflexes, hyperthermia, and delirium. The patient appears stiff and rigid. He is accompanied by his mother, who is demanding a drug screen. The PMH-BC immediately focuses on emergent cardiopulmonary support, stops the medication, and orders dantrolene.
What does the PMH-BC suspect?

A. Neuroleptic malignant syndrome

B. Dystonia

C. Tardive dyskinesia

D. Akathisia

Correct Answer: A

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 10

You are treating a 19-year-old female, who lives at home with her father and brother, for major depressive disorder. Her father calls asking for information about the patient's new prescription for fluoxetine. How do you respond?

A. You cannot disclose any information about the patient to third parties without her consent

B. You can disclose the patient's diagnosis and prognosis, but you cannot speak about medication

C. You can speak openly with the father but only because the patient lives with him

D. You can speak openly with the father because he is a first-degree relative

Correct Answer: A

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

Question 11

What federal statute protects a patient's right to confidentiality?

A. Health Insurance Portability and Accountability Act (HIPAA)

B. Health Resources and Services Act

C. Health Information Technology for Economic and Clinical Health Act (HITECH)

D. Affordable Care Act

Correct Answer: A

Explanation: Only visible for Actualtests4sure members. You can sign-up / login (it's free).

College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified - PMHNP Exam Practice Test

Latest Update

Useful Links

Contact Us