ANCC Psychiatric-Mental Health Nursing 2

Question 1

What is the primary purpose of milieu therapy in an inpatient psychiatric unit?

Accepted Answer

To use the therapeutic environment to promote healing and social skills

Answer

To isolate patients from environmental stressors

Answer

To reduce the need for psychotropic medications

Answer

To provide structured one-on-one psychotherapy sessions

Question 2

A patient with borderline personality disorder is engaging in splitting behavior. How should the nursing staff respond?

Accepted Answer

Maintain consistent communication and unified team responses

Answer

Assign only one nurse to avoid conflict

Answer

Allow staff the patient prefers to handle all care

Answer

Limit the patient's interactions with other patients

Question 3

Which symptom cluster is most characteristic of post-traumatic stress disorder (PTSD)?

Accepted Answer

Intrusion, avoidance, negative cognitions, hyperarousal

Answer

Grandiosity, decreased need for sleep, racing thoughts

Answer

Depressed mood, anhedonia, psychomotor retardation

Answer

Obsessions, compulsions, and anxiety

Question 4

A nurse is conducting a suicide risk assessment. Which factor is most strongly associated with completed suicide?

Accepted Answer

Previous suicide attempt

Answer

Being female

Answer

Experiencing grief

Answer

Living alone

Question 5

Which antipsychotic medication requires mandatory REMS (Risk Evaluation and Mitigation Strategy) enrollment due to risk of agranulocytosis?

Accepted Answer

Clozapine

Answer

Risperidone

Answer

Haloperidol

Answer

Quetiapine

Question 6

A patient with major depressive disorder is started on an SSRI. The nurse teaches that full antidepressant effects typically occur after how long?

Accepted Answer

2–4 weeks

Answer

24–48 hours

Answer

3–5 days

Answer

6–8 weeks